Dafa from the

NATIONAL VITAL STATISTICS SYSTEM

Expensesfor Hospitaland Institutional

CareDuringthe last Yearof life

for AdultsWho

UnitedStates

Died in 1964 or 1965

Statistics on the expenses for care in hospitals and institutions

during the last year of life for persons who died during 1964and

1965 by age, sex, color, cause of death, geographic region and

division, family income, living arrangements, marital status,

number of episodes, and type of episode. Based on data COI -

Iected in a mail survey with questionnaires sent to the informant for the death certificate and to the medical facilities which

provided the care.

Series 22

Number 11

U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

Public Health Service

Health Services and Mental Health Administration

National Center for Health Statistics

Rockville, Maryland March 1971
Public Hcalt,h Service Publication No. 1000-Series 22-No. 11

For sale by the Supermtcmkmt of I)ocumcnts, U.S. Government Printing O(Tke, Washington, D.C. 20402- Price 70 cents
NATIONAL CENTER FOR HEALTH STATISTICS

THEODORE D. WOOLSEY, ,Director

PHILIP S. LAWRENCE, SC. D., Associate Director

OSWALD K. SAGEN, Ph. D., Assistant Director /or Health Statistics Development

WALT R. SIMMONS, M. A., Assistant Director for Research and Scientific Development

JAMES E.KELLY, D. D. S., Dental Advisor

EDWARD E. MINTY, Executive O//icer

DIVISION OF VITAL STATISTICS

ROBERT A. ISRAEL, M.S., Director

JOHN E. PATTERSON, Assistant Director for Demographic A//airs

ARNE B. NELSON, M.A., Cbie/, Vital Records Survey Branch

Public Health Service Publication No. 1000-Series 22-No. 11

.LibrarY of Congress Catalog Card Number 72-608556
.

CONTENTS

Page

Introduction ----------------------------------------------------------

Selected Findings -------------------------------- ---------------------

Sources and Limitations of the Data -------------------------------------

Nature of the Population -----------------------------------------------

Expenses for Care—All Decedents---- ----------------------------------

Sex andAge ----------------------------- ---------------------------

Color and Age----------- -------------------------------------------

Cause of Death---- -------------------------------------------------

Region and Division ------------------- ------------------------------

Living Arrangements and Family Income ------------------------------

Marital Stat~s ------------------------------------------------------

Expenses for Care—Decedents With Reported Expenses -------------------

Introduction -------------------------------------------------------

Number of Episod,:s ------------------------------------------------

Type of Hospital Episodes ------------------------------- ------------

Numl.er of Days of Care ---------------------------------------------

References -------------------------- ---------------------------- ---

Detailed TabIes -------------------------------------------------------

Appendix I. TechnicalNotes on Methods ---------------------------------

Background of ~is Report ------------------------------------------

Sample Design --------

-------------------------------------------- -

Sources of the Data -------------------------------------------------

Death Certificate andQuestionnaires ----------------------------------

Collection of the Data -----------------------------------------------

Processing of the Data --------------- -------------------------------

Nonresponse and Imputation for Missing Data --------------------------

Weighting Procedures for National Estimates --------------------------

Reliability of Estimai es--- ------------------------------------------

Rounding of Numbers ----------------------------- ------------------

1

2

3

4

5

5

6

6

9

10

10

11

11

11

13

16

19

20

47

47

47

47

47

48

49

49

50

50

51

...

ill
CONTENTS—Con.

Appendix H. Definitions of Certain Terms Used in This Report -------------

Information From the Death Certificate -------------------------------

Information From the Informant Questionnaire -------------------------

Information From the Hospital Questionnaire --------------------------

Appendix 111. Source Forms --------------------------------------------

Death Certificate --------------------------------------------------

Informan tQuestionnaires -------------------------------------------

Death Outside Institution ------------------------------------------

Death in Institution -----------------------------------------------

Hospital and Institutional Questionnaires ----------------- - ------------

Nonterminal Episode ---------------------------------------------

Terminal Episode --------------- .- ------- ------ L----------------

53

53

54

54

55

55

56

56

60

64

64

66

iv
SYMBOLS

Data not available ------------------------ ---

Category not applicable ------------------- . . .

Quantity zero ---------------------------- -

Quantity more than O but less than O.05---- 0.0

Figure doesnot meet standards of

reliabilityor precision ------------------

*

v
IN THIS REPORT statistics aye pvesented on expenses fov hospital and

institutional care during the .12 months before death fov adults aged 25

years or older who died duving 1964 OY1965.

These statistics ave based on the datu collected in a mail survey

on questionnaires sent to the pevson who pvovided the funeral divector

with the decedents pevsonal information for vecording on the death certificate and to any hospitals ov institutions in which the decedent veceived

ca~e during the yecw befb~e his death.

The decedents about whom information is p~esented in this repovt ave

classified by age, color, sex, mavital status, geographic vegion, living

awangements, family income during the last fill calendav year befove

death, and cause of death. A ho included is information on the number

of hospital or institutional episodes, the avevage length of stay, and

whethev the cave was received in a shovt-stay ~wspitil or an institution.

About 73 pevcent of the adult decedents were vepovted to have had hospital or institutional cave in the yeav before death. Of those who had

care in a medical facility, about 43 pevcent had bills of $500 or less and

57percenthad bills of $500 or more. Approximately 38 percent of them

had bills amounting to $1,000 ov more.

Expenses were highevforfemale decedents and for white decedents than

fo~ all othev decedents. Decedents in the South had lowev expenses fov

care in medical facilities than did decedents in othev ~e@”ons.

Of the vwiables included in this report, the one with the greatest effect

on the expenses fov hospital and institutional cave was cause of death.

The median cost for care in a medical facility fov pevsons who died of

malignant neoplasms was over $1,000, while the lowest median cost,

$457, was for persons who died from accidents, homicide, ov suicide.

The expenses for cave in medical facilities were also higharfov decedents

who had episodes in both shovt-stn y hospitals and in institutions than for

decedents who had only short-stuy episodes or institutional episodes.
EXPENSES FOR HOSPITAL AND INSTITUTIONAL CARE

DURING THE LAST YEAR OF LIFE

FOR ADULTS WHO DIED IN 1964 OR 1965

E Iaine J. Tim mer, Comprehensive Health Planning, State of Oregona

and Mary Grace Kovar, Division of Vital Statistics

INTRODUCTION

The data presented in this report were obtained from the National Mortality Survey which

was based on the probability sample drawn from

the monthly Current Mortality Sample representing the deaths registered in the United States

during 1964 and 1965.

This report presents statistics on the expenses incurred by decedents for hospital or

institutional care in the 12-month period before

death. Data on hospital and institutional expenses

have become increasingly important because of

the continuous rise in medical care costs since

the 1940’s. Prior to World War 11 the average

bill for short-stay hospitalization was approximately $7.00 a day, but by 1965 the average had

increased to $44.48 a day. I

The estimates of expenses which are usually

published measure the expenses for inpatient

care for the living, noninstitutional population.

Such estimates can be good estimates of expenditures for younger age groups, where the death

rates are low and few persons are residents of

institutions. For the older population, however,

this method of estimating expenses means missing

many persons who received care during the year.

Not only are death rates high for the aged but

a measurable proportion of aged persons are

residents of institutions (table A). Estimates of

expenditures for care during a year derived from

aFormerly withtheDivisionofVitalStatktics.

Table A. Average death rates for 1964-65

and rates of institutionalization for

1963: United States

Deaths

Age per 1,000

population 1

All ages,

25+ years --

L

11.6

25-44 years ---

45-54 years ---

55-64 years ---

65-74 years ---

75-84 years ---

85 years and

over ---------

2.3

7.4

16.9

37.8

81.7

200.4

Institutional

residents

per 1,000

population

5

147

1Sources : Vital Statistics of the United

States for 1964 and 1965.

2Source: PHS Pub. No. 1000, Series 12,

No. 8.

interviewing the surviving members of a household are thus particularlylimitedfor the aged

population.

The data presented heretherefore differ from

other estimates because they are the expenses

during the last year of life for persons who died

and because decedents who were residents of institutions are included. The amount of care and the

expenses for hospital and institutional care in the

last year of life are generally high and place a

1
great economic burden on the families of the

persons who die.

This report, which is in two parts, presents

data on hospital and institutional bills, shown

by five intervals, for all decedents 25 years or

older. In the first part of this report the expense

data are related to certain socioeconomic and

demographic characteristics of the decedents. The

second part is an analysis of the expenses for

care in medical facilities only for those decedents who were reported to have had some expenses for hospital or institutional care. The

second half also includes information on whether

the care was received in a hospital, in an institution, or in both, and on the amount of care received

as measured by the average number of days of

care and the number of episodes in ttie year before

death. No data were collected to measure the

quality of the care or the amount or type of care

received. In the following analysis the term

“care” is defined to include care in both shortstay hospitals and resident institutions.

A previous report in this series presented

data on the extent of health insurance coverage

for decedents who were aged 25 or older at the

time of death. 2 The beginning of this report is

designed to give the rate of and expense for

hospitalization for the same decedents, so the

two reports are complementary.

SELECTED FINDINGS

Of the annual average 1,649,000 adults aged

25 or older who died during 1964 or 1965, 73

percent had some hospitaI or institutional care

in the 12 months ,before death. Of those who

received care in a medical facility, 15 percent

had bills under $100, 12 percent had biHs of

$100-$249, 16 percent had bills of $250-$499,

19 percent had bills of $500-$999, and 38 percent had bills of $1,000 and over.

In general, younger decedents who received

care in a medical facility had higher bills than

o] der decedents. The highest median bill (over

$1 ,000) was reported for decedents aged 25-44;

the lowest median bill ($62 1) was reported for

decedents aged 75-84.

Female decedents and white decedents received care in medical facilities more frequently

and had higher bills than male decedents or

decedents who were members of other color

gr’~r~ps. About 40 percent of the females and the

wliite decedents incurred expenses of $1,000 or

more, The proportions with comparable expenses

were 3’7 percent for male decedents and 26 percent for all other decedents.

There were marked differences in the amount

and expense of care when. cause of death was

considered. Almost 92 percent of the decedents

whose deaths were attributed to malignant neopl ,M.ms received hospital or institutional care

during the last year of life; of those who did,

53 percent had bills of $1,000 or more. Only

30 percent of the decedents whose deaths were

attributed to accidents received such care; of

those who did, 34 percent had bills of $1,000

o.r mur e.

The South differed from aH orher regions

with regard to the rate of receiving care in medical facilities and the expenses for (care. About

41 percent of the decedents receiving care in

the Northeast, North Central, and West Regions

had bills amounting to $1,000 or more. In the

South, however, only 31 percent of the decedents

receiving care had comparable costs. The South

also reported the highest proportion of decedents

who were not charged for care or whose bills

amounted to less than $100.”

A higher prOp(YL”tiOII of decedents who lived

with a spouse but no other relatives had bills

over $500 than did decedents who live~[ either with

other relatives, with nonrelatives, or alone.

On the average, divorc’ed decedents had higher

expenses for care in medical facilities than

decedents of any other marital status, even though

divorced decedents were less likely to receive

care than other decedents. About 43 percent of the

divorced decedents who received, care had bills

of $1,000 or more, while about 38 percent of

decedents of any other marital status who received

care were in the highest cost interval.

The expenditures for care in medical facilities were directly proportional to family income.

A larger proportion of decedents at the higher

income levels had bills of $1,000 or more than

those at lower income levels., However, even at

the lowest income level (less than $2,000), over

one-third of the decedents who received care were

reported to have had bills of $1,000 or more.

2
Among the annual average 1,207,000 decedents

with reported expenses, those decedents who had

three or more episodes in the last year of life

had the highest bills. Twenty-seven percent of the

decedents with one episode, 43 percent of the

decedents with two episodes, and 59 percent of

the decedents with three or more episodes had

bills of $ L.000 or more.

Persons whose care was received in both

short-stay hospitals and in institutions hadhigher

bills than persons who had only short-stay hospital

episodes or only institutional episodes. Proportions of decedents with bills of $1,000 or more

were 35 percent for those with short-stay hospital

episodes, 52 percent for those with both shortstay and institutional episodes, and 41 percent for

those with institutional episodes only.

The bills for care were higher for persons

who spent between 57 and 91 days in a hospital

or institution than for those with shorter or longer

stays. Over 60 percent of these decedents incurred

expenses of $1,000 or more in their last year of

life.

SOURCES AND LIMITATIONS

OF THE DATA

The 10,408 decedents aged 1 year or older

who were included in the National Mortality Survey

(NMS) were selected from the Current Mortality

Sample of death certificates filed monthly with

the National Center for Health Statistics by each

State and registration area. The NMS sample is

a one in 330 probability sample of all persons

aged 1 or older who died in the United States

during 1964 and 1965.

In addition to the basic information recorded

on the death certificate, the information abat

the decedents presented in this report was obtained

from two sources. The first source was a questionnaire mailed to the death certificate informant—the person who provided the funeral director

with the personal information about the deceased

for recording on the certificate. The informant,

who was usually a close relative of the decedent, was asked to provide information on the

amount of the bill for hospitalization and on socioeconomic characteristics of the decedents. The

informant was also asked to identify all hospitals

and institutions which may have provided care to

the decedent during the year before his death.

The second source of information was a

questionnaire mailed to the hospitals or institutions named either by the informant or on the

death certificate as places where the decedent

received care in his last year of life. All

medical facilities were asked to provide information about the number and length of the

episodes and whether or not the decedent had

an operation. They were also asked to name any

other hospitals or institutions where the decedent

received care.

A description of the survey procedures for

the 1964-65 National Mortality Survey as well

as a description of the estimation procedures

is in appendix I. Since the data in this report

are estimates based on a sample, they are

subject to sampling error. Tables of approximate sampling errors and instructions for their

use are also in appendix 1.

In any data collection system a possible

source of error is that associated with nonresponse. Of the 10,408 decedents aged 1 or older

included in the NMS, there was no response -

from the informant for 933 cases (9.0 percent).

FOI decedents aged 25 or older, the nonresponse

rate was 8.7 percent. For these cases, information about the decedent was imputed. A discussion

of the imputation procedures and of some messures relating to bias in the surv?y procedures

for the National Mortality Survey are also discussed in appendix I.

In addition, the quality of survey data can be

affected by other sources of error. The respondent

may have misunderstood some of the questions

and may therefore have reported erroneous data,

or he may have understood the question but

not have known the answer. Since the information

about the decedent had to be provided by another

person, the second type of error was probably

more common in this survey.

Statistics on expenses, in particular, may

be affected by the respondent’s lack of knowledge.

Questions on the expenses for care in medical

facilities are subject to a high rate of unknown

responses because of the various ways of paying

bills. When welfare or insurance pays for some

part of the bill it is common for the agency to

make payment directly to the hospital. In these

3
cases, the respondent may not know the amount

of the total bill. Also if the decedent paid the

bill himself for a nonterminal episode, the

respondent may not know how much was paid.

Of the 10,019 decedents aged 25 or older in

the sample for the 1964-65 National Mortality

Survey, there were 262 cases where the informant

reported expenses for the decedent but the hospital

or institution did not report any inpatient episodes

for the decedent. The amount reported for these

decedents are probably charges for emergency

room treatment; for out patient services such

as radium treatments, physical therapy, X-rays,

or laboratory tests; or for any other charges

where the person was never formally admitted

as a patient.

Definitions of the terms used in this report

are given in appendix II, and facsimiles of the

Standard Certificate of Death and of the informant questionnaires are shown in appendix III.

NATURE’ OF THE POPULATION

An annual average of 1,649,000 adults aged

25 or older died in the United States during 1964

and 1965. Table B compares the decedent population included in this report with the civilian,

noninstitutional population of the United States

in January 1965. Of the adults aged 25 or older

who died during 1964-65, about 66 percent were

aged 65 or older at the time of death. Of the

noninstitutionalized living persons aged 25 or

older, only about 17 percent were 65 or older.

There was a marked difference between the

two populations when family income was considered. The median income during the previous

calendar year for families and unrelated individuals in the living population ($6,109) was more

than twice as high as the median income during

the last calendar year before death for families

and unrelated individuals in the decedent popuTable B. Comparison of decedent population, 1964-65, with civilian noninstitutional

population, January 1965, by selected characteristics: United States

Civilian nonDecedent

ins titutional population,

Characteristics pOpUlat ion 1

25 years

and over

I

Median family income ------------------------------------- %6,109 $2,590

Percent

All ages, 25 years and over ------------------------ 100.0 ] 100.0

I

25-64 years ----------------------------------------------

65 years and over ----------------------------------------

Hospital experience for person aged 25 years and

over ---------------------- ------------------------

No episodes ----------------------------------------------

1 or more episodes ---------------------------------------

Amount of the hospital bill for persons aged 25

years and over ------------------------------------

Under $100 -----------------------------------------------

$lOO-$249------------------------------------------------

$25O-$499------------------------------------------------

$500 and over ------ -- - -- ------ ------ - ----- - ------ --- - ----

I

82.8 33.7

17.2 66.3

100.0 \ 100.0

87.4 ! 26.8

12.6 73.2

“Source: Unpublished data from the Health Interview Survey

w

for July 1964-June 1965.

2~ased on persons of all ages.

4
lation ($2,590). The low family income reported

for decedents may be due in part to their advanced

age, to illness, and to the generally low incomes

associated with retirement.

The decedent population also differed from

the living population in the proportion of persons

receiving care in hospitals or institutions during

a 12-month period. About 73 percent of the adult

decedents who died in 1964 or 1965 had at least

one hospital or institutional episode in the year

preceding death; among the living, noninstitutional

population, only 13 percent of the adults aged 25

or older had one or more episodes from July

1964 through June 1965.

Not only did a higher proportion of the decedents receive care in medical facilities than

persons in the living population, but the bills

for their care were also higher. About 57 percent of the decedents as compared with only 25

percent of the living population who had care in

medical facilities had bills of $500 or more. The

median amount of the bill for decedents ($691)

was much higher than the median for the living

population ($259).

EXPENSES FOR CARE–

ALL DECEDENTS

Sex and Age

Of the annual average of 1,649,000 adults

aged 25 or older who died during 1964 or 1965,

about 56 percent were males and 44 percent were

females. Only 62 percent of the males as compared with 72 percent of the females were 65

years or older. The median age for males aged

25 or older at time of death was 69 years; the

median age at death for females aged 25 or

older was 74 years.

About 73 percent of adult decedents had hospital or institutional care in the 12 months before

death (table 1). About 15 percent of those who

received care had bills of $100 or less; 12

percent had bills of $100-$249; 16 percent had

bills of $250-$499; 19 percent had bills of $500-

$999; and 38 percent had bills of $1,000 or

more.

The proportion of decedents who received

care in medical facilities was higher in each

successive age group. The proportion reported to

$1,000

w

Hospitalized decedents,

5 years and over

$s00

$600

$400

I

●-** .*-9. -

----- *+ *+ **

$200 ●+

●+ AI I decedents, 25 years and over

#

,+

o~

25 35 45 55 65 75 85

yeors years years years years yeors yeor

AGF flF 13FCFnFNTS

Figure 1. Median expenses for care in hospitals and

institutions for al 1 decedents 25 years and over

and for hospital i zed decedents.

have had care in the last year of life was 58

percent for decedents aged 25-44, 67 percent for

those aged 45-54, and 73 percent for those aged

55-64. About 75 percent of the decedents aged

65-74 and 76 percent of those aged 75 or older

received care during the last year of life.

The amount of the bill for persons with care

in medical facilities was inversely proportional

to the age of death. Although a higher proportion

of older decedents received care than did younger

decedents, the expenses for those who had care

were lower for older decedents than for younger

decedents. About 17 percent of the decedents 85

years of age or older had bills under $100 as

compared with 11 percent of the decedents aged

25-44. Conversely, only 38 percent of the decedents aged 85 or older had bills of $1,000 or

more, while 50 percent of those aged 25-44 had

bills that high.

The effect of the proportion receiving care on

the amount of the bill reported for each age group

can be seen in the medians shown in figure 1. When

all decedents are used as the base, the median is

higher in each successive age group through 65-74.

However, when only decedents who received care

are used as the base, the median is generally

lower in each successive age group.

5
The difference in the trends may be a reflection of the differences in the medical conditions

affecting the younger and older age groups. Also,

at the younger ages, more expensive measures

may be taken to save the life of the person. In

addition, the smaller median bill at ages 65

and over may reflect the place where the care was

received. Older decedents were more likely toreceive their medical care in institutions than

younger decedents. Since the charges per day are

less in nursing homes than in short-stay hospitals,

the older decedents would have lower costs for

hospitalization than the younger decedents. 3

A higher proportion of female decedents

aged 25 or older received care in medical facilities than male decedents. About 77 percent of the

females as compared with only 70 percent of the

males had at least one episode during the 12

months before death. Part of the difference between the proportion of males and females receiving care may be due to the fact that, in

general, females were older.

The largest difference between the ,sexes with

regard to the proportion receiving care is at the

younger ages. Figure 2 shows that in each successive age group the difference is less. Part of

the explanation may be the cause of death since,

as will be shown later in the report, the causes

of death were different for males and females

particularly among younger decedents. For example, males in the 25-54 year age groups

were more likely to have died from violent causes

or cardiovascular attacks than were females; such

deaths usually do not entail extensive care’ in

hospitals or institutions.

Not only did more females receive care in

medical facilities than males, but the bills for

those who did receive care were higher. About

‘ 59 percent of the females with care, as compared

with 56 percent of the males, incurred expenses

80

r=

70.4

Female

74.3

25-44

years

45-54

yeors

55-64

years

AGE OF

79.0

—

OE

76.8 77.1

65-74

yeors

:CEOENT

75-84

years

85 years

and over

Figure 2. Percentage of decedents 25 years and over who had some care in medical faci1ities during the last year

of 1ife, by age and sex.
of $500 or more in the last year of life. About

40 percent of the females and 37 percent of the

males had bills of $1,000 or more.

The fact that females who are residents of

institutions incur greater expenses than males

had been discussed in a report from the Resident Places Surveys In all types of institutions it

was found that the charges for females in 1964

were higher than for males regardless of the other

variables considered. Again the older ages of

females may explain part of the higher charges;

because of their age, females may require more

expensive care. It is also possible that females

may desire extra services and these would increase the amount of the bill.

Color and Age

Of the decedents aged 25 or older who

died during 1964-65, about 89 percent were

white (table 2). Their median age at death was

72 years. About 74 percent of the white decedents had at least one episode in a medical facility in the year before death. White decedents

who received care also had high expenses. Only

14 percent were reported to have had hospital

bills under $100, and about 40 percent incurred

bills of $1,000 or more.

The median age at death for all other decedents aged 25 or older was only 64 years. About

66 percent of these decedents received care in

hospitals or institutions in the last year of life.

Not only did fewer of them have hospital care,

but the expenses reported for Negro and all

other decedents were less than the expenses

reported for white decedents. About 60 percent of

she Negro and other decedents who received care

incurred bills under $500; almost 29 percent were

reported to have had bills under $100. This high

proportion in the lowest interval maybe due to free

care provided to persons under public assistance programs. Only 26 percent of those who received care had bills amounting to $1,000 or more.

The older ages of the white decedents only

account in part for the fact that white decedents received more care and had higher bills

than decedents of other races. As age-specific

comparison shows, both the rate of care in hospitak and institutions and the expense for those

persons with care were higher in each age group

for white decedents than for other decedents.

Cause of Death

About 43 percent of the deaths of adults

aged 25 or older were attributed to conditions

of the heart, 17 percent to malignant neoplasms,

and 12 percent to vascular lesions affecting the

central nervous system. These three causes of

death accounted for about 72 percent of the deaths.

Table 3 shows the proportion of decedents receiving care and the amount of the bill for care

for persons whose deaths were ascribed to one

of the leading causes of death with additional

detail for diseases of the heart and malignant

neoplasms.

Among the causes shown in cable 3, there

were differences both in the proportion of decedents who had care during the 12 months before

death and in the exTenses incurred by those decedents. Adults dying from malignant neoplasms

had the highest rate of care; over 90 percent of

them had at Ieast one hospital or institutional

episode in the last year of life. Persons dying

of malignant neoplasms also had the highest bills.

About 72 percent of those receiving care incurred

exTenses of $500 or more; 53 percent had expenses of $1,000 or more.

Of the adults whose deaths were attributed

to diseases of the heart, 64 percent received care

in medical facilities. Decedents who suffered

violent deaths (accidents, homicides, and suicides)

were less likely to have received care than all

other decedents. Only 30 percent of the persons

who died as a result of accidents were reported

to have received care in a medical facility in

the 12 months before death. Comparable figures

for adults whose deaths were classified as homicide or suicide were 28 and 52 percent, respectively.

Table C shows the median bill for decedents

with care for the five leading causes of death.

Differences in the median expense for hospital

or institutional care for decedents in each causeof-death classification may be due to the types

of treatment for the disease and to the length

of stay. The highest median was reported for

persons whose deaths were attributed to malignant

neoplasms. Very often cancer patients undergo

surgery and their bills would reflect charges for

the operating room, the anesthetist, and X-rays.

In addition, persons with malignant neoplasms may

require radium treatment and physical therapy.

7
Table c Median bill for care in hospitals

and institutions in the last year o-f life

for decedents 25 years and over, by five

leading causes of death: United States.

1964-65 deaths

Cause of death

All causes ----------------

Arteriosclerotic heart

disease ------------------- (420)

All other diseases of

heart -------- (400-416, 421-443)

Malignant neoplasms ----(l205)O5)

Vascular lesions affecting the

central nervous

system ---------------- (330-334)

All violent

deaths--- (E8OO-E964, E970-E985)

All other

causes --------------- (Residual)

Median

bill

$691

$563

$476

$1,000+

$530

$457

$658

In contrast, the treatment for patients with

cardiovascular conditions doesnot usually include

surgery or the use ofappliances. Hencethe typical

bill for care in medical facilities for persons

whose deaths were attributed to diseases of the

heart would be less than the expenses reported

forpersons dying from malignant neoplasms.4

Table D, derived from table 4, shows that

a larger proportion of the male decedents died

from arteriosclerotic heart disease or from

violent causes than of the female decedents.

Deaths of females were more frequently attributed to malignant neoplasms and vascular lesions

of the central nervous system. These differences

in the cause of death for males and females

may explain in part the differences in the expenses for care for males and females. Asshown

in table C, the causes of death reported most

frequently for women were the causes with the

highest median bills.

Figure3, basedontable4, showsthedistribution by five leading causes of death for each age

group. Part of the difference between the age

groups in the expenses for care is due to the

variation in the distributions by cause of death.

For example, a relatively high proportilonof the

decedents aged 25-44 died from violent causes

(accidents, suicides, homicides) for which the

rate of care in hospitals or institutions was low.

For persons whose deaths were attributed to

arteriosclerotic heart disease, the proportionof

decedents with care whose bills exceeded $1,000

was fairly constantregardless ofage. Forpersons

whose deaths were attributed to malignant neoplasms, the proportion of decedents with care

whose bills exceeded $1,000 was lower in each

succeeding age group.

Table D. Percent distribution of decedents aged 25 years and over by cause of death,

according to sex: United States, 1964-65 deaths

Cause of death

Arteriosclerotic heart disease ----------------------------

All other diseases of heart ------------------ (400 - 416, 421%!]

Malignant neoplasms ----------------------------------- (140-205)

Vascular lesions affecting the central nervous

system ----------------------------------------------- (330-334)

All violent deaths-------------------T---(E800-~964, E970-E985)

All other causes -------------------------------------(Residual)

Percent distribution

33.4 35.8 30.1

9.1 11.1

17.4 1::; 18.5

8
100

h.

0

w

~ 40

z

u

v

&

a.

20

0

35.6

23.0

5.1

18.9

4.4

12,9

Residual (All other

-(,’$0-205)

Molignant neoplasms

category numbers)

All violent deaths AH other heart diseaee

(E800-E954, E970-985) (400-416. 421-4431

m

.::.,.xjwf.$j:;,fi :::w:,.:::j.w,:,:,.+3~Vascular Iesione affecting

W<.:v.k..,,,,,,,:,),{

Arteriosc Ierotic heart

,,.l;;;::= CNS (330-334)

25-44

years

45-54

years

25.7

7.1

6.3

23,8

8.0

29.2

23.4

3.3

8.2

24.3

7.5

33.3

65-74

years yeors

AGE OF DECEOENT

=.=.”.”.”.”.=.

v.”.”.=.”.”.

“.=.”.”.=.”.=.

‘.”.%’.=.”.%’

“.”.”.”.=.”.”.

75-84

years

27.2

0.2

18.I

6,9

13.2

34.4

85 years

and wer

Figure 3. Percentage of decedents 25 years and over, by cause of death and age.

Region and Division

As seen in table 5, adult decedents in the

South Region differed from decedents in all other

regions both in the proportion who had care ire

the last year of life and in the expenses for that

care. Only 71 percent of the decedents in the

South had care in hospitals or institutions. The

proportions with care in the other regions were

76 percent in the North Central Region, 74 percent in the West, and 73 percent in the Northeast.

The bills for decedents in the South with care

were also less than those for decedents with care

in the other regions. Only 31 percent of the decedents in the South who received care in medical

facilities had bills of $1,000 or more. In contrast,

at least 40 percent of the decedents with care

incurred bills of $1,000 or more in each of the

other three regions.

The New England Division, comprised of

Maine, New Hampshire, Vermont, Massachusetts,

Connecticut, and Rhode Island, had the highest

proportion (47 percent) of decedents with care

who had bills of $1,000 or more.

The division where the lowest expenses were

reported was the East South Central (Tennessee,

Kentucky, Alabama, and Mississippi). In this division only 67 percent of the decedents had care

in the last year of life and only 29 percent of

those were reported to have had bills of $1,000

or more.

Table 6 shows the proportion of decedents

with care in medical facilities and the expenses

in each region with the decedents classified by

whether they were under or over 65 years of age

at the time of death. The differing age distribution

among the regions does not account for the regional

differences in exTenses. Bills were lower in the

South than in the other regions both for decedents

under 65 and for those 65 or older. Therefore

the observed regional differences are probably due

to factors other than age at death.

9
Because the expenses for care are so closely

related to the cause of death, these expenses

for adult decedents are shown for each of the

five leading causes for each region in table 7.

For decedents with care whose deaths were

attributed to arteriosclerotic or other heart

disease, bills were highest in the Northeast.

For decedents with care whose deaths were

attributed to malignant neoplasms, bills were

highest in the North Central Region and the West.

For those whose deaths were attributed to vascular lesions of the central nervous system, bills

were highest in the West.

In each region, more decedents whose deaths

were attributed to malignant neoplasms received

care than decedents who died of any other

cause, and expenses were higher for these

decedents than for any others.

Living Arrangements and Family Income

Among decedents aged 25 or older, those with

a family income of less than $2,000 had a higher

rate of care in hospitals or institutions than other

decedents. About 78 percent received care, while

the rate for decedents in other income classes

ranged from 68 to 71 percent. However, among

those who received care, the proportion who had

bills of $1,000 or more was highest for decedents

with a family income of $7,000 or more.

Family income, as defined for this survey,

refers to the income of all persons related by

blood or marriage who lived in the same household as the decedent. Therefore for the decedents

who lived alone or with nonrelatives, it is the

income of one person; for decedents who lived

with a spouse or with other relatives, it is the

income of two or more persons. Because the kind

of family is important in interpreting any data

when the decedents are classified by family

income, table 8 shows the four most common

living arrangements as well as the income classes.

Among adult decedents who were not residents

of institutions, decedents who lived only with a

spouse had a higher rate of care than decedents

who either lived with other relatives or who

lived alone or with nonrelatives regardless of

income. The ability of the decedents to care for

themselves or younger members of the family to

care for them probably accounts for the lower

rate of the latter groups. Once receiving care,

the decedents who lived with only a spouse had

higher expenses than decedents in the other

two groups.

It should particularly be noted that even in

the lowest income category—under $2 ,000—over

one-fourth of the decedents who received care

in medical facilities at some time during the year

before death incurred bills of $1,000 or more.

The residents of institutions almost all of

whom, by definition, received care, had very

little income and very high bills. Among the

306,000 decedents whose usual place of residence

was an institution, 252,000 had less than $2,000

income and 47 percent had hospital bills of

$1,000 or more.

Marital Status

Decedents who had been divorced had a lower

rate of care in medical facilities than adult

decedents who were married, widowed, or never

married (table 9). The low rate for divorced decedents is mostly due to the low rate for decedents

under age 65 —a high proportion of all divorced

decedents. Divorced decedents’ who were 65 years

or older had a high rate of care and about 43

percent of those with care had bills of $1,000

or more.

Among adult decedents who died before their

65th birthday, 72 percent were married. Among

decedents aged 25-64, the bills for married decedents who received care were higher than the bills

for decedents who were not married.

Among those decedents who were 65 years

or older, only 42 percent were married, about 46

percent were widowed, and the rest were single

or divorced. Both the rate of care and the expenses

for those with care were similar for the married

and the widowed decedents who were 65 years

or older. Both the rate of care and the proportion

of those with care who had bills of $1,000 or more

were high for the single and divorced decedents.

It is likely that many of these decedents, particularly those who had never married, were

actually residents of institutions.

10
EXPENSES FOR CARE–DECEDENTS

Wll H REPORTED EXPENSES

Introduction

In this section discussion of the expenses for

hospital or institutional care is restricted to those

decedents aged 25 or older who were reported

to have had expenses for care in hospitals or

medical facilities in the last year of life. On

the average, about 73 percent of alladultdecedents aged 25 or older were reported to have

had expenses. Of those who did, about 54 percent

were males, 69 percent were 65 years or older,

and 22 percent died of malignant neoplasms.

Included among the l,207,000decedents discussed in this section areapproximately 43,500

decedents who were reported by the informant

to have had expenses but who were not reported

by the hospital or institution as having had any

episodes within the last 12 months of life. The

expenses which the informants reported forthese

decedents may reflect charges for outpatient care

rather than for expenses after formal admission.

In a few cases, the expense information may

refer to money paid during the 12-month period

even though the episode actually occurred before

the period. In a very few cases they may represent actual episodes which the hospital or institution failed to report. For the tabulations by days

of care, these decedents have been included in the

category “ 1 day or less.”

Number of Episodes

Almut 50 percent of the decedents with reported expenses had only one episode in a hospital

or institution during their last year of life, 25

percent had two episodes, and 21 percent had

three or more episodes. About 4 percent of the

decedents with reported expenses did not have

any episodes reported by a hospital or institution

in the year before death. Table 10 shows that

as the number of episodes increased, the proportion of decedents with expenses who had bills

of $1,000 or more also increased. Only 27 percent of the decedents with one episode had bills

of $1,000 or more. Among decedents with two

episodes, the proportion with comparable bills

was 43 percent, and among those with three or

more episodes, the proportion was 59 percent.

Among decedents with expenses but no episodes,

34 percent had bills of $1,000 or more.

Conversely, the proportion of decedents in

the intervals under $500 decreased as the number

of episodes increased. For decedents with only

one episode the proportion with bills under $500

was 55 percent, while for decedents with three

or more episodes the proportion with comparable

bills was only 24 percent.

Regardless of the number of episodes, a

higher proportion of the decedents aged 25-64

(42 percent) had bills amounting to $1,000 or

more than did decedents aged 65 or older (37

percent).

The average number of days of care for

decedents with one episode was 76 days, for

decedents with two episodes it was 78 days,

and for decedents with three or more episodes

it was 110 days. These estimates of average number of days of care may seem high; it must be

remembered, however, that this report includes

decedents who were residents of institutions.

Since the days in long-stay institutions were

included in the calculation of average days of

care, these figures are higher than would be

exTected had they been calculated only for episodes

in short-stay hospitals.

Figure 4 shows the average number of days

of care by number of episodes and age of decedent. In general as age increased, the average number of days spent in a hospital or institution also increased regardless of the number of episodes. On

the average, the number of days of care was greater

for persons with more episodes and for persons

in the older age groups. The average number of

days for persons aged 85 or older was about three

times as great as that for decedents under age

65. The expense of hospitalization”by days of care

and age of decedent does not show a corresponding

increase with age. As shown earlier, younger

decedents had higher expenses than older decedents even though their average stays were

shorter. This was due at least partly to a higher

proportion of older decedents who received their

care in long-term institutions.

As shown in table 1L, there was little di fference in the proportion of males and females

who had one, two, or three or more episodes.

Regardless of the number of episodes a higher

proportion of female decedents (40 percent) had

11
bills of $1,000 or more than did male decedents

200

180

160

wm 140

~

L

0

: 120

;

g /00

z

3

z

I

80 -

60

40

20 t

02~

90

years years yews yea rs years years yeors year

AGE OF DECEOENT

Figure k Average number of days of care, by age of

decedent and number of episodes,

(37 percent).

White decedents with reported expenses had

more hospital episodes than all other decedents.

Table E shows thepercent distribution of decedents who had episodes by color and the number

of episodes. About 48 percent of the white decedents with reported expenses had two or more

episodes, but only 37 percent of the other decedents had two or more episodes. The average

number of days of care during the 12 months was

84 days for the white decedents; for other

decedents the average was 55 days.

Partly because they had experienced more

care in medical facilitieson the average, the

white decedents incurred more expenses for

care than other decedents.About 40 percent of

the white decedents with reported expenses but

only 26 percent of all other decedents had

hospital bills of $1,000 or more. Also the proportion of decedents who were reported to have

had no charge for care or hospital bilk under

$100 was twice as high for all other decedents

as for white decedents. Only 14 percent of the

white decedents as compared with 29 percent of

all other decedents were in the lowest interval.

Among the white decedents with expenses, a

larger proportion of females (42 percent) than

males (38 percent)had hospitalbillsover$1,000.

Among thedecedentsofallothercolors,however,

Table E. Percent distribution of decedents 25 years and over with reported expenses by

number of episodes and average number of days of care, according to color:

States, 1964-65 deaths

United

Number of episodes

Number of

decedents

Average

Color number

in All Three of days

thousands episodes None One Two or of care

more

Percent distribution

Total ------------------- 1,207 100.0 3.6 49.5 25.4 21.4 80.9

White ------------------------- 1,086 100.0 3.4 48.6 25.9

All other--------------------- 120

22.1

100.0

83.7

5.0 58.3 21.7 15.0 55.3

12
the proportion of males in each interval except

none or under $100 was higher thantheproportion

of females.

Type of Hospital Episodes

Of the 1,207,000 adult decedents for whom

hospital expenses were reported, 69 percent had

only short-stay episodes, 14 percent hadepisodes

in both short-stay hospitals or institutions, and

13 percent had only institutional episodes (table

12).

On the average, decedents whohadshort-stay

episodes only were hospitalized for 31.5 days.

About 56 percent had hospital bills of $5000r

more, and 35 percent had bills of $1,000 or

more.

Decedents who had episodes only ininstitutions had an average length of stay during the 12

months of 260 days. Approximately 54 percent

had bills of $500 or more and 41 percent had

bills of $1,000 or more. The highest expenses

were incurred by decedents who received care

in both short-stay hospitals and in institutions.

They had, on the average, 179 days of care. Approximately 69 percent had bills of $500 or more

and 52 percent had bills of $1,000 or more.

The high proportion of decedents who had

hospital bills of $1,000 or more is not surprising

in view of the amount of time they spent in a

hospital or institution. In 1964 the average charge

per day in short-stay hospitals was about $40; 1

the average monthly charge for residents of

institutions was $186.3 Using those figures,

the average bill for decedents who had shortstay hospitalization only would be $1,260; the

average bill for decedents who were in institutions

but had no short-stay hospitalization would be

$1,561 (based on a 31-day month). The same

estimate cannot be made for those with both

types of hospitalization because the days were

not tabulated separately.

When the average number of days of care and

type of hospitalization are considered, one explanation of the higher bills for female decedents

noted earlier emerges. Among decedents who had

only short- stay hospitalization, the average number of days of care was about the same for males

and females and the proportion who had bills of

$1,000 and over was also similar. Among decedents who were in both short-stay hospitals and in

institutions, the average length of stay for females

was 183 days and the proportion with bills of

$1,000 or more was 54 percenq the average length

of stay for males was 174 days and the proportion

with bills of $1,000 or more was 50 percent.

Moreover, female decedents who were in institutions with no short-stay hospitalization had an

average of 275 days as compared with 240 days

for males and 45 percent of the female decedents had bills of $1,000 or more as compared

to 35 percent of the male decedents. In addition,

approximately 12.5 percent of the female decedents but only 7.1 percent of the male decedents had institutional episodes without shortstay episodes during the last 12 months of life.

As shown in table F, the higher proportion of

female decedents with bills of $1,000 or more is

accounted for in large part by the higher proportion and longer stay in institutions. If care

in medical facilities is limited to episodes in

short-stay hospitals, expenses for males and

females would be comparable. It is only when

the care in institutions is included that the

higher expenses for females become apparent.

Table 13 shows the expense of hospitalization

and the average number of days of care by type

of hospitalization for the major causes of death.

As shown earlier, persons whose deaths were

attributed to malignant neoplasms not only had

the highest rate of care in medical facilities

but also the highest bills. Because expenses are

related to the number of days of care and to

whether the care was in a short-stay hospital

or in an institution, it is important that about 81

percent of the persons whose deaths were attributed to malignant neoplasms had only short-stay

hospitalization as compared with 66 percent of

those decedents whose deaths were attributed to

arteriosclerotic heart disease. Moreover, the

214,000 decedents whose deaths were attributed

to malignant neoplasms and who had only shortstay hospitalization had an average of 43 days

of hospitalization. The average for the 225,000

decedents with only short-stay hospitalization who

died of arteriosclerotic heart disease was 24 days.

Using $40 as the average daily charge, the average

bill for the person who died of a malignant neoplasm and who received care only in a shortstay hospital would be $1,708 (the median reported

was over $1,000), and the average bill for the

person who died of arteriosclerotic heart disease

13
Table F. Average annual number of decedents 25 years and over

average number of days of care, and proportion with bills

, percent distribution,

of $1,000 or more by type

of episode and sex: United States, 1964-65 deaths

Sex

All decedents

Number in thousands ----------------

Percent distribution ---------------

Average number of days of care -----

Proportion of bills $1,000+--------

Male

Number in thousands ----------------

Percent distribution ---------------

Average number of days of care -----

Proportion of bills $1,000+--------

Female

Number in thousands ----------------

Percent distribution ---------------

Average number of days of care -----

Proportion of bills $1,000+--------

would be $960 (the median reported was

$500).

Total

1,649

100.0

. . .

28.1

928

100.0

. . .

26.0

721

100.0

. . .

30.9

Lbout

However, the average number of days ofcare

for all decedents with reported expenses whodied

of arteriosclerotic heart disease (83 days) was

greater than for those whose deaths were attributed to malignant neoplasms (63 days) because

of the higher proportion in the former group with

care in institutions.

Table 14 shows the expenses for care in

medical facilities for decedents with reported

expenses by region and type of episode. A larger

proportion in the Northeast and South Regions

had episodes only in short-stay hospitals than in

the North Central and West Regions. About 73

percent of the decedents in the South and 70

percent ofthe decedents in the Northeast hadonly

short-stay episodes. For the North Central and

West Regions tihe proportions were 67 and 64

percent, respectively.

Although ahigher proportion of decedentsin

the South who had care were hospitalized in

No

episode

442

26.8

. . .

. . .

274

29.5

. . .

. . .

168

23.3

,,.

. . .

Short -

stay

only

836

50.7

31.5

35.3

483

52.0

31.3

35.2

353

49.0

31.7

35.6

Type of episode

Short-stay

and

institution

171

10.4

179.1

52.2

79

17:::

50.4

93

12.9

183.4

53.6

lnstitut ion

only

156

26; : ;

41.0

66

24;:;

35.2

12:;

275.0

45.2

No

admis -

s ion

2:?

. . .

34.2

2%

. . .

30.9

2:!

.*.

39.0

short-stay hospitals than decedents in other

regions, their expenses were lower. In the South,

28 percent of the decedents with only short-stay

episodes incurred hospital bills of$l,OOOormore

as compared with 37-40 percent in the other

regions.

Part of the difference in the expenses of

hospitalization in the South is due to the fact

that the average stay for decedents who had only

short-stay hospital episodes was 26days. In all

other regions the average stay in short-stay

hospitals was between 33and34 days.

Amongdecedents who had careininstitutions,

with or without carein short-stay hospitals, the

highest proportion with bills of $1,000 or more

was reported in the Northeast (51 percent)butthe

highest average number of days of care wasin

the North Central Region (233 days).

Among the decedents who were nonresidents

of institutions, there was little variation in the

proportion who had episodesin short-stay hospi -

tals when the decedents were classifiec[ by usual

14
living arrangements (table 15). Over 90 percent

of the decedents with reported expenses who were

not residents of institutions had only short-stay

hospital episodes regardless of whether they lived

with a spouse only, with other relatives, or with

nonrelat ives or alone.

Among decedents who were not residents of

institutions, the proportion whose bills were

$1,000 or over was also ver} similar for all living

arrangements. Among decedents who had only

short- stay hospital episodes, the proportions with

expenses of $1,000 or more were 36 percent for

decedents who lived only with spouses, 36 percent

for decedents who lived with other relatives, and

32 percent for decedents who either lived with

nonrelative or alone. The average number of days

in short-stay hospitals varied from 29 to 32 days.

The meaning of institution when referring to

living arrangements is not the same as when

referring to places where care is received. Residents of institutions were usually, but not necessarily, residents of medical institutions. Thus a

few of the residents of institutions were accurately

reported as having no episodes or episodes in

short- stay hospitals only. However, 301,000 out of

the 306,000 residents of institutions were reported

to have had care in an institution for medical care

as defined in appendix H. About 47 percent of them

had expenses of $1,000 or more. Their average

length of stay during the 12 months preceding

death was 227 days. Expenses were higher and the

average stay was shorter for institutional residents who received additional care in a short-stay

hospital than for residents who received all their

care in an institution.

As shown in table 16, the proportion of decedents with reported expenses who had only short -

stay hospital episodes increased as family income

increased. Only one-half of the decedents with

reported expenses whose family income was under

$2,000 had short-stay hospital episodes. The

comparable proportions for the other levels of

income were 80 percent for decedents whose

family income was $2,000-3,999, 87 percent for

decedents whose family income was $4,000-

6,999, and 90 percent for decedents whose family

income was $7,000 or more.

When using data relating to family income, the

interrelationship between family income and living

arrangements should be kept in mind. For example,

82 percent of decedents who were residents of institutions had family incomes under $2,000. Since

almost no residents of institutions had short-stay

episodes only, the probability of having short-stay

episodes only would be lower in the under $2,000

income classes than in the other three income

classes. Conversely, among decedents with expenses, the probability of having received care in

a short-stay hospital would be higher for decedents with incomes of $2,000 or more than for

decedents with incomes under $2,000.

As family income increased, the proportion

of decedents with bills of $1,000 or more also

increased. For decedents hospitalized in only

short-stay hospit~s whose family income was

under $2,000, only 28 percent had expenses of

$1,000 or more and 21 percent had expenses of

less than $100. For decedents hospitalized only

in short-stay hospitals whose family income was

$7,000 or more, 48 percent had bills of $1,000 or

more and 8 percent had bills of under $100. The

average number of days in short-stay hospitals

for decedents with the lowest income was 34

days; for the highest income, 30 days.

At the lowest income Ievel, the expenses for

decedents with episodes in institutions were less

than the exTenses for institutional care incurred

by decedents in the other levels of income, even

though the decedents with incomes under .$2,000

had on the average more days of care. About 44

percent of the decedents with the lowest income

with institutional care had hospital bills of $1,000

or more. They spent, on the average, 227 days in

hospitals or institutions during the last 12 months

of life. The proportion of decedents with some

institutional care who had expenses of .$1,000 or

more was 66 percent for those with family incomes

of $7,000 and over. They spent, on the average,

171 days in hospitals or institutions during the

last 12 months of life.

Table G, based on tables 9 and 17, shows the

differences in utilization of medical facilities by

marital status. The proportion with expenses for

care in any type of facility showed little variation—

only between 70 and 75 percent. However, the

proportion with expenses for care in institutions

showed more variation. Only 10 percent of the

married decedents received care in institutions in

contrast to 31 percent of the single and the widowed

decedents. Moreover, the married decedents who

15
Table G. Average annual number and percentage of decedents by marital status2accordimz to whether they had expenses and whether they received care in institutions :

Unyted States, 1964-65 deaths

Marital status

All decedents --------- --------------------

Married -----------------------------------------

IJidowed -----------------------------------------

Single ------------------------------- -----------

Divorced ----------------------------------------

All decedents -----------------------------

Married ----------------------------- ------------

Widowed -----------------------------------------

Single ------------------------------------------

Divorced ------------------ ----------------------

received care ininstitutions hadanaverage stayof

163 days, widowed decedems had 236 days, and

single decedents had 252 days. About 26 percent

of the divorced decedents had care ininstitutions;

their average stay was 227 days.

The differences by marital status reflect

characteristics of the decedent population. Widowed decedents were, on the average, older

than the other decedents and a higher proportion

were females because of the lower average age

of death for males. While single decedents were

younger, it is possible that some of them had

never married because of a medical reason

leading to death or because they were residents

of institutions.

Despite the fact that the average numberof

days of care for decedents with institutional care

varied from 163 days for married decedents to

252 days for single decedents, the proportionof

those who received care in institutions with bills

of $1,000 or more was 45-47 percent for decedemsineach marital status. However,27percent

of the single decedents had bills under $100 as

I

Decedents

Al 1 Decedents with

decedents with expenses for

expenses institutional

care

1 1

Number in thousands

1,649 1,2071 328

859 622 89

568 424 173

147 108 46

74 52 19

Percentage

100.0 73.2 19.9

100.0 72.4 10.3

100.0 74.6 30.5

100.0 73.4 31.3

100.0 70.3 25.7

compared with only 13 percent of the married

decedents.

Among decedents with short-stay episodes

only, a higher proportion (42 percent) ofdivorced

decedents had bills of $1,000 or more. Their

average number of days of care (41 days) was

also longer than the average for all decedents

with short-stay episodes only(32 days).

Number of Days of Care

Table 18 shows the cost of care in medical

facilities by the number of episodes in the last

year of life and the days of care in intervals

of days. For decedents with only one episode,

the proportion of decedents with bills of $1,000

or more was highest for those decedents whose

stay was between 29 and 56 days (approximately

1-2 months); for those with two episodes, itwas

between 92-182 days (approximately 3-6 months);

and for those with three or more episodes, it

was between 57-91 days (approximately 2-3

months).

16
62.0

60 0

57.0

I day 2-7 8-14

or under days days

38.0

I +28

days

NUMBER

560

29-56

days

OF OAYS OF

57-91

days

CAF!E

days

183-273

days

48.0

and over

Figure 5. Percentage of decedents 25 years and over with hospital or institutional care and reported costs who

had expenses of $1,000 or more, by days-of-care intervals.

Table H. Percentage of decedents with

expenses whose bills were $1,000 or

more. by number of davs of care and

number o? episodes: Unit”ed States,1964-

65 deaths

Days-of-care

intervals

All intervals -----

0-1 day---------

2-7 days --------

8-14 days -------

15-28 days ------

29-56 days ------

57-91 days ------

92-182 days -----

183-273 days----

274 days

or more --------

Number of episodes

Percentage

Figure 5 ~hows the proportion of decedents

with bills of $1,000 or more by the days-of-care

intervals. Regardless of the number of episodes,

the highest proportion of decedemswith billsof

$l,OOOor more was found among those decedents

with 57-91 days of care.

The proportion with bills of$l,OOO or more

is shown by number of episodes for each daysof-care interval in table H. In general, for each

interval, the proportion with bills of $1,000 or

more was higher for decedents with several

episodes than for those with only one episode.

The exTense of hospitalization appears to depend

not only on the number of days orthe numberof

episodes but on a combination of both factors.

While itmightbe expectedthatexpenses would

increase directly with an increase in the number

of days of care, this is not true because a higher

proportion of the decedents with long stays had

all or part of their care in institutions, where

costs were generally lower than in short-stay

hospitals. For example, 94 percent of thedecedents who received care for 8-14 days were

hospitalized in short-stay hospitals only, while

44 percent of those receiving care for 92-182

17
days were hospitalized in short-stay hospitals

only (table 19).

The amount of the hospital bill for hospital

care during the last year of life is dependent

not only on the number of days of care but also

on whether the care was in a short-stay hospital,

in an institution, or in both. For any given daysof- care interval, the proportion of decedents with

bills of $1,000 or more was generally highest for

those decedents who had care only in short-stay

hospitals. However, as shown in Table J, the

proportion receiving care only in short-stay

hospitals varied. About 84 percent of the decedents

who received care only in short-stay hospitals

were hospitalized 8 weeks (56 days) or less,

whereas 19 percent of those who received care

only in institutions were inpatients for that short

a period.

In general, younger decedents had higher

bills for any given days-of-care interval than

did older decedents (table 20). For example,

among those with stays of 29-56 days, 73 percent of the decedents aged 25-44 had bills of

$1,000 or more, 62 percent of the decedents aged

Table J. Percent distribution of decedents

according to type of episode:

Days -of-care intervals

All interval s ---------------------

O-1 day ---------------------------------

2-7 days --------------------------------

8-14 days -------------------------------

15-28 days ------------------------------

29-56 days ------------------------------

57-91 days ------------------------------

92-182 days -----------------------------

183-273 days ----------------------------

274 days or more ------------------------

4S-54, 59 percent of the decedents aged 55-64,

55 percent of the decedents aged 65-74, 56percent of the decedents aged 75-84, and 37 percent

of the decedents aged 85 or older. There are

several possible reasons for the difference by

age. First, a higher proportion of the younger

decedents had all or part of their care in shortstay hospitals than did older decedents, who

received much of their care in institutions.

Second, ahigher proportion of the younger decedents died of malignant neoplasms and ofvioIent

causes which may have necessitated more intensive care.

It has already been noted that females had,

on the average, more days of care and higher

hospital bills than males. However, as shownin

table 21, for each days-of-care interval through

56 days, the proportion of decedents with biIls

of $1,000 or more was approximately the same

for males as for females. For decedents with57

days of care or more, the proportion who had

bills of $1,000 or more was higher for females

than for males.

with expenses by number of days of care,

United States, 1964-65 deaths

All

types of

episodes

Short -

stay

only

Institution

Total

With

shortstay

Percent distribution

+F

10.5

13.6 1;::

12.4 16.8

16.2 21.4

16.2 19.1

8.3

6.6 R

0.9

1::; 1.1

11

Without

short -

stay

LOO.O

;::

H

10.9

10.5

13.6

4::;

100.0

O.i

2.3

6.5

14.7

15.1

19.1

10.7

31.3

100.0

1.0

3.7

3.5

3.9

!:;

;:!

64.0

18
Also, white decedents with expenses had more

days of care and higher hospital bills than other

decedents. For decedents with 14 days of care

or less, the proportion of decedents with bills of

$1,000 or more was approximately the same for

all decedents. However, among those decedents

with more than 14 days of care, the proportion

of decedents with bills of $1,000 was higher

among white decedents than among all other decedents.

For reasons not apparent from the data

available from this survey, the expenses of care

in hospitals and institutions were relatively independent of both color and sex for the shortest

days-of-care intervals. However, for the longer

intervals, female decedents and white decedents

had higher bills than male decedents or decedents of other races.

1

Health Insurance Institute: Source 3ook of Health ln.surance Data. New York, 1959, 1960, 1962, 1966.

~

National Center for Health Statistics: ;Iealth irlsurance

coverage of adults who died in 1964 or 1965. t’itaz and //es/t}L

Statistics. PHS Pub. No, 1000-Series 22-No. 10. Public Fiealth

Service. Washirrgton, U.S. Government Printing Office, Oct.

1969.

.3National Center for Health Statistics: Charges for care in

institutions for the aged and chronically ill. T’itQZ and llea Zth

Statistics. PHS Pub. No. 1000-Series 12-No, 9. Public Health

Service. Washington. U.S. Go\rernment Printing Office, Aug.

1967.

-1

Department of Health, Education, and Welfme: Economic

costs of cardiovascular diseases and cancer, 196~0 J]ea~th

Economics Series, No. 5. PHS No. 947-5. Public Health Sewice. Washington, U.S. Government Printing Office, 19Gg,

5

National Center for Health Statistics, l’itaZ Statk(ics of

the United States, 1964, Public Health Service, Washington,

U.S. Government Printing Office, 1964; and National Center for

Health Statistics, Vital Statistics of the United States, 1965,

?ublic Health Service, Washington, U.S. Government Printing

office, 1965.

6

National Center for Health Statistics: Replication, an approach to the analysis of data from complex surveys. l’ituzand

HeaM Statistics. PHS Pub. No. 1000-Series 2-No. 14. Public

Health Service. Washington. U.S. Government Printing Office,

Apr. 1966.

ooo —

19
DETAILED TABLES

Page

Table 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

Average annual number of decedents 25 years and over, percent and number of decedents with expenses for care in hospitals and institutions during the last

year of life, and percent distribution of decedents with expenses by amount of

bill, according to sex and age: United Statea, 1964-65 deaths-------------------

Average annual number of decedents 25 years and over,

cedents with

percent and number of deexpenses for care in hospitals and institutions during the last

year of life? and percent distribution of decedents with expenses by amount of

bill, according to color and age: United States, 1964-65 deaths -----------------

Average annual number of decedents 25 years and over, percent and number of decedents with expenses for care in hospitals and institutions during the last

year of life, and percent distribution of decedents with expenses by amount of

bill, according to cause of death: United States, 1964-65 deaths----------------

Average annual number of decedents 25 years and over,

cedents with

percent and number of deexpenses for care in hospitals and institutions during the last

year of life, and percent distribution of decedents with expenses by amount of

bill, according to sex and cause of death: United States, 1964-65 deaths--------

Average annual number of decedents 25 years and over, percent and number of decedents with expenses for care in hospitals and institutions during the last

year of life, and percent distribution of decedents with expenses by amount of

bill, according to region and division: United States, 1964-65 deaths-----------

Average annual number of decedents 25 years and over, percent and number of decedents with expenses for care in hospitals and institutions during the last

year of life, and percent distribution of decedents with expenses by amount of

bill, according to region and age: United States, 1964-65 deaths----------------

Average annual number of decedents 25 years and over, percent and number of decedents with expenses for care in hospitals and institutions during the last

year of life, and percent distribution of decedents with expenses by amount of

bill, according to region and cause of death: United States, 1964-65 deaths-----

Average annual number of decedents 25 years and over, percent and number of decedents with expenses for care in hospitals and institutions during the last

year of life, and percent distribution of decedents with expenses by amount of

-------.------------------------------------:-.--.i-F5::!-!?::::-:!?-::!

bill, according to living arrangements and family Income

deaths

Average annual number of decedents 25 years and over, percent and number of deced.sntswith expenses for care in hospitals and institutions during the last

year of life? and percent distribution of decedents with expenses by amount of

bill, accord~ng to marital status and age: United States, 1964-65 deaths--------

Average annual number of decedents 25 years and over with expenses for care in

hospitals and institutions during the last year of life, percent distribution by

the amount of bill, and average number ofdays of care during the year, according

to age and number of episodes: United States, 1964-65 deaths--------------------

Average annual number of decedents 25 years and over with expenses for care in

hospitals and institutions during the last yearof life, and percent distribution

by amount of bill and average number of days of care during the year, according

to color, sex, and number of episodes: United States, 1964-65 deaths ------------

Average annual number of decedents 25 years and over with expenses for care in

hospitals and institutions during the last year of life, percent distribution by

amount of bill, and average number of days of care during the year, according to

color, sex, and type of episode: United States, 1964-65 deaths------------------

Average annual number of decedents 25 years and over with expenses for care in

hospitals and institutions during the last year of life, percent distribution by

amount of bill, and average number of days of care during the year, according to

cause of death and type of episode: United States, 1964-65 deaths---------------

Average annual number of decedents 25 years and over with expenses for care in

hospitals and institutions during the last year of life, percent distribution by

the amount of bill, and average number of daysof care during the year, according

to region and type of episode: United States, 1964-65 deaths --------------------

22

23

24

25

28

29

30

31

32

33

34

35

36

37

20
Table 15.

16.

17.

18.

19.

20.

21.

DETAILED TAELES-Con.

Page

Average annual number of decedents 25 years and over with expenses for care in

hospitals and institutions during the last year of life, percent distribution by

the amount of bill, and average numberof days of care during the year, according

to living arrangements and type of episode: United States, 1964-65 deaths -------

Average annual number of decedents 25 years and over with expenses for care in

hospitals and institutions during the last year of life, percent distribution by

the amount of bill, and average number ofdays of care during the year, according

to family income and type of episode: United States, 1964-65 deaths -------------

Average annual number of decedents 25 years and over with expenses for care in

hospitals and institutions during the last year of life, percent distribution by

the amount of bill, and average numberof days of care during the year, according

to marital status and type of episode: United States, 1964-65 deaths ------------

Average annual number of decedents 25 years and over with expenses for care in

hospitals and institutions during the last year of life and percent distribution

by the amount of bill, according to number of episodes and number of days of

care: United States, 1964-65 deaths ---------------------------------------------

Average annual number of decedents 25 years and over with expenses for care in

hospitals and institutions during the last year of life, and percent distribution

by the amount of bill, according to type of episode and number of days of care:

United States, 1964-65 deaths ---------------------------------------------------

Average annual number of decedents 25 years and over with expenses for care in

hospitals and institutions during the last year of life and percent distribution

by the amount of bill, according to age and numberof days of care: United States,

1964-65 deaths ------------------------------------------------------------------

Average annual number of decedents 25 years and over with expenses for care in

hospitals and institutions during the last yearof life

by the

, and percent distribution

amount of bill, according to color, sex, and number of days of care:

United States, 1964-65 deaths---------------------------------------------------

38

39

40

41

42

43

45

21
Table 1. Average annual number of decedents 25 years and over, percent and number of decedents

with expenses for care in hospitals and institutions during the last year of life,

distribution of decedents with expenses by amount of bill,

and percent

according to sex and age: United

States, 1964-65 deaths

Marital status

and age

Both sexes

All ages, 25 years

and over ----------

25-44 years----------

45-54 years----------

55-64 years----------

65 years and over----

65-74 years--------

75-84 years--------

85 years and over--

Male

All ages, 25 years

and over----------

25-44 years----------

45-54 years ----------

55-64 years ----------

65 years and over----

65-74 years --------

75-84 years --------

85 years and over--

Female

All ages, 25 years

and over----------

25-44 years----------

45-54 years ----------

55-64 years ----------

65 years and over----

65-7L years --------

75-84 years --------

85 years and over--

All

decedents

(in

thousands)

1,649

108

162

285

1,094

432

450

212

928

67

103

185

572

258

228

86

721

41

59

99

522

174

222

126

Decedents with

expenses

Percent

73.2

58.3

67.4

72.7

75.7

75.0

75.9

76.5

70.5

50.9

63.5

69.2

74.4

73.8

74.8

75.3

76.7

70.4

74.3

79.0

77.0

76.8

77.1

77.3

Number

in

thousands

1,207

63

109

207

828

324

342

162

645

34

66

128

425

190

171

65

553

29

44

79

402

134

171

97

Amount of bill

rotal

L

;:;; $100-, $250- $500- $1,000

$100” $249 $499 $999 or more

Percent distribution

100.C

100.C

100.C

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

100.C

100.0

100.0

100.0

100.0

100.0

100.0

11.C

14.5

15.3

15.6

15.9

14.6

17.2

15.2

12.3

17.4

16.1

14.8

15.1

13.7

16.8

15.4

9,3

11.2

14.1

16.5

16.9

15.6

17.5

11.8

13.0

10.8

10.8

12.1

10.8

13.3

12.5

12.4

15.4

11.8

11.2

12.6

11.1

13.5

14.5

11.2

10.3

9.2

10.2

11.6

10.2

13.0

11.1

15.7

10.7

14.9

15.8

16.2

14.9

17.4

16.4

16.6

12.3

15.4

17.1

17.0

15.7

18,0

18.6

14.7

8.9

14.1

13.8

15.4

13.7

16.9

14.9

18.7

15.0

L7.2

19.0

19.:L

20.:7

19.3

15.6

19.()

—.

13.;!

14.9

17.3

20.5

21.6

21.CI

16.3

18.5

17.2

20.8

21.8

17.6

19.5

17.6

15.1

38.4

50.3

42.2

39.0

36.9

37.8

35.3

38.3

36.8

46.9

40.5

38.3

35.0

36.5

33.9

33.8

40.3

54.3

44.6

40.1

38.9

39.7

36.8

41.3

22
Table 2. Average annual number of decedents 25 years and over, percent and number of decedents

with expenses for care in hospitals and institutions during the last year of life,

distribution of decedents with expenses by amount Of bill, according to color and age: United

and percent

States, 1964-65 deaths

Color and age

Decedents with

expenses

Amount of bill

All

!ecedents

(in

housands) ‘$1,000

‘or more

umber

in

IUSands

Pertent rotal

100.0

Total

All ages, 25 years

and over -----------

Percent distribution

1,64! 73.2 1 ,20; 15.3 11.8 15.7 18.7 38.4

25-44 years ----------- lot

16;

28!

1,091

43:

45(

21:

1,46;

58.3

67.4

72.7

75.7

75.0

75.9

76.5

74.0

6:

10!

20;

82[

32L

342

161

l,08f

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

11.0

14.9

15.3

15.6

15.9

14.6

17.2

13.8

9.5

11.9

12.9

14.5

14.0

14.0

16.3

28.8

15.8

31.4

30.3

30.7

32.5

25.1

*

13.0

10.8

10.8

12.1

10.8

13.3

12.5

11.4

12.3

10.5

9.4

11.9

10.5

13.1

12.2

15.6

15.4

12.1

19.4

14.8

13.0

16.8

*

10.7

14.9

15.8

16.2

14.9

17.4

16.4

15.8

11.0

14.5

15.6

16.3

14.8

17.4

16.7

15.5

15.0

17.2

19.0

19.1

20.7

19.3

15.6

19.2

14.5

18.1

20.5

19.3

21.2

19.3

15.7

14.6

50.3

42.2

39.0

36.9

37.8

35.3

38.3

39.9

52.8

44.9

41.6

38.0

39.5

36.2

39.1

25.5

42.2

27.2

22.9

21.9

22.7

20.8

*

45-54 years -----------

55-64 years -----------

65 years and over-----

65-74 years ---------

75-84 years ---------

85 years and over---

White

All ages, 25 years

and over-----------

25-44 years -----------

45-54 years -----------

55-64 years -----------

8;

131

24L

1,00[

38(

421

20(

181

58.6

68.9

72.8

76.2

75.6

76.3

77.4

66.4

4t

92

177

76<

292

321

155

12C

65 years and over -----

65-74 years ---------

75-84 years ---------

85 years and over---

All other

All ages, 25 years

and over -----------

25-44 years -----------

45-54 years -----------

at

2.!

41

86

46

2e

11

57.2

60.3

71.6

68.8

70.1

70.3

60.0

15

17

29

59

32

20

7

9.8

16.9

17.2

15.6

15.3

18.3

*

16.8

12.4

10.2

16.9

16.4

19.1

*

55-64 years -----------

65 years and over -----

65-74 years ---------

75-84 years ---------

85 years and over---

23
Table 3. Average annual number of decedents Z5 years and over, percent and number of decedents with expenses for care inlrspitals and institutions during the last year of life, and percent distribution of decedents with expenses by amount of bill,

according to cause of death: United States, 1964-65 deaths

Cause of death (Seventh Revisicm of

International Lists, 1955)

All causes of death--------------------

All diseases of heart---(400-402, 410-416

420-422, 430-434, 440-443

Arteriosclerotic heart disease. includine

coronary disease------------~---------~(42C

NOnrheumatic chrcmic endocarditis and other

myocardial degeneration------------(42l-422

Other heart disease------------------(4OO-4O2

430-434,44044?

All malignant neoplasms----------(l4O-l48

150-165, 170-181, 190-205

Malignant neoplasm of buccal cavity a“d

pharynx----------------------------(l4O-l48

Malignant neoplasm of digestive orEans and

peritoneum,”not specified as -

secondary----------------(l5O-l56A, 157-3,5$

Malignant neoplasm of respiratory system, not

specified as secondary-------------(160-164

Malignant neoplasm of breast-------------(l7O

Malignant neoplasm of genital

organs-----------------------------(171-179

Malignant neoplasm of urinary

organs--------.--------------------(l8O-l8l

Malignant neoplasm of other and

unspecified sites-------(l56B, 165, 190-199

Leuk~ia and aleukemia-------------------(2O4

Lymphosarcmna and other neoplasms of lymphati

and hematopoietic tissues-----(2OO-203, Z05

Vascular lesions affecting central nervous

system-----------------------------(330-334

Influenza and pneumonia, except of

newbo?m----------------------------(48O-493

General arteriosclerosis-----------------(45O

Diabetes mellitus -----------------------(260

Accidents--------------------------(E800-E962

Other diseases of circulatory

.ystem-----------------------------(45l468

Other bronchopulmonic diseases-------(525-527

cirrhosis of liver-----------------------(58l

Suicide----------------------(E963, E970-E979

Other hypertensive disease-----------(444-447

HOmicide---------------------(E964,E980-E985

All other causes-----------(75O-776, residual

All

decedents

(in

thousands)

1,649

701

550

52

99

286

6

93

49

27

41

13

32

11

14

200

;;

32

31

26

24

24

20

12

7

203

Decedents with

expenses

Amount of bill

Number Less

Percent in Total than $1oo- $250- j;:;- $1,000

thcmsands $100 $249 $499 or more

73.2 1,207 100.0

63.7 446 100.0

61.9 340 100.0

68.2 35 100.0

71.7 71 100.0

91.8 263 100.0

92.3 6 100.0

90.8 84 100.0

92.6 45 100.0

89.7 25 100.0

92.0 38 100.0

95.1 12 100.0

92.9 30 100.0

94.1 10 100.0

91.8 13 100.0

78.3 157 100.0

83.2 40 100.0

74.7 28 100.0

80.8 26 100.0

29.8 9 100.0

81.2 21 100.0

86.2 20 100.0

84.8 20 100.0

51.8 10 100.0

87.2 10 100.0

28.2 * >,<

76.3 155 100.0

Percent distribution

15.3

17.1

16.1

20.5

20.4

9.5

*

8.9

10.5

10.1

9.2

6.4

11.1

6.1

10.3

17.3

18.8

16.6

15.4

14.4

20.3

10.5

15.7

13.4

4.7

,,,

17.3,

11.81 15.7

t

13.8 17.6

14.1 17.4

10.7 18.5

14.2 18.4

6.71 11.3

9< *

5.7 10.4

5.5 10.1

9.4 11,6

9.6 12.0

5.4 8.0

7.8 13.1

8.0 19.2

2.5 8.3

13.11 18.5

13.6 17.1

10.2 12.5

14,8 13.5

21.4 14.3

13.9 10.8

8.0 20.1

17.4

2;:; 19.4

13.1 19.1

.a. >.,

11.91 15.2

1s.7

18.0

19.3

14.8

13.4

19.7

*

19.4

22.2

17.9

21.1

21.6

18.7

19.1

17.7

17.4

16.2

19.3

20.2

16.1

19.4

25.8

20.4

21.1

19.2

*

19.5

-—

38.4

33.4

33.1

35.5

33.7

52.8

*

55.6

51.7

51.0

48.1

58.6

49.3

47.5

61.1

33.7

34.4

41.4

36.1

33.8

35.5

35.6

36.9

21.4

43.8

*

36.1

24
Table 4. Average annual number of decedents 25 years and over,

hospitals and institutions during the last year of Life,

percent and number of decedents with expenses for care in

and percent distribution of decedents with expenses by amount of

bill, according to sex, age, and cause of death: United States, 1964-65 deaths

Decedents with

e::penses Amount of bill

All

lecedents

(in

]ousands)

Sex, age, and cause of death

Total ~a: $1oo- $250- j;gg- $1::00

~.oo $249 $499

more

Number

in

thousands

ercent

-BOTH SEXES Percent distribution

All ages, 25 years and over

All causes of death--------------------- 1,649

550

151

286

200

4:i

73.2 _

61.9

70.5

91.8

78.3

37.1

79.0

11.8

14.1

13.0

1:::

21.8

12.0

13.0

.A.

4.;

15.;

10.8

15.7

17.4

18.4

11.3

18.5

16.9

15.4

10.7

18.7

L9.3

13.9

19.7

L7.4

18.6

19.6

15.0

38.4

—

33.1

34.3

52.8

33.7

28.6

36.6

50.3

100.0 r

15.3 —

100.0 16.1

100.0 20.4

100.0

100.0 1?::

100.0 14.2

100.0 16.5

Arteriosclerotic heart disease-----------(42O

All other heart disease-----(400-416, 421-4431

Malignant neOplaSmS------------------

Vascular lesions affecting CNS-------[:j:::gi]

All violent deaths------(E964,E964, E970-E985)

All Other cafes --------------------(Residual)

340

106

263

157

3;:

25-M wars

All causes of death---------------------

Arteriosclerotic heart disease-----------(42O)

All other heart disease-----(400-416, 421-443

Malignant neoplasms------------------

Vascular lesions affecting CNS-------[:%::!:~

All violent deaths------(E964,E964, E970-E985)

All other causes--------------------(Residual)

108

14

22

2!

39

58.3 63

4

1:

,.,

2:

100.0 lb

100.0 *

100.0

100.0 8.;.$.

100.:

100.0 10.;

31.5

73.5

91.4

61.3

28.1

67.6

*

.*

4.9

*

11.:

14.9

*

12.;

*

18.;

17.2

*

69.~

44.;

42.2

32.1

60.;

*

39.:

39.0

~

33.3

55.8

26.6

32.;

37.8

45-54 years

All causes of death--------------------- 162 67.4 109

Arteriosclerotic heart disease-----------(42O

All other heart disease----- -

Malignant neoplasms------------------

1

Vascular lesions affecting,E80;::’:%J%] CNS-------

All violent deaths------ -

All other causes--------------------(Res;dual)

47

13

39

10

ii

52.0

62.3

94.8

64.0

41.5

69.2

+

100.0 16.8

100.0 *

100.0 6.1

100.0 $:

100.0

100.0 19.:

100.0 15.3

100.0 17.8

100.0 17.3

100.0

100.0 2::;

100.0

100.0 19.;

12.6

7.;

*

11.:

10.8

13.0

11.8

Ii::

13.;

10.8

12.9

1;.:

14:4

10.;

13.3

17.8

9.;

*

13.;

15.8

16.1

17.2

12.2

19.7

*

17.6

14.9

20.7

*

16.8

*

16.;

19.0

21.3

20.3

19.7

15.4

17.;

20.7

55-64 Years

All causes of death---------------------

Arteriosclerotic heart disease-----------(42O)

All other heart disease-----(416-4l6, 421-443)

Malignant neoplasms------------------ 140-205)

Vascular lesions affecting CNS-------[330-334)

All violent deaths------(E964,E964, E970-E985)

All Other causes--------------------(Residual)

72.7

57.4

67.7

92.5

73.7

48.5

78.3

65-74 years

All causes of death---------------------

Arteriosclerotic heart clisease-----------

All other heart disease-----(416,4l6,421%]

Malignant neoplasms------------------ 140 205)

(E800 ;;;i;-;k%%j

Vascular lesions affecting CNS

All violent deaths------ -

All other causes--------------------(Residual)

432

159

i;

49

9:

75.0 324 100.0 1~

100.0

I

16.4

100.0 21.0

100.0 11.4

100.0 17.5

100.: 16.;

100.0 14.6

100.0 14.6

100.0 17.3

100.0 10.6

100.0 15.3

.:.

100.: 15.6

34.1

35.6

49.0

31,7

35.:

35.3

61.0

69.7

91.5

82.8

51.6

83.4

17.5

15.4

10.2

16.9

15.;

17.4

19.1

16.5

22.8

19.4

22.?

19.3

75-84 vears

450

162

47

61

73

10;

75.9

66.6

70.6

91.7

81.2

30.5

82.2

All causes of death--------------------- 342

Arteriosclerotic heart disease-----------(42O)

All other heart disease-----(416-4l6, 421-443)

Malignant neOplasnts------------------(l4O-2O5)

Vascular lesions affecting CNS-------(33O-334)

All violent deaths------(E964,E964, E970-E985)

All other causes--------------------(Residual;

16.5

14.3

7.6

13.9

12.:

12.5

12.6

16.0

16.4

10.0

.,

10.9

7.8.3

20.6

14.3

19.8

.:.

15.6

16.4

16.7

19.0

14.8

15.4

15.;

19.6

13.0

20.5

17.2

22.;

15.6

17.0

10.6

16.4

16.9

15.;

31.0

34.9

47.0

33.8

34.2

38.3

37.6

30.9

37.6

42.6

40.;

108

33

56

59

.,,..

84

85 years and over

All causes of death---------------------

Arteriosclerotic heart disease-----------(42O)

All other heart disease----- -

,E80::::;lj)#\

Malignant neoplasms------------------

Vascular lesions affecting CNS-------

All violent deaths------ -

All other causes--------------------(Res;dual)

A!d.- 76.5 162

71.3

76.8

83.3

76.2.,,,

52

21

12

29

;.,

100.0 16.1

100.0 23.5

100.0 14.8

100.0 15.1.1

81.5 47 100.0 II 17.6

25
Table 4. Average annual number of decedents 25 years and over, percent and number of decedents with expenses fcm care in

hospitals and institutions during the last year of life, and percent distribution of decedents with expenses by amount of

bill, according to sex, age, and cause of death: United States, 1964-65 deaths--Con.

Sex, age, and cause of death

Decedents with

expenses Amomt of bill

All

decedents

(in

thousands) Number

in

thousands

Percent

Percent distribution

All ages, 25 years and over

All causes of death-------------------

Arteriosclerotic heart disease----------(420:

All other heart disease-.--(44164l6, 421-443

Malignant neoplasms-----------------(l4O-2O5’

Vascular lesions affecting CNS------(330-334:

All violent deaths-----(EE964,964,E970-E985

All other causes.------------------(Residual; Tl- 12.4 16.6 19.(

15.3 17.0 19.:

14.7 22.8 12.!

$; 11.8 20.:

22.4 21.(

25:9 20.4 12.!

12.6 15.7 19.:

921 70.5

59.0

68.3

92.3

77.0

37.1

76.4

50.9

26.6

81.6

87.8

27.;

62.0

63.5

64! 100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.:

100.0

100.0

15.: 36.8

16*L

18.!

g-f

16.(

13.1

16.;

12.:

26.;

11.;

3.:

12.;

17.[

19(

l:!

7:

1!

18(

33:

7:

15:

:

23(

32.1

31.0

51.9

28.3

27.7

35.9

46.9

25-44 years

All causes of death-------------------

Arteriosclerotic heart disease----------(42O:

All other heart disease----(4OOJ+l6, 421-443

Malignant neoplasms-----------------(l4O-2O5,

Vascular lesions affecting CNS------334:-334:

All violent deaths-----(EE964,964, E970-E985

All other causes-------------------(Residual: TT

15.4 12.3 13.:

15.8 21.3 5.1

2.; 5.: 15.{

36.; 15.:

17.0 9.5 J:i

6;

1: 30.8

64.;

35.:

45.0

40.5

<

1!

6(

45-54 years

All causes of death-------------------

T

15.4 14.<

17.3 15.:

8.6

1?::

3::: 21.:

31.6 21.(

14.7 16.;

10: 11.8

15.5

17.7

J::

21.3

Arteriosclerotic heart disease----------(420:

A1l other heart disease----(4416,l6, 421-443:

Malignant neOplasms-----------------(l4O-2O5

Vascular lesions affecting CNS------334O-334

All violent deaths-----(E800-E964, E970-E985

All ocher causes-------------------(Residual

51.5

60.7

93.7

63.4

41.1

66.9

69.2

2( 100.0

100.0

100.0

100.0

100.0

100.0

100.0

18.3

30.7

1;::

10.5

24.6

16.1

19.8

16.6

2;::

1::;

15.1

14.2

21.5

11.1

17.8

36.1

15.9

13.7

14.3

14.1

11.3

13.4

$(

14.1

16.8

18.7

19.8

10.7

16.3

15.;

33.5

34.6

65.1

20.8

15.6

33.3

38.3

11

Ii 10.7

55-64 years

All causes of death-------------------

IT

11.2 17.1 17.:

13.2 15.7 18.:

12.6 22.8 1o.:

4.4 12.8 19.~

13.8 27.5 19.1

31.8 27.2 9.:

13.0 18.1 16.:

18! 12[

Arteriosclerotic heart disease----------(420;

All other heart disease----(4416,l6,421-443:

Malignant neoplasms-----------------(lko-2O5~

Vascular lesions affecting CNS------334,-334,

All violent deaths----- (E800-E964, E970-E985:

All other causes-------------------(Residual:

55.9

62.7

94.5

71.5

50.1

72.6

73.8

100.0

100.0

100.0

100.0

100.0

100.0

100.0

33.1

37.7

;;.;

22:7

33.0

36.5

65-74 years

All causes of death-------------------

IT11.1 15.7 21.6

14.4 18.3 20.4

11.5 18.9 15.3

11.1 24.3

1::? 20.2 23.4

6.9 7.2 14.4

10.9 14.3 21.9

251 19(

Arteriosclerotic heart disease----------(420)

All other heart disease----(44164l6, 421-443)

Malignant neoplasms-----------------(14O-2O5)

Vascular lesions affecting CNS------334)-334)

All violent deaths-----(E800-E964,E970-E985)

All other causes-------------------(Residual)

10I 58.9

69.3

92.9

82.0

51.9

83.1

74.8

5!

1

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.:

100,0

32.7

32.9

46.7

27.2

35.3

37.0

33.9

::

22

2

50

75-84 years

All causes of death-------------------- 1- 13.5 18.0 21.0

18.2 15.9 21.5

16.5 27.9 15.5

5.3 14.7 21.7

13.5 26.0 19.1

*

13.0 15.: 22.;

228 171

Arteriosclerotic heart disease----------(420)

All other heart disease----(4416,l6,421-443)

Malignant neOplasms-----------------(l4O-2O5)

Vascular lesions affecting CNS------334)-334)

All violent deaths-----(E800-E964,E970-E985)

All other causes-------------------(Residual)

83

20

34

32

3

55

65.3

67.!?

90.8

80.5

81.;

75.3

71.0

75.3

82.6

74.0

79.;

54

14

31

26

4;

30.2

26.0

47.1

28.0

35.:

33.8

85 years and over

All causes of death--------------------

Arteriosclerotic heart disease----------(42O)

All other heart disease----(4416,l6,421-443)

Malignant neoplasms-----------------(l4O-2O5)

Vascular lesions affecting CNS------334)-334)

All violent deaths-----(E8oo-E964 , E970-E985)

All other causes-------------------(Residual)

86 65

100.0

100.0

100.0

100.0>*

100.0

17.1

10.7

18.2

24.1

13.:

29

10

1:

21

8

1;

2;

13.8

17.6

28.2

8.0

,t

13.3

17.9

25.8

10.9

11.0

22.;

32.5

26.0

31.9

40.6

*

35.5

26
Table 4. Average annual number of decedents 25 years and over,

hospitals and institutions during the last year of life,

percent and number of decedents with expenses for care in

and percent distribution of decedents with expenses by amount of

bill, according to sex, age, and cause of death: United States, 1964-65 deaths--~~n

Decedents with

e.xpenses

Amount of bill

All

decedents

~how(ind~~ Less

rotal than $100- $250- :;;;- $1::00

$100 $249 $499more

Sex, age, and cause of death

Number

in

thousands

percent

Percent distribution

All ages, 25 years and Over

All causes of death--------------------

Arteriosclerotic heart disease----------(42O)

All other heart disease----(400-416, 421-443)

Malignant neoplasms-----------------(140-205)

Vascular lesions affecting CNS------334)-334)

All violent deaths-----(E800-E964,E970-E955)

All other causes ------------------- (Residual)

40.3

34.5

37.1

:;.;

30:9

37.4

54.3

*

73.:

25.;

43.9

44.6

721 76.7 553

T

100.0 15.4

100.0 15.7

100.0 22.0

100.0

100.0 1:::

100.0 16.9

100.0 16.3

100.0 9.3

**

100.; 6.;

100.: 17.;

100.0 6.9

11.2 14.7 1s.5

;;.;

91:3

79.5

37.2

82.7

70.4

144

1X

s:

139

12.4

11.6

J::

11.4

11.2

10.3

17.9

14.7

10.7

15.2

1:::

8.9

19.5

14.7

19.3

14.3

32.9

20.1

17.2

*

10.;

40.;

20.8

20.E

217

1::

106

16

16S

25-44 years

All causes of death--------------------

Arteriosclerotic heart disease----------

All other heart disease----(44164l6,421%!]

Malignant ne0plasm5-----------------(140-205)

vascular lesions affecting CNS------(330-3341

All violent deaths-----(ESOO-E964, E970-E9851

AI1 other causes-------------------(Residual)

41 29

*

5.;

16.3

13.8

9.2

:.-:

2;:;

11.s

10.2

12.5

11.0

1;:;

*

14.8

10.2

*

4.:

*

1:::

14.1

20.3

31.1

1;::

12.;

13.8

17.1

10.7

11.4

10.4

16.;

13.7

3

1:

3

1;

*

*

94.2

30.:

76.9

74.3

54.1

64.0

95.7

64.6

>:

73.0

79.0

*

11*

2

11

45-54 years

All causes of death--------------------

t

100.0 11.2

100.0 10.6

100.0 32.6

100.0

100.0 2:::

>:

100.0 11.:

59 44

43.2

2;:;

19.9

14.;

21.9

29.1

32.0

20.6

7.0.9

18.;

19.5

26.0

28.0

56.6

11.2

49.;

40.1

ArteriOscler’Jticheart disease----------(42O)

All other heart disease----(44164l6,421-443)

Malignant neoplasms-----------------(140-205)

Vascular lesions affecting CNS------334)-334)

All violent deaths-----(ESOO-E964, E970-E985)

All other causes-------------------(Redidual)

9

2:

5

3

15

5

1$

3

*

11

T

100.0 14.1

100.0 12.5

100.0 1s.2

100.0

100.0 3:::

100.: 18.;

100.0 16.9

55-64 years

All causes of death------------------- 99 79

28.8

2s.1

55.9

37.8

31.;

39.7

36.2

38.5

52.1

36.S

33.;

36.8

Arteriosclerotic heart disease----------(420;

All other heart disease----(44164l6, 421-443;

Malignant neoplasms-----------------(140-205;

Vascular lesions affecting CNS------334;-334;

All violent deaths-----(ESOO-E964, E970-E985:

All other causes ------------------- (Residual,

25

3:

10

2:

61.5

74.7

90.1

76.5

59.;

76.8

15

2;

8

-1

20

65-74 years

All causes of death-------------------- 174 134

59

1s

36

23

3;

Arteriosclerotic heart disease----------(42O)

All other heart disease----(4416,l6, 421-443)

Malignant neoplasms-----------------(l4O-2o5)

Vascular lesions affecting CNS------334)-334)

All violent deaths-----(E800-E964, E970-E985)

All other causes-------------------(Residual)

64.6

70.2

89.7

83.6.2

83.9

77.1

38

13

32

19

3;

100.0 19.9

100.0 20.6

100.0 12.0

100.0 17.2

100.: 16.;

10.6

11.5

I?:i

...

9.1

13.0

14.8

12.7

10.4

14.3

11.;

11.1

11.8

15.1

1::1

9.:

16.4

11.6

9.1

13.3

16.;

16.9

20.7

15.4

13.8

14.9

16.;

14.9

15.9

15.1

17.3

17.9

10.;

17.0

17.9

20.8

15.0

24.;

17.6

17.7

11.2

19.2

15.7

21.; 1 15.1

100.0 15.6

100.0 14.9

100.0 19.5

100.0

100.0 12;

100.: 17.;

100.0 17.5

100.0 14.4

100.0 25.6

100.0 17.4

100.0 14.4

* >k

100.0 19.2

75-84 years

All causes of death-------------------- 222 171

31.9

41.2

46.9

38.4

33.;

41.3

Arteriosclerotic heart disease----------(42O)

All other heart disease----(400-416, 421-443)

Malignant neoplasms-----------------(140-205)

Vascular lesions affecting CNS------334)-334)

All violent deaths-----(E800-E964, E970-E985)

All other causes-------------------(Residual)

67.9

72.6

92.7

81.S

83.;

77.3

85 years and over

All causes of death-------------------- 126 97

16.9

10.5

15.2

12.8

*

16.9

41.0

33.7

41.4

43.7

44.:

Arteriosclerotic heart disease----------(42O)

All other heart disease----(400-416, 421-443)

Malignant neoplasm -----------------(140-205)

Vascular lesions affecting CNS------334)-334)

All violent deaths-----(EE964,964,E970-E985)

All other causes-------------------(Residual)

44

18

2:

3i

71.5

77.6

83.7

77.5

83.;

31

14

J

*

26

27
Table 5. Average annual number of decedents 25 years and wer

with expenses for care in hospitals and ~ Percent and number of decedents

institutions during the last year of life, and percent

distribution of decedents with expenses by mount

United States, 1964-65 deaths

of bill, according to region and division:

Region and division

All regions----

Northeast------------

New England--------

Middle Atlantic----

North Central--------

East North CentralWest North CentralSouth----------------

South Atlantic -----

East South CentralWest South CentralWest -----------------

Mountain -----------

Pacific------------

All

decedents

(in

thousands)

1,649

462

104

358

476

331

145

474

226

105

142

237

57

180

Decedents with

expenses

Percent

73.2

72.6

76.3

71.6

76.0

74.7

79.1

70.5

70.5

67.4

72.8

74.0

74.3

73.9

Number

in

thousands

1,207

336

79

257

362

247

115

334

160

71

103

175

42

133

Amount of bill

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.O

15.3

14.6

12.1

15.4

14.4

13.8

15.7

17.0

17.2

18.7

15.5

15.1

12.4

15.9

11.8

11.5

11.4

11.6

9.9

9.5

10.8

14.4

13.5

17.7

13.5

11.4

16.4

9.8

15.7

14.2

13.2

14.5

15.0

15.4

14.2

18.5

17.1

18.9

20.6

14.9

16.4

14.4

18.7

17.8

16.0

18.4

19.9

20.2

19.1

18.9

18.7

16.2

20.9

17.9

21.8

16.6

38.4

41.8

47.3

40.1

40.8

41.1

40.1

31.2

33.5

28.5

29.5

40.8

33.0

43.3

28
Table 6. Average annual number of decedents 25 years and over, percent and number of decedents

with expenses for care in hospitals and institutions during the last year of life, and percent

distribution of decedents with expenses by amount of bill

States, 1964-65 deaths

, according to region and age: Lhited

Region and age

All regions

All ages, 25 years

and over----------

25-64 years----------

65 years and over----

Northeast

All ages, 25 years

and over----------

25-64 years ----------

65 years and over----

North Central

All ages, 25 years

and over----------

25-64 years----------

65 years and over----

South

All ages, 25 years

and over----------

25-64 years----------

65 years and over----

West

All ages, 25 years

and over----------

25-64 years----------

65 years and over----

All

iecedents

(in

:housands)

1,649

555

1,094

462

144

318

476

144

332

474

182

292

237

85

152

Decedents with

expenses I

Amount of bill

Number

ercent in Total :;% $1oo- $250- $500- $1,000

thousands ~loo $249 $499 $999 or more

73.2 1,207 100.0

68.3 379 100.0

75.7 828 100.0

72.6 336 100.0

76.0 362 100.0

71.3 103 100.0

78.1 259 100.0

70.5 334 100.0

64.9 118 100.0

74.0 216 100.0

-a-5-= I I

Percent distribution

15.3 11.8

14.5 11.2

15.6 12.1

14.6 11.5

14.3 10.9

14.7 11.8

14.4 9.9

14.6 8.0

14.3 10.7

17.0 14.4

14.7 13.9

18.3 14.7

15.1 11.4

14.4 11.6

15.4 11.3

t

15.7 18.7

14.7 17.9

16.2 19.1

T

14.2 17.8

13.2 17.0

14.6 18.2

t

15.0 19.9

12.7 18.3

15.9 20.5

t

i8.5 18.9

18.2 19.7

18.7 18.4

+

14.9 17.9

13.6 14.7

15.4 19.3

38.4

41.8

36.9

41.8

44.6

40.6

10.8

16.4

38.6

31.2

33.5

29.9

$0.8

$5.7

38.5

29
Table 7. Average annual number of decedents 25 years and over, percent and number of decedents with expenses for

care in hospitals and institutions during the last year of life, and percent distribution of decedents with expenses by amount of bill, according to region and cause of death: United States:,1964-65 deaths

Decedents with

expenses

Amount of bill

II I I I I

All

decedents

(in

thousands’

Region and came Of death

(Seventh Revision of International

Lists, 1955) Number

in

thousands

II I I I I

73.2

—

61.9

70.5

91.8

78.3

37.1

79.0

72.7

60.4

71.0

90.5

74.1

45.1

79.5

76.0

64.0

75.8

92.7

81.3

36.5

83.9

70.5

59.3

67.2

92.4

76.1

36.3

73.6

74.0

65.2

65.9

91.5

84.5

33.6

79.7

All regions

All causesof death------------

Percent distribution

15.3

_

16.1

20.4

9.5

17.3

14.2

16.5

14.6

11.8

_

14.1

12.;

.

13.1

21.8

12.0

11.5

13.6

12.9

6.7

10.3

*

12.9

9.9

13.1

13.1

4.5

10.7

9,

9.4

1

14.4

16.5

12.7

9.6

17.7

9<

13.5

11.4

12.8

13.7

5.9

12.4

*

12.5

15.;

_

17.4

18.4

11.3

18.5

16.9

15.4

14.2

15.0

17.8

10.9

15.6

*

14.8

15.0

15.9

17.3

9.7

19.6

*

15.6

18.5

1,645 1,207 18.7

340

106

263

157

21

320

336

100.0 38.4

Arteriosclerotic heart disease-(420)

All other heart

disease-----------(400-416,421-443)

Malignant neoplasms-------- (l4O-2O5)

Vascular lesions affecting

CNS-----------------------(330-334)

All violent

deaths-------- (E800-E964,E970.E985)

All other

55(

151

286

20C

57

404

462

170

::

46

9

109

476

163

43

84

59

16

111

474

143

49

77

67

20

117

237

100.0

100.0

100.0

100.0

100.0

100.0

100.0

19.:

13.9

19.7

17.4

18.6

19.6

17.8

17.3

13.0

19.9

16.3

*

18.1

19.9

21.0

12.0

19.6

21.6

*

20.6

18.9

19.0

15.6

21.L

15.4

:k

20.3

17.9

—-

20.6

16.3

16.8

14.7

*

19.0

33.1

34.3

52.8

33.7

28.6

36.6

41.8

causes-------------------(Residual)

Northeast

All causes of death-----------

Arteriosclerotic heart disease-(420)

All other heart

disease-----------(400-416,421-443)

Malignant neoplasms--------( 140.20s)

Vascular lesions affecting

CNS-----------------------(330-334)

All violent

deaths--------(E800-E964,E970-E985)

All other

103

::

34

4

87

362

104

33

78

48

6

93

1

334

85

33

72

51

7

86

175

100.0

100.0

100.0

100.0

100.0

100.0

100.0

16.6

14.8

9.4

16.9

*

15.4

14.4

16.1

23.7

8.8

13.5

*

14.1

17.0

37.4

41.6

53.1

40.9

*

38.8

40.8

33.9

34.0

57.4

34.6

*

40.3

31.2

28.8

28.1

45.8

23.1

*

28.1

40.8

causes-------------------(Residual)

North Central

All causes of death-----------

Arteriosclerotic heart disease-(420)

Al1 other heart

disease-----------(400-416,421-443)

Malignant neOplasms-------- (l4O-2O5)

Vascular lesions affecting

CNS-----------------------(330-334)

All violent

deaths--------(E800-E964,E970-E985)

All other

causes‘------------------(Residual)

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

South

All causes of death-----------

Arteriosclerotic heart disease-(420)

Al1 other heart

disease-----------(4O443)6,42l-443)

Malignant neoplasms-------- (l4O-2O5)

Vascular lesions affecting

CNS-----------------------

All violent

(330-334)

deaths--------(E800-E964,E970-E985)

All other

14.7

24.1

9.8

23.~

9<

19.7

15.1

20.9

19.5

13.8

20.6

*

18.4

14.9

19.3

19.8

10.5

16.0

*

10.9

causes-------------------(Residual)

tit

All causes of death-----------

Arteriosclerotic heart disease-(420)

All other heart

disease-----------(400-416 ,421-443)

Malignant neoplasms --------(140-205)

Vascular lesions affecting

CNS---------------

All violent

--------(330-334)

deaths--------(E800-E964,E970-E985)

All other

causes-------------------‘(Residual)

73

::

28

13

67

100.0

100.0

100.0

100.0

100.0

100.0

17.5

15.0

10.4

12.7

*

L7.4

29.S

35.2

56.4

44.2

*

40.1

30
Table 8. Average annual number of decedents 25 years and over, percent and number of decedents with

expenses for care in hospitals and institutions during the last year of life, and percent distribution of decedents with expensesby amount of bill, according to living arrangementsand family incoine:

United States, 1964-65 deaths

Decedents with

expenses

Amount of bill

All

decedents

(in

thousands)

Living arrangements

and family income

‘ercent Total g:: $1oo- $250- $;&- $1,000

$~oo $249 $499 or more

Number

in

thousand:

Percent distribution All living

arrangements

All incomes--------- 1.645 73.2 1,207 100.C 15.: 11.8 15.7 18.7 38.4

Under $2,000--------------

$2,000-$3,999-------------

$4,000-$6,999-------------

$7,000 and over-----------

717

363

301

268

451

77.7

71.2

68.2

69.6

71.0

557

25E

205

186

32C

103

106

62

48

403

100.C

100.C

100.C

100.C

100.C

100.c

100.0

100.0

100.0

100.0

20.(

14.(

g.f

7.;

12.2

1465

12.5

9.2

9.:

14.3

13.2

10.7

10.9

10.5

11.1

15.0

16.3

18.9

13.8

18.0

16.6

21.0

21.2

19.3

22.6

34.8

38.0

39.5

48.7

36.1

Decedent and spouse only

All incomes---------

Under $2,000--------------

$2,000-$3,999-------------

$4,000-$6,999-------------

$7,000 and over-----------

Lived with other relatives

All incomes---------

149

147

90

64

616

69.0

72.2

69.3

75.1

65.4

15.8

10.0

9.3

5.7

12.9

15.5

12.0

12.2

12.5

13.1

22.4

17.0

17.5

11.6

17.7

21.3

24.9

21.8

21.6

18.6

25.6

35.6

42.0

51.9

36.5

Under $2,000--------------

$2,000-$3,999-------------

$4,000-$6,999-------------

$7,000 and over-----------

126

136

174

180

275

62.9

63.2

66.4

68.0

64.4

79

86

115

123

177

100.0

100.0

100.0

100.0

100.0

25.5

18.6

10.8

7.1

17.5

16.7

17.6

20.6

15.5

17.7

16.3

17.3

20.8

18.8

19.8

18.4

21.5

26.5

22.6

14.2

13.8

18.3

14.7

-k

25.6

34.4

35.6

46.0

31.9

29.5

34.7

36.8

47.0

47.1

Lived with nonrelative

All incomes---------

Under $2,000--------------

$2,000-$3,999-------------

$4,000-$6,999-------------

$7,000 and over-----------

Lived in institution

All incomes---------

190

43

26

16

306

252

37

11

7

64.7

68.3

62.5

52.9

100.0

123

29

16

9

306

100.0

100.0

100.0

100.0

100.0

22.1

7.8

2.6

11.4

18.5

13.0

15.2

11.8

9.6

10.4

11.4

5.9

4.4

*

16.9

20.8

22.4

9.5

9.7

10.4

7.8

4.5

*

Under $2,000--------------

$2,000-$3,999-------------

$4,000-$6,999-------------

$7,000 and over-----------

100.0

100.0

100.0

100.0

252

37

11

7

100.0

100.0

100.0

100.0

20.4

12.2

5.9

*

44.0

55.9

70.4

*

31
Table 9. Average annual number of decedents 25 years and over, percent and number of decedents

with expenses for care in hospitals and institutions during the last year of life, and percent

distribution of decedents with expenses by amount of bill, according to marital status and age:

United States, 1964-65 deaths

Marital status

and age

All marital statuses

All ages, 25 years

and over ----------

25-64 years ----------

65 years and over----

Married

All ages, 25 years

and over----------

25-64 years ----------

65 years and over----

Widowed

All ages, 25 years

and over ----------

25-64 years----------

65 years and over----

Single

All ages, 25 years

and over ----------

25-64 years ----------

65 years and over----

Divorced

All ages, 25 years

and over ----------

25-64 years ----------

65 years and over----

Al 1

decedents

(in

thousands)

1,649

555

1,094

859

401

458

568

62

506

147

57

91

74

35

39

Decedents with

expenses I

Amount of bill

‘ercent

73.2

68.3

75.7

72.4

69.3

75.2

74.6

71.8

75.0

73,4

64.6

79.0

70.3

57.3

82.2

=4= 1,207 100.0

379 100.0

828 100,0

622 100.0

278 100.0

344 100.0

424 100.0

45 100.0

379 100.0

108 100.0

37 100.0

72 100.0

52 100.0

20 100.0

32 100.0

Percent distribution

1

15.3

14.5

15.6

13.1

12.7

13.4

16.7

20.2

16.3

20.9

19.5

21.6

18.1

17.9

18.3

11.8 15.7 18.7

11.2 14.7 17.9

12.1 16.2 19.1

12.0 15.9 20.3

10.7 14.6 18.2

13.1 16.9 22.1

11.5 16.3 17.9

11.8 16.2 17.4

11.5 16,4 18.0

11.6 15.0 14,5

—

13.6 14.7 18.0

10.5 15.1 12,7

13.0 11.0 14.9

12.3 12.8 14.0

13.4 9.9 15,4

38.4

41.8

36.9

38.7

43.9

34.6

37.5

34.3

37.8

38.1

34.2

40.1

43.0

42.9

43,1

32
Table 10. Average annual number of decedents 25 years and over with expenses for care in hospitals and institutions during the last year of life, percent distribution by the amount of bill,

and average number of days of care during the year, according to age and number of episodes:

United sta~es, 1964-65 deaths

kmber of

lecedents

with

expenses

Amount of bill

~verage

munber

~f days

~f care

80.9

...

75.6

78.4

109.8

54.7

...

37.4

60.5

79.2

45.0

Age and number

of episodes

‘otal ~a; $1oo- $;;;-

$100 $24’

$500-

$999

$1,000

or more

(in

;housands)

Percent distribution

A;;da~;~ 25 years

---------------- 18.7

15.0

18.2

22.0

16.7

15.0

23.;

10.1

12.1

17.2

13.3

16.0

19.7

17.7

19.0

21.0

17.9

28.1

11.0

19.1

14.6

18.2

21.8

18.7

20.7

L5.7

20.6

22.8

19.3

19.3

14.7

18.8

21.4

18.6

15.6

12.;

20.5

17.4

L5.3

L5.8

L9.5

L1.6

9.8

L1.O

11.8 15.7 38.4

34.2

27.3

43.4

59.0

50.3

1,207 100.0

100.0

100.0

100.0

100.0

100.0

5::

307

258

13.6

15.9

8.7

5.9

13.0

21.4

19.2

14.3

8.6

10.7

No episodes--------------------

1 episode----------------------

2 episodes---------------------

3 or more episodes-------------

25-44 years-------------- 63

L2.;

11.2

9.2

14.9

13.8

24.2

9.7

5.9

15.3

11.:

14.2

7.0

14.9

31.;

53.2

66.6

42.2

No episodes--------------------

].episode----------------------

2 episodes---------------------

3 or more episodes-------------

2;

16

21

100.:

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

21.:

11.3

5.1

10.8

20.2

14.4

i:;

10.8

45-54 years-------------- 109

7 26.3

15.8

17.0

8.7

15.8

26.5

29.7

46.5

61.1

39.0

No episodes--------------------

1 episode----------------------

2 episodes---------------------

3 or more episodes-------------

55-64 years --------------

. . .

36.1

46.4

68.4

48.1

...

38.2

53.1

74.3

95.8

...

90.3

90.3

131.0

64.5

45

29

28

207

100.0

100.0

100.0

100.0

100.0

17.9

21.2

9.2

9.2

.5.6

14.5

14.9

U

12.1

17.6

20.5

15.0

6.3

16.2

29.0

25.5

39.9

69.0

36.9

No episodes--------------------

1 episode----------------------

2 episodes---------------------

3 or more episodes-------------

65 years and over-------- 828

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

-6.0

:9.0

!2.5

!0.7

L5.9

!1.0

!0.5

!1.5

LO.9

L4.6

11.6

16.0

8.9

6.2

10.8

23.1

19.6

13.7

9.5

14.9

34.7

27.2

43.1

54.8

37.8

No episodes--------------------

1 episode----------------------

2 episodes---------------------

3 or more episodes-------------

2io

163

65-74 years-------------- 324

21.3

18.8

13.4

6.5

17.4

42.8

25.0

44.9

58.5

35.3

No episodes--------------------

1 episode----------------------

2 episodes---------------------

3 or more episodes-------------

. . .

54.0

70.7

91.7

98.0

...

90.4

87.4

145.2

154.0

75-84 years-------------- 342

29.9

25.8

41.4

54.5

38.3

100.0

100.0

100.0

100.0

100.0

L9.2

17.4

12.6

9.2

L7.2

L9.;

L4.4

L3.9

17.1

16.8

10.8

6.4

12.5

15.:

8.0

9.3

19.1

21.3

13.9

11.3

16.4

17.;

14.0

12.7

No episodes--------------------

1 episode----------------------

2 episodes---------------------

3 or more episodes-------------

85 years and over-------- 162

No episodes--------------------

1 episode----------------------

2 episodes---------------------

3 or more episodes-------------

100.:

100.0

100.0

34.;

43.1

46.7

. . .

156.8

136.2

194.4

33
Table 11. Average annual number of decedents 25 years and over with expenses for care in hospitals and

institutionsduring the last year of life, and percent distribution by amount of bill and average

number of days of care during the year, according to color, sex, and nmber of episodes:

States, 1964-65 deaths

United

Number of

decedents

with

Amount of bill

kverage

number

of days

Of care

Color, sex, and

number of episodes Less

Total than $1oo- $:;:- $;;;-

$100 $249

expenses

(in

thousands)

$1,000

or more

Total

b’othsexes-------------------

Percent distribution

1,207 100.0 15.3 11.8 15.7

-

21.4

19.2

14.3

8.6

16.6

18.7

-

15.0

18.2

22.0

16.7

19.0

38.4

34.2

27.?

43.4

59.C

36.8

30.9

25.9

41.5

57.6

40.~

39.C

28.9

45.7

60.7

39.9

36.9

28.2

44.6

60.4

37.9

80.9

...

75.6

78.4

109.8

68.4

...

59.8

67.7

101.6

95.7

No episodes------------------------

1 episode--------------------------

2 episodes-------------------------

3 or more episodes-----------------

Male-------------------------

100.0

100.0

100.0

100.0

100.0

15.8

19.5

11.6

9.8

15.2

13.6

15.9

8.7

5.9

654 12.4

No episodes------------------------

1 episode--------------------------

2 episodes-------------------------

3 or more episodes-----------------

Female-----------------------

3;;

167

139

100.0

100.0

100.0

100.0

100.0

17.4

19.3

10.8

10.5

15.4

14.1

17.1

8.1

6.3

11.2

—.

12.9

14.5

9.4

5.3

11.4

13.7

15.7

8.3

5.3

11.9

13.8

17.0

H

10.8

23.8

19.4

16.7

8.9

14.7

17.8

18.9

11.4

8.3

15.8

13.8

18.3

22.9

16.7

18.5

16.7

18.1

21.0

16.7

19.2

15.3

18.7

22.4

17.1

19.3

553

No episodes------------------------

1 episode--------------------------

2 episodes-------------------------

3 or more episodes-----------------

White

Both sexes-------------------

100.0

100.0

100.0

100.0

100.0

13.5

19.6

12.6

9.0

13.8

. . .

94.0

91.1

119.4

83.7

...

79.7

78.8

111.4

69.8

14C

119

1,086

5;;

No episodes------------------------

1 episode--------------------------

2 episodes-------------------------

3 or more episodes-----------------

Male-------------------------

100.0

100.0

100.0

100.0

100.0

12.9

17.9

10.5

8.7

14.1

21.3

19.6

14.1

8.5

16.7

281

240

589

NO episodes------------------------

1 episode--------------------------

2 episodes-------------------------

3 or more episodes-----------------

Female-----------------------

2;:

153

129

498

15

244

128

111

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.:

100.0

100.0

100.0

100.;

100.0

100.0

15.4

18.2

10.0

9.8

13.3

26.3

19.6

16.7

8.7

14.7

12.6

18.9

23.2

16.9

19.0

32.0

26.3

42.4

58.9

42.2

.,.

62.1

66.2

103.2

100.2

No episodes------------------------

1 episode--------------------------

2 episodes-------------------------

3 or more episodes-----------------

All other

Both sexes-------------------

1%:

11.1

7.4

28.8

13.4

14.1

::$

15.6

13.5

19.5

11.0

8.4

15.5

19.5

18.6

21.4

17.2

14.6

_

14.;

18.2

11.5

15.6

44.5

30.3

47.3

62.2

25.5

. . .

100.1

93.9

120.9

120 55.3

6

;:

18

65

3;

14

10

55

3;

12

8

—

No episodes------------------------

1 episode--------------------------

2 episodes-------------------------

3 or more episodes-----------------

Male-------------------------

31.:

23.3

25.0

24.7

27.;

19.2

19.3

33.6

35.;

28.3

32.3

17.;

12.3

13.4

16.4

18.;

12.9

14.6

14.8

16.;

15.7

10.1

16.0

17.;

15.9

12.3

14.9

20.;

30.5

40.0

27.3

$,;

88:0

55.0

No episodes------------------------

1 episode--------------------------

2 episodes-------------------------

3 or more episodes-----------------

Female-----------------------

14.:

20.0

12.9

13.5

22.;

32.0

40.8

23.3

. . .

41.8

83.4

80.2

55.6

No episodes------------------------

1 episode--------------------------

2 episodes-------------------------

3 or more episodes----------------- J

17.0

*

11.6

11.7

14.;

15.4

7.3

*

14.4

15.9

9.6

*

18.5

28.8

39.0

34
Table 12. Average annual number of decedents 25 years and over with expenses for care in hosuitals and institu -

tions during ;he last year of life, percent distribution by amoun~ of bill, and average number of days of

care during the year, according to color, sex, and type of episode: United States, 1964-65 deaths

Number of Amount of bill

decedents

Color, sex, and with

type of episode expenses

(in

thousands)

k.erage

number

~f days

Total >f care

Less

than $1oo- $:;:. $500- $1,000

$100 $249 $999 or more

Total

Both sexes ------------------------------

P

1,207

No episodes -----------------------------------

Short-stay episodes only ---------------------- 8::

Institutional episodes with or without

short -stay------------------- ------------- 328

Institution.with short -stay----------------- 171

Institution without short -stay-------------- 156

Percent distribution ,

100.0 15.3 11.8 15.7

_

21.4

17.8

9.8’

J:;

16.6

23.8

18.2

10.1

10.3

9.7

14.7

17.8

17.2

9.6

1::;

15.8

-b18.7 38.4

15.0 34.2

20.4 35.3

80.9

100.0

100.0

100.0

100.0

100.0

100,0

15.8

14.2

17.8

13.7

22.4

15.2

13,6

12.3

10.4

1::;

12.4

14.1

12.4

11.9

1::;

11.2

12.9

12.1

9.3

1:::

11.4

-

13.7

11.8

10.1

1::;

11.9

13.8

12.0

11.4

11:;

10.8

13.4

11.6

9.1

7.4

11.0

15.6

_

,,.-

15.8

15.5

16.4

,.,

16.0

18.f+

lh.8

. . .

31.5

27.7.8

179.1

260.2

68.4

...

31.3

204.1

174.1

2C+0.O

95.7

15.1 46.8

16.8 52.2

13.2 41.0

Male ------------------------------------ I 654 -1- 19.0 36.8

13.8 30.9

19.9 35.2

No episodes -----------------------------------

Short-stay episodes only ----------------------

Institutional episodes with or without

short -stay--------------------------------

Institution with short -stay-----------------

Institution without short -stay--------------

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

_

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

17.4

14.3

17.8

12.4

24.2

15.4

13.5

14.2

17.9

14.8

21.0

13.8

_

12.9

12.4

17.1

13.5

21.1

14.1

15.4

13.1

17.3

12.6

23.1

13.3

9.1

11.5

16.9

14.2

19.7

28.8 -

,..-

28.3

29.7

24.7

.,!:

24.4

23.5

33.6

16.8 43.5

18.7 50.4

14.4 35.2

145

79

66

Female ----------------------------------

r

553

No episodes ----------------------------------- 18

Short-stay episodes only---------------------- 353

Institutional episodes with or without

short -stay-------------------------------- 183

Institution with short -stay----------------- 93

Institution without short -stay-------------- 90

+

18.5 40.3

16.7 39.0

21.0 35.6

. . .

31.7

228.6

183.4

275.0

83.7

13.7

15.1

12.3

49.5

53.6

45.2

-e

Both sexes ------------------------------

l==

1,086

-i

19.2 39.9

15.3 36.9

21.1 36.7

No episodes -----------------------------------

Short-stay episodes only ---------------------- 7:;

Institutional episodes with or without

short -stay-------------------------------- 307

Institution with short -stay----------------- 162

Institution without short -stay-------------- 145

21.3

18.0

9.8

1::;

16.7

26.3

18.4

J:i

9.4

14.7

13.5

17.4

9.9

1?:;

15.5

.

>.,

16.2

10.0

16.0

,!..

17.1

13.9

14.9

. . .

31.4

220.3

181.1

264.3

69.8

...

31.1

206.9

176.5

244.1

100.2

...

31.7

230,7

184.8

278,7

55.3

—

...

32.4

179.0

55.0

15.1 47.9

16.9 53.2

13.0 42.1

+-

19.3 37.9

12.6 32.0

20.5 36.1

Male ------------------------------------

r

589

No episodes -----------------------------------

Short-stay episodes only ---------------------- 4$;

Institutional episodes with or without

short -stay-------------------------------- 134

Institution with short -stay-----------------

Institution without short -stay-------------- ;:

16.8

18.9

14.z

44.7

51.3

36.7

Female ---------------------------------- 498

No episodes -----------------------------------

Short-stay episodes only ---------------------- 3;:

Institutional episodes with or without

short -stay-------------------------------- 174

Institution with short -stay----------------- 89

Institution without short -stay-------------- 85

-t

19.0 42.2

19.5 44.5

22.0 37.5

13.7

15.3

12.1

50.4

54.7

45.9

All other

Both sexes ------------------------------

t

120

KO episodes -----------------------------------

Short-stay episodes --------------------------- 9:

Institutional episodes with or without

short-stay-------------------------------- 20 -1- 14.6 25.5

.~. .:.

14.6 25.0

100.0

100.0

100.0

100.0

.,,:

100.0

100.0

100.0

15.0 29.9

Name ------------------------------------ 65

No episodes -----------------------------------

.,,..

Short-stay episodes --------------------------- 51

Institutional episodes with or without

short -stay-------------------------------- 11

-t

15.6 27.3

.,,.. ,,<

15.1 27.4

. . .

33.4

171.0

55.6

16.0 28.2

Female ----------------------------------

F

55

No episodes ----------------------------------- ..,.-

Short-stay episodes --------------------------- 43

Institutional episodes with or without

short -stay------------------------------- 9

13.5 I 23.3

.,,..

100.0

100.0

,,.-

15.7

12.0

>,, :,!

14.1 22.1 J

.,!..

32.9

37.1

.:.

15.2

5.3

. . .

31.3

188.6

3.5

13.71 31.9
Table 13. Average amual number of decedents 25 years and over with expenses for care in hospitals and

institutions during the last year of life, percent distribution by amount of bill, and average num.

ber of days of care during the year, according to the cause of death and type of episodes: United

States, 1964-65 deaths

Amount of bill

~

Average

numb er

of days

of care

Number of

decedents

with

expenses

(in

thousands)

Cause of death (Seventh Revision of

International Lists, 1955) and type

of episode

Percent distribution

All causes of death ----------- 1,207 100.0 15.3 11,8 15.7 =4=== 80.9

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.;

100.0

100.0

>ff

100.0

100,0

100.0

-2

100.0

100,0

100.0

100.:

*

100.0

15.8

14.2

17.8

13,7

22.4

16.1

15.4

15.1

18.5

16.0

20.7

20.4

No episodes -------------------------

Short-stay episodes only ------------

Institutional episodes with or

without s~ort-stay -----------------

Institution with short-stay -------

Institution without short stay----

13.6

12.3

10.4

1;:;

14.1

14.0

15.5

10.8

1$:

13.0

21.4

17.8

9,8

1:::

17.4

21,8

20.3

;:;

9.9

18.4

+:

22.0

12.1

11.3

15.0 34.2

20.4 35.3

. . .

31,5

217.8

179.1

260.2

82.5

...

24.0

232.7

195.8

266.0

94.8

15.1 46,8

16.8 52.2

13.2 41.0

328

171

156

-1- 19.3 33.1

18.0 30.8

20,8 28.3

Arteriosclerotic heart

disease ----------------- (420)

No episodes -------------------------

Short-stay episodes only ------------

Institutional episodes with or

without short-stay -----------------

Institution with short-stay -------

Institution without short-stay----

16.1 44.7

18.5 47.8

14.0 41.9

All other heart

diseases ----(4416,l6, 421-443) 106 13.9 34.3

;k

15.6 29.;

10.9 44.6

No episodes -------------------------

Short-stay episodes only ------------

Institutional episodes with or

without short-stay -------------- ---

6;

36

18.;

23.3

9.5

14.;

9.0

6.7

. . .

29.1

225.4

Malignant neoplasms --(l4O-2O5) 263 19.7 52.8 62.8

No episodes -------------------------

Short-stay episodes only ------------

Institutional episodes with or

without short-stay -----------------

21:

44

;!<

8.7

13.5

17.3

s:

19.0

14.6

14.2

12.:

9<

16.5

6.;

9.3

13.1

>!;

14,5

11,2

21.8

>*

23.4

,,c

12.0

11.;

9.6

18.5

.,!,

23.0

10.3

16.9

14.1

-2

15.4

21.; 52.; 4i:i

167.4

95.6

.,.

29.1

214.2

-A

...

i-

>*

86.0

11.2 56.4

I

Vascular lesions affecting

CNS----------------- (330-334) 157 17.4 33.7

No episodes -------------------------

Short-stay episodes only ------------

Institutional episodes with or

without short-stay -----------------

97

57 14.7 49,2

I

All violent

deaths -(E800-E964, E970-E985)

--t

18.6 28.6

21.: 28.;

21

.1.

15

No episodes -------------------------

Short-stay episodes only ------------

Institutional episodes with or

without short-stay -----------------

-1-

>?$C

19.6 36.6

11.9 32.2

20.7 33.6

All other

causes--------------(Residual) 320

No episodes -------------------------

Short-stay episodes only ------------

Institutional episodes with or

without short-stay -----------------

Institution with short-stay -------

Institution without short-stay----

11

217

100.0

100.0

100.0

100.0

100.0

17.7

15.4

19.0

15.3

23,1

14.7

12.4

10.6

1?::

23.6

17.8

8,5

8.2

8.8

,..

30.9

227.4

193.5

265.2

17.8 44.2

18.8 47.8

16.7 40.0

91

48

43

I

36
Table 14. Average annual number of decedents 25 years and over with expenses for care in hospitals and institutions during the last year of life, percent distribution by the amount of bill,

and average number of days of care during the year,

United States, 1964-65 deaths

according to region and type of episode:

Number of

decedents

with

‘TYS

thousands)

Amount of bill

=

Average

number

of days

of care Total

Region and type

of episode

Percent distribution

All regions------------ 1,207 100.0 15.3 15.7 18.7 38.4 80.9

...

31.5

217.8

179.1

260.2

80.9

...

33.6

218.4

175.9

261.8

92.7

11.8

13.6

12.3

10.4

7.9

13.2

11.5

15.7

12.0

9.9

6.7

13.1

9.9

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

Institution with shortstay----------------------

Institution without

short-stay----------------

8%

328

171

156

336

2:2

88

45

44

362

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

15.8

14.2

17.8

13.7

22.4

14.6

12.8

13.8

17.0

10.4

23.7

14.4

21.4

17.8

9.8

9.4

10.3

14.2

15.5

16.2

8.5

7.7

9.4

15.0

15.0

20.4

15.1

16.8

13.2

17.8

18.5

19.3

13.8

14.5

13.2

19.9

34.2

35.3

46.8

52.2

41.0

41.8

37.5

38.7

50.8

60.8

40.6

40.8

Northeast---- ----------

No episodes------------------

Short-stay episodes only-----

?nstitutional episodes

‘with or without shortstay------------------------

Institution with shortstay----------------------

Institution without

short-stay----------------

North Central----------

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

Institution with shortstay----------------------

Institution without

short-stay----------------

2:;

108

58

50

334

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

16.4

12.9

17.6

15.7

19.8

17.0

19.6

16.0

19.8

14.6

25.7

15.1

J:;

9.5

7.0

12.4

14.4

14.3

14.5

13.9

11.2

17.0

11.4

18.3

17.8

8.6

6.7

10.8

18.5

27.5

20.8

9.9

12.7

6.7

14.9

13.9

21.9

15.9

17.4

14.1

18.9

13.1

20.3

15.3

17.8

12.4

17.9

43.9

37.2

48.4

53.1

43.0

31.2

. . .

34.2

233.0

194.8

277.6

67.5

..*

26.1

209.0

167.7

255.3

82.2

South------------------

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

Institution with shortstay----------------------

Institution without

short-stay----------------

2:;

77

41

36

175

25.5

28.4

41.1

43.7

38.1

West------------------- 40.8

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

9

112

54

14.4

14.2

16.9

17.2

12.4

8.3

24.8

14.3

14.3

14.2

19.5

15.1

29.5

39.6

45.4

. . .

32.9

198.7

37
Table 15. Average annual number of decedents 25 years and over with expenses for care in hospitals and institutions during the last year of life, percent distribution by the amount of bill,

and average number of days of care during the year, according to living arrangements and type

of episode: United States, 1964-65 deaths

Average

number

of days

of care

Number of

decedents

with

expenses

(in

thousands)

Amount of bill

Living arrangements and

type of episode

Percent distribution

All living

arrangements----------

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

Institution with shortstay----------------------

Institution without

short-stay----------------

Decedent and spouse

only------------------

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

Lived with other

relatives-------------

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

Lived with nonrelative or

alone-----------------

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

Lived in

institution-----------

No episodes ------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

Institution with shortstay----------------------

Institution without

short-stay----------------

1,207 100.0 15.3 11.8

13.6

12.3

10.4

7.9

13.2

11.1

15.7

21.4

17.8

9.8

9.4

10.3

18.0

18.7

15.0

20.4

15.1

16.8

13.2

22.6

38.4 80.9

...

31.5

217.8

179.1

260.2

28.9

...

28.6

91.5

30.6

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

*

*

100.0

100.0

100.0

8%

328

171

156

320

15.8

14.2

17.8

13.7

22.4

12.2

34.2

35.3

46.8

52.2

41.0

36.1

14

298

8

403

3;:

11

177

12.1

12.4

4.1

14.3

14.6

14.4

9.2

17.5

13.1

11.3

2.1

12.9

12.6

12.7

21.3

13.1

17.2

13.3

4.0

10.4

20.7

18.1

10.7

17.7

24.5

17.6

7.7

17.7

15.2

17.8

18.4

9.7

20.7

22.6

27.2

18.6

1?::

21.4

19.8

19.4

19.7

22.5

14.2

33.4

35.7

55.9

36.5

38,8

36.3

40.4

31.9

23.2

32.1

36.5

47.1

. . .

30.1

108.3

35.5

...

32.3

138.4

227.7

16?

8

306

25.0

17.0

18.6

18.5

*

-k

301

150

151

*

*

18.5

14.2

22.7

*

*

10.4

8.1

12.8

*

*

9.7

9.2

10.1

*

*

14.3

15.6

13.0

*

*

47.1

52.9

41.3

. . .

*

227.1

187.2

266.9

38
Table 16. Average annual number of decedents 25 years and over with expenses for care in hospitals and institutions during the last year of life, percent distribution by the amount of

bill, and average number of days of care during the year, according to family income and type

of episode: United States, 1964-65 deaths

Family income and

type of episode

All family incomes-----

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

Institution with shortstay----------------------

Institution without

short-stay----------------

Less than $.2,000-----

No episodes------------------

Short-stay episodes only-----

Institutional episodes with

or without short

stay------------------------

Institution with shortstay----------------------

Institution without

short-stay----------------

$2,000-$3,999----------

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

$4,000-$6,999----------

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

$7,000 or snore---------

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

Number of

decedents

with

expenses

(in

thousands)

1,207

8%

328

171

156

557

2::

258

127

131

258

1%

17

186

16?

11

Amount of bill

Less

Total - $;;:- $;;;- .$1,000

$% !8: or more

Percent distribution

100.0 15.3

Ir

100.0 15.8

100.0 14.2

100.0 17.8

100.0 13.7

100.0 22.4

100.0 20.6

100.0 22.6

100.0 20.7

100.0 20.3

100.0 16.2

100.0 24.3

100.0 14.0

100.0 17.6

100.0 14.3

100.0 11.5

100.0 9.4

100.0

100.0 1:::

100.0 4.9

t

100.0 7.7

100.0 12.2

100.0 7.7

100 ● o 4.3

11.8

13.6

12.3

10.4

7.9

13.2

13.2

19.1

14.4

11.4

9.4

13.4

10.7

1::;

6.3

10.9

13.2

11.3

4.9

10.5

13.9

10.2

11.7

15.7

21.4

17.8

9.8

9.4

10.3

15.0

19.4

18.7

10.5

10.3

10.8

16.3

20.1

18.1

6.8

18.9

28.7

19.3

9.0

13.8

17.9

14.2

5.9

7

18.7 38.4

15.0 34.2

20.4 35.3

15.1 46.8

16.8 52.2

13.2 41.0

--t16.6 34.8

15.9 23.0

18.6 27.5

14.3 43.5

16.2 48.0

12.5 39.1

21.01 38.0

13.9 42.3

21.8 34.1

19.2 56.1

7

21.2 39.5

17.1 34.1

21.7 37.7

18.5 62.7

t

19.3 48.7

12.1 43.8

20.1 47.8

Average

number

of days

of care

80.9

...

31.5

217.8

179.1

260.2

122.2

. . .

33.9

226.6

186.7

265.3

56.2

. . .

30.0

199.8

39.3

. . .

30.4

158.3

37.4

. . .

30.2

170.8

39
Table 17. Average annual number of decedents 25 years and over wtth expenses for care in hospitals and institutions during the last year of life, percent distribution by t~e .amoWt of

bill, and average number of days of care during the year, according to marital status and type

of episode: United States, 1964-65 deaths

Marital status and

type of episode

All marital

statuses--------------

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

Institution with shortstay----------------------

Institution without shortstay----------------------

Married----------------

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

Institution with shortstay----------------------

Institution without

short-stay----------------

Widowed----------------

No episodes------------------

Short-stay episodes only-----

Institutional episodes

with or without shortstay------------------------

Institution with shortstay-- --------------------

Institution without

short-stay----------------

Single-----------------

No episodes------------------

Short-stay episodes only -----

Institutional episodes

with or without shortstay------------------------

Divorced ---------------

No episodes------------------

Short+tay episodes only-----

Institutional episodes

with or without shortstay------------------------

.

Number of

decedents

with

expenses

(in

thousands)

1,207

8%

328

171

156

622

5::

89

54

35

424

2::

173

85

88

108

5:

46

52

3;

19

Amount of bill

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.O

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100:0

100.0

100.O

*

100.0

100.0

15.3

15.8

14.2

17.8

13.7

22.4

13.1

12.7

13.1

12.8

9.9

17.2

16.7

18.8

15.8

17.8

14.4

21.1

20.9

15.;

27.0

18.1

16.:

19.5

11.8

13.6

12.3

10.4

7.9

13.2

12.0

15.1

12.0

11.1

7.3

16.8

11.5

11.7

13.0

9.5

7.1

11.8

11.6

13.;

9.8

13.0

9.:

18.0

15.7

21.4

17.8

9.8

9.4

10.3

15.9

19.2

16.9

8.8

8.1

9.9

16.3

25.9

19.5

11.3

10.7

11.8

15.0

21.:

6.9

11.O

*

12.0

8.6

18.7

15.0

20.4

15.1

16.8

13.2

20.3

16.1

20.6

20.2

20.9

19.1

17.9

15.4

20.6

14.5

16.4

12.6

14.5

18.:

10.2

14.9

19.:

8.6

$1,000

or more

38.4

34.2

35.3

46.8

52.2

41.0

38.7

37.0

37.4

47.1

53.8

37.0

37.5

28.2

31.0

47.0

51.4

42.8

38.1

31.;

46.1

43.0

42.;

45.3

!iverage

number

of days

of care

80.9

,..

31.5

217.8

179.1

260.2

48.0

,..

30.2

163.4

137.0

203.6

114.0

...

31.9

235.7

195.2

275.1

127.3

...

35.9

251.9

107.7

——

...

40.9

226.5

40
Table 18. Average annual number of decedents 25 years and over with expenses for care in hospitals and institutions during the last year of life and percent distribution by the amount of

bill. according to number of episodes and number of days of care: United States, 1964-65

deaths

Number of

decedents

with

expenses

(in

thousands)

Amount of bill

Number of episodes and

number of days of care

$1,000

or more

II I I I

All episodes Percent distribution

All days -------------------------- 1,207 100.0 15.3 11.8 15.7 18.7 38.4

11.9

15.8

29.1

30.1

18.0

14.0

13.2

17.2

10.7

18.2

10.3

15.2

28.0

29.0

16.0

18.3

16.8

10.;

22.0

;;.;

19:0

37.5

56.3

62.1

60.4

56.5

47.8

27.3

127

164

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

32.3

17.4

11.1

:.;

11:6

13.4

13.3

22.1

19.5

20.4

25.1

12.9

::;

6.0

z::

9.9

15.9

15.6

29.2

27.9

15.9

10.1

6.3

$:!?

9.5

19.2

1 day or under --------------------------

2-7 days--------------------------------

8-14 days -------------------------------

15-28 days------------------------------

29-56 days ------------------------------

57-91 days------------------------------

92-182 dada-----------------------------

183-273 days----------------------------

274 days and over-----------------------

150

196

195

100

80

1%

One enisode

All days -------------------------- 598

11.6

12.3

18.5

34.3

51.1

38.4

44.3

>’r

47.5

43.4

13.;

18.2

35.8

55.8

58.7

;;.:

47:7

59.0

-k

27.1

49.3

60.4

72.5

65.2

59.8

48.6

34.2

41

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

41.5

::.:

10:9

12.9

19.2

18.8

22.;

11.6

24.3

25.5

1;.:

10:2

11.1

9.5

10.;

8.7

12.2

29.1

28.7

18.2

9.9

13.0

10.5

8.;

14.3

1 day or under--------------------------

2-7 days--------------------------------

8-14 days-------------------------------

15-28 days------------------------------

29-56 days------------------------------

57-91 days------------------------------

92-182 days-----------------------------

183-273 days----------------------------

274 days and over-----------------------

82

142

102

86

50

18

16

TWO episodes

All days-------------------------- 307

30.;

27.6

15.7

11.5

6.4

5.5

;:;

8.6

18.;

32.6

33.5

19.0

15.2

11.1

17.3

7.2

16.7

-J{ *

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

13.;

10.1

;::

14.0

12.2

15.2

25.4

9.8

*

;;.;

.

n’

5.8

8.2

1::;

5.9

1 day or under--------------------------

2-7 days--------------------------------

8-14 days-------------------------------

15-28 days------------------------------

29-56 days ------------------------------

57-91 days------------------------------

92-182 days-----------------------------

183-273 days ----------------------------

274 days and over-----------------------

21

39

76

71

32

24

14

30

Three or more episodes

All days-------------------------- 258

1 day or under --------------------------

2-7 days--------------------------------

8-14 days-------------------------------

15-28 days------------------------------

29-56 days------------------------------

57-91 days------------------------------

92-182 days-----------------------------

183-273 days----------------------------

274 days and over-----------------------

*

16.6

4.3

6.6

4.5

5.2

1.2

7.3

13.6

20.:

10.7

;.;

.

1::;

11.9

21.4

25.;

25.1

18.3

11.7

13.1

15.7

14.0

15.0

->

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

10.:

10.6

5.7

1;::

9.8

18.2

15.8

13

36

No episodes----------------------- 44
Table 19. Average annual number o~fd~i;~ents 25 years and over with expenses for care in hospitals and institutions during the last year and percent distribution by the smount of bill, according to type

of episode and number of days of care: ‘United States, 1964-65 deaths

Number of

decedents

with

expenses

(in

thousands;

Type of episode and number

of days of care

$1,000

or more

11 [ I I

Percent distribution

All types of episodes

All days ---------------------------------- 1.20; 100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

15.3

32.3

17.4

11.1

9.4

1!::

13.4

13.3

22.1

14.2

11.:

20.4

25.1

12.9

,

::;

6.C

z:!

9.9

12.3

15.7 18.; 38.4

1 day or under ----------------------------------

2-7 days ----------------------------------------

8-14 days ---------------------------------------

15-28 da~?s--------------------------------------

29-56 days --------------------------------------

57-91 days--------------------------------------

92-182 days-------------------------------------

183-273 days------------------------------------

274 days and over-------------------------------

12;

164

15(

196

195

10C

8C

.

&

836

15.6

29.2

27.9

15.9

10.1

6.3

6.0

9.1

9.5

17.8

11.$

15.:

29.1

30.1

18.C

14.C

13.2

17.2

10.7

20.4

19.7

12.6

19.0

37.5

56.3

62.1

60.4

56.5

47.8

35.3

Short-stay episodes only

All days ----------------------------------

1 day m under ----------------------------------

2-7 days ----------------------------------------

8-14 days ---------------------------------------

15-28 days --------------------------------------

29-56 days--------------------------------------

57-91 days --------------------------------------

92-182 days -------------------------------------

183-273 days------------------------------------

274 days snd over-------------------------------

1::

141

178

159

65

35

1;

328

100. O

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

:.;

10:4

::;

11.8

16.7

18.1

15.1

17.8

24.2

25.0

12.9

6.3

H

3.7

::i

10.4

12.9

29.7

28.5

16.1

9.2

5.4

1::1

11.8

9.8

15.:

19.3

14.6

14.2

;::

;:;

9.4

*

*

13.;

14.2

6.6

2::

9.8

10.3

10.1

16.2

29.2

30.4

17.5

1::;

15.2

15.2

15.1

*

22::

26.9

20.1

22.2

14.3

17.8

10.4

16.8

*

9C

35.:

21.2

21.8

11.5

16.1

11.0

13.2

12.2

12.5

19.0

38.7

59.8

67.8

62.2

51.0

49.6

46.8

15.;

19.5

24.6

40.8

51.2

59.0

58.1

47.7

52.2

*

*

25.;

43.7

59.0

65.3

60.7

50.8

41.0

Institutional episodes with

m without short-stay

All days----------------------------------

1 day or mder ----------------------------------

2-7 days----------------------------------------

8-14 days---------------------------------------

15-28 days --------------------------------------

29-56 days--------------------------------------

57-91 days --------------------------------------

92-182 days-------------------------------------

183-273 days------------------------------------

274 days and mar-------------------------------

100.:

100.0

100.0

100.0

100.0

100.0

100.0

100.0

LOO. O

35.;

22.5

17.4

11.5

11.1

10.7

11.9

22.5

13.7

28.;

12.3

16.5

13.5

7.6

2:;

10.0

7.9

*

*

10.;

11.7

4.4

;:;

7.9

13.2

*

25.9

15.2

27.4

17.5

17.5

15.5

2.4

11.2

13.6

Institution with short-stay

All days----------------------------------

1 day or mder ----------------------------------

2-7 days----------------------------------------

8-14 days---------------------------------------

15-28 days--------------------------------------

29-56 days--------------------------------------

57-91 days--------------------------------------

92-182 days -------------------------------------

183-273 days------------------------------------

274 days and mar-------------------------------

*

*

LOO.;

LOO.O

LOO.O

LOO.O

LOO.O

LOO.0

LOO.O

LOO.;

LOO.O

100.0

100.0

100.0

100.0

100.0

100.0

100.0

*

*

15.:

9.1

1:::

11.7

20.5

22.4

39.:

20.8

21.7

17.4

19.8

12.5

12.2

23.6

15.8

Institution without short -stay

All days ----------------------------------

1 day or under ----------------------------------

2-7 days----------------------------------------

8-14 days---------------------------------------

15-28 days--------------------------------------

29-56 days --------------------------------------

57-91 days--------------------------------------

92-182 days-------------------------------------

183-273 days------------------------------------

274 days snd over-------------------------------

11.;

18.3

16.5

14.0

11.7

1%2

9.1

21.4

*

2:::

10.8

17.3

23.5

22.0

22.4

10.1

15.0

17.:

21.7

23.6

33.8

27.4

41.7

50.9

46.1

No episodes ------------------------------- 34.2

42
Table 20. Average annual number of decedents 25 years and over with expenses for care in hospitals and institutions during the last year of life and percent distribution by the amount of

bill, according to age and number of days of care: United States, 1964-65 deaths

Amount of bill

EEIEEIE

Number of

decedents

with

expenses

(in

thousands)

Age and number of days of care

Total

All ages, 25 years and over Percent distribution

All days--------------------------- 1,207 100.0 15.3 11.8 15.7 18.7 38.4

1 day or under -----.---------------------

2-7 days-------------------------.-------.

8-14 days--------------------------------

15-28 days-------------------------------

29-56 days-------------------------------

57-91 days--.----------------------------

92-182 days------------------------------

183-273 days-----------------------------

274 days and over------------------------

127

164

150

196

195

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

32.3

17.4

11.1

u

11.6

13.4

13.3

22.1

11.0

19.8

2:;

10.2

J:!

13.1

14.9

20.4

25.1

12.9

::;

6.0

:::

9.9

13.0

19.2

33.9

11.6

1.8

12::

11.5

10.8

15.6

29.2

27.9

15.9

10.1

6.3

R

9.5

10.7

9.9

14.5

21.7

13.3

6.0

&?

14.9

11.9

15.8

29.1

30.1

18.0

14.0

13.2

17.2

10.7

15.0

10.7

15.2

33.0

15.2

10.8

1;:;

17.2

19.7

12.6

19.0

37.5

56.3

62.1

60.4

56.5

47.8

50.3

25-44 years

All days--------------------------- 63

1 day or under---------------------------

2-7 days---------------------------------

8-14 days--------------------------------

;L-2J days-------------------------------

------------------------------------

57-91 days-------------------------------

92 days and over-------------------------

10

9

40.5

31.1

28.9

59.5

72.6

56.2

48.9

42.2

7

1;

9

45-54 years

All days--------------------------- 109

1 day or under ---------------------------

2-7 days---------------------------------

8-14 days----.---------------------------

15-28 days-------------------------------

29-56 days-------------------------------

57-91 days-------------------------------

92-182 days------------------------------

183 days and over------------------------

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

30.3

13.8

1;.:

.

1;:;

36.5

33.8

15.3

17.3

22.4

15.6

::;

N

10.8

20.2

27.0

21.9

16.8

:::

2.4

6.0

15.8

12.2

11.8

27.9

23.3

15.8

18.1

11.6

12.9

19.0

20.0

25.0

22.9

47.0

61.8

59.4

65.1

47.2

39.0

55-64 years

All days--------------------------- 207

1 day or under ---------------------------

2-7 days---------------------------------

8-14 days-----------------?--------------

15-28 days-------------------------------

29-56 days----------.---------------------

57-91 days-------------------------------

92-182 days------------------------------

183-273 days-----------------------------

274 days and over------------------------

27 100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.:

36.1

18.9

::;

6.7

11.5

14.2

37.;

18.1

22.9

9.5

7.0

7.2

1.7

6.0

12.:

13.2

26.2

31.2

15.4

11.8

4.7

1.5

6.;

12.8

17.0

29.8

28.7

15.6

12.2

13.8

7.:

19.9

15.0

22.4

40.3

58.7

70.0

64.6

11 36.;

43
Table 20. Average annual number of decedents 25 years and over with expenses for care in hospitals and institutions during the last year of life and percent distribution by the amount Of

bill, according to age and number of days of care: United states, 1$364-65deaths-con.

Age and number of days of care

65 years and over

All days---------------------------

1 day or under---------------------------

2-7 days---------------------------------

8-14 days--------------------------------

15-28 days-------------------------------

29-56 days-------------------------------

57-91 days-------------------------------

92-182 days------------------------------

183-273 days -----------------------------

274 days and over------------------------

65-74 years

ALI days---------------------------

1 day or under ---------------------------

2-7 days---------------------------------

8-14 days--------------------------------

15-28 days-------------------------------

29-56 days-------------------------------

57-91 days-------------------------------

92-182 days------------------------------

183-273 days-----------------------------

274 days and over------------------------

75-84 years

All days---------------------------

1 day or under---------------------------

2-7 days---------------------------------

8-14 days--------------------------------

15-28 days-------------------------------

29-56 days-------------------------------

57-91 days-------------------------------

92-182 days ------------------------------

183-273 days-----------------------------

274 days and over------------------------

85 years and over

All days---------------------------

1 day or under ---------------------------

2-7 days---------------------------------

8-14 days--------------------------------

15-28 days-------------------------------

29-56 days-------------------------------

57-91 days-------------------------------

92-182 days------------------------------

183-273 days-----------------------------

274 days and over------------------------

Number of

decedents

with

expenses

(in

thousands)

828

1;;

102

130

120

63

58

1::

324

342

162

Total

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

7-00.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

Amount of bill

;;:: $1oo- $;2’;- .55;- $1,000

.$,00 $249 $ or more

Percent distribution

15.6

33.0

18.4

12.6

10.0

9.8

10.5

12.4

12.7

20.8

15.9

31.2

24.5

11.7

10.0

10.1

10.0

14.2

16.6

18.7

14.6

33.3

14.2

11.7

10.8

8.1

1:::

10.8

22.3

17.2

38.9

14.0

17.5

1;::

16.3

12.5

10.2

20.2

12.1

22.2

25.4

13.5

7.6

U

U

9.7

1,0.8

21.0

23.0

:::

2::

H’

15.7

13.3

25.1

26.8

15.3

8.8

6.7

8.7

11.4

4.0

9.5

12.5

18.7

28.0

18.8

16.3

12.5

8.6

5.7

7.6

16,2

16.3

31.4

28.2

16.1

10.3

H

::$

14.9

14.8

24.7

28.7

13.8

8.4

;:;

11.2

7.0

17.4

16.0

36.7

29.4

16.8

10.7

U

:::

16.4

22.0

34.0

23.8

22.4

15.2

7.4

5.8

1;:;

19,1

11.7

16.0

28.7

32,5

19.9

14.6

13.7

17.0

10.3

20.7

13.7

17.9

31.5

31.5

20.3

12.8

14.7

16.7

8.8

19.3

10.0

15.6

27.5

35.6

18.6

15.8

11.2

17.7

12.2

15.6

12:;

24.7

26.5

22.4

16.4

16.9

15.8

9.0

36.9

16.8

1::!!

33.8

52.7

60.6

59.0

57.8

49.3

37.8

19.3

9.9

18.3

40.6

55*4

65.7

59.5

48.3

49.8

35.3

15.6

1::;

28.0

55.9

59,4

58.5

59.3

46.4

38.3

11.0

12.0

15.2

27.3

36.6

51.3

59.1

70.8

52.1

44
Table 21. Average annual number of decedents 25 years and over with expenses for care in hospitals and insti -

tutions during the last year of life, and percent distribution by the amount of bill, according to color,

sex, and number of days of care: United States, 1964-65 deaths

Color, sex, and number

of days of care

Bath sexes

All days -----------------------------------

1 day or under -----------------------------------

2-7 days -----------------------------------------

8-14 days ----------------------------------------

15-28 daya ---------------------------------------

29-56 days ---------------------------------------

57-91 days ---------------------------------------

92-182 days --------------------------------------

183-273 days -------------------------------------

274 days and over --------------------------------

Male

All days -----------------------------------

1 day or under -----------------------------

------

2-7 days -----------------------------------------

8-14 days ----------------------------------------

15-28 days ---------------------------------------

29-5?5 days ---------------------------------------

57-91 days ---------------------------------------

92-182 days --------------------------------------

183-273 days -------------------------------------

274 days and over --------------------------------

Fema 1e

All days -----------------------------------

1 day or under -----------------------------------

2-7 days -----------------------------------------

S-14 days ----------------------------------------

15-28 days ---------------------------------------

29-56 days ---------------------------------------

57-91 days ---------------------------------------

92-182 days --------------------------------------

183-273 days ------------------------------- ------

274 days and over --------------------------------

WHITE

Both sexes

All da:!s-----------------------------------

1 day or under -----------------------------------

2-7 days -----------------------------------------

8-14 days ----------------------------------------

15-28 days ---------------------------------------

29-56 days ---------------------------------------

57-91 days ---------------------------------------

92-182 days --------------------------------------

183-273 days -------------------------------------

274 days and over --------------------------------

*

All days -----------------------------------

1 day or under -----------------------------------

2-7 days -----------------------------------------

8-14 days ----------------------------------------

15-28 days ---------------------------------------

29-56 days ---------------------------------------

57-91 days ---------------------------------------

92-182 days --------------------------------------

183-273 days -------------------------------------

274 davs and over --------------------------------

Iumber of

lecedents

with

expenses

(in

:hcmsands)

1,207

127

164

150

196

195

100

80

32

163

654

76

94

1?;

111

51

f:

68

553

51

z;

84

H

40

17

95

1,086

111

144

134

173

178

92

;3

155

589

Amount of bill

Less

rotal than ;;;;- g:;:- $500- $1,000

$100 $999 or more

Percent distribution

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

15.3

32.3

17.4

11.1

9.4

1?::

13.4

13.3

22.1

15.2

31.7

17.6

10.4

8.1

1::;

12.1

13.0

24.2

15.4

33.3

17.0

12.2

11.0

8.4

8-8

14.6

13.5

20.5

13.s

31.5

15.0

9.5

7.6

7.2

10.3

11.9

12.1

21.3

14.1

3~-o

15.9

8.6

6.9

1!:;

12.9

11-6

23.5

11.8

20.4

25.1

12.9

7.2

6.7

6.0

;::

9.9

12.4

21.2

24.5

13.3

7.1

;:;

1::3

11.2

19.2

25.9

12.4

;:;

;::

2.8

9.3

11.4

21.1

24.8

11.9

6.8

6.2

5.6

6.8

:::

11.9

21.2

24.2

11.8

7.0

7.1

::;

1::;

15.7

15.6.

29.2

27.9

15.9

10.1

6.3

6.0

9.1

9.5

16.6

17.1

29.0

29.6

15.5

10.4

;::

12.8

8.8

14.7

13.4

29.4

25.7

16.4

9.8

5.1

6.2

1:::

15.8

15.6

31.1

28.9

15.1

9.7

5.9

6.2

8.0

9.7

16.7

17.9

30.6

30.3

14.8

9.9

6.7

6.0

11.5

8.8

18.7

11.9

15.8

29.1

30.1

18.0

14.0

13.2

17.2

10.7

19.0

11.0

16.0

28.0

28.9

17.1

16.1

15.7

18.9

11.1

18.5

13.3

15.5

30.5

31.7

19.2

11.8

10.6

15.7

10.4

19.2

12.2

16.5

30.4

31.6

18.4

14.4

12.8

;;.;

19.3

10.7

17.0

29.6

29.6

17.8

16.4

14.7

16.5

10.8

38.4

—

19.7

12.6

19.0

37.5

56.3

62.1

60.4

56.5

47.8

36.8

19.0

12.8

18.8

40.4

55.7

57.9

57.7

50.1

45.0

40.3

20.8

12.2

19-2

33.7

57.1

66.6

63.2

62.3

49.8

39.9

19.7

12.4

19.3

39.0

58.5

63.9

62.3

59.9

48.7

37.9

18.1

12.4

19.6

41.8

58.0

59.9

58.2

55.3

46.1

45
Table 21. Average annual number of decedents 25 years and over with expenses for care in hospitals and institutions during the last year of life, and percent distribution by the amount of bill, according to color,

sex, and number of days of care: United States, 1964-65 deaths-Con.

Number of

decedents

Color, sex, and number with

of days of care expenses

(in

thousands )

White-Con.

Female

All days ------------------------------------ 498

1 day or under ------------------------------------ 43

2-7 days ------------------------------------------ 59

8-14 days ----------------------------------------- 57

15-28 days ---------------------------------------- 73

29-56 days ----------------------------------------

57-91 days ---------------------------------------- ;:

92-182 days --------------------------------------- 36

183-273 days --------------------------------------

274 days and over --------------------------------- ;:

ALL OTHER

Both sexes

All days ------------------------------------ 120

1 day or under -------- ------- -------------- -------

2-7 days ---------------,--------------------------- ;:

8-14 days -----------------------------------------

15-28 days ---------------------------------------- ;;

29-56 days ---------------------------------------- 17

57-91 days ---------------------------------------- 8

92-182 days --------------------------------------- 8

183-273 days -------------------------------------- $<

274 days and over --------------------------------- 8

Male

All days ------------------------------------ 65

1 day or under ------------------------------------ 8

2-7 days ------------------------------------------

8-14 days ----------------------------------------- 1:

15-28 days ---------------------------------------- 12

29-56 days ---------------------------------------- 11

57-91 days ----------------------------------------

92 days and over ---------------------------------- 1;

Female

All days ------------------------------------ 55

1 day or under ------------------------------------

2-7 days ------------------------------------------ 1!?

8-14 days -----------------------------------------

15-28 days ---------------------------------------- 1;

29-56 days ----------------------------------------

57 days and over ---------------------------------- 1:

Amount of bill

Total

100.0

100.0

100.0

100.0

100.0

100,0

100.0

100,0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

100.0

100.0

100.0

>,r

100,0

100.0

100.0

100.0

100.0

100.0

100,0

100.0

100.0

100.0

Less

than

$100 -1-- $1oo- $250-

$249 $499

$500-.

$999

—.

Percent distribution

13.3

30.6

13.7

10.7

8.5

7.2

J:j

12.6

19.7

28.8

38.1

34.0

24.5

22.5

25.8

26,8

26.9

37.:

24.7

28.3

33.8

24,2

17.8

26.7

24.5

20.3

33,6

46.8

34.1

24,9

28.0

24.1

38,3

10.8

20.9

25.6

11.9

6.4

5.0

;:;

3,0

9.3

15.6

15,7

27,4

21.4

10.2

12.9

11,8

8.4

;k

11.1

16.4

22,2

27.5

24.8

1!::

1?::

14.8

10.8

27.3

16.4

12.5

12.1

8,2

14.7

11,9

32.3

27,0

15.5

9,4

5.1

6.4

1:::

15,5

15.8

14.2

19.6

22,3

14.8

10.7

4.5

5.:

16.0

10,3

14.6

23,4

21.9

14.6

14.6

9,5

14.9

20.8

13.9

14.0

22.8

15.2

5.0

19.0

14,5

15.8

31.5

34.4

19.2

12.2

10.9

15.6

10.2

14.6

—.

10.3

10.7

17.9

18.7

13,3

1:::

*

15,0

15.6

—,

13,8

Ii::

23,2

10.4

12.8

23,3

13.5

ii::

22.3

13,6

19.1

10.0

$1,000

or more

42.2

22.1

12.5

18.8

35,2

59.1

68,1

66.3

63,6

50.5

25,5

20.1

13.7

16.7

26.2

33.2

41,0

43.6

~!c

31.2

27,3

25.5

17,2

12.7

29,0

35,0

38.3

35.6

23.3

14,5

10.8

22.3

23.1

29.6

38.5

46
TECHNICAL

Background of This Report

APPENDIX I

NOTES ON METHODS

The data presented in this report were collected

in the 1964 and 1965 National Mortality Surveys. The

surveys, conducted by the Division of Vital Statistics,

National Center for Health Statistics, were designed primarily to provide information about the decedent!s hospital or institutional episodes during his last year of

life and the expenses for these episodes. In addition, certain socioeconomic and demographic data which were

thought to be relevant to the study were collected.

Sample Design

The sample design for the National Mortality Surveys takes advantage of the virtually complete registration of deaths in the United States. Each month the

54 registration areas forward a 10-percent systematic

sample of all registered deaths to the Division of Vital

Statistics, National Center for Health Statistics. This

systematic sample is called the Current Mortalit y Sam -

ple (CMS). The sample for the National Mortality Survey is a probability sample subselected from the CMS

at a rate of one out of 33 deaths. This procedure yields

an overall selection rate of one out of 330 deaths. There

were 5,153 deaths of persons aged 1or older in the 1964

sample and 5,255 deaths in the 1965 sample. Because the

samples are independent, they can be combined, giving

a total sample size of 10,408.

Sources of the Data

The first source of data in the surveys was the death

certificate. In addition, survey procedures included a

questionnaire mailed to the informant who provided the

funeral director with the personaI information for recording on the death certificate and to the hospital or inst itut ion in which the decedent died. These sources of information identified on the death record are referred to

as primary sources.

Each primary source was requested to identify

other sources which might be able to furnish the necessary information if the primary source was unable to

do so and to list all medical facilities which providea

care to the decedent during the year prior to his death.

These additional sources of information are referred to

as secondary sources. Identical questionnaires were

sent to these secondary sources requesting the information concerning the decedent.

The data shown in this report are based on information obtained from the death certificate and from the

responses to the questionnaires mailed to the death record informant and to the hospitals and institutions providing care to the decedent. Age, sex, color, geographic

region, and cause of death were obtained from entries on

the death certificate; the type of hospital, number of

episodes, and number of days of care were obtained

from entries on the hospitaI and other medical facilities

questionnaire; the amount of the bill for care in hospitals and institutions, marital status, living arrangements, family size, and family income were obtained

from entries on the informant questionnaire.

Death Certificate and Questionnaires

Facsimiles of the Standard Certificate of Death and

of the questionnaires used to obtain the data in this report are shown in appendix HI. Although not all States

use the standard certificate, all States do include on their

certificates items for the basic information used in this

report.

The questionnaire sent to the death record informant

was designed primarily to obtain the names and addresses of hospitals and institutions which provided care to

the decedent during the year before his death. Additional

questions concerned the amount of the hospital bill,

health insurance coverage, household composition, financial assets, and family income.

In 1964 and 1965, three informant questionnaires

were used for decedents aged 1or older depending on the

age at death and place of residence of the decedent. Similar information was coIlected with each questionnaire.

However, the reference individual for certain questions

on socioeconomic status differed.

When the decedent was a child (ages 1-13), the

socioeconomic data requested referred to the

status of the decedent’s parents.

When the decedent was aged 14 or older and

was not a resident of an institution at the time

47
of death, the socioeconomic data requested referred to the decedent’s status.

When the decedent was aged 14 or older and was

a resident of an institution at the time of death,

the questions pertaining to be decedent’s household composition were omitted.

All hospitals and institutions in which the decedent

was a patient during the 12 months before death received

the same questionnaire regardless of the decedent’s age

or residence.

Collection of the Data

Data for the 1964-65 National Mortality Surveys

were collected primarily by mail. Regardless of the

place of death, a questionnaire was sent to the person

who had provided the funeral director with the decedent’s

personal information for recording on the certificate.

This questiomaire requested socioeconomic information about the decedent as well as the names and addresses of hospitals and institutions which might have

provided care to the decedent at any time during his last

year of life.

If the death occurred in a hospital or institution, a

hospital questionnaire was sent directly to the hospital

or institution asking for information about the care provided and for the names and addresses of other medical

facilities providing care.

Responses from these two primary sources were

cross-checked and questionnaires were mailed to any

other hospitals or institutions named by the primary

sources.

When the address of the informant or of the hospital or institution of death was not available on the

death certificate, a letter was first sent to the funeral

director requesting the address and then the appropriate questionnaire was mailed. When any of the sources

failed to respond or was unable to provide the information, additional mailings were made. The mailing procedures used in the survey are shown in figure I. In addition, when the reported data were inadequate for certain

essential items, special letters were sent to clarify the

information.

These procedures resulted in a response rate in

1964-65 of 91 percent (table I).

In general, the rates of response were higher for

white decedents than for other decedents. Within each

color group the response rates were higher for older

decedents than for younger decedents.

Table I. Response rates for 1964-65 National Mortality Survey, by selected characteristics:

United States, decedents aged 1 year and over

Characteristic

Total -------------------------

Age

1-14 years --------------------------

15-24 years -------------------------

25-34 years -------------------------

35-44 years -------------------------

45-54 years -------------------------

55-64 years -------------------------

65-74 years -------------------------

75-84 years -------------------------

85+ years ---------------------------

*

Male --------------------------------

Female ------------------------------

Region

Northeast ---------------------------

North Central -----------------------

South -------------------------------

West --------------------------------

Number

in

sample

10,408

.—

202

187

197

479

936

1,730

2,627

2,754

1,296

5,885

4,523

2,874

3>002

3,014

1,518

Total

Percent

responding

91.0

81.7

86.6

89.3

88.9

88.5

88.3

91.8

93.0

93.6

90.6

91.5

90.5

92.1

91.8

88.1

White

Number

in

sample

9,222

153

159

143

359

784

1,484

2,354

2,559

1,227

5,219

4,003

2,676

2,800

2,338

1,408

Percent

,esponding

91.4

81.7

86.2

90.9

90.5

88.6

88.1

92.4

93,4

93.6

91.0

92.0

91,3

92,5

92.3

88.2

Nonwhite

Number

in

sample

1,186

49

28

1%

152

246

273

195

69

666

520

198

202

676

110

Percent

:esponding

87.6

81.6

89,3

85.2

84.2

87.5

89.8

86.8

88.2

92.8

87.7

87.5

79.8

87.1

90.2

86.4

48
INFORMANT

Original mailing

16 days

+

21 days

+

Nonresponse letter

followup

+

21 days

+

Census Interview if

Informant is resident

of primary sampling unit

L

HOSPITAL

AND

INSTITUTION

~

4

22 days

+

21 days

I

ElCertified

mail

followup

+

21 days

‘El CLOSEOUT AS

NUNRESPONSE

FUNERAL

DIRECTOR

cz&GG3

$

17 days

&

+

21 days

Figure L Mailing procedures for National Mortality Survey.

49
Processing of the Data

The retuxned questionnaires were edited and coded

in accordance with predetermined specifications. The

questionnaires were checked both for completeness and

for consistency of response. After the edited and coded

data had been transcribed onto punchcards, the data were

processed on electronic computers. The computer processing included range edits, consistency checks, imputation for missing data, and assignment of weights.

Nonresponse and Imputation for Missing Data

Failure to obtain a response represents one of the

biggest problems in any data collection system. Of the

10,408 decedents aged 1 or older who were selected in

the sample for 1964 and 1965, no information was obtained after all attempts to contact the informant for only

938 cases, or 9 percent of the sample. These represent

“unit nonresponses. ”

Included among the 938 cases tabulated as unit nonresponse are cases where the informant refused to answer the questions, where no informant was located, and

where no mailing was attempted because the decedent’s

usual place of residence as reported on the death certificate was outside the United States, even though the

death occurred in the United States. In addition because

New Mexico did not participate in the 1964-65 National

Mortality Surveys, no mailings were made for decedents

who were residents of that State.

In addition to unit nonresponse, there is also item

nonresponse, i.e., the questionnaire was returned but

part of the information was omitted. Item nonresponse

for the information on hospitals was only about 3 percent. For these decedents, one or more episodes may

not have been accounted for because (1) the informant

did not list the names and addresses of any hospitals

or institutions providing care to the decedent or (2) the

hospital which he listed did not respond to the questionnaire.

Following are the

economic items from

presented this report.

response rates for the socio -

the questionnaires which are

Response Yate

in pevcent

Amount of the bill for care in

hospitals or institutions ------------ 90

Family income ---------------------- 98

Item nonresponse was not available for marital, status

and living arrangements since these variables were not

asked directly in the questionnaire. Data for these items

were derived from entries

questionnaire.

50

in the household listing of the

The highest rate of nonresponse for items included

in this report was for the question on the amount of the

bill for care in hospitals and institutions. It is likely that

in many cases the informant really did not know the amount of the bill. If the bill had been paid by the decedent

prior to his death, if part of it had been paid by hospital

insurance, or if the bill had not yet been sent, the death

certificate informant may not have known the amount.

Statistics from the National Mortality Surveys were

adjusted for both unit and item nonresponse by imputing

to decedents for whom no response was obtained characteristics of similar decedents for whom a response

was obtained (similar decedents were defined by characteristics recorded on the death certificate). The array

of 40 age, sex, and color groups which was created in

the computer to establish similarity is as follows:

GYOUP

1---------------

2---------------

3---------------

4---------------

5---------------

6---------------

7---------------

8---------------

9---------------

1o---------:-----

11-20 ------------

21-30 ------------

31-40 ------------

Sex, color, and age

Male, white:

Under 1 year

1-14 years

15-24 years

25-34 years

35-44 years

45-54 years

55-64 years

65-74 years

75-84 years

85 years and over

Male, all other:

Same age groups as for male, white

Female, white:

Same age groups as for male, white

Female, all othcw:

Same age groups as for male, white

Other variables were added to the array in the imputation of certain items in order to maintain internal

consistency witbin the record. For example, in order to

impute information on the number of children in the

decedent’s household it was necessary to control for

such characteristics

family.

as the family size and the type of
Values in the cells of the array were continually

replaced by successive known values as the file was

processed. The values from the last known record in

the cells were then imputed to the nonresponse record.

weighting Procedures for National Estimates

Statistics shown in this report are national estimates prepared by use of a poststratified ratio estimation procedure. This estimation procedure, which

takes the total number of registered deaths into account

in the estimation process, reduces the sampling error

by making the sample more closely representative of

the population of all deaths than would be expected by

random methods alone.

In each of the 40 groups that were used for imputation, the national count of deaths was obtained from

Volume H of Vital Statistics of the United States

for the appropriate year.

A weight for each group was then calculated by dividing the number of sample deaths into the number of

registered deaths.

The products of the weight and the sample count

thus equal the national total for the cell. The national

estimates for 1964 and 1965 were averaged to produce

the average annual estimates shown in this report.

Reliability of Estimates

Since the statistics presented in this report are

based on a sample, they may differ from the results

that would have been obtained had a census covering all

decedents been undertaken using the same questionnaires and procedures. In addition, results are subject

to errors in conceptual formulation, ambiguities in

definitions and in the questiomaire construction, coding

errors, biases due to nonresponse or incomplete response, mistakes in editing, and tabulation errors.

The probability design of the sample for the National

Mortality Survey makes possible the calculation of

sampling errors. The sampling error is a measure of

the variation that occurs by chance because only a sample rather than the entire population is surveyed.

Estimates of sampling variability for the statistics

derived from this survey were based on 20 random halfsample replications. This technique yields a measure of

overall variability through observation of variability among random subsamples of the total sample. It reflects

both the error that arises from sampling and a part of

the measurement error, but it does not measure any

systematic biases in the data. A general discussion of

the development and evaluation of a replication technique

for estimating variance has been published elsewhere!

Using the same questionnaires and collection procedures, the chances are about 68 out of 100 that an estimate from the sample differs from the value for the entire population by less than the standard error. The

chances are about 95 out of 100 that the difference is less

than twice the standard error.

Table 11. Approximate standard errors for estimated numbers shown in this report

Standard Relative

Size of estimate

error

standard

error

5,000 ------------------ 610

10,000 ------------------ 900

25 ,000 ------------------ 1,550

50,000 ------------------ 2,350

100,000 ------------------ 3,100

250,000 ------------------ 4,900

500,000 ------------------ 6,300

750,000 ------------------ 6,900

1,000,000 ------------------ 7,500

I

Approximate standard errors for estimates presented in this report may be determined as follows:

1. EstM.atesofagg’regates.-Approximatestandard

errors of estimates ofnumbers ofdecedentswitha given

characteristic are given in table H.

2. Estimates of pwcentages inapement distribution.—Approximate standard errors forpercentagesare

determined in one of the following ways, depending on

the source of the base of the percentage:

a. where both the numerator and denominator are

estimates from thesampledata, theapproximate

standard errors are those shown in table IH.

b. where the denominator is a value found in one

of the 40 ratio estimate cells shown on page 48,

the relative standard error of the percent is

equivalent to the the relative standard error of

the numerator since the denominator is not

subject to sampling error.

These are given in table II.

Table 111. Approximate standard errors for per -

centages shown in this report

Base of percentage

lo, boo-------------

25,000 -------------

50,000 -------------

100,000 -------------

250,000 -------------

500,000 -------------

750,000 -------------

1,000,000 -------------

Estimated percent

2

or

98

:::

0.8

M

0.3

0.2

0.2

—

5

or

95

2.4

1.8

::?

0.6

0.4

0.3

0.3

10

or

90

3.4

2.2

1.7

M

0.5

0.4

0.4

25

or

75

4.9

3.2

2.5

H!

0.8

0.7

0.6

50

5.7

3.6

2.9

2.0

1.3

R

0.6

51
3. Estimates of the numbe-rofepisodes. -Approximate standard errors for the number of episodes are

given in table W.

4. Estimates of the numbev of days of care.—

Approximate standard errors for the number of days of

care are given in table V.

5. Differences between two samble estimates.—

The standard error of a difference between two sample

estimates is approximately the square root of the sum

of the squares of each standard error considered separately. This formula will represent the actual standard

error quite accurately for the difference between separate and uncorrelated characteristics. Since the data

presented here are usually correlated to some degree,

this method is only a rough approximation in most cases.

Table IV. Approximate standard errors for esti -

mated number of episodes shown Ln this report

Number of episodes

10,000 ------------------

25,000 ------------------

50,000------------------

75,000------------------

100,000------------------

150,000------------------

200,000------------------

250,000------------------

300,000------------------

350,000------------------

400,000------------------

450,000------------------

500,000------------------

550,000------------------

600,000------------------

650,000------------------

700,000------------------

750,000------------------

800,000------------------

850,000------------------

900,000------------------

950,000------------------

1,000,000------------------

Standard

error

1,200

2,000

2,800

3,500

4,100

5,000

5,800

6,600

7,300

7,900

8,600

9,200

9,900

10,300

10,800

11,500

11,900

12,400

13.000

13;400

13,800

14,200

14,800

Relative

standard

error

12.0

8.0

5.6

:::

3.3

;:2

2.4

2.3

;:;

2.0

1.9

1.8

1.8”

1.7

H

::;

1.5

1.5

Rounding of Numbers

Although the published tables show aggregates

rounded to tbe nearest thousand, thetabulations onwhich

the tables are based contain figures to thenearest unit.

All computations were made using the unrounded data.

Therefore computations using thepublished tables may

not be exactly the same as the computations made with

the unrounded data.

Table V. Approximate standard errors for estimated number of days of care shown in this

report

Number of days

50,000-----------------

100,000-----------------

150,000-----------------

200,000-----------------

250,000-----------------

300,000-----------------

350,000-----------------

400,000-----------------

450,000-----------------

500,000-----------------

550,000-----------------

600,000-----------------

650,000-----------------

700,000-----------------

750,000-----------------

800,000-----------------

850,000-----------------

900,000-----------------

950,000-----------------

1,000,000-----------------

2,000,000-----------------

3,000,000-----------------

4,000,000-----------------

5,000,000-----------------

6,000,000-----------------

7,000,000-----------------

8,000,000-----------------

9,000,000-----------------

10,000,000-----------------

Standard

error

22,300

31,500

38,500

45,300

50,700

56,500

61,000

66,400

70,400

75,500

79,200

84,200

87,600

92,500

95,600

100,500

103,500

108,300

111,200

116,000

165,500

204,400

237,900

268,000

295,900

326,600

356,600

385,800

414,500

<elative

standard

error

44.5

31.5

25.7

22,7

20.3

18.8

17.4

16.6

15.6

15.1

14.4

14.0

13.5

13.2

12.8

12.6

12.2

12,0

11.7

11.6

M

5.9

:::

4.7

4.5

4.3

4.1

——000

52
APPENDIX II

DEFINITIONS OF CERTAIN TERMS USED IN THIS REPORT

Information From the Deoth Certificate

color. —The category “white” includes those individuals reported on the death certificate as white, Mexican, Puerto Rican, and Cuban. The category “all other”

incIudes those reported as Negro, American Indian, Chinese, Japanese, Hawaiian, Part-Hawaiian, and “other

nonwhite. ”

Age.—Age is recorded on the death record as age or

date of birth. If recorded as date of birth, it is used to

compute the decedent’s age at last birthday.

Sex. -Sex’ is coded from entries on the death certificate.

Re@”on Division

Northeast ------------------New England -----------

Middle Atlantic---- -----

North Central -------------- East North Central -----

West North Central -----

South----------------------SOuth Atlantic ----------

East South Central -----

West South Central -----

West----------------------Mountsitt---------------

Pacific -----------------

Cause of death.—The cause of death and corresponding category numbers are in accord with the Internatwnal Classification of Diseases, Adapted, 7th revision.

Institutional residence .-. If the decedent’s usual

place of residence was reported to be a hospital, nursing

home, or other resident institution, the decedent’s living

arrangement was coded as “resident of institution.”

Re@”onand diviswn.— The States in which the deaths

occurred are classified into four regions which are further subdivided into nine divisions corresponding to

those used by the Bureau of the Census. These regions

and divisions are as follows:

States Included

Maine, New Hampshire, Vermont,

Massachusetts, Rhode Island, Connecticut

New York, New Jersey, Pennsylvania

Ohio, Indiana, Illinois, Michigan,

Wisconsin

Minnesota, Iowa, Missouri, North Dakota,

South Dakota, Nebraska, Kansas

Delaware, Maryland, District of Columbia,

Virginia, West Virginia, North Carolina,

South CsroIina, Georgia, Florida

Kentucky, Temessee, Alabama,

Mississippi

Arkansas, Louisiana, Oklahoma, Texas

Montana, Idsho, Wyoming, Colorado,

New Mexico, Arizona, Utah, Nevada

Washington, Oregon, California, Alaska,

Hawaii

53
Information From the Informant

Questionnaire

Expenses for cave inhosfiitak andi?sstitution$.—

The expenses for care refer to the total amount of the

bill(s) for all episodes the decedent had in a hospital or

institution during the 12 months before his death. This

does not include the physician’s or surgeon’s bill.

Livin~ awamgements. — For those decedents who

were not residents of institutions, the household listing

on the questionnaire, ,which included space for entries

on maritai status and the relationship of each member to

the decedent, was used to determine the living arrangements used in this report. Living arrangements refer

to whether the decedent lived with spouse, with other

relatives, alone or with nonrelat ives, or lived in an

institution at the time of death.

Family income. —Family income refers to the total

of all income received during the last full calendar year

by all persons related to the decedent by blood, marriage, or adoption and living in the same household as

the decedent at the time of his death. If the decedent

alone, lived with nonrelative, or was institutionalized,

the income refers only to his individual income. For

persons dying in 1964, the income shown here was that

received in 1963; for those dying in 1965, the income

was that received in 1964.

Marital stubs. —Although this item is reported on

the death certificate, the marital status used in this

report was coded from the entries in the household

listing on the questionnaire. The decedents classified

as married include decedents who were reported to be

separated.

Information From the Hospital Questionnaire

Hospitals and institutions. -In this report l’hospitals and institutions” refers to facilities providing

medical or personal care, such as hospitals listed in

the Guide Issue of Hospitals or the Journal of the

American Hospital Association, and includes homes for

the mentally retarded, nursing homes, other homes

for the aged, and other places providing medical,

nursing, personal, or domiciliary care. Questionnaires

returned by establishments claiming to have provided

care to decedents as inpatients or inmates were accepted as reports of hospitals and institutions regardless of whether the establishments could be located

in one or more of the several listings c,f such places

which were used in connection with the ,processing of

the survey data. These listings included: American

Hospital Association Directory, Modern Hospital Directory, and National Office of Vital Statistic Substitution List.

Short-stiy hospital. 9 A short-stay hospital is a

facility for which the type of service—a classification

of hospitals according to the predominant types of

cases for which they provide care— is general maternit y; eye, ear, nose, and throat; children!s; and / or

osteopathic. The type-of - service category to which an

individual hospital is assigned and the definition of

these categories follows the usage of the American

Hospital Association.

‘Resident institution. —A resident institution is a

facility for which the type of service is psychiatric,

tuberculosis, orthopedic, or contagious disease and/or

convalescent, including the hospital department of

any of the above. Also included are homes for the

mentally retarded, nursing or convalescent homes,

other homes for the aged, and other places which provide medical, nursing, personal, or domiciliary care.

Episode.—lAn episode is defined as any continuous

period of inpatient care or inmate experience for which

there is a known date of admission and for which there

is a known date of discharge within the 12-month period

before death. The episode may have begun prior to the

12-month period before death.

Tevminal episode.— A terminal episode is defined

as an episode for which the date of discharge is the same

as the date of death. Terminal episodes do not inchtde

those cases recorded as DOA on the death certif~cate of

the hospital questiomaire.

Day of CaYe.—’A day of care is a period of time in

which a person is confined to a short-stay hospital as a

resident, The day is counted as a day of care only if the

patient stays overnight. Thus a patient who enters the

hospital or institution on Monday afternoon and leaves

Wednesday noon is considered to have had 2 days of care

in the hospital or institution.

000

54
APPENDIX Ill

SOURCE FORMS

Death Certificate

CERTIFICATE OF DEATH R.rm .Immvd .

BIRTH No. STATE OF

Buds.$ BummI No. S-S-R3752

STATE FILE No.

! ●LACE OF DEATH

b. CITY. TOWN. OR LoCATION C. LENGTH OF STAY IN lb c CITY. TOWN, OR LOCATION

6. NAME OF

HDSPITAL OR

(11 nDI {n hwpibi, gine #tree( addwt)

INSTITUTION I

d. STREET ADDRESS

YES ❑ No❑ Yssn mu YESO NOO

3. P4kMc or Firtl Aflddfe Lad 4. DATE

DSCUSED

Month Day Year

(!AW or print)

5. SEX

&lTH

6 COLOR OR RACE 7 “A~R,~~ ❑ ~~y~R ~*~~,E~ ❑ 8 DATE OF BIRTH 9. AGE (In years W UNO= 1 YEAR !lF UNOES24 NRS.

I& birthday) “)/m& 5.g- Hw, Jf;”,

WIDOWED IJ DIVORCED E

V3a. USUAL OCCUPATION (QkIc kind ojwork done 1(0, KIND OF BUSINESS OR INDUSTRY 11 BIRTNPMCS (AYale or fOreWn COWIOY)

durin# mat of workbw ItIt, am II retired)

12. Clnzm w WKAT CWJNTRY1

w

b

$

Y 2 13. FATHER.S NAME 14, MOTHER.S MAIDEN NAME

.2 %

b ~

c

& 2 15. WAS DECEASED EVER IN U. S. ARMED FORCES7

u

16 SDCIAL SECURITY NO. 17 INFORMANT Ad4resa

:

(S’-,no.* “,IAIWWR) (1!#r..0,..W. 0?dale.or&nlu)

u

‘as .

e g 18 cams OF DEATH [Enter onfY one caw pm line for (a), (b), and (c).]

Y

?

PART 1. DEATH WAS CAU3SD Wf.

INTERVAL BETWEEM

s

ONS~ AND DEATH

IMMEDIATE CAUSE (a)

:

~~

;$

II

wmtcn wuc ru co

*C cauw (a),

<

atstino the undcrZ2Z lying c.mue lint. 1

DUE TO (C)

:02 PART II 07- SIGNNSCAN7CONDITIWS CC+il’R16UTlNC10 ~TN W N3T RELATEDTO THE TESMNAAL0SS4SS CC+IC+TW+IGIvEN IN PART l(a) 19 WAS AUTC+3Y

~1-

2<~

,.

PERFORMEO?

YESD Non

85’ ~ ~, ~cc,DENTSUICIDE HOMICIDS 20b. DESCRIBE HOW INJURY OCCURRED (Enter nasure c.finjury in Part I or Part H of ilern 18.)

—

2 g ;

~. $ ❑ ❑ ❑

1-

$ ~ ~, TIME OF Hour Month, Day, Yew

g g INJURY a. m.

p. m.

IL 2

0 z Z&! INJURY OCCURRED SC+. PLACE OF INJURY (e. o., in w aboti home, 23j. CWT. ToWN. OR LDCATWN

1-

COUNN STATE

~

~~;E AT ❑ f+OTw+O~/E Q

jarm, JacsorY, 8trect, ojke bldg., de.)

z

G

c

I21, I ●tfended the decma,mcf from , to .ndlast saw ~~ alive on

; D.ath occumad ●t

0

m on th. date stated above; ●nd to the best of my knowledac% from the auaos ●tated.

a, Slawrunc (L2cnree or NNc) 22b ADDRESS Z& OATS SIGNED

x I

>

I

&. BURIAL. CRENATIO+4, 23b DATE

>

Z&. NAME OF CEMETERY OR CREMATORY ZSd. LOCATION ( City, town. 0? COWNU)

REMOVAL(.SPCCIJY)

(sY&)

‘#

f 24. FUNERAL DIRECTOR ADDRESS 23. DATE RECD. BY LDCAL REG. 26. REGISTRAR’S SIGNATURE

2

55
Informant Questionnaires

Death Outside Institution

@

*8+’”‘%,,

*J ?

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

;.,* $

. .. ‘+”

PUBLIC HEALTH SERVICE

WASHINGTON, D.C 20201

NATIONAL CENTER FOR

H CALTH STATISTICS

r

L

The U. S. Fublic Health Service is

about people who died during 1965.

conducting a survey to obtain information

The survey is being conducted as part of

a program to collect urgently needed information about the health problems

of the Nation. This study will provide infonsation about the health of the

American people. What is learned may help to reduce the hazards of disabling

illness and avoidable deaths.

For one out of every 330 deaths occurring throughout the country, facts are

being collected about health insurence coverage, use of hospitals and

institutions, and finances during the year prior to death. The ssmple for

this survey was scientifically designed so that every person dying during

1965 had the same chance of being selected.

The person named below is in the ssmple sad our records indicate that you

are most likely to have the information we need. If you do not have the

exact answer to a question, give your best estimate. Your reply will be

held strictly confidential ud will be used to get total figures only. The

identity of individuals will not be disclosed for any purpose.

The success of this study depends upon our having information about every

death. Your reply is importaut. Even if you have not .mswered all the

questions, please ❑ail the completed form within five days in the enclosed

envelope which requires no postage. Your cooperation and prompt attention

to this request will be appreciated.

‘Ziiiic(i$ j?! Rec;rds Statistics

Name of Deceased Person File Number

11.1-5

56
CON FIDENTLUITY hm been insured *. iodi~id.d. . publi*.d in the FedmdR+=. M.Y m. 1959 Fom Apwmed

Bud@ Bums. No. d8-R7s3

NATIONAL MORTALITY SAMPLE SURVEY - 1965

PART L HEALTH INSURANCE

We are interested in finding out if the deceased person was covered by health insurance at any time

during the 12-month period before death. Please report on each kind of health insurance protection

whether or not the insurance was used.

L Ouring the 12-month period before death, did the 2. What about a surgeon’s bill? IXring the 12-month

deceased person have hesltk irm+rsnce to pay for period before death, did thedeceasedpersonhave

hospital cave ? health insurance to pay surgeons’ bills?

O Yes ❑ No ❑ Yes DNo

PART Il. HOSPITAL AND INSTITUTION CARE IN LAST YEAR OF LIFE

In this part, we are interested in finding out

about the hospitals, nursing homes, sanatoriums, and similar plsces which provfded

medical or personal care services to the deceased person during the 12-month period

before death. We are also interested in finding

out about the bills and who paid them.

1. Since (including the

tfme just before death), was the deceased person a patient in any hospital. nursing home,

home for the aged, or other type of institution that provided medical or personal care?

❑Yes (continue ❑No (skip to part III

1

below) on next page)

Write name and location of each place

I

Name

I

City and State

2. During the 12-month pericd before death, about

how much did the hospital bills for this care

come tq that is, amounts paid hy the deceased

person, by health insurance, or by relatives

or friends of the deceased person? (Do not

include any part provided by public or private

agencies. )

w [;$

❑ $1,000 sndover

3. What part of the ‘hospital bllle for the deceased

person was paid by health fnsursnce?

❑ None ❑ 1/2 up to 3/4

❑ Less thsn 1/2 ❑ 3/4 or more

m3s4670-5 (pwe 2

Rev. 36

4. Was any pert of the bills paid by the deceased

person’s children or other relativea (other than

spouse, if married) who usually lived in the

household with tie deceased person?

•l Yes a No

5. Was any part of the bills paid by tie deceased

person’s children or other relatives NOT living

in the household wfth die deceased person, or by

friends?

❑IYes mNo

6. Did the de~?ssed person receive care in plsces

durfng the 12-month period before death which

was provided free, or which was paid for by any

of the following?

•1

❑

❑

•1

•1

cl

•1

•1

•1

(check as many as apply)

Veterans Administration

Medical assistance for the aged

or other public assistance

Public Health Department

Non-profit health agency, such as

“Polio Foundation”

Other welfare organization

Workmensl Compensation

A public hospital, nursing home,

or clinic

Some other hospital, nursfng

home, or clfnic

other

‘What was that? (Write in)

7. Were any operations performed on the deceased

person during the 12-month period before death?

•1 Yes n No

4

What part of the surgeon’s (doctor’s) bill waa

paid by any kind of insurance?

❑ None En/2 up to 3/4

❑ Less than 1/2 03/4 or more

57
PART Ill. HOUSEHOLD COMPOSITION

This part is concerned with everyone who u= lived in the same household with the deceased

person at the time of death. (Include infants and small children)

1. How many people were living mgether in the 2. Who was head of this household?

same household as the deceased at the time

of death, including the deceased person? { ❑ The deceased person

m

Number ❑ Another person (Write In name of head)

—.

3. On the following lines, enter the names and provide the information requested below for all persons who usually lived in the same household as the deceased person at the time of clcath.

Relationship to Marital status at time

the deceased of deceaaed personqs

person (son, death—

mother-in-law, Male Birth Date Married Divorced

step-daughter, or Widowed Separated

(LAST NAME) (FIRST NAME) lodger, etc.) Female Month Year Single (never married)

(1)

.—

Deceased person

(2)

(3)

(4)

is)

;)—

(7)

(8)

(9)

(lo)

(11)

(If more sp.cc is needed, continue on a separate sheet)

PART IV. ASSETS

This part is concerned with the total value of

things owned by the deceased person. If the

deceased person was married and was living

with spouse, answer for beth husband and wife

together.

1. Did the deceased person and spouse, if mar.

ried and living together, own a home (include

buying) at the time of death?

❑ IYes ❑ No

2. Did the deceased person (and spouse) have any

money in banks, credit unions, savinga and loan

associations, etc. ?

•l Yea ❑ No

3. Did the deceased person (and spouse) own a

business or farm?

El Yes ❑ No

4. Did the deceased person (and spouse) have other

assets such as stocks and bonds, busineaa or real

estate investments, etc., at the time of death?

❑ Yes ❑ No

S. Did the deceased (and spouse) have any other

kind of assets such as an automobile, jewelry,

etc. ?

Cl Yes ❑ No

6. What would you judge to be the total value of

things ovmed by the deceased person (and spouse)

after any debta or mortgages were paid off?

(check the item which agrees m“thyour estimate)

❑ None •1 $5,000-$9,999

❑ Under $1,000 ❑ $10,000-$24,999

❑ $1,000-$4,999 ❑ $25,(WO and over
PART V. INCOME

This part is almut the income of the deceased person and other related persons living with the deceased at the time of death.

1. State whether the deceased person (and spouse,

if married and living together) received income

during 1964 from I any of the followbtg sources:

(check ‘~es” 07 “no” for each item)

Yee

•1

IJ

•1

•1

•1

❑

•1

•1

❑

No

•1

❑

❑

•1

❑

•1

❑

•1

•1

Wages, salary, or commission

Own business, professional

practice or partnership, or

working on own farm

Dividends, intereat on aavinga

accounts or bonda, or income

from annuities, estates, or truate

Rental of properry, or boarders

or lodgers

Sccial Security

Veterans payments or other

government or private pensions

Welfare payments

Other sources including unemployment or sickness benefits,

regular contributions from nonresident relatives. alimony, etc.

Other

& what waa that? (Write in)

2. What waa the totai monev income of the deceased

person (and suouse; if “married and living together) from all sources in 1964? (Check the box

that agrees dh your best estimate)

❑ None •1 $3,m-$3,999

❑ Under $1,000 ❑ $4,000-$4,999

❑ $1,000-$1,499 ❑ $5,0CG$6,999

❑ $1,500-$1,999 •1 $7W3-$9,999

❑ $2,CQ0-$2,999 ❑ $10,000 and over

3a. Were there family members who usually

lived in the same household with the deceased person (not counting the spuse of

the deceased person) who had money income in 1964?

U Yes (continue ❑ No (skip to Part

1

below) VI below)

3b. How much did the income of the family

members amount to in 1964?

❑ Under $2,CQ0

❑ $2,m-$3,999

❑ $4,m -$6,999

•l $7,@300r over

.3c. Taken together then, what was the total money

income of the family from all sources in 1964?

(Check the box which agrees m“fh youY best

estimate)

EEIES!l E!:E9

El $3,000-$3,999

c1 $4,0W$4,999

❑ $5,MM6,999

❑ $7,00$9,999

❑ $10,000 and over

PART V1. SOURCES OF INFORMATION

Pleaae answer the questions in this part about 2. Is there snother person who might be able to add

yourself and about another person who could to the information you have provided?

provide additional information about the deceased person. •l Yes ❑ No

1. Who completed this form?

Name

Street Address

City and State

Telephone Number =

Was the deceased person related to thfa person?

Was the deceaaed person related to you? ❑IYes ❑ No

U Yes ❑ No

1

1

Deceased person was

Deceased person was your this person’s

(relationship) (relationship)

PHM670-5(PW 4) Enter your additional comments on the front of the form.

Rev. 365

e. ,*,-’2I:
Death In Institution

@

,.+’”’%%

.’

3$ # DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

%. .-f PUBLIC HEALTH sERvlcE

.,.

Washington, D,C 7.0201

NATIONAL CENTER FOR

HEALTH STATISTICS

r

L

The U. S. Public Health Service is Conducttig a survey to obtain informs.

tion about people who died during 1965. The survey is being conducted

as part of a program to collect urgently needed infonsation about the

health of the American p=ople. What is learned may help to raduce the

hazards of disabling illness and avoidable deaths.

For one out of every 330 deaths occurring throughout the country, facts

are being collected about health insurance coverage, use of hospitals

and institutions, and finances dmring the year prior to death. The

sample for this survey was scientifically desiqed so that every person

dying during 1965 has the ssme chance of being selected.

The person nsmed below is in the sample and our records indicate that

you are most like~to have the information we need. If you do not have

the exact smswer to a question, give your best estimate. Your reply will

be held strictly confidential sad will be used to get total figuras only.

The identity of individuals will not be disclosed for any purpose.

!!!hesuccess of this study depends upon getting infonsation on even

death. Your reply is important. Even if you have not easwered all the

questions, please mail the completed form withiu five days in ths

enclosed envelope which requires no postage. Your cooperation +d prompt

attention to this request will be appreciated.

Nsme of Deceased File Number

14-1-5

60
CONF3DSNTIAL1TYh.. bee. .ssurcd the indindu.1 M published in the Fcdaml 31cgisca Mar 20, 1959 Fom ,+ppmcd

Bdsc, M-. k.. 68-R7s3

NATIONAL MORTALITY SAMPLE SURVEY - 1965

PART !. HEALTH INSURANCE

We are interested in f~ding out if the deceased person was covered by beslth insurance at any time

during the 12-month period before death. Please report on each kind of health insurance protection

whether ov not the insurance was used.

L Ming the 12-month period before death, did the 2. What about the surgeon’s bill? IMxing the 12-

deceased person have health insurance to pay for month period before death, did tie deceaeedperhospital care ? son have health insurance to pay surgeons’ bills?

•! Yes ❑ No •l Yes ❑ No

PART Il. HOSPITAL AND INSTITUTION CARE IN LAST YEAR OF LIFE

In this part, we are interested in finding out about the hospimfa, nursing homes, ssnitoriums,

and similar places which provided medical or personaf care services to tie deceaaed person

during the 12-month period before death. We are also interested in tlndfng out afm.tt the hiis

and who paid them.

1. Complete tAe information below about the institu- 3. Euring the 12-month period before destk, about

tion in which the deceased person was a patient how much did the hflla for care in these ulaces

at the time of death.

Name of Institution

City State

When did tie deceased enter this institution? I

Month Day Year

2. During the 12-month period prior to death, was

the deceased person a patient in any other hoapital, nursing home, home for the aged, or other

type of institution that provided medical or personal care?

U Yes ❑ No

come to, not countfng any psrtprovided hypuhlic

or privste sgencies? (Include amounts paid by the

deceased person and spouse, byhealth insurance,

or by relativea or friends of the deceaaed person)

If exact amount not known, I ❑ Less than—.S100

please check your best ❑ $100-$299 estimate. Include bills

for care in hospitals, •1 $300-$499

nursing homes, homes

for me aged, and other ❑ $m -$999

institutions providing ❑ $1,0C4Jand over

health or personal care

4. What psxt of these hospital bfls was paid by

health insurance?

❑ None

❑ Less than 1/2

❑ 1/2 up to 3/4

I

Write name and location of each place

•l 3/4 or more

Nsme City and State 5. Was any part of the bills paid by the deceased

person’s children or other relatives (other than

spouse, if married), or by friends?

❑ Yes ❑ No

I

I

PHS4670-8 (page 2)

Rev. 365 61
PART Il. HOSPITAL AND INSTITUTION CARE IN LAST YEAR OF LIFE (continued)

6. During the 12-month period before death, did the

deceased person receive hospital care which was

provided free, or which was paid for, by any of

the following?

(Check as many as apply)

❑ Veterans Administration

❑ Medicaf assistance for the aged or other

public assistance

❑ Public Heslti Department

❑ Non-profit health agency

•l Other welfare organization

❑ Workmens’ Compensation

❑ A public hospital, nursing home or clinic

D Some other hospital, nursing home, or clinic

❑ Other

LWhat was that? (Write in)

7. Were any operations performed on the deceased

person during the 12-month period before death?

❑ Yes ❑ NO

What part of the surgeon’s (doctor ‘s) bill was

paid by any kind of insurance?

❑ None

H Less than 1/2

•1 1/2 up to 3/4

❑ 3/4 or more

PART Ill. INFORMATION ABOUT THE DECEASED PERSON

1. When was the deceased person horn? I 2. At the time of death, waathe deceased person:

Month I Year ❑ Married ❑ Divorced

a Widowed ❑ Legally separated

❑ Single (never married)

PART IV. ASSETS

This part is concerned with the total value of

things owned by the deceased person (and

spouse, if married).

1. Did the deceased person (and spouse) own

a home (include buying) at the time of death?

•l Yes ❑ No

I

4. Did the deceased person (and spouse) have other

assets such as stocks and bonds, business or real

estate investments, etc., at the time of death?

❑ IYes ❑ No

5. Did the deceased (and spouse) have any other

kind of assets such as an automobile, jewelry, etc. ?

2. Did the deceased person (and spouse) have any

1

❑ Yes ❑ No

money in banks, credit unions, savings and loan

associations, etc. ?

❑ Yes ❑ No

6. What would you judge to be tbe total value of

things owned by the deceased person (and spouse)

after any debts or mortgages were paid off?

62

----i ❑ ~one

(Check the box which agrees with your estimate)

3. Did the deceased person (and spouse) own a

business or farm? ❑ $5,000-$9,999

❑ Under $1,000 ❑ $10,000-$24,999

IJ Yes ❑ No ❑ $1,000-$4,999 ❑ $25,000 and over

PH&iL70-E(Pa~.3)

Rev,?-6>
PART V. INCOME

This part is about the income of the deceased

person.

1. State whether the deceased person received

income during 1964 from the following sources:

(Check ‘~es” or “no” fer each item)

Yee No

❑ lcl

❑ 0

❑ 0

❑ 0

au

❑ 0

❑ 0

❑ 0

Wages, salary or commission

Own business, professional

practice or partnership, ?r

workfng on own farm

Dividends, interest on savings

accounts or Lmnds, or income from

annuities, estates or musts

Rental of property, or boarders

or lodgers

Social Securi~

Veterans payments or other

government or private pensions

Welfare payments

Other sources including unem.

ployment or sickness benefits,

regular contributions from relatives, alimony, etc.

2. What was the total money income of the deceased

person from all sources in 1964?

(Check the boxtkatsgrees with,yoarbest estimate)

❑ None

❑ Under $1,000

•1 $1,000-$1,499

•1 $1,500-$1,999

❑ $2,00Q-$2,999

•1 $3,000-$3,999

•1 $4,000-$4,999

❑ $5,030-$6,999

❑ $7,000-$9,999

❑ $10,000and over

PART W. SOURCES OF INFORMATION

Please answer the questions in thfs part about

yourself and abut another person who could

provide additional information abcut the deceased person.

1. W?IOcompleted this form?

Name

Street Address

City and State

Telephone Number

Was the deceased person related to you?

❑IYes ❑N.

I

Deceased pereon was your

(relationship)

Use the space below for additional comments.

2. Is there snother person who might be able to add

to the information you have provided?

Yes ❑ No

Name

S&eet Address

City and State

Was the deceased person related to this person?

❑ Yes ❑No

1

Deceased person was thfs

person’s

(relationship)

PHS-467C-8(P,W4)

Rm. 365 63
Nonterminal

Hospital and Institutional Questionnaires

Episode

Form Ap mv.d

Budget # w-au No. 68-R7f13

CONrID&VIIALITT nas be.. assured the individual

as p. bll. hed in the Federal Regt. ter Hay 20, 1959

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

Public Health %mice - NCHS

Wasbingtom, D. C. 20201

NATIONAL MORTALITY SAMPLE SURVEY - 1965

Name of the Deceased ................................................ EY.le R3mbar . . . . . . . . . . . . . . . . . . . . . . .

A&&3sfi of the Wceased ............................................. Wti ofBf~ . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date oflleath . . . . . . . . . . . . . . . . . . . .

Hospital ortistitution inwMchthe @cemedms a~tient .............................................

Approximate Bate of Iast Discharge.......................................................................

.

Was the person

1964?

Yes--n

1

PAR1’“ “m - —“

whose name appears

No--a

Please complete a section below for each

d.ischarges, please attach a separate sheet.

PERIors

OF CARE

I

II

III

PHS-4670 -4

Rev, 2-55

ADMITrED

Ol!

Month ..............

Day .................

Yes.. ..............

Month ...............

Day.................

Year ................

Month...............

Day .................

Year................

mscmRGED

OH

H=PIZAL OR lli6!PITlEIOIf

fras this hospital or institution SINCE JANUARY 1,

of these dischwges. If Itterewere more thm three

Month ...............

Day .................

Year ................

Month ...............

By.................

Year . . . . . . . . . . . . . . . .

Month. . . . . . . . . . . . . . .

Day. . . . . . . . . . . . . . . . .

Year . . . . . . . . . . . . . . . .

PIEASE TI.1

FmAL mAGmsIs

... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

oPERATIom

—

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

Check if nonen

—

................

................

................

................

Check if none❑

. . . . . . . . . . . . .. . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

Check if none❑

PAGE R

64
PART II. CARE IN 0PHE17EOSPITAISOR INSTITUTIONS

According to your records or to yam Prsonal bowledge, was the deceased a patient in any other

hospital, or in a metical institution (incluMns nursing homes), SINCEJANUARY1, 1964?

Yes--n

1

No--n Unknown--iq

Please list I=1ow each hospital or institution in which the deceased was a patian’tSINCE

JANUARY 1, 1964?

1.

OTHER HOSPITAIS OR INSTITUTIONS IN WKWH THE DECEASED W A PATIENT

NaE of Hospital or Institution......................................................................

Street A*ss .......................................................................................

City Or Place.................................................. stab ...................-...-.....-.

ApproGte ~sc.ge~te .....................................

2. Nsme of Hospital or Institution......................................................................

Street .ss ........................................................................................

City or Place.................................................. State...............................

Approximate Discharge Date.....................................

3. Name of Hospital or Institution......................................................................

Street Mtiess .......................................................................................

City or Place.................................................. State...............................

Approximate Discharge Sate.....................................

Remarks:

Sigoature of person completing this form................................................................

N.oftMs hospital ortistitution ....................................................................

Composition in Wshoapital orinstititim ...........................................................

PHS.4670-4(page 2)
Terminal Episade

CON,,. O,W,ZAL,,, ha, ,,, ” .s6”, ed the i“dl”ld”al

as Published In ,“. Federal Register ,.] 20, 1959

DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

Public Heal, hS.rv,ce-NCHS

W,,hinamm, D.C. 20201

Form Approved

Bud.@Bwew No. 6E.R7B3

NATIONAL MORTALITY SAMPLE SURVEY . 1965

Ne.m of the I!eceased.................................................... File Number...................

Address of the Deceased................................................. Date of Birth.................

........................................................................ IX&e of Death.................

Hospital in which the Deceased Med .....................................................................

A.

B.

PAFW I. CARE ~ ~ HCSPI!lYU

Terminal Hospital Episode

Please give the following informationabmt the period of care in this hospital which wes terminated

by the death of the &ceased person named above.

1. The deceased was (check one): Regular Admission----❑ + Date of Admission:

MA------------------❑ MDnth...................

Admitted to

FanergencyRoom Only--• Day.....................

Year....................

2. Final Diagnoses-...................................................................................

..................................................................................................

3. Were any operationsperfommd &uring this period of cere?

Yes--❑ No--n

1

Please s~cify-...............................................................................

..................................................................................................

other Hospital Epi60d.eB

ExcluBive of the discherge due to death, was this person dlBChCi??gedfrom this hospital at any other

time SINCE J~~ 1, 1964?

Yes--❑ No--❑

1

Plea6e complete a section below for each of these discharges. If there we= more tti tkee

discharges,pleese attach a seperate sheet.

PERIODS

OF CARE

I

II

III

Art.lITrED

ON

Month...............

WY .................

Year................

Month . . . . . . . . . . . . . . .

may. . . . . . . . . . . . . . . . .

Year. . . . . . . . . . . . . . . .

Month...............

My................

Year................

DISCHARGED

ON

Month...............

BY .................

Year................

Month...............

Day.................

Year................

Month...............

nay . . . . . . . . . . . . . . . . .

Year . . . . . . . . . . . . . . . .

FINAL DIAGNOSES

...............................

...............................

...............................

..............................

...............................

...............................

...............................

...............................

...............................

...............................

...............................

...............................

OPERATIONS

PERFORMSD

.................

.................

.................

Check if none❑

.................

.................

.................

Check if none H

.................

... ..............

.... .... .. .......

Cb.eckif none❑

PH3-4A70Y2

R,,. 2-65

66

PIEASE !l?LTRN %GE m
PART II. CARS In mms HoSPmAIS CR INs!crlmIoNs

According to your records or to Your personal knowledge, was the *ceased a patient in any other

hospital, or in E medical institution (Including nursing hmas ), SINCE JANUARY 1, 1964.

Yes--n, No--❑ Udamwn-- ❑

1

Please list below each hospital or institutim in which the &ceased was a patient SIHCE

JANUARY 1, 1.9E4.

1.

- HCSPI!L!ALSOR INSTITUTIONSIN WHICH TEE DECEASEDWAS A PATTENI

Nmof HospiWor E8titution ......................................................................

S*et*s8 .......................................................................................

Ci@Or PWe .................................................. State...............................

A~oXti MscWge M* .....................................

2. Name of Hospital or Institution......................................................................

Stieet*ss .......................................................................................

Ci@m PWe .................................................. State...............................

A~rohti ~sc@@Wti . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3. Name of Hospital or Emtitution ......................................................................

stiet.Bs .......................................................................................

City OrPWe ........................................$......... State...............................

A~r~timscWge Wti . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Remark6:

Signature OfPrmnc 00@etingth16 fOm .................................................................

NanE of )iOBpitd.........................................................................................

Imposition fiWshospiW ...........................................................................

PH5-4670-2(p0902) -o S*9.25,

67
!

VITAL AND HEALTH STATISTICS PUBLICATION SERIES

Public Health Service Publication No. 1000

Series 1. Programs and collection p~oceduves. — Reports which describe the general programs of the National

Center for Health Statistics and its offices and divisions, data collection methods used, definitions,

and other material necessary for understanding the data.

Series 2. Data evaluation and methods reseaych. — Studies of new statistical methodology including: experimental tests of new survey methods, studies of vital statistics collection methods, new analytical

techniques, objective evaluations of reliability of collected data, contributions to statistical theory.

Sevies 3. Analytical studies .-Reports presenting analytical or interpretive studies based on vital and health

statisncs, carrying the analysis further than the expository types of reports in the other series.

Series 4. Documents and committee Yepovts.— Final reports of major committees concerned with vital and

health statistics, and documents such as recommended model vital registration laws and revised

birth and death certificates.

Series 10. Data Jrom the Health Intewiew SuYvev. —Statistics on illness, accidental injuries, disability, use

of hospital, medical, dental, and other services, and other health-related topics, based on data

collected in a continuing national household interview survey.

Series Il. Data from the Health Examination SmWey. —Data from direct examination, testing, and measurement of national samples of the civilian, noninstitutional population provide the basis for two types

of reports: (1) estimates of the medically defined prevalence of specific diseases in the United

States and the distributions of the population with respect to physical, physiological, and psychological characteristics; and (2) analysis of relationships among the various measurements without

reference to an explicit finite universe of persons.

Series 12. Data from the Institutional Popu.?iation Surveys —Statistics relating to the health characteristics of

persons in institutions, and their medical, nursing, and personal care received, based on national

samples of establishments providing these services and samples of the residents or patients.

Series 13. Data from tke HospiW Discluwge Survey. —Statistics relating to discharged patients in short-stay

hospitals, based on a sample of patient records in a national sample of hospitals.

Series 14. Data on health resources: manpower and facilities. —Statistics on the numbers, geographic distribution, and characteristics of health resources including physicians, dentists, nurses, other health

occupations, hospitals, nursing homes, and outpatient facilities.

Series 20. Data on morfulity.-Various statistics on mortality other than as included in regular annual or

monthly reports —special analyses by cause of death, age, and other demographic variables, also

geographic and time series analyses.

Series 21. Data on natality, mamiage, and divone. —Various statistics on natality, marriage, and divorce

other than as included in regular annual or monthly reports-special analyses by demographic

variables, also geographic and time series analyses, studies of fertility.

Series 22. Datu from the National Natality and MoYtality SuYveys. — Statistics on characteristics of births

and deaths not available from the vital records, based on sample surveys stemtrdng from these

records, including such topics as mortality by socioeconomic class, hospital experience in the

last year of life, medical care during pregnancy, health insurance coverage, etc.

For a list of titles of reports published in these series, write to: Office of Information

Nat ional Center for Health Statistics

Public Health Service, HSMHA

Rockville, Md. 20852
U.S. DEPARTMENT OF

HEALTH, EDUCATION, AND WELFARE

Public Health Service

HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION

OFFICAL 13US INESS

Penalty for Private Use, $300

POSTAGE ANO FEES PAID

U S DEPARTMENT OF H.E.W

‘,

‘f.