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MAJOR REASON FOR VISIT NEW PROBLEM¹ CHRONIC PROBLEM, ROUTINE CHRONIC PROBLEM, FLARE-UP POSTSURGERY PREVENTIVE CARE PRESURGERY 39.5% 28.9% 13.6% 11.2% 2.7% 1.5% PRIMARY EXPECTED SOURCE OF PAYMENT TOP 5 ACTIVE INGREDIENTS TOP 4 SERVICES, ORDERED OR PROVIDED AUDIOMETRY CT SCAN DIET/NUTRITION COUNSELING EXCISION OF TISSUE PATIENTS’ TOP 5 PRINCIPAL REASONS FOR VISIT FLUTICASONE NASAL ASPIRIN OMEPRAZOLE LEVOTHYROXINE ATORVASTATIN MEDICATIONS WERE PRESCRIBED OR CONTINUED AT 60.6% OF OFFICE VISITS. ¹Having only self-pay, no charge, or charity as source of payment. ²Includes workers' compensation, other sources of payment, unknown, and blank data. 3 CHIP is Children’s Health Insurance Program; SCHIP is State CHIP. 1 Onset less than 3 months. ABOUT NAMCS The National Ambulatory Medical Care Survey (NAMCS) produces statistics that are representative of people in the United States who visit office-based physicians. The survey provides information on office visits by physician practice characteristics, patient characteristics, and visit characteristics. OTOLARYNGOLOGY In 2015–2016, there were an estimated 27 million visits per year to nonfederally employed, office-based providers specializing in otolaryngology in the United States. CDCNCHS @NCHStats https://www.cdc.gov/nchs/ ahcd/namcs_participant.htm [email protected] 301–458–4600 CONTACT US Ambulatory and Hospital Care Statistics Branch: 0 5 10 15 20 25 30 35 75 AND OVER 65–74 45–64 25–44 15–24 UNDER 15 PERCENT DISTRIBUTION OF OTOLARYNGOLOGY OFFICE VISITS, BY PATIENT’S AGE: 2015–2016 PERCENT OF VISITS 16.4 13.8 15.6 7.4 30.8 AGE GROUP (YEARS) 15.9 PROGRESS VISIT HEARING DYSFUNCTION EARACHE OR EAR INFECTION POSTOPERATIVE VISIT PLUGGED FEELING IN EAR MEDICARE 27.6% PRIVATE INSURANCE 54.1% MEDICAID OR CHIP/SCHIP³ OTHER² NO INSURANCE¹ 1.1% 6.5% 10.7% National Center for Health Statistics National Health Care Surveys National Ambulatory Medical Care Survey NATIONAL CENTER FOR HEALTH STATISTICS Otolaryngology Fact Sheet from the NATIONAL CENTER FOR HEALTH STATISTICS

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Page 1: National Ambulatory Medical Care Survey 2015 16 ......MAJOR REASON FOR VISIT NEW PROBLEM ¹ CHRONIC PROBLEM, ROUTINE CHRONIC PROBLEM, FLARE-UP POSTSURGERY PREVENTIVE CARE PRESURGERY

MAJOR REASON FOR VISIT

NEW PROBLEM¹

CHRONIC PROBLEM, ROUTINE

CHRONIC PROBLEM, FLARE-UP

POSTSURGERY

PREVENTIVE CARE

PRESURGERY

39.5%

28.9%

13.6%

11.2%

2.7%

1.5%

PRIMARY EXPECTED SOURCE OF PAYMENT

TOP 5 ACTIVE INGREDIENTS

TOP 4 SERVICES, ORDERED OR PROVIDED

AUDIOMETRY

CT SCAN

DIET/NUTRITION COUNSELING

EXCISION OF TISSUE

PATIENTS’ TOP 5 PRINCIPAL REASONS FOR VISIT

FLUTICASONE NASAL

ASPIRIN

OMEPRAZOLE

LEVOTHYROXINE

ATORVASTATIN

MEDICATIONS WERE PRESCRIBED OR CONTINUED AT 60.6% OF OFFICE VISITS.

¹Having only self-pay, no charge, or charity as source of payment.²Includes workers' compensation, other sources of payment, unknown, and blank data.3CHIP is Children’s Health Insurance Program; SCHIP is State CHIP.

1Onset less than 3 months.

ABOUT NAMCS

The National Ambulatory Medical Care Survey (NAMCS) produces statistics that are representative of people in the United States who visit office-based physicians. The survey provides information on office visits by physician practice characteristics, patient characteristics, and visit characteristics.

OTOLARYNGOLOGY

In 2015–2016, there were an estimated 27 million visits per year to nonfederally employed, office-based providers specializing in otolaryngology in the United States.

CDCNCHS @NCHStats

https://www.cdc.gov/nchs/ahcd/[email protected]

301–458–4600

CONTACT US

Ambulatory and HospitalCare Statistics Branch:

0

5

10

15

20

25

30

35

75 AND OVER65–7445–6425–4415–24UNDER 15

PERCENT DISTRIBUTION OF OTOLARYNGOLOGY OFFICE VISITS, BY PATIENT’S AGE: 2015–2016

PERC

ENT

OF V

ISIT

S

16.413.815.6

7.4

30.8

AGE GROUP (YEARS)

15.9

PROGRESS VISIT

HEARING DYSFUNCTION

EARACHE OR EAR INFECTION

POSTOPERATIVE VISIT

PLUGGED FEELING IN EAR

MEDICARE27.6%

PRIVATEINSURANCE

54.1%

MEDICAID ORCHIP/SCHIP³

OTHER² NO INSURANCE¹1.1%

6.5%

10.7%

National Center for Health StatisticsNational Health Care Surveys

National Ambulatory MedicalCare Survey

NATIONAL CENTER FOR HEALTH STATISTICS

Otolaryngology Fact Sheet from the

NATIONAL CENTER FOR HEALTH STATISTICS

Page 2: National Ambulatory Medical Care Survey 2015 16 ......MAJOR REASON FOR VISIT NEW PROBLEM ¹ CHRONIC PROBLEM, ROUTINE CHRONIC PROBLEM, FLARE-UP POSTSURGERY PREVENTIVE CARE PRESURGERY

CS304438-K

Dvorin EL, Lamb MC, Monlezun DJ, Boese AC, Bazzano LA, Price-Haywood EG. High frequency of systemic corticosteroid use for acute respiratory tract illnesses in ambulatory settings. JAMA Intern Med 178(6):852–4. 2018.

Mohan S, Bhattacharyya N. Opioids and the otolaryngologist: An ambulatory assessment. Otolaryngol Head Neck Surg 159(1):29–34. 2018.

Hersh AL, Fleming-Dutra KE, Shapiro DJ, Hyun DY, Hicks LA, Outpatient Antibiotic Use Target-Setting Workgroup. Frequency of first-line antibiotic selection among US ambulatory care visits for otitis media, sinusitis, and pharyngitis. JAMA Intern Med 176(12):1870–2. 2016.

Gilani S, Pynnonen MA, Shin JJ. National practice patterns of antireflux medication for chronic rhinosinusitis. JAMA Otolaryngol Head Neck Surg 142(7):627–33. 2016.

Bergmark RW, Ishman SL, Scangas GA, Cunningham MJ, Sedaghat AR. Insurance status and quality of outpatient care for uncomplicated acute rhinosinusitis. JAMA Otolaryngol Head Neck Surg 141(6):505–11. 2015.

Mahboubi H, Verma SP. Swallowing disorders in the ambulatory medical setting. Otolaryngol Head Neck Surg 150(4):563–7. 2014.

A complete list of publications using NAMCS data, which includes articles and reports, can be found at: https://www.cdc.gov/nchs/ahcd/ahcd_products.htm.

NAMCS data are widely used in research studies appearing in nationally recognized medical journals. Here are a few recent publications using NAMCS data:

National Ambulatory MedicalCare Survey

Otolaryngology Fact Sheet from the

NATIONAL CENTER FOR HEALTH STATISTICS