2. How an Ageing Population Will Affect Health Care

Hogan, Seamus; Hogan, Sarah; Forest, Pierre-Gerlier; Marchildon, Gregory P.; McIntosh, Tom

doi:10.3138/9781442681286-005

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“…The proportion of the population aged 65 and over (PROP65) is included and assumed to affect real per capita health expenditures positively (Denton and Spencer, 1975; Barer et al ., 1989 Waldo et al ., 1989; Schrimper and Clark, 1985; Denton and Spencer , 1983; Denton et al , 1987; Denton and Spencer, 1995; Hogan and Hogan, 2002). A Canadian report anticipates aging to account for approximately 21% of total expenditure growth (Provincial and Territorial Ministers of Health, August 2000).…”

Section: Estimation Frameworkmentioning

confidence: 99%

Policy choice or economic fundamentals: what drives the public–private health expenditure balance in Canada?

Matteo

2008

HEP

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The public share of Canadian total health expenditure declined between 1975 and 2005 but categories such as physicians stayed constant while drugs, other institutions, and capital spending saw increases. Regressions find the key determinants of the public share to be: the relative price of health care, per capita income, federal transfers, proportion of population over age 65, provincial dummy variables, political parties, the onset of the Canada Health Act and the Canada Health and Social Transfer (CHST), and a time trend invoking technological change. Increasing income inequality is not a factor eroding the public share. Moreover, provinces governed by center-left parties are associated with lower public shares in the physician and other health professional categories. The significance of variables like the Canada Health and Social Transfer, the Canada Health Act and provincial differences suggest the increase in the private share of health spending since 1975 is partly the result of policy choices. As the public share has only declined from approximately 76% to 70% over 30 years, it appears the shift towards private care is one of marginal increments. Canadians remain in conflict over their health care system as they appear willing to tolerate only marginal accretions in the overall private share of health spending but accept larger changes across health expenditure categories and provincial systems.

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Section: Estimation Frameworkmentioning

confidence: 99%

Policy choice or economic fundamentals: what drives the public–private health expenditure balance in Canada?

Matteo

2008

HEP

View full text Add to dashboard Cite

show abstract

2. How an Ageing Population Will Affect Health Care

Cited by 1 publication

References 0 publications

Policy choice or economic fundamentals: what drives the public–private health expenditure balance in Canada?

Policy choice or economic fundamentals: what drives the public–private health expenditure balance in Canada?

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