National Health Expenditure Trends, 1975 to 2011 Spending and Health Workforce

National Health Expenditure Trends, 1975 to 2011 Spending and Health Workforce
National Health Expenditure Trends, 1975 to 2011
Spending and Health Workforce
Who We Are
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Table of Contents
Acknowledgements .............................................................................................. xi
Highlights ............................................................................................................. xv
Introduction ............................................................................................................ 1
1.0 Overview.......................................................................................................... 2 1.1 Total Health Expenditure ........................................................................... 2 1.2 Total Health Expenditure per Capita.......................................................... 4 1.3 Total Health Expenditure and Economic Growth ....................................... 6 2.0 Total Health Expenditure by Source of Finance .............................................. 8 2.1 Public-Sector Health Expenditure by Source of Finance ......................... 10 2.2 Private-Sector Health Expenditure by Source of Finance ....................... 13 3.0 Total Health Expenditure by Use of Funds .................................................... 17 3.1 Hospitals .................................................................................................. 20 3.2 Drugs ....................................................................................................... 22 3.3 Physicians................................................................................................ 25 3.4 Other Professionals ................................................................................. 26 3.5 Other Institutions...................................................................................... 29 3.6 Other Health Spending ............................................................................ 30 3.7 Administration .......................................................................................... 30 3.8 Public Health............................................................................................ 31 4.0 Health Expenditure in the Provinces and Territories ..................................... 33 5.0 Provincial and Territorial Government Health Expenditure
by Age and Sex ............................................................................................. 39 5.1 Method of Standardization ....................................................................... 39 5.2 Age Distribution ....................................................................................... 41 5.3 Hospital and Physician Expenditure by Age and Sex .............................. 42 5.4 Total Provincial/Territorial Government Expenditure by Age and Sex..... 47 6.0 Provincial and Territorial Government Health Expenditures
and Fiscal Position ........................................................................................ 50 7.0 International Comparisons ............................................................................. 57 8.0 Methodological Notes .................................................................................... 75 8.1 Concepts and Definitions ......................................................................... 75 8.2 Major Data Limitations ............................................................................. 83 8.3 Collection and Non-Response ................................................................. 83 8.4 Major Changes From Previous Years.................................................... 107 8.5 Sources of Data ..................................................................................... 111 National Health Expenditure Trends, 1975 to 2011
9.0 Data Tables ................................................................................................. 114
Series A—Summary Data, Canada ............................................................ 117
Series B—Total Health Expenditure by Source of Finance, by Province/
Territory and Canada (Selected Tables) ..................................................... 143
Series E—Provincial/Territorial Government Health Expenditure,
by Age and Sex, by Province/Territory and Canada (Selected Tables) ...... 157
References........................................................................................................ 161 Comprehensive versions of data tables, series A to F, are available
on the CD-ROM at the back of this report. They are also available
online at www.cihi.ca.
ii
National Health Expenditure Trends, 1975 to 2011
List of Figures
Figure 1
Total Health Expenditure, Canada, 1975 to 2011 ................................ 2 Figure 2
Total Health Expenditure, Annual Growth Rates in Constant
1997 Dollars, Canada, 1976 to 2011 ................................................... 3 Figure 3
Total Health Expenditure per Capita, Canada, 1975 to 2011 .............. 4 Figure 4
Total Health Expenditure per Capita, Annual Growth Rates in
Constant 1997 Dollars, Canada, 1976 to 2011 .................................... 5 Figure 5
Total Health Expenditure as a Percentage of Gross Domestic
Product, Canada, 1975 to 2011 ........................................................... 6 Figure 6
Total Health Expenditure and Nominal GDP, Annual Growth,
Canada, 1976 to 2011 ......................................................................... 7 Figure 7
Health Expenditure by Source of Finance, Canada,
1975 to 2011 ........................................................................................ 8 Figure 8
Public- and Private-Sector Shares of Total Health Expenditure,
1975 to 2011 ........................................................................................ 9 Figure 9
Distribution of Private-Sector Health Expenditure by Source
of Finance, Canada, 1988 and 2009 (Millions of Dollars and
Percentage Share) ............................................................................. 13 Figure 10 Share of Private-Sector Health Expenditure, Sources
of Finance, Canada, 1988 to 2009 .................................................... 14 Figure 11 Private-Sector Health Expenditure per Capita, Source
of Finance, Canada, 1988, 1998 and 2009 ....................................... 15 Figure 12 Total Health Expenditure by Use of Funds, Canada, 2009
(Billions of Dollars and Percentage Share) ........................................ 17 Figure 13 Total Health Expenditure, Selected Use of Funds, Canada,
1975 to 2011 ...................................................................................... 18 Figure 14 Public and Private Shares of Total Health Expenditures,
by Use of Funds, Canada, 2009 ........................................................ 19 Figure 15 Hospitals’ Share of Total Provincial/Territorial Government
Health Expenditure and Total Health Expenditure, Canada,
1975 to 2011 ...................................................................................... 20 Figure 16 Drugs by Source of Finance and Type, Canada, 2009
(Billions of Dollars and Percentage Share) ........................................ 22 Figure 17 Prescribed Drug Expenditure, Private-Sector Share, Canada,
1975 to 2011 ...................................................................................... 23 Figure 18 Private Prescribed Drug Expenditure, Shares by Selected
Sources of Finance, Canada, 1988 to 2009 ...................................... 24 iii
National Health Expenditure Trends, 1975 to 2011
Figure 19 Public-Sector Physician Health Expenditure per Capita,
Canada, 1975 to 2011 ....................................................................... 25 Figure 20 Other Professionals Expenditure by Source of Finance and Type,
Canada, 2009 (Billions of Dollars and Percentage Share) ................ 26 Figure 21 Other Professionals Expenditure, Percentage Share of Total
Private Spending, by Type, Canada, 1975 to 2011........................... 27 Figure 22 Private Dental Expenditure, Shares by Selected Sources
of Finance, Canada, 1988 to 2009 .................................................... 28 Figure 23 Other Institutions Health Expenditure per Capita, Canada,
1975 to 2011 ..................................................................................... 29 Figure 24 Public Health Spending as a Percentage of Total Health
Expenditure, Canada, 1975 to 2011.................................................. 32 Figure 25 Public- and Private-Sector Health Expenditure per Capita,
1988 to 2011, by Province and Territory, Constant
1997 Dollars ...................................................................................... 36 Figure 26 Age Distribution, Canada, 1998 and 2009 ........................................ 41 Figure 27 Provincial/Territorial Government Hospital Expenditure,
by Age and Sex, Canada, 2009 ........................................................ 43 Figure 28 Provincial/Territorial Government Hospital Expenditure
per Capita, by Age and Sex, Canada, 2009 ...................................... 44 Figure 29 Provincial/Territorial Government Physician Expenditure,
by Age and Sex, Canada, 2009 ........................................................ 45 Figure 30 Provincial/Territorial Government Physician Expenditure
per Capita, by Age and Sex, Canada, 2009 ...................................... 46 Figure 31 Total Provincial/Territorial Government Health Expenditure,
by Age and Sex, Canada, 2009 ........................................................ 48 Figure 32 Total Provincial/Territorial Government Health Expenditure
per Capita, by Age and Sex, Canada, 2009 ...................................... 49 Figure 33 Provincial/Territorial Government Health Expenditure per
Capita in Constant 1997 Dollars, Canada, 1975 to 2011 .................. 50 Figure 34 Provincial/Territorial Government Revenue and Expenditure,
Canada, 1993 to 2010 ....................................................................... 52 Figure 35 Provincial/Territorial Debt Charges as a Proportion of Total
Provincial/Territorial Expenditure and Revenue, Canada,
1993 to 2010 ..................................................................................... 53 Figure 36 Provincial/Territorial Government Revenue and Health
Expenditure, Constant Dollar Indices (1993 = 100), Canada,
1993 to 2011 ..................................................................................... 54 Figure 37 Provincial/Territorial Government Revenues, Constant Dollar
Indices (1993 = 100), Canada, 1993 to 2010 .................................... 55 iv
National Health Expenditure Trends, 1975 to 2011
Figure 38 Provincial/Territorial Government Health Expenditure as
a Proportion of Total Provincial/Territorial Government
Expenditure and Programs, Canada, 1993 to 2010 .......................... 56 Figure 39 Total Health Expenditure as a Percentage of GDP,
29 Selected Countries, 2009 ............................................................. 60 Figure 40 Public-Sector Health Expenditure as a Percentage of GDP,
29 Selected Countries, 2009 ............................................................. 61 Figure 41 Private-Sector Health Expenditure as a Percentage of GDP,
29 Selected Countries, 2009 ............................................................. 62 Figure 42 Total Health Expenditure per Capita in U.S. Dollars,
29 Selected Countries, 2009 ............................................................. 63 Figure 43 Public-Sector Health Expenditure per Capita in U.S. Dollars,
29 Selected Countries, 2009 ............................................................. 64 Figure 44 Private-Sector Health Expenditure per Capita in U.S. Dollars,
29 Selected Countries, 2009 ............................................................. 65 Figure 45 Expenditure on Personal Health Care as a Percentage of
Total Health Expenditure, 26 Selected Countries, 2009 .................... 67 Figure 46 Public Share of Total Health Expenditure, 29 Selected
Countries, 2009 ................................................................................. 68 Figure 47 Public Share of Expenditure on Medical Services, 26 Selected
Countries, 2009 ................................................................................. 69 Figure 48 Public Share of Expenditure on Medical Goods, 27 Selected
Countries, 2009 ................................................................................. 70 Figure 49 Percentage of Total Health Expenditure Financed by the Public
Sector, by Source of Finance, 29 Selected Countries, 2009 ............. 72 Figure 50 Percentage of Total Health Expenditure Financed by the Private
Sector, by Source of Finance, 29 Selected Countries, 2009 ............. 74 Figure 51 Composition of Total Health Expenditures, by Source
of Finance .......................................................................................... 76 v
National Health Expenditure Trends, 1975 to 2011
List of Tables
Table 1 Distribution of Public-Sector Health Expenditure by Source
of Finance, Canada, 1975 and 2009 .................................................. 10 Table 2
Quebec Drug Insurance Fund, in Millions of Dollars,
1997 to 2011 ....................................................................................... 12 Table 3
Private-Sector Health Expenditure by Source of Finance
and Use of Funds, Canada, 2009 (Millions of Dollars and
Percentage Share) .............................................................................. 16 Table 4
Hospital Expenditure Summary by Sector of Finance,
Canada, 2009 ..................................................................................... 21 Table 5
Health Expenditure Summary, by Province/Territory
and Canada, 2011 .............................................................................. 34 Table 6
Total Provincial/Territorial Government Health Expenditure
per Capita, Standardized for Age and Sex, by Province/Territory
and Canada, 2006 to 2009 ................................................................. 40 Table 7
Differences From Previously Reported Provincial
Government–Sector Data, by Province/Territory and
Canada, 1996 to 2008 (Millions of Dollars) ....................................... 107 Table 8
Differences From Previously Reported Private-Sector Data,
by Province/Territory and Canada, 1997 to 2008 (Millions
of Dollars) ......................................................................................... 108 Table 9
Differences From Previously Reported Federal Direct–Sector
Data, by Province/Territory and Canada, 2001 to 2008
(Millions of Dollars) ........................................................................... 109 Table 10 Differences From Previously Reported Municipal
Government–Sector Data, by Province/Territory and
Canada, 2008 (Millions of Dollars) .................................................... 109 Table 11 Differences From Previously Reported Social Security
Fund–Sector Data, by Province/Territory and Canada,
1985 to 2008 (Millions of Dollars) ..................................................... 110 vi
National Health Expenditure Trends, 1975 to 2011
List of Data Tables
Series A—Summary Data, Canada
1
Total Health Expenditure, Canada, 1975 to 2011—
Summary.................................................................................... 118
2.1–2.3
Total Health Expenditure by Source of Finance, Canada,
1975 to 2011—Current Dollars .................................................. 119
2.4–2.5
Total Health Expenditure by Source of Finance, Canada,
1975 to 2011—Constant Dollars ................................................ 122
3.1.1–3.1.3
Total Health Expenditure by Use of Funds, Canada,
1975 to 2011—Current Dollars .................................................. 124
3.2.1–3.2.3
Private-Sector Health Expenditure by Use of Funds, Canada,
1975 to 2011—Current Dollars .................................................. 130
3.3.1–3.3.3
Public-Sector Health Expenditure by Use of Funds, Canada,
1975 to 2011—Current Dollars .................................................. 136
Series B—Total Health Expenditure by Source of Finance, by
Province/Territory and Canada (Selected Tables)
1.1–1.2
Total Health Expenditure, by Province/Territory and Canada,
1975 to 2011—Current Dollars .................................................. 144
1.3
Total Health Expenditure as a Percentage of Provincial/
Territorial GDP, by Province/Territory and Canada,
1975 to 2011—Current Dollars .................................................. 146
2.1–2.2
Private-Sector Health Expenditure, by Province/Territory
and Canada, 1975 to 2011—Current Dollars............................. 147
2.3
Private-Sector Health Expenditure as a Proportion of Total
Health Expenditure, by Province/Territory and Canada,
1975 to 2011—Current Dollars .................................................. 149
3.1–3.2
Public-Sector Health Expenditure, by Province/Territory
and Canada, 1975 to 2011—Current Dollars............................. 150
3.3
Public-Sector Health Expenditure as a Proportion of Total
Health Expenditure, by Province/Territory and Canada,
1975 to 2011—Current Dollars .................................................. 152
4.1–4.2
Provincial/Territorial Government–Sector Health Expenditure,
by Province/Territory and Canada, 1975 to 2011—
Current Dollars ........................................................................... 153
4.3
Provincial/Territorial Government–Sector Health Expenditure
as a Proportion of Total Health Expenditure, by Province/
Territory and Canada, 1975 to 2011—Current Dollars .............. 155
vii
National Health Expenditure Trends, 1975 to 2011
Series E—Provincial Government Health Expenditure, by Age and Sex, by
Province/Territory and Canada (Selected Tables)
1.1
viii
Estimate of Total Provincial and Territorial Government
Health Expenditures, by Age and Sex, by Province/Territory
and Canada, 2009—Current Dollars ......................................... 158
National Health Expenditure Trends, 1975 to 2011
List of Data Tables on CD-ROM
Series A—Summary Data, Canada
Series B—Total Health Expenditure by Source of Finance, by Province/
Territory and Canada
Series C—Health Expenditure by Use of Funds, by Source of Finance, Canada
Series D—Health Expenditure by Use of Funds, by Source of Finance, by
Province/Territory
Series D1—Total Health Expenditure by Use of Funds, by
Province/Territory
Series D2—Private-Sector Health Expenditure by Use of Funds,
by Province/Territory
Series D3—Public-Sector Health Expenditure by Use of Funds, by
Province/Territory
Series D4—Provincial/Territorial Government Health Expenditure by Use of
Funds, by Province/Territory
Series E—Provincial Government Health Expenditure, by Age and Sex, by
Province/Territory and Canada
Series F—Provincial/Territorial Government Health Expenditure, by
Province/Territory and Canada
Appendices A to D
ix
National Health Expenditure Trends, 1975 to 2011
Acknowledgements
The Canadian Institute for Health Information (CIHI) wishes to acknowledge the
following individuals for their contribution to National Health Expenditure Trends,
1975 to 2011:
•
Christopher Kuchciak, Manager, Health Expenditures, CIHI
•
Gilles Fortin, Program Consultant, CIHI
•
Ruolz Ariste, Program Consultant, CIHI
•
Jean He, Program Lead, CIHI
•
Yiqun Yang, Senior Analyst, CIHI
•
Alain Yao, Senior Analyst, CIHI
•
Jian Gao, Senior Analyst, CIHI
•
Viktoria Roman, Senior Analyst, CIHI
•
Dawn Liew, Analyst, CIHI
•
Vicky Wang, Analyst, CIHI
•
Michael Pauli, Student, CIHI
•
Ali Hamza, Student, CIHI
•
Haoyang Yu, Student, CIHI
It is only through the contribution of many individuals and organizations that the
production of National Health Expenditure Trends, 1975 to 2011 is possible.
CIHI expresses its gratitude to the following:
The National Health Expenditure Expert Advisory Group for its advice and
constructive comments related to national health expenditures:
•
John Horne, PhD, Royal Roads University
•
Richard Plain, PhD, University of Alberta
•
Robert G. Evans, PhD, University of British Columbia
•
Hu Lu, PhD, Health Canada
•
Xiaoyi Yan, PhD, Health Canada
•
Jeremiah Hurley, PhD, McMaster University
•
Stephen Law, PhD, Mount Allison University
•
François Béland, ministère de la Santé et des Services sociaux, Quebec
•
Francine Anne Roy, Director, Health Spending and Strategic Initiatives, CIHI
•
Jean-Marie Berthelot, Vice President, Programs, CIHI
xi
National Health Expenditure Trends, 1975 to 2011
Data suppliers for their provision of data to the National Health
Expenditure Database:
•
Health Canada, Statistics Canada and other federal departments reporting
health care financial data
•
The provincial and territorial governments
•
The provincial and territorial workers’ compensation boards and the
Commission de la santé et de la sécurité du travail du Québec
•
The Nielsen Company Canada
•
•
•
xii
The insurance industry, whose participation has enhanced our understanding
of expenditures in the private sector:
– The Canadian Life and Health Insurance Association Inc.
– Medavie Blue Cross
– Croix Bleue du Québec
– Green Shield Canada
– Manitoba Blue Cross
– Saskatchewan Blue Cross
– Group Medical Services
– Alberta Blue Cross
– Pacific Blue Cross
Association of Faculties of Medicine of Canada
Provincial and territorial health ministries for providing age and sex
distributions for their respective drug subsidy and additional health
benefit programs:
– Newfoundland and Labrador Medical Services Commission
– Maritime Medical Care, facilitated by the Nova Scotia Department of Health,
Insured Programs Management and Clinical Rationalization
– Medavie Blue Cross, facilitated by the New Brunswick Department of Health,
Medicare/Prescription Drug Program
– Régie de l’assurance-maladie du Québec, facilitated by the ministère de la
Santé et des Services sociaux, Quebec
– Ontario Ministry of Health and Long-Term Care, Ontario Health Insurance
Program and Drug Programs Branch
– Manitoba Health and Ministry of Family Services, Employment and Income
Assistance Division
– Saskatchewan Health, Saskatchewan Drug Plan and Extended Benefits
Branch and Saskatchewan Medical Services Branch
– Alberta Blue Cross, facilitated by Alberta Health and Wellness and Alberta
Human Resources and Employment; Alberta Health and Wellness Extended
Health Benefits
– British Columbia Ministry of Health, Medical Services Plan and PharmaCare
Planning and Special Projects
National Health Expenditure Trends, 1975 to 2011
– Yukon Department of Health and Social Services
– Northwest Territories Department of Health and Social Services
Please note that the analyses and conclusions in the present document do not
necessarily reflect those of the individuals or organizations mentioned above.
xiii
National Health Expenditure Trends, 1975 to 2011
Highlights
Overview of Health Expenditures in Canada
•
Total health expenditure in Canada, in current dollars,i was $182.1 billion in
2009, and is forecast to have reached $192.9 billion in 2010 and $200.5
billion in 2011.
•
In current dollars, total health expenditure per capita in Canada was $5,401 in
2009. Forecasts for 2010 and 2011 are expected to be $5,654 and $5,811,
amounting to respective growth rates of 4.7% and 2.8%. When adjusted for
inflation and for population changes, real rates of increase are expected to be
2.0% in 2010 and 0.6% in 2011.
•
Total health expenditure in Canada was 11.9% of gross domestic product
(GDP) in 2009. It is forecast to be 11.9% in 2010 and 11.6% in 2011.
•
The underlying drivers of health care expenditure are examined in CIHI’s
report Health Care Cost Drivers: The Facts.
Who Pays for Canada’s Health Care System?
•
In 2009, at the national level, hospitals and physicians were mainly financed
by the public sector, while drugs and other professionals were primarily
financed by the private sector.ii
•
Since 1997, the public-sector share of total health expenditure has remained
relatively stable at around 70%. In 2009, the public sector spent $129.1 billion
on health care, accounting for 70.9% of total health expenditure. It is forecast
to be $136.9 billion in 2010 and $141.0 billion in 2011, accounting for 71.0%
and 70.3% of total health spending, respectively.
•
In 2009, the private sector spent $53.0 billion on health care. The forecasts
are $56.0 billion and $59.5 billion in 2010 and 2011, respectively.
Where Are Canada’s Health Care Dollars Being Spent?
•
In 2011, hospitals, which make up the largest component of health care
spending, are forecast to have grown by 3.8% from 2010 to reach $58.4
billion, reflecting 29.1% of total health expenditure.
•
In 2011, drugs, which account for the second-largest category, grew by
4.0% from 2010 to reach $32.0 billion, amounting to 16.0% of total health
care spending.
•
During the same period, spending on physicians increased by 5.6%, reaching
$28.1 billion, which represents 14.0% of total health care spending.
i.
ii.
All figures are in current dollars (unadjusted for inflation) unless otherwise stated.
See Section 8.1 for category definitions.
xv
National Health Expenditure Trends, 1975 to 2011
Provincial Differences in Health Care Expenditures
•
Total health expenditure per capita varies among the provinces. In 2011,
Newfoundland and Labrador and Alberta are forecast to spend more per
person on health care than any other province, at $6,884 and $6,570,
respectively. Quebec and British Columbia are forecast to have the lowest
health expenditure per capita, at $5,261 and $5,450, respectively.
•
In 2011, total health expenditure as a percentage of provincial GDP ranged
from 8.6% in Alberta to 17.2% in Prince Edward Island. For the territories, the
health expenditure–to-territorial GDP ratio was 21.3% for Nunavut, 12.4% for
Yukon and 8.8% for the Northwest Territories.
•
Similar to previous years, health care spending by provincial and territorial
governments was highest for infants and seniors. In 2009, the latest available
year for data broken down by age group, Canadians younger than age 1 cost
an estimated $9,121 per person. For youths age 1 to 14, per person average
spending on health was $1,304; it was $2,398 per capita for those age 15 to
64. Compared to other age groups, per person spending for seniors
increased prominently: $6,073 for those age 65 to 69, $8,406 for those 70 to
74, $11,483 for those 75 to 79 and $18,906 for those 80 and older.
•
During 2011, provincial and territorial government health expenditures are
forecast to reach $130.3 billion, which accounts for 65.0% of total health
expenditures in Canada.
How Does Canada Compare Internationally?
•
xvi
Among 29 countries that had comparable accounting systems in the
Organisation for Economic Co-operation and Development (OECD) in 2009,
the latest year for which data is available, spending per person on health care
remained highest in the United States (US$7,960). Canada was in the top
sixth of countries in terms of per person spending on health, spending
US$4,363, which was similar to several other OECD countries, including
Denmark (US$4,348), Austria (US$4,289) and Germany (US$4,218). The
lowest per capita expenditures were seen in Turkey (US$902) and Mexico
(US$918).
National Health Expenditure Trends, 1975 to 2011
Introduction
Both the public and private sectors finance Canada’s health system.
Public-sector funding includes payments by governments at the federal,
provincial/territorial and municipal levels and by workers’ compensation boards
and other social security schemes. Private-sector funding consists primarily of
health expenditures by households and private insurance firms.
The Canadian Institute for Health Information (CIHI) tracks health care spending
by each source of finance in the National Health Expenditure Database (NHEX).
This database contains a historical series of macro-level health expenditure
statistics by province and territory. CIHI assumed responsibility from Health
Canada for the national health accounts, including NHEX, in 1995.
National Health Expenditure Trends, 1975 to 2011 is CIHI’s 15th annual health
expenditure trends publication and provides detailed, updated information on
health expenditure in Canada. This publication includes
•
Highlights of national health expenditure;
•
An overview that includes health expenditure trends from 1975 to 2011; 2009
figures, which are now considered to be “actual” rather than a forecast; and
an outlook for 2010 and 2011;
•
An update of provincial/territorial government health expenditure by age and
sex, including four years of expenditure data standardized for age and sex;
•
Updated data tables to 2011; and
•
International comparisons.
Summary-level data tables appear at the end of the publication. More than 300
detailed data tables in calendar and fiscal year are available in Microsoft Excel
on the CD-ROM affixed to the inside of the back cover of this document or on
CIHI’s website at www.cihi.ca.
1
National Health Expenditure Trends, 1975 to 2011
1.0 Overview
1.1
Total Health Expenditure
2009 and Outlook for 2010 and 2011
Total health expenditures in Canada were $182.1 billion in 2009. Expenditures
are forecast to be $192.9 billion in 2010 and $200.5 billion in 2011, an annual
increase of 5.9% and 4.0%, respectively.
When adjusted for inflation, total health expenditures rose to $134.5 billion in
2009, which represents a 3.0% increase when compared to 2008. In constant
dollar terms (1997 dollars), the rates of growth are 3.2% in 2010 and 1.8%
in 2011 (Figure 1).
Figure 1: Total Health Expenditure, Canada, 1975 to 2011
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
2
National Health Expenditure Trends, 1975 to 2011
Trends—1975 to 2009
From 1975 to 1991, the annual average rate of growth for total health spending
was 3.8%. From 1991 to 1996, total spending on health care edged up by 0.9%
per year. The average annual growth rate was 4.5% from 1996 to 2009. Since
1997, a trend of relatively strong growth has been observed, although it abated
somewhat in 2009 (Figure 2). This trend appears to be largely due to investment
by federal, provincial and territorial governments after a period of fiscal restraint
during the early and mid-1990s.
Figure 2: Total Health Expenditure, Annual Growth Rates in Constant 1997 Dollars,
Canada, 1976 to 2011
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
3
National Health Expenditure Trends, 1975 to 2011
1.2
Total Health Expenditure per Capita
2009 and Outlook for 2010 and 2011
Total health expenditure per capita in Canada was $5,401 in 2009. Forecasts for
2010 and 2011 are expected to be $5,654 and $5,811 (Figure 3).
Figure 3: Total Health Expenditure per Capita, Canada, 1975 to 2011
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
4
National Health Expenditure Trends, 1975 to 2011
Trends—1975 to 2009
Total health expenditure per capita in Canada in constant (1997) dollars
increased at an average annual rate of 2.6% from 1975 to 1991. From 1991 to
1996, expenditure per capita declined by an annual average rate of two-tenths
of one percent per year. During subsequent years, the average growth rate
rebounded. Total spending on health care per capita increased by an average
rate of 3.5% yearly from 1996 to 2009 (Figure 4).
The real rates of increase after adjusting for inflation are expected to be 2.0% in
2010 and 0.6% in 2011, only a third of what was observed in 2009 (1.8%).
Figure 4: Total Health Expenditure per Capita, Annual Growth Rates in Constant
1997 Dollars, Canada, 1976 to 2011
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
5
National Health Expenditure Trends, 1975 to 2011
1.3
Total Health Expenditure and Economic Growth
2009 and Outlook for 2010 and 2011
Total health expenditure in Canada was 11.9% of gross domestic product (GDP)
in 2009. It is forecast to be 11.9% in 2010 and 11.6% in 2011 (Figure 5).
During the past decade, total health expenditure increased by an average of
$9 billion yearly. Similar to total health expenditure, GDP also grew during the
same time period, with the exception of 2009 due to the economic downturn.
The decline in GDP in 2009 is reflected in a higher total health expenditure–toGDP ratio for that year. In 2011, GDP is expected to grow faster than health
expenditures, resulting a lower total health spending–to-GDP ratio than in 2009
and 2010.
Figure 5: Total Health Expenditure as a Percentage of Gross Domestic Product,
Canada, 1975 to 2011
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
6
National Health Expenditure Trends, 1975 to 2011
Trends—1975 to 2011
Total health expenditure as a proportion of GDP was 7.0% in 1975. During the late
1970s, total health expenditures increased at rates that were almost identical to the
rate of growth in GDP. The two rates of growth diverged during the early 1980s.
GDP fell during the 1982 recession and did not recover to its pre-recession level
until 1984 (Figure 6). Health expenditure continued to grow during this time.
Consequently, the ratio of total health expenditure to GDP increased sharply,
from 6.8% in 1979 to 8.3% in 1983.
Figure 6: Total Health Expenditure and Nominal GDP, Annual Growth, Canada,
1976 to 2011
Note
See Table A.1 and Appendix A.1.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Gross Domestic Product,
Statistics Canada.
Canada experienced another recession from 1990 until 1992. The ratio of total health
expenditure to GDP increased significantly, reaching 10.0% for the first time in 1992
(Figure 5). Total health expenditures then grew more slowly than GDP between 1993
and 1997 (Figure 6); consequently, the health-to-GDP ratio fell each year in that period
until it reached 8.9% in 1997. Health expenditure has grown faster than GDP since
1998, with the result that the health-to-GDP ratio has trended upwards for the last
decade, finally peaking at 11.9% in 2009. With the recovery from the 2009 recession,
growth in GDP for 2011 is expected to rebound to rates not seen since the mid-2000s,
which will offset some of the significant increase in the health-to-GDP ratio seen in 2009.
7
National Health Expenditure Trends, 1975 to 2011
2.0 Total Health Expenditure by Source
of Finance
2009 and Outlook for 2010 and 2011
In 2009, governments and government agencies in Canada (the public sector)
spent $129.1 billion on health care (Figure 7). Public-sector expenditure is forecast
to be $136.9 billion in 2010 and $141.0 billion in 2011. The growth rates associated
with these forecasted increases are 6.0% and 3.0%, respectively. In 2009, private
health insurers and households (the private sector) spent $53.0 billion. Privatesector expenditure is forecast to reach $56.0 billion in 2010 and $59.5 billion in
2011, with expected growth rates of 5.6% in 2010 and 6.3% in 2011.
Since 1997, the public-sector share of total health expenditure has remained
relatively stable at around 70.0%. It accounted for 70.9% of total expenditure
in 2009 and is forecast to account for 71.0% in 2010 and 70.3% in 2011.
Figure 7: Health Expenditure by Source of Finance, Canada, 1975 to 2011
Note
See Table A.2.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
8
National Health Expenditure Trends, 1975 to 2011
Trends—1975 to 2009
The average annual rate of growth in public-sector health expenditure between
1975 and 1991 was 11.0%. There was a pronounced change in public-sector
expenditure trends following the 1990-to-1992 recession.
During this period, governments introduced fiscal restraint measures, which
affected spending for health and social programs. Private-sector growth rates
were considerably higher than the public-sector rates during this period and, as a
result, the private-sector share of total health expenditure increased to 29.9% by
1997; it has remained stable since then. The private-sector share is estimated to
be 29.7% in 2011 (Figure 8).
Figure 8: Public- and Private-Sector Shares of Total Health Expenditure,
1975 to 2011
Note
See Table A.2.2.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
9
National Health Expenditure Trends, 1975 to 2011
2.1
Public-Sector Health Expenditure by Source
of Finance
Health expenditures by governments and government agencies (the public
sector) are financed by three levels of government—provincial and territorial
governments; federal government direct health care spending; and municipal
government—and by workers’ compensation boards and the Quebec Drug
Insurance Fund. The distribution of public-sector expenditure among these
four sources of finance is shown in Table 1. Provincial/territorial government
expenditure was $8.7 billion in 1975, accounting for 93.6% of public-sector
expenditure. The other public sources together totalled $0.6 billion, or 6.4%, of
the public sector in 1975. The provincial/territorial government share of publicsector spending declined in 1997, when the Quebec Drug Insurance Fund
was introduced, as the portion that is self-financed by premiums was included
in the social security funds sector. By 2009, provincial/territorial government
expenditure was $118.9 billion, accounting for 92.1% of public-sector expenditure.
Table 1: Distribution of Public-Sector Health Expenditure by Source of Finance,
Canada, 1975 and 2009
1975
Amount in Millions
2009
Percentage
Amount in Millions
Percentage
8,709.3
93.6
118,900.5
92.1
Federal Direct
398.3
4.3
6,871.9
5.3
Social Security Funds*
121.1
1.3
2,378.2
1.9
Municipal Governments
71.6
0.8
938.8
0.7
9,300.3
100.0
129,089.4
100.0
Provincial/Territorial
Governments
Total Expenses
Notes
* This includes workers’ compensation boards and premiums to the Quebec Drug Insurance Fund.
See tables B.4.1, B.6.1, B.7.1 and B.8.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
Federal Transfers
National health expenditures are reported based on the principle of responsibility
for payment rather than on the original source of the funds. It is for this reason
that federal health transfers to the provinces are included in the provincial
government sector. There are now four major programs: the Canada Health
Transfer (CHT), Canada Social Transfer (CST), Equalization and Territorial
Formula Financing (TFF).
10
National Health Expenditure Trends, 1975 to 2011
In September 2004, first ministers signed a 10-year plan to strengthen the health
care system. This agreement included $41.3 billion in new federal spending,
beginning in 2004-2005. It included funding for the financial recommendations in
the report of the Commission on the Future of Health Care in Canada, wait times,
additions to the Medical Equipment Fund, an increase to the CHT and
improvements to Aboriginal and northern health.
The increases in federal transfers were reflected primarily in increased expenditures
by the provincial and territorial governments over the past several years.
Direct Federal Health Expenditure
In 2009, federal government departments and agencies provided direct health
care services to Canadians worth $6.9 billion, accounting for 3.8% of total health
expenditure (including the public and private sectors). Forecasts indicate that the
share of federal direct spending will be 3.6% in 2010 and 3.5% in 2011.
Federal departments that had the largest shares of total federal direct health
expenditure in 2009 were Health Canada, which funded 78.1%, the Department
of Veterans Affairs (7.4%), Public Safety Canada (4.9%) and the Department of
National Defence (3.1%); several minor departments totalled 6.5%. The
Canadian Institutes of Health Research, which is included under Health Canada,
accounted for 14.4% of total federal direct health expenditure.
Social Security Funds
Workers’ compensation boards are included under social security funds, along with
a portion of the Quebec Drug Insurance Fund. Both workers’ compensation boards
and the Quebec Drug Insurance Fund meet the conditions of social security funds.
Social security funds are financially autonomous social insurance schemes that
are imposed and controlled by a government authority. They generally involve
compulsory contributions by employees, employers or both, and the government
authority determines the terms on which benefits are paid to recipients.
Workers’ compensation boards operate under provincial and territorial statute and
are considered agencies of the provincial/territorial governments. They are financed
through compulsory contributions by employers, who pay a percentage of their total
payroll depending on the accident experience of each category of employer.
On January 1, 1997, the government of Quebec created a basic drug insurance
plan with the objective of ensuring the population of Quebec has access to drugs
as required by health status. All residents of Quebec must be covered by drug
insurance, whether by private group insurance or by the public plan administered by
the Régie de l’assurance maladie du Québec (RAMQ). The Drug Insurance Fund
was the chosen mechanism to pay all drug and pharmaceutical service costs
11
National Health Expenditure Trends, 1975 to 2011
provided to subscribersiii insured by the RAMQ, as well as their children. Since
July 1, 2002, the Drug Insurance Fund has also covered persons age 65 or older
and social assistance recipients insured by the RAMQ. Accordingly, the public plan
has been financed, since July 1, 2002, both by the expenditure allocated to this
program by the Quebec government (provincial government sector) and by the
amounts collected by the Drug Insurance Fund as premiums and proceeds (social
security funds sector). The premiums are paid by the subscribers of the Quebec
Drug Insurance Fund and by persons age 65 or older insured by this plan.
The premium component of the Quebec drug program is considered to be a social security
scheme, while the remaining portion of the program that is paid through the ministère de la
Santé et des Services sociaux (MSSS) is included as a provincial government expenditure.
Table 2 presents estimates from 1997 to 2011 for the Quebec Drug Insurance Fund.
The premiums are calculated as the difference between the total Drug Insurance
Fund, extracted from RAMQ annual reports, and the fund financed by the MSSS,
extracted from Quebec public accounts.
Table 2: Quebec Drug Insurance Fund, in Millions of Dollars, 1997 to 2011
Year
Financed
Through Premiums
1997
169.1
700.3
869.4
1998
213.4
779.8
993.2
1999
262.4
918.6
1,181.0
2000
327.8
1,118.4
1,446.2
2001
367.4
1,309.4
1,676.8
2002
433.2
1,439.5
1,872.7
2003
577.8
1,538.9
2,116.7
2004
615.5
1,678.1
2,293.6
2005
618.7
1,798.7
2,417.5
2006
669.0
1,955.6
2,624.5
2007
712.1
2,164.9
2,877.0
2008
774.7
2,297.2
3,071.9
2009
744.0
2,443.5
3,187.5
f
779.0
2,460.6
3,239.6
f
793.5
2,395.5
3,189.0
2010
2011
Financed by the ministère de la Santé
et des Services sociaux (Quebec)
Total
Note
f: forecast.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
iii. Subscribers are defined as Quebec residents younger than age 65 who do not receive social assistance
benefits and who do not have access to private group insurance.
12
National Health Expenditure Trends, 1975 to 2011
2.2
Private-Sector Health Expenditure by Source
of Finance
Private-sector expenditure in the national health accounts has three distinct
components: household out-of-pocket expenditure, commercial and not-for-profit
insurance expenditure and non-consumption expenditure.iv The distribution of
private health expenditure among these three sources of finance is shown in
Figure 9.
In 1988, the first year for which data at this level of detail was available, out-ofpocket expenditure accounted for 58.1% of private-sector expenditure. By 2009,
the proportion dropped to 48.4%, as expenditure by insurance firms grew more
rapidly. The share of non-consumption expenditure dropped from 12.7% to
10.3% during the same period (Figure 9).
Figure 9: Distribution of Private-Sector Health Expenditure by Source of Finance,
Canada, 1988v and 2009 (Millions of Dollars and Percentage Share)
Source
National Health Expenditure Database, Canadian Institute for Health Information.
iv. Non-consumption expenditure includes a number of heterogeneous components, such as hospital nonpatient revenue, capital expenditures for privately owned facilities and health research.
v. Private-sector data was revised following a methodology review in the early 1990s. The revised
private-sector data incorporated information estimated directly from insurance, out-of-pocket and
non-consumption sources for 1988 and subsequent years. See Section 8.0: Methodological Notes for
further details.
13
National Health Expenditure Trends, 1975 to 2011
Figure 10 presents the trend for private-sector health expenditure by source of
finance from 1988 to 2009. The share of private health insurance in privatesector health expenditure increased 12.1% from 1988 to 2009, while the share of
out-of-pocket expenditure dropped nearly 9.7%. During the same period, the
share of non-consumption remained relatively stable.
Figure 10: Share of Private-Sector Health Expenditure, Sources of Finance,
Canada, 1988 to 2009
Source
National Health Expenditure Database, Canadian Institute for Health Information.
14
National Health Expenditure Trends, 1975 to 2011
Private health insurance expenditure per capita has grown more rapidly than
the other sources of finance (Figure 11). In two decades, private health insurance
expenditure per capita increased from $139.4 in 1988 to $648.9 in 2009;
out-of-pocket health expenditure per capita increased from $277.5 to $761.6;
and non-consumption expenditure per capita increased from $60.7 to $161.9
during the same period.
Figure 11: Private-Sector Health Expenditure per Capita, Source of Finance,
Canada, 1988, 1998 and 2009
Source
National Health Expenditure Database, Canadian Institute for Health Information.
15
National Health Expenditure Trends, 1975 to 2011
Of more than $4.8 billion spent on hospital services by the private sector in 2009,
households and insurance firms together spent $2.1 billion providing income to
hospitals for patient services.vi Non-patient revenue earned from investments, food
services, real estate, parking, rentals, donations and other sources provided the
remaining $2.7 billion of the private sector. The distribution of expenditure financed
by insurance, households (out-of-pocket expenditure) and non-consumption in
2009 is shown in Table 3.
Table 3: Private-Sector Health Expenditure by Source of Finance and Use of Funds, Canada,
2009 (Millions of Dollars and Percentage Share)
Households
(Out of Pocket)
Insurance
Amount
in Millions
Amount
Percent in Millions
874.8
18.0
1,259.9
5,163.3
100.0
390.3
98.1
7.5
5,164.2
45.0
Vision Care
3,136.0
Other—Other
Professionals
1,274.1
Prescribed Drugs
Non-Consumption
Percent
Amount
in Millions
Percent
56.0
4,850.8
100.0
5,163.3
100.0
1.9
397.8
100.0
6,312.8
55.0
11,477.0
100.0
79.8
791.8
20.2
3,927.8
100.0
57.8
930.2
42.2
2,204.3
100.0
4,302.1
32.4
8,976.9
67.6
13,279.0
100.0
Over-theCounter Drugs
2,704.0
100.0
2,704.0
100.0
Personal Health
Supplies
2,052.4
100.0
2,052.4
100.0
1,517.0
100.0
3,303.3
100.0
1,226.1
100.0
Hospital
Accommodation
Other Institutions*
Physician Care
Percent
26.0
Amount
in Millions
Total
2,716.1
Other Professionals
Dental Care
Drugs
Capital
1,517.0
Administration
3,303.3
100.0
100.0
Other Health Spending
Health Research*
1,226.1
100.0
Other Health
Care Goods
291.3
71.4
116.6
28.6
407.9
100.0
Other Health
Care Services
329.0
64.2
183.6
35.8
512.6
100.0
25,681.4
48.4
21,882.7
41.3
53,023.3
100.0
Total Expenses
5,459.3
10.3
Note
* Estimated for 2009. See Section 8.1 for definitions.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
vi. Income to hospitals for patient services includes charges for preferred accommodation, care of nonresidents, chronic care copayments, uninsured services and other patient services.
16
National Health Expenditure Trends, 1975 to 2011
3.0 Total Health Expenditure by Use
of Funds
Health dollars are used to purchase health care goods and services, to provide
capital investment, to administer public and private insurance plans as well as
public health programs, and to fund research. These uses are grouped into
nine major categories (uses of funds) throughout most of the national health
expenditure data series. Data table series A.3.1 to A.3.3 reports national
estimates for 13 categories.
Hospitals make up the largest component of health care spending, accounting
for 29.1% of total health expenditures in 2009. Drugs represent the secondlargest share (16.2%), while physicians make up the third-largest share (13.6%)
(Figure 12).
Figure 12: Total Health Expenditure by Use of Funds, Canada, 2009 (Billions of
Dollars and Percentage Share)
Note
See tables C.1.1 and C.1.2 and Section 8.1 for definitions.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
17
National Health Expenditure Trends, 1975 to 2011
Figure 13 shows national expenditures for the three major uses of funds from
1975 to 2011 in billions of current dollars. Since 1997, drugs have accounted for
the second-largest share, after hospitals.
Figure 13: Total Health Expenditure, Selected Use of Funds, Canada, 1975 to 2011
Note
See Table C.1.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
18
National Health Expenditure Trends, 1975 to 2011
Figure 14 presents the public and private shares at the national level of the
nine major uses of funds in 2009. Hospitals and physicians are the categories
financed mainly by the public sector, while drugs and other professionals are
financed primarily by the private sector.
Figure 14: Public and Private Shares of Total Health Expenditures, by Use of
Funds, Canada, 2009
Note
See tables C.1.1, C.2.1 and C.3.1 and Section 8.1 for definitions.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
19
National Health Expenditure Trends, 1975 to 2011
3.1
Hospitals
Hospitals have traditionally occupied a prominent place in health care provision.
In the mid-1970s, hospitals accounted for approximately 45% of total health
expenditure and for 56% of provincial and territorial government health
expenditure. During the past 30 years, the share of hospitals in total health
expenditure has fallen (Figure 15).vii Since 2001, this share has remained stable
at around 29%.
In 2009, Canadians spent $52.9 billion on hospitals, accounting for 29.1% of total
health expenditure. Hospital spending is forecast to be $56.3 billion in 2010 and
$58.4 billion in 2011, accounting for 29.2% and 29.1%, respectively.
Figure 15: Hospitals’ Share of Total Provincial/Territorial Government Health
Expenditure and Total Health Expenditure, Canada, 1975 to 2011
Note
See tables C.1.2 and C.4.2.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
vii. A methodological review of Quebec provincial government health expenditures resulted in historical
revisions back to 1997. The methodology for breaking down institutional spending between acute and longterm care was improved. The revised estimates caused a shift of spending from the hospital category to the
other institutions category. As a result, there is a break in the hospital expenditure series in 1997.
20
National Health Expenditure Trends, 1975 to 2011
Provincial and territorial government expenditure accounts for 89.5% of hospital
revenue (Table 4). The private sector is the next-largest source of revenue.
Table 4: Hospital Expenditure Summary by Sector of Finance, Canada, 2009
Provincial/
Territorial
Total Expenditure (Millions of Dollars)
Expenditure per Capita
Share of Total
Other Public*
Private
Total
$47,400.7
$697.9
$4,850.8
$52,949.5
$1,405.7
$20.7
$143.9
$1,570.3
89.5%
1.3%
9.2%
100.0%
Notes
* The other public category includes federal government direct, municipal governments, workers’
compensation boards and the Quebec Drug Insurance Fund.
See tables C.4.1, C.4.3, C.5.1, C.5.3, C.2.1 and C.2.3.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
21
National Health Expenditure Trends, 1975 to 2011
3.2
Drugs
Retail salesviii of prescribed and non-prescribed drugs together constituted the
second-largest category of health expenditure in 2009, at $29.6 billion. Spending
on drugs is forecast to have increased by another 4.2% in 2010, to $30.8 billion,
and by 4.0% in 2011, to $32.0 billion.
Prescribed drugs amounted to 83.9% of total expenditure on drugs in 2009
(Figure 16), of which 39.0% is attributed to the public sector and 44.9% to
the private sector.
Figure 16: Drugs by Source of Finance and Type, Canada, 2009 (Billions of Dollars
and Percentage Share)
Notes
Non-prescribed drugs include over-the-counter (OTC) drugs and personal health supplies (PHS).
See tables A.3.1.1, A.3.2.1 and A.3.3.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
viii. The drug category does not include drugs dispensed in hospitals and, generally, in other institutions.
These are included in the categories of hospitals and other institutions.
22
National Health Expenditure Trends, 1975 to 2011
As shown in Figure 17, the private sector accounted for 79.5% of expenditure
for prescribed drugs in 1975. This share decreased to 52.3% by 1992 and has
remained relatively stable since. In 2011, it is expected to be 55.6%.
Figure 17: Prescribed Drug Expenditure, Private-Sector Share, Canada,
1975 to 2011
Note
See tables A.3.2.1 and A.3.3.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
23
National Health Expenditure Trends, 1975 to 2011
Private prescribed drug expenditures are split between households (out of
pocket) and private health insurance. As shown in Figure 18, private health
insurance accounts for a bigger share, and its overall trend is to increase over
time. The share of out-of-pocket expenditure decreased from 44.5% in 1988 to
32.4% in 2009.
Figure 18: Private Prescribed Drug Expenditure, Shares by Selected Sources of
Finance, Canada, 1988 to 2009
Source
National Health Expenditure Database, Canadian Institute for Health Information.
24
National Health Expenditure Trends, 1975 to 2011
3.3
Physicians
Physician services constituted the third-largest category of total health
expenditure in 2009, at $24.8 billion, representing 13.6% of total health
expenditure. In 2011, this category is forecast to have grown by 5.6% from
2010 to reach $28.1 billion, reflecting 14.0% of total health expenditure.
Public-sector expenditure on physicians has remained above 98% of total
physician expenditure since 1975. Public-sector physician health expenditure
per capita in Canada was $724 in 2009. Forecasts for 2010 and 2011 are
expected to be $768 and $801 (Figure 19), with growth rates of 6.0% and
4.4%, respectively.
Figure 19: Public-Sector Physician Health Expenditure per Capita, Canada,
1975 to 2011
Note
See Table C.3.3.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
Households account for almost all private spending for physician services.
Insurance of supplementary charges to patients for medically necessary
services was discouraged prior to the Canada Health Act, and such charges
are not permitted under the act. Physician charges for uninsured services and
administrative fees have not been insured as explicit benefits of most insurance
plans, but they may be insured under broad coverage terms that include care
not covered by public plans.
25
National Health Expenditure Trends, 1975 to 2011
3.4
Other Professionals
The broad category of other professionalsix includes care primarily provided
by dental and vision care professionals. The category of other professionals
accounted for $19.2 billion, or 10.5%, of total expenditures in 2009, and
has maintained the highest percentage of private spending of all the major
categories (91.9%).
Dental care and vision care are the major discrete categories of expenditure in
the private sector for other professional services (Figure 20). The remaining
subcategory (other) includes professionals such as chiropractors, massage
therapists, physiotherapists, podiatrists and psychologists.
Figure 20: Other Professionals Expenditure by Source of Finance and Type,
Canada, 2009 (Billions of Dollars and Percentage Share)
Note
See tables A.3.2.1 and A.3.3.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
ix.
26
Care provided by nurses in hospitals is included in hospital expenditures.
National Health Expenditure Trends, 1975 to 2011
As shown in Figure 21, dental care accounted for 71.6% of private-sector
expenditure for other professionals in 1975. This share is expected to decrease
to 65.6% in 2011. The share of vision care in the private sector for other
professional services is forecast to increase from 19.9% in 1975 to 21.8%
in 2011.
Figure 21: Other Professionals Expenditure, Percentage Share of Total Private
Spending, by Type, Canada, 1975 to 2011
Source
National Health Expenditure Database, Canadian Institute for Health Information.
27
National Health Expenditure Trends, 1975 to 2011
For dental services, the shares of private insurance and of household (out-ofpocket) spending were almost equal in 1988. The share of household (out-ofpocket) spending decreased to 45.0%, and that of private health insurance
increased to 55.0%, in 2009 (Figure 22).
Figure 22: Private Dental Expenditure, Shares by Selected Sources of Finance,
Canada, 1988 to 2009
Source
National Health Expenditure Database, Canadian Institute for Health Information.
28
National Health Expenditure Trends, 1975 to 2011
3.5
Other Institutions
In 2009, the category of other institutions, which includes nursing homes and
residential care facilities, accounted for 9.9% of total health expenditures, or
$18.1 billion. Other institutions’ share of total health expenditure is forecast to
be 10.0% of total health care spending in 2010 and 10.1% in 2011.
Public expenditure is the main source of finance for other institutions. In many
provinces public responsibility is split between provincial and/or regional
authorities; funding is often provided by both health and social services
departments. In 2009, the public share of other institutions was 71.5%.
Other institutions’ health expenditure per capita increased during the period from
1975 to 2011 (Figure 23). It was $49 in 1975, and the number increased more
than tenfold to $537 in 2009, $568 in 2010 and $586 in 2011. The annual growth
rate was 5.9% in 2009 and is forecast to be 5.9% in 2010 and 3.2% in 2011.
Figure 23: Other Institutions Health Expenditure per Capita, Canada, 1975 to 2011
Note
See Table C.1.3.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
29
National Health Expenditure Trends, 1975 to 2011
3.6
Other Health Spending
The subcategory with the greatest impact on the current category of other
health spending is health research, which accounted for 1.9% of total health
expenditure in 2009 for Canada.x The remaining categories include medical
transportation, hearing aids and appliances, voluntary health associations
and explicitly identified home care.xi In 2009, other health expenditures
accounted for $11.5 billion, or 6.3%, of total health expenditure. In 2010
and 2011, it is expected that other health spending will have grown by 3.8%
and 3.9%, respectively.
Public-sector sources accounted for 81.3% of other health expenditures in 2009,
most of which was for health research, medical transportation and home care.
3.7
Administration
Prior to 2005, NHEX included a category of public health and administration in
public-sector expenditure estimates. A study published in June 2002 examined
the feasibility of breaking out the category into separate components for
public health and administrative expenditure.1 A complete review of provincial
estimates was carried out during the feasibility study in order to create separate
subcategories for public health and certain public and private administration
costs. The review identified two key factors that limit the degree of comparability
of estimates from public sources and therefore are responsible for significant
variation between the estimates of some provinces.
These factors are the following:
1. The degree of provincial/territorial detail for certain items in the public health
subcategory was quite variable. Levels of detail for administrative costs also
vary from province to province in public sources.
2. In the absence of a consistent reporting framework, there are limits on the
ability to produce consistent interprovincial/territorial comparisons.
Results of the review were presented in the 2004 edition of National Health
Expenditure Trends. Following consultation with the NHEX Expert Advisory
Group, the original category of public health and administration was redefined
and separated and is presented in the data tables of this report.
x.
Research funded by pharmaceutical companies is funded from drug sales and included in the
drugs category.
xi. Certain services that are identified by data sources as home care are included under the broad category
of other—other health spending. Private nursing care in the home, however, would be included in the
other—other professionals category. Home care programs provided by hospitals are included in the
hospitals category. Support services such as domestic maintenance and delivery of meals are considered
to be social services within the current definition of home care and are removed where identified.
30
National Health Expenditure Trends, 1975 to 2011
Administration includes infrastructure costs to operate health departments and
prepayment administration (the administrative expenses of providing health
insurance by governments and private health insurance companies). The
administrative expense of non-insured services is included under the category
of service. For example, the administrative costs of operating hospitals are
included under the hospital category; the administrative expense of operating
long-term care programs is included under the other institutions category.
In 1975, administration accounted for 2.9% of total public-sector expenditure and
2.5% of total private-sector expenditure. The public- and private-sector trends
differ over time. While the share gradually declined in the public sector to 2.0%
in 2009, the private-sector share has risen to 6.2%.
3.8
Public Health
NHEX captures public health spending by governments and government
agencies and includes expenditures for items such as food and drug safety,
health inspections, health promotion activities, community mental health
programs, public health nursing, measures to prevent the spread of
communicable disease and occupational health to promote and enhance
health and safety at the workplace. The decision to broaden the definition of
public health beyond the ambit of health promotion, disease prevention and
health inspection is consistent with the definition of prevention and public health
services used by the OECD in its manual, A System of Health Accounts (SHA).
The SHA is the framework that Canada’s health accounts are based on.
In 1975, public health accounted for 3.3% of total expenditure. Growth in this
category has generally been higher than in other categories throughout the
series. During the period when governments practised policies of retrenchment
in health care spending, particularly from 1992 to 1996, growth in public health
was at least double the growth in total health expenditure. This relative difference
resulted in the share of total expenditure increasing to 6.3% in 2009. The share is
expected to reach 6.0% in 2010 and 6.2% in 2011 (Figure 24).
31
National Health Expenditure Trends, 1975 to 2011
Figure 24: Public Health Spending as a Percentage of Total Health Expenditure,
Canada, 1975 to 2011
Note
See Table A.3.1.2.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
32
National Health Expenditure Trends, 1975 to 2011
4.0 Health Expenditure in the Provinces
and Territories
Health expenditure per capita varies among provinces/territories because of
different age distributions.xii Population density and geography also affect health
expenditure, particularly in the case of the territories. Other factors that affect
health expenditure include population health needs, the manner in which health
care is delivered (including the balance between institutional and ambulatory
care) and differences in the remuneration of health care workers across the
country. The manner in which health care is financed is also an important
consideration, including the degree of public coverage and private insurance for
services not included in the Canada Health Act and the level of remuneration of
health personnel.
Health expenditure per capita is highest in the territories because of their large
geographical areas and low population densities (Table 5). In 2011, total health
expenditure per capita in Newfoundland and Labrador is expected to reach
$6,884, followed by Alberta ($6,570). The lowest per person expenditures are
forecast for Quebec ($5,261), followed by British Columbia ($5,450).
In 2011, total health expenditure as a percentage of provincial GDP will range
from 8.6% in Alberta to 17.2% in Prince Edward Island. For the territories, the
health expenditure–to–territorial GDP ratio is forecast to be 21.3% for Nunavut,
12.4% for Yukon and 8.8% for the Northwest Territories.
In 2011, the public sector will be responsible for 70.3% of Canadian health
expenditure. The public sector’s share will be 79.0% in the territories and will
be the lowest in Ontario (67.5%).
Provincial and territorial governments’ health expenditure per capita is expected to
average $3,778 in 2011. The highest per capita spending among the provinces is
projected to be in Newfoundland and Labrador ($5,077) and Alberta ($4,528), while
the lowest is forecast to be in Quebec ($3,407) and British Columbia ($3,604).
Private-sector expenditure will average $1,725 per capita in 2011. New Brunswick
($2,017) and Nova Scotia ($1,973) are forecast to have the highest spending, while
Quebec ($1,552) and Saskatchewan ($1,556) will have the lowest.
xii. Provincial/territorial comparisons in this discussion are based on figures that are not adjusted for variations
in age and sex. For age-sex standardized comparisons see the discussion in the next section.
33
34
8.1
6.8
24.9
25.1
0.3
0.5
0.4
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
5,811
11,929
10,242
8,996
5,450
6,570
6,421
6,463
5,792
5,261
6,358
6,288
6,115
11.6
21.3
8.8
12.4
11.6
8.6
10.1
14.2
11.9
12.4
15.6
15.6
17.2
11.7
Percentage
Exp. as
Percent
of GDP
130.3
0.3
0.3
0.2
16.6
17.2
4.6
5.3
48.7
27.2
3.0
3.7
0.6
2.6
Amount
in Billions
of Dollars
Expenditure
3,778
9,347
6,690
5,912
3,604
4,528
4,348
4,266
3,645
3,407
4,033
3,972
4,058
5,077
Amount
in Dollars
Exp. per
Capita
10.6
0.1
0.1
0.0
1.3
1.2
0.5
0.7
3.6
2.4
0.2
0.3
0.1
0.1
Amount
in Billions
of Dollars
Expenditure
308
1,766
1,752
1,190
283
314
517
562
267
301
307
343
430
223
Amount
in Dollars
Exp. per
Capita
Provincial/Territorial
Government
Other Public Sector*
141.0
0.4
0.4
0.2
17.9
18.4
5.1
6.0
52.3
29.6
3.3
4.1
0.6
2.7
Amount
in Billions
of Dollars
Expenditure
4,086
11,113
8,441
7,102
3,887
4,842
4,865
4,828
3,913
3,709
4,341
4,316
4,488
5,300
70.3
93.2
82.4
78.9
71.3
73.7
75.8
74.7
67.5
70.5
68.3
68.6
73.4
77.0
Amount
in Dollars Percentage
Exp. per
Capita
Exp. as
Percent
of Total
Total Public Sector†
59.5
0.0
0.1
0.1
7.2
6.6
1.6
2.0
25.1
12.4
1.5
1.9
0.2
0.8
Amount
in Billions
of Dollars
Expenditure
1,725
815
1,801
1,894
1,563
1,728
1,556
1,635
1,880
1,552
2,017
1,973
1,627
1,584
Amount
in Dollars
Exp. per
Capita
Exp. as
Percent
of Total
29.7
6.8
17.6
21.1
28.7
26.3
24.2
25.3
32.5
29.5
31.7
31.4
26.6
23.0
Percentage
Private Sector
Notes
f: forecast.
* The other public category includes federal government direct, municipal governments, workers’ compensation boards and the Quebec Drug Insurance Fund.
† Total public sector includes provincial/territorial government and other public sector.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
200.5
77.4
Ont.
Canada
4.8
41.9
Que.
5.9
N.S.
N.B.
0.9
P.E.I.
6,884
Amount
in Billions
of Dollars
3.5
Amount
in Dollars
Expenditure
N.L.
Exp. per
Capita
Total
Table 5: Health Expenditure Summary, by Province/Territory and Canada, 2011f
National Health Expenditure Trends, 1975 to 2011
National Health Expenditure Trends, 1975 to 2011
Trends in the Provinces and Territories
The figures in this section present growth of health expenditure per capita at
constant prices. This is to standardize for both population growth and inflation,
which have varied by province/territory during the last two decades.xiii
The 1990s witnessed policies of health system reform and public expenditure
restraint in virtually all jurisdictions. Public-sector expenditure per capita declined
across the board at some time during this period, although the timing and
duration of expenditure reductions varied. Quebec, Saskatchewan and Alberta
experienced sharp declines, while Ontario experienced declines in each of the
four years from 1993 to 1996. Public investment in health care near the end of
the 1990s contributed to significant increases in growth rates of public-sector
health expenditure across Canada. Meanwhile, the private sector experienced
parallel growth in all provinces.
xiii. The indices used to measure inflation are the implicit price index for government current expenditure in the
public sector and the consumer price index—health component in the private sector from Statistics Canada.
Both indices track prices separately in each province and territory. See Section 8.3: Collection and NonResponse for more details.
35
National Health Expenditure Trends, 1975 to 2011
Figure 25: Public- and Private-Sector Health Expenditure per Capita, 1988 to 2011, by Province
and Territory, Constant 1997 Dollars
Note
See tables B.2.5 and B.3.5.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Population and Price Indices,
Statistics Canada.
36
National Health Expenditure Trends, 1975 to 2011
Figure 25: Public- and Private-Sector Health Expenditure per Capita, 1988 to 2011, by Province
and Territory, Constant 1997 Dollars (cont’d)
Note
See tables B.2.5 and B.3.5.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Population and Price Indices, Statistics Canada.
37
National Health Expenditure Trends, 1975 to 2011
Figure 25: Public- and Private-Sector Health Expenditure per Capita, 1988 to 2011, by Province
and Territory, Constant 1997 Dollars (cont’d)
Note
See tables B.2.5 and B.3.5.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Population and Price Indices,
Statistics Canada.
38
National Health Expenditure Trends, 1975 to 2011
5.0 Provincial and Territorial Government
Health Expenditure by Age and Sex
5.1
Method of Standardization
Similarities in provincial and territorial government per capita health expenditures
arise because of universal coverage for medically necessary hospital and
physician services under the Canada Health Act. However, each jurisdiction
has different population age and sex profiles, which could lead to systematic
differences in total expenditure (even if per capita expenditure were virtually
the same for each age and sex group). Standardizing expenditure to a common
population distribution provides a means of measuring differences that result
from utilization and prices.
Total provincial/territorial government expenditure per capita, standardized
for age and sex, is compared in Table 6. The data shows both actual and
standardized expenditures from 2006 to 2009 (the latest year for which age-sex
data is available). Standardized expenditures were calculated by multiplying
the male and female population of Canada in each of 19 age groups by the
expenditure per capita for each age group in each province and territory and
dividing the product by the population of Canada.
Percentage differences between actual and standardized expenditure tend to
be most pronounced in Alberta and the territories. Alberta and the territories
have lower-than-average percentages of their populations older than 65, which
accounts for their increases in per capita expenditure when standardized to the
national population. Quebec and Ontario show little difference between actual
and standardized expenditure, due to their large shares of the total population.
Other provinces show lower expenditure per capita when data is standardized.
39
40
2,796
3,090
3,146
2,698
2,934
3,299
3,218
3,291
2,990
4,424
5,252
8,278
2,970
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
2,970
13,343
8,023
5,908
2,905
3,587
3,028
3,209
2,968
2,646
3,009
2,918
2,679
3,293
Standardized
Amount
in Dollars
---
61.2%
52.7%
33.5%
-2.8%
9.0%
-5.9%
-2.7%
1.1%
-1.9%
-4.3%
-5.6%
-4.2%
-0.6%
Percentage
Change
2008
2009
3,148
8,436
5,798
4,462
3,114
3,524
3,434
3,448
3,127
2,840
3,304
3,335
2,998
3,617
3,148
13,443
8,569
6,072
3,034
3,850
3,252
3,375
3,161
2,776
3,140
3,143
2,864
3,583
---
59.3%
47.8%
36.1%
-2.6%
9.3%
-5.3%
-2.1%
1.1%
-2.3%
-5.0%
-5.7%
-4.5%
-0.9%
3,357
8,505
6,373
4,774
3,333
3,846
3,694
3,673
3,310
3,016
3,516
3,522
3,252
3,929
3,357
14,393
9,126
6,525
3,253
4,212
3,522
3,612
3,343
2,938
3,331
3,322
3,106
3,874
---
69.2%
43.2%
36.7%
-2.4%
9.5%
-4.6%
-1.7%
1.0%
-2.6%
-5.3%
-5.7%
-4.5%
-1.4%
3,526
8,588
6,657
5,476
3,397
3,970
3,846
3,945
3,492
3,213
3,713
3,593
3,634
4,335
3,526
14,358
9,616
7,337
3,316
4,408
3,697
3,908
3,524
3,124
3,513
3,378
3,492
4,273
---
67.2%
44.4%
34.0%
-2.4%
11.0%
-3.9%
-0.9%
0.9%
-2.8%
-5.4%
-6.0%
-3.9%
-1.4%
Actual
Standardized
Actual
Standardized
Actual
Standardized
Amount
Amount
Percentage Amount
Amount
Percentage Amount
Amount
Percentage
in Dollars
in Dollars
Change
in Dollars
in Dollars
Change
in Dollars
in Dollars
Change
2007
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Population, Statistics Canada.
3,312
N.L.
Actual
Amount
in Dollars
2006
Table 6: Total Provincial/Territorial Government Health Expenditure per Capita, Standardized for Age and Sex, by Province/Territory
and Canada, 2006 to 2009
National Health Expenditure Trends, 1975 to 2011
National Health Expenditure Trends, 1975 to 2011
5.2
Age Distributionxiv
The population of Canada is aging. The largest concentration of population is in
the middle age groups and moving upward.2 The baby-boom cohort will affect the
size of the senior population (age 65 and older), which accounted for nearly 14%
of the total population in 2009. Over the period 1998 to 2009, the increase in
older age groups is evident (Figure 26). Future health care costs for an aging
population have been a topical issue for a number of years.
Figure 26: Age Distribution, Canada, 1998 and 2009
Source
Population, Statistics Canada.
One perception is that future demands for health care by an aging population will
strain governments’ ability to fund services covered under the Canada Health
Act. However, some Canadian studies suggest that the effects of population
growth and aging will be manageable within the context of a growing economy.
This section briefly looks at provincial and territorial government expenditures
by age and sex. CIHI has collected actual utilization data from national and
provincial/territorial administrative databases for major categories of service
delivered by provincial and territorial governments from 1996 to 2009. A brief
discussion is provided, focusing on the age and sex distributions in 2009 (for
19 age groupings) for the hospital and physician categories.
xiv. A detailed explanation of methods and sources used to distribute provincial/territorial government health
expenditure by age and sex is available in the Methodological Notes section of this report.
41
National Health Expenditure Trends, 1975 to 2011
The complete set of estimates for five major categories—hospitals, physicians,
drugs, other institutions and other professionals—from 1996 to 2009 is presented
in the Series E data tables of this report.
5.3
Hospital and Physician Expenditure by Age and Sex
All residents are insured for hospital and physician plans under provisions of the
Canada Health Act. Provincial and territorial governments account for 90% of
total expenditure for hospitals and 96% for physician services. These two
categories accounted for 60% of provincial and territorial government health
expenditure in 2009.
Hospitals
Hospital expenditure for children younger than one year was approximately $2.8
billion in 2009, more than the combined total hospital expenditure for all children
and teenagers age 1 to 19 ($2.2 billion) (Figure 27). Hospital spending begins to
increase steeply for females age 15 to 19 and continues to increase until it peaks
in the age 30 to 34 group. Hospital spending for males increases slightly in the
last five years of the teens and then stays relatively stable until the 30s. More is
spent on males in hospitals than on females in the age group 45 to 49 and in
each subsequent five-year age group until age 79. Hospital expenditure for
males declines sharply after age 79, while spending for females was more than
that for males in hospitals for each following age group. Higher total hospital
spending for females after age 79 is due to larger female populations.
Persons 65 and older accounted for 50% of provincial/territorial government
hospital expenditure in Canada during 2009. Within this age group, most was
spent by 70- to 89-year-olds (38% of total). Children younger than one accounted
for just less than 6%.
42
National Health Expenditure Trends, 1975 to 2011
Figure 27: Provincial/Territorial Government Hospital Expenditure, by Age and Sex,
Canada, 2009
Note
See Table E.2.14.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
43
National Health Expenditure Trends, 1975 to 2011
Hospital expenditure per capita exhibits a more striking age pattern than total
expenditure. Expenditure per capita exceeds $6,900 for both male and female
infants younger than one, a level not reached again until age 80 to 84 for males
and age 85 to 89 for females (Figure 28). The temporary increase in the female
expenditure curve during the 20s and 30s is also noticeable in per capita
expenditure, peaking between age 25 and 34.
Hospital expenditure per capita is higher for males than for females throughout
the senior age groups.
Figure 28: Provincial/Territorial Government Hospital Expenditure per Capita, by
Age and Sex, Canada, 2009
Note
See Table E.2.14
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Population, Statistics Canada.
44
National Health Expenditure Trends, 1975 to 2011
Physicians
Physician services’ expenditure for females is slightly less than that for males
until age 14, and it is consistently higher thereafter (Figure 29). Expenditure for
females is highest between age 25 and 59, accounting for nearly 50% of total
expenditure for females. Expenditure for males for the same group accounts
for 41% of total expenditure for males.
Figure 29: Provincial/Territorial Government Physician Expenditure, by Age and
Sex, Canada, 2009
Note
See Table E.4.14.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
45
National Health Expenditure Trends, 1975 to 2011
Expenditure per capita for females has a bimodal distribution, peaking at age 30 to
34 and again at age 85 to 89, then falling off in the oldest age group (Figure 30).
Figure 30: Provincial/Territorial Government Physician Expenditure per Capita, by
Age and Sex, Canada, 2009
Note
See Table E.4.14.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Population, Statistics Canada.
46
National Health Expenditure Trends, 1975 to 2011
5.4
Total Provincial/Territorial Government
Expenditure by Age and Sexxv
The distribution of provincial/territorial government health expenditure by age and
sex, in millions of dollars and per capita dollars, is shown in figures 31 and 32.
The influence of hospital and physician expenditure is clearly seen in the shape
of the curves.
Seniors age 65 and older consumed 44% of all provincial/territorial government
health spending in 2009, while comprising only 13.9% of the population
(see Figure 26). Females accounted for an estimated 55% of all provincial
government spending in 2009. Female seniors consumed the most, at just
more than 25% of total expenditure, while senior males accounted for
approximately 19%. Infants accounted for less than 3% of total provincial
government expenditure.
As in the case for hospital and physician services, there is high spending per
capita for infant care, with costs estimated to be greater than $8,527 per person
for both sexes. From youths age 1 to adults age 49, spending per person slowly
increases but does not exceed $2,370 per person. There is a pronounced
increase in per capita spending in the senior age groups.
xv. Missing data was estimated for this analysis. Refer to Age and Sex Distribution Methods in the
Methodological Notes section of this report for more details.
47
National Health Expenditure Trends, 1975 to 2011
Figure 31: Total Provincial/Territorial Government Health Expenditure, by Age and
Sex, Canada, 2009
Note
See Table E.1.12.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
48
National Health Expenditure Trends, 1975 to 2011
Figure 32: Total Provincial/Territorial Government Health Expenditure per Capita,
by Age and Sex, Canada, 2009
Note
See Table E.1.12.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Population, Statistics Canada.
49
National Health Expenditure Trends, 1975 to 2011
6.0 Provincial and Territorial
Government Health Expenditures
and Fiscal Position
During the current year, 2011, provincial and territorial government health
expenditures are forecast to reach $130.3 billion, which accounts for 65% of total
health expenditures in Canada and just more than 94% of expenditures by all
levels of government (federal direct sector, provincial government sector and
municipal government sector).
Provincial and territorial government health expenditure per capita in constant
(1997) dollars decreased during each of the four years from 1993 to 1996
(Figure 33). Expenditure per capita in constant dollars grew more rapidly from
1997 to 2009 than at any other time since 1975. This growth is expected to
continue in 2010; however, a decrease is expected in 2011. The 2009 estimate
is approximately $62 per capita more than the amount that would have been
realized if the trend before 1993 had continued and only $24 more than the
trend forecast for 2011.
Figure 33: Provincial/Territorial Government Health Expenditure per Capita in
Constant 1997 Dollars, Canada, 1975 to 2011
Note
See Table B.4.7.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Population, Statistics Canada.
50
National Health Expenditure Trends, 1975 to 2011
Provincial and Territorial Government Financial Trends
This section uses financial trend data from Statistics Canada’s Financial
Management System (FMS) to explore the relationship between health
expenditures by the provincial/territorial governments and their fiscal position,
as expressed by levels of expenditure relative to revenues. The FMS provides
a breakdown of all public-sector expenditure by type of organization and type of
expenditure.xvi The data used here consists of general government revenues and
expenditures.xvii General government expenditure is consistent with expenditures
reported in the public accounts, which are also the source of data used in the
NHEX series.
Revenue and Expenditure
Provincial and territorial government expenditures of $172 billion exceeded
revenues by approximately $21 billion in 1993 (Figure 34). Expenditures
increased slowly for two years, then decreased in 1996. Although expenditure
growth resumed during the next two years, revenues grew more rapidly and, by
the year 2000, provincial and territorial general government revenues exceeded
expenditures by approximately $8.4 billion. However, lower economic growth
from 2001 to 2003 led to a decrease in government revenues and a subsequent
deficit. Provincial and territorial governments returned to a surplus in 2004 and
remained so for the following several years. Due to the recent economic
downturn, deficits were seen in the last few years.
xvi. The Financial Management System (FMS) is owned by the Public Sector Statistics Division (PSSD),
formerly known as the Public Institutions Division, of Statistics Canada.
xvii. General government revenues and expenditures are the largest component of the series for total provincial
and territorial government revenues and expenditures. The remaining three components are nonautonomous pension plans, universities and colleges, and health and social service institutions. For this
analysis, fiscal year data has been converted to calendar year data.
51
National Health Expenditure Trends, 1975 to 2011
Figure 34: Provincial/Territorial Government Revenue and Expenditure, Canada,
1993 to 2010
Note
FMS data is estimated for 2009 and 2010.
Sources
Financial Management System, Statistics Canada; Provincial Public Accounts, Budgets, Main Estimates.
52
National Health Expenditure Trends, 1975 to 2011
Provincial and territorial debt charges were 13.8% of total expenditures and
15.8% of revenues in 1993. During the next three years, debt charges increased to
peak at 15.3% of expenditures in 1996 (Figure 35). During the following 14 years,
the improving fiscal balance, combined with lower interest rates, led to lower debt
charges, reaching 7.6% of expenditures and 8.3% of revenues in 2010.
Figure 35: Provincial/Territorial Debt Charges as a Proportion of Total
Provincial/Territorial Expenditure and Revenue, Canada, 1993 to 2010
Note
FMS data is estimated for 2009 and 2010.
Sources
Financial Management System, Statistics Canada; Provincial Public Accounts, Budgets, Main Estimates.
53
National Health Expenditure Trends, 1975 to 2011
Health Expenditures and Provincial and Territorial Revenues
While it is common to compare health expenditure to total expenditure, it can
also be instructive to compare health expenditure to revenue, especially in the
context of changes in provincial and territorial fiscal situations during the last 18
years. Rates of change in revenue were mixed throughout the period. Prior to
2001, the cumulative rate of increase in revenues had remained greater than the
cumulative rate of increase in health expenditures (measured from the 1993 base
year). By 2010, revenue, at 1997 price levels, was 48% higher than in 1993. The
cumulative increase in health expenditures was 76% higher during that period
(Figure 36).
Figure 36: Provincial/Territorial Government Revenue and Health Expenditure,
Constant Dollar Indices (1993 = 100), Canada, 1993 to 2011
Note
FMS data is estimated for 2009 and 2010.
Sources
Financial Management System, Statistics Canada; Provincial Public Accounts, Budgets, Main Estimates.
54
National Health Expenditure Trends, 1975 to 2011
Provincial and territorial revenues reported in the FMS accounts include
own-source revenue from taxation, investments and other sources. Transfers
from other levels of government are the second major category of revenue;
they include statutory subsidies, equalization payments, the Canada Health
Transfer and the Canada Social Transfer. Own-source revenues at constant
(1997) price levels have fluctuated over the years (Figure 37). Transfers
decreased in constant dollars during the first half of this period and increased
in subsequent years.
Figure 37: Provincial/Territorial Government Revenues, Constant Dollar Indices
(1993 = 100), Canada, 1993 to 2010
Note
FMS data is estimated for 2009 and 2010.
Sources
Financial Management System, Statistics Canada; Provincial Public Accounts, Budgets, Main Estimates.
In interpreting this trend data, it is important to note that transfers in FMS include
all inter-governmental transfers, including at various times the CHST, Established
Programs Funding and Canada Assistance Plan. The CHST replaced the latter
two transfer mechanisms in 1996–1997, which in turn was replaced by the CHT
and the CST in 2004–2005. Amounts transferred under these programs are often
the main focus of discussion about funding for health and social programs.
Federal, provincial and territorial cost-sharing arrangements for health also
include the value of tax points, which would be included as provincial and
territorial government own-source revenue in the FMS accounts. As a
consequence, it is not possible to define clearly the relative shares of health
funding provided by federal and provincial/territorial levels of government.
55
National Health Expenditure Trends, 1975 to 2011
Health Expenditure and Total Program Expenditure
Health expenditures were equivalent to 28.2% of total provincial and territorial
government expenditures and 32.8% of program expenditures (total expenditure
less debt charges) in 1993. Health expenditures decreased slightly as a
percentage of government expenditures during the next two years (Figure 38).
Following strong growth of health expenditures over the last decade, combined
with more modest rates of growth in total expenditures, the shares of total and
program expenditures allocated to health increased to 34.9% and 37.7%,
respectively, in 2010.
Figure 38: Provincial/Territorial Government Health Expenditure as a Proportion
of Total Provincial/Territorial Government Expenditure and Programs,
Canada, 1993 to 2010
Note
FMS data is estimated for 2009 and 2010.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Financial Management
System, Statistics Canada; Provincial Public Accounts, Budgets, Main Estimates.
56
National Health Expenditure Trends, 1975 to 2011
7.0 International Comparisons
Comparability of Health Expenditure Across Countries
For the last 11 annual updates of the health database maintained by the OECD,
member countries were asked to report health expenditure according to concepts
presented in the OECD manual A System of Health Accounts (SHA), released in
May 2000. Countries are at varying stages of reporting total health expenditure
according to the boundary of health care proposed in the SHA manual. This
means that data presented in OECD Health Data 2011 is at varying levels of
comparability.3 This section shows health expenditure information for the 29
countries that most closely follow the health care boundary proposed in the
OECD manual. The OECD states that the data for those countries is believed
to be fairly comparable, although some deviations from SHA definitions may
still exist among the sub-aggregate variables of total health expenditure.xviii The
29 countries are Australia, Austria, Belgium, Canada, the Czech Republic,
Denmark, Estonia, Finland, France, Germany, Hungary, Iceland, Japan, Korea,
Luxembourg, Mexico, the Netherlands, New Zealand, Norway, Poland, Portugal,
the Slovak Republic, Slovenia, Spain, Sweden, Switzerland, Turkey, the United
Kingdom and the United States.
Comparability of Health Expenditure Over Time
Since the early 2000s, countries adopted the SHA to report their data for the
most recent years. Many countries have yet to revise their series for earlier
years. Breaks in series thus appear in most countries in the mid-1990s to
early 2000s.
The data presented in OECD Health Data 2011 is based on the SHA starting in
the following years:
•
Australia: 1998
•
Austria: 1990
•
Belgium: 2003
•
Canada: 1975
•
Czech Republic: 2000
•
Denmark: 2003
•
Estonia: 1999
•
Finland: 1995
•
France: 1995
•
Germany: 1992
xviii.
See Data Comprehensiveness and Boundaries of Health Care in the Methodological Notes.
57
National Health Expenditure Trends, 1975 to 2011
•
Hungary: 1998
•
Iceland: 2003
•
Japan: 1995
•
Korea: 1980
•
Luxembourg: 1999
•
Mexico: 1999
•
The Netherlands: 1998
•
New Zealand: 2004
•
Norway: 1997
•
Poland: 2002
•
Portugal: 2000
•
Slovak Republic: 2005
•
Slovenia: 2002
•
Spain: 1999
•
Sweden: 2001
•
Switzerland: 1995
•
Turkey: 1999
•
United Kingdom: 1997
•
United States: 1999
Due to the change in reporting standards, this section on international
comparisons focuses on 2009 data, the most recent year for which data
is available.
OECD Definition of Total Health Expenditure
Total expenditure on health is defined by the OECD as the sum of expenditure
on activities that—through application of medical, paramedical and nursing
knowledge and technology—have the goals of
58
•
Promoting health and preventing disease;
•
Curing illness and reducing premature mortality;
•
Caring for persons affected by chronic illness who require nursing care;
•
Caring for persons with health-related impairments and disabilities who
require nursing care;
•
Assisting patients to die with dignity;
•
Providing and administering public health; and
•
Providing and administering health programs, health insurance and other
funding arrangements.
National Health Expenditure Trends, 1975 to 2011
Activities such as food and hygiene control, health research and development
and training of health workers are considered health-related but are not included
in total health expenditure.
Health Expenditure and GDP
A higher level of public and private spending on health reduces the share of GDP
that is left to purchase other goods and services. While there is more than a
fivefold variation in health expenditure per capita between some countries, the
share of GDP spent on health does not vary as widely. This reflects the fact that
the level of health expenditure is driven in part by the level of GDP.
Total Health Expenditure as a Percentage of GDP—2009
Canada is among six countries with the highest ratio of total health expenditure
to GDP. The OECD GDP figures are standardized for international comparability;
consequently, the health expenditure–to-GDP ratios reported by the OECD may
differ from those reported by the national health accounts of member countries.
Specific to Canada, the GDP estimate published by Statistics Canada contains
an amount for financial intermediation services indirectly measured (FISIM).
Statistics Canada removes the FISIM from the GDP estimate provided to the
OECD. In addition, there is a time lag between both Statistics Canada’s revision
of the Canadian GDP and CIHI’s revision of national health expenditure data and
its publication in OECD reports.
59
National Health Expenditure Trends, 1975 to 2011
In 2009, the United States had the highest ratio of total health expenditure to
GDP, at 17.4%, while Canada was at 11.4% (Figure 39).
Figure 39: Total Health Expenditure as a Percentage of GDP, 29 Selected
Countries, 2009
Note
* Data for 2008.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2011 (June edition)
(Paris, France: OECD, 2011).
60
National Health Expenditure Trends, 1975 to 2011
Public-Sector Health Expenditure as a Percentage of
GDP—2009
With regard to public-sector spending on health as a percentage of GDP in 2009,
Canada falls within the middle of the countries. Public-sector health expenditure
accounted for 9.8% of Denmark’s GDP, the highest proportion among the
countries. The ratios of public-sector spending to GDP were similar for the
United Kingdom, Belgium, Sweden, Norway, Canada and Iceland (Figure 40).
Figure 40: Public-Sector Health Expenditure as a Percentage of GDP, 29 Selected
Countries, 2009
Notes
* Data for 2008.
† Data for 2002.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2011 (June edition)
(Paris, France: OECD, 2011).
61
National Health Expenditure Trends, 1975 to 2011
Private-Sector Health Expenditure as a Percentage of
GDP—2009
Private-sector health expenditure represented 9.1% of GDP in the United States
in 2009, by far the highest percentage among the countries. Canada is within a
group of five countries with very similar private-sector health expenditure–to-GDP
ratios ranging from 3.1% to 3.5%; other countries in this group are the Slovak
Republic, Mexico, the Netherlands and Portugal (Figure 41).
Even though the United States is considered a privately financed health care
system, it spent as much on public expenditure as Canada (8.3% versus 8.1%)
in terms of public-sector spending as a share of GDP (Figure 40).
Figure 41: Private-Sector Health Expenditure as a Percentage of GDP, 29 Selected
Countries, 2009
Notes
* Data for 2008.
† Data for 2006.
‡ Data for 2002.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2011 (June edition)
(Paris, France: OECD, 2011).
62
National Health Expenditure Trends, 1975 to 2011
Health Expenditure per Capitaxix
Total Health Expenditure per Capita—2009
Canada, spending US$4,363 per person in 2009, is among the six countries with
the highest per capita spending on health. The United States had the highest
health expenditure per individual, which was US$7,960 in 2009. These figures
were rather similar in Canada, Denmark (US$4,348), Austria (US$4,289),
Germany (US$4,218), France (US$3,978) and Belgium (US$3,946) (Figure 42).
Figure 42: Total Health Expenditure per Capita in U.S. Dollars, 29 Selected
Countries, 2009
Note
* Data for 2008.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2011 (June edition)
(Paris, France: OECD, 2011).
xix.
Health expenditure per capita was converted to U.S. dollars using purchasing power parities (PPPs) for
GDP, which are designed to eliminate differences in price levels between countries—that is, PPPs
equalize the purchasing power of different currencies. See OECD Health Data.
63
National Health Expenditure Trends, 1975 to 2011
Public-Sector Health Expenditure per Capita—2009
Norway has the highest public-sector per capita health spending at US$4,501,
followed by Luxembourg (US$4,040). Canada was within the top eight countries,
with public-sector health spending at US$3,081 per person (Figure 43).
Figure 43: Public-Sector Health Expenditure per Capita in U.S. Dollars, 29 Selected
Countries, 2009
Notes
* Data for 2008.
† Data for 2002.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2011 (June edition)
(Paris, France: OECD, 2011).
64
National Health Expenditure Trends, 1975 to 2011
Private-Sector Health Expenditure per Capita—2009
Canada, with private-sector per person spending of US$1,282, is among the
top three countries with the highest per capita health spending funded by the
private sector. The highest spenders were the United States (US$4,165) and
Switzerland (US$2,072). Australia (US$1,103), the Netherlands (US$1,064),
Belgium (US$983) and Germany (US$976) were close to Canada’s level
(Figure 44).
Figure 44: Private-Sector Health Expenditure per Capita in U.S. Dollars,
29 Selected Countries, 2009
Notes
* Data for 2008.
† Data for 2006.
‡ Data for 2002.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2011 (June edition)
(Paris, France: OECD, 2011).
65
National Health Expenditure Trends, 1975 to 2011
Total Health Expenditure by Use of Funds—2009
Expenditure on medical services and expenditure on medical goods are two
major categories. Taken together, they represent expenditure on personal
health care and account for more than 80% of total health care spending in
each of the 26 countries for which the breakdown of total health expenditure
is available (the breakdown is not available for Turkey, Mexico and the United
Kingdom) (Figure 45).
Expenditure on medical services is composed of expenditure on inpatient care
and expenditure on other medical services.xx Inpatient care is mainly delivered
in hospitals but also in nursing and residential care facilities. Expenditure on
other medical services includes all expenditures on day care; outpatient care
(in hospitals, physicians’ and dentists’ offices, outpatient care centres, etc.);
ancillary services provided to outpatients, such as laboratory services and
diagnostic imaging; and home care.
Expenditure on medical goods (dispensed to outpatients) comprises mostly
expenditure on pharmaceuticals and other medical non-durables, but also, to a
lesser extent, expenditure on therapeutic appliances and other medical durables
such as eyeglasses, hearing aids, artificial limbs and wheelchairs.
Expenditure on medical goods ranged from 16% to 21% of total health expenditure
for a middle group of nine countries: Canada, Japan, France, Germany, Iceland,
Australia, Belgium, Finland and Austria (Figure 45). The share of medical goods
in total health care spending was below 16% in eight countries and above 21% in
nine countries.
xx. The two components of medical services are not shown separately in the figure, as each component was
not reported consistently among countries. Some countries included, under inpatient care, expenditures
that should have been included under other medical services.
66
National Health Expenditure Trends, 1975 to 2011
Figure 45: Expenditure on Personal Health Care as a Percentage of Total Health
Expenditure, 26 Selected Countries, 2009
Note
* Data for 2008.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2011 (June edition)
(Paris, France: OECD, 2011).
67
National Health Expenditure Trends, 1975 to 2011
Public Share of Health Expenditure—2009
Public Share of Total Health Expenditure—2009
Expenditure by the public sector represented more than 80% of total health
expenditure in Denmark, the United Kingdom, Norway, Luxembourg, the Czech
Republic, Iceland, Sweden, Japan and New Zealand. The share funded by the
public sector was 70.6% in Canada. The country with the lowest public-sector
share was the United States, at 47.7% (Figure 46).
Figure 46: Public Share of Total Health Expenditure, 29 Selected Countries, 2009
Notes
* Data for 2008.
† Data for 2002.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2011 (June edition)
(Paris, France: OECD, 2011).
68
National Health Expenditure Trends, 1975 to 2011
Public Share of Expenditure on Medical Services—2009
In Canada, 78.7% of expenditures on medical services were financed by the
public sector. The public-sector share ranged from 70% to 80% for a group of
eight countries: Germany, Canada, Hungary, Belgium, the Slovak Republic,
Spain, Australia and Portugal. The public-sector share was 50.2% in the United
States (Figure 47).
Figure 47: Public Share of Expenditure on Medical Services, 26 Selected
Countries, 2009
Note
* Data for 2008.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2011 (June edition)
(Paris, France: OECD, 2011).
69
National Health Expenditure Trends, 1975 to 2011
Public Share of Expenditure on Medical Goods—2009
Luxembourg (77.5%) had the highest share of expenditure on medical goods
(dispensed to outpatients) financed by the public sector among the countries
for which data was available (data was not available for Turkey and the United
Kingdom). The public sector funded the lowest shares of expenditure on
medical goods in Canada (35.9%), the United States (31.5%) and Mexico
(19.3%) (Figure 48).
Figure 48: Public Share of Expenditure on Medical Goods, 27 Selected
Countries, 2009
Note
* Data for 2008.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2011 (June edition)
(Paris, France: OECD, 2011).
70
National Health Expenditure Trends, 1975 to 2011
Total Health Expenditure by Source of Finance—2009
Public-Sector Sources of Finance—2009
Figure 49 shows the countries in descending order according to the share of total
health expenditure financed by the public sector, general government.
The public sector includes two subsectors: 1) general governments, including
central, state/regional and local government authorities; and 2) social security
funds, which are social insurance schemes covering the entire community or
large sections of the community and that are imposed and controlled by
government units.
Generally, the level of public-sector financing appears to be unrelated to the
choice of subsectors through which the countries provide funding. Expenditures
by the public sector represented more than 80% of total health expenditure in
Denmark, the United Kingdom, Norway, Luxembourg, the Czech Republic,
Iceland, Sweden, Japan and New Zealand. In the United Kingdom, Sweden,
Denmark and Australia, general governments financed all of the public-sector
spending. Canada falls within a group of countries with a public-sector share
ranging between 65% and 80% of total health expenditure. In 10 of these
countries (France, Germany, Slovenia, Estonia, Belgium, Poland, the Slovak
Republic, Hungary, Austria and Turkey), social security funds were the principal
source of finance, in contrast to Canada, where 1.3% of health expenditures were
financed by social security funds. In Canada, social security funds include the
health care spending by workers’ compensation boards and the Quebec Drug
Insurance Fund component of the MSSS drug subsidy program.
71
National Health Expenditure Trends, 1975 to 2011
Figure 49: Percentage of Total Health Expenditure Financed by the Public Sector,
by Source of Finance, 29 Selected Countries, 2009
Notes
* Data for 2008.
† Data for 2007.
‡ Data for 2002.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2011 (June edition)
(Paris, France: OECD, 2011).
72
National Health Expenditure Trends, 1975 to 2011
Private-Sector Sources of Finance—2009
Figure 50 shows countries in descending order according to the share of total health
expenditure financed by private insurance. In 24 countries, private-sector funding is
broken down between private insurance and all other private funds. However, this
breakdown is not available for Turkey, Iceland, Denmark, the Slovak Republic and
Norway. Approximately half of total health expenditure was financed by the private
sector in the United States (52.3%) and Mexico (51.7%). Private insurance in the
United States accounted for more than half of private-sector health expenditure
(32.8%), by far the largest proportion of any country. Canada is included in a group
of 10 countries (with Finland, Spain, Slovenia, Turkey, Poland, Hungary, Australia,
the Slovak Republic and Portugal) where the private sector funded between 25%
and 35% of total health expenditure. In Canada, private insurance accounts for
12.7% of total health expenditure.
73
National Health Expenditure Trends, 1975 to 2011
Figure 50: Percentage of Total Health Expenditure Financed by the Private Sector,
by Source of Finance, 29 Selected Countries, 2009
Notes
* Data for 2008.
† Data for 2006.
‡ Data for 2002.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2011 (June edition)
(Paris, France: OECD, 2011).
74
National Health Expenditure Trends, 1975 to 2011
8.0 Methodological Notes
8.1
Concepts and Definitions
Mandate of the National Health Expenditure Database
The mandate of NHEX is twofold:
1. To support the development and evaluation of health programs in Canada by
all levels of government and within the private sector.
2. To compile information on health expenditures that will accurately portray the
importance of health care as a component of national expenditure.
Variables and Concepts
Health expenditure—includes any type of expenditure for which the primary
objective is to improve or prevent the deterioration of health status.
This definition allows economic activities to be measured according to primary
purpose and secondary effects. Activities that are undertaken with the direct
purpose of improving or maintaining health are included. Other activities are not
included, even though they may impact health. For example, funds aligning with
housing and income support policies which have social welfare goals as their
primary purpose are not considered to be health expenditures, yet they are
recognized as powerful factors in determining population health.
75
National Health Expenditure Trends, 1975 to 2011
Figure 51: Composition of Total Health Expenditures, by Source of Finance*
Note
* The remaining funds in the Quebec Drug Insurance Fund are financed through the Consolidated Revenue
Fund (these expenditures are captured under the provincial government sector).
Source of Finance (Sectors)
National health expenditures are reported based on the principle of responsibility
for payment rather than on the original source of the funds. It is for this reason,
for example, that federal health transfers to the provinces/territories are included
in the provincial government sector, since it is the responsibility of
provincial/territorial governments to expend federal transfers on health services.
The exception to this principle is that provincial government health transfers to
municipal governments are included in the provincial government sector.
Public sector—includes health care spending by governments and government
agencies.xxi It is subdivided into four levels, as described below:
1. The provincial government sector includes health spending from
provincial/territorial government funds, federal health transfers to the
provinces/territories and provincial government health transfers to
municipal governments.
2. The federal direct sector refers to direct health care spending by the federal
government in relation to health care services for special groups, such
xxi. Statistics Canada (Public Sector Statistics Division) publishes estimates of government health expenditure
as part of its comprehensive reporting system of all government expenditures, the Financial Management
System (FMS). The FMS public-sector health spending estimates are lower than those reported by CIHI
because different classification methods are applied and a narrower definition of health expenditure is
used in the FMS.
76
National Health Expenditure Trends, 1975 to 2011
as Aboriginal Peoples, the Canadian Forces and veterans, as well as
expenditures for health research, health promotion and health protection.
Federal direct health expenditure does not include federal health transfers
to the provinces.
3. The municipal government sector expenditure includes health care spending
by municipal governments for institutional services; public health; capital
construction and equipment; and dental services provided by municipalities
in the provinces of Nova Scotia, Manitoba and British Columbia. Designated
funds transferred by provincial governments for health purposes are not
included in the municipal sector but are included with provincial government
expenditure.
4. Social security funds are social insurance programs that are imposed and
controlled by a government authority. They generally involve compulsory
contributions by employees, employers or both, and the government authority
determines the terms on which benefits are paid to recipients. Social security
funds are distinguished from other social insurance programs, the terms of
which are determined by mutual agreement between individual employers
and their employees. In Canada, social security funds include the health care
spending by workers’ compensation boards, as well as the premiums paid by
the subscribers of the Quebec Drug Insurance Fund and by persons age 65
or older insured by this plan.
Health spending by workers’ compensation boards includes what the
provincial boards commonly refer to as medical aid. Non–health related items
often reported by the workers’ compensation boards as medical aid
expenditure, such as funeral expenses, travel, clothing, etc., are removed.
On January 1, 1997, the government of Quebec created a basic drug
insurance plan with the objective of ensuring the population of Quebec has
access to drugs as required by health status. All residents of Quebec must
be covered by drug insurance, whether by private group insurance or by
the public plan administered by the RAMQ. The Drug Insurance Fund is
the chosen mechanism to pay all drug and pharmaceutical service costs
provided to subscribers insured by the RAMQ, as well as their children.
Since July 1, 2002, the public plan has been financed both by the expenditure
allocated to this program by the Quebec government (provincial government
sector) and by the amounts collected by the Drug Insurance Fund as
premiums and proceeds (social security funds sector).
Private sector—includes out-of-pocket expenditures made by individuals for
health care goods and services; the health insurance claims paid to individuals
by commercial and not-for-profit insurance firms, as well as the cost of
administering those claims; non-patient revenues received by health care
institutions, such as donations and investment income; private spending on
health-related capital construction and equipment; and health research funded
by private sources.
77
National Health Expenditure Trends, 1975 to 2011
Use of Funds (Categories)
Hospitals—institutions where patients are accommodated on the basis of
medical need and are provided with continuing medical care and supporting
diagnostic and therapeutic services. Hospitals are licensed or approved
as hospitals by a provincial/territorial government, or are operated by the
government of Canada, and include those providing acute care, extended
and chronic care, rehabilitation and convalescent care, psychiatric care, as
well as nursing stations or outpost hospitals.
Other institutions—include residential care types of facilities (for the chronically
ill or disabled, who reside at the institution more or less permanently) and which
are approved, funded or licensed by provincial or territorial departments of health
and/or social services. Residential care facilities include homes for the aged
(including nursing homes), facilities for persons with physical disabilities,
developmental delays, psychiatric disabilities and alcohol and drug problems,
and facilities for emotionally disturbed children. Facilities solely of a custodial
or domiciliary nature and facilities for transients or delinquents are excluded.
Physicians—expenditures include primarily professional fees paid by
provincial/territorial medical care insurance plans to physicians in private
practice. Fees for services rendered in hospitals are included when paid
directly to physicians by the plans. Also included are other forms of
professional incomes (salaries, sessional, capitation).
The physician expenditure category does not include the remuneration of
physicians on the payrolls of hospitals or public-sector health agencies; these
are included in the appropriate category, for example, hospitals or other health
spending. Physician expenditures generally represent amounts that flow through
provincial/territorial medical care plans. Provinces/territories differ in terms of
what the medical care plans cover. CIHI has not attempted to make adjustments
to physician expenditures to reflect these differences because only a few
provinces, to date, can net out these differences from their data.
Other professionals—services at the aggregate level represent expenditures
for the services of privately practising dentists, denturists, chiropractors,
optometrists, massage therapists, osteopaths, physiotherapists, podiatrists,
psychologists, private duty nurses and naturopaths. Discrete identification of
many of the professions included under other professionals is often possible
only when they are reported by provincial medical care insurance plans.
78
National Health Expenditure Trends, 1975 to 2011
This category has been disaggregated at the Canada level in the data tables to
provide information on the following subcategories:
•
Dental services—expenditures for professional fees of dentists (includes
dental assistants and hygienists) and denturists, as well as the cost of dental
prostheses, including false teeth, and laboratory charges for crowns and
other dental appliances.
•
Vision care services—expenditures for the professional services of
optometrists and dispensing opticians, as well as expenditures for eyeglasses
and contact lenses.
•
Other—expenditures for chiropractors, massage therapists, osteopaths,
physiotherapists, podiatrists, psychologists, private duty nurses and naturopaths.
Drugs—at the aggregate level, include expenditures on prescribed drugs and
non-prescribed products purchased in retail stores. Estimates represent the final
costs to consumers including dispensing fees, markups and appropriate taxes.
This category has been disaggregated at the Canada level in the data tables to
provide information on the following subcategories:
•
Prescribed drugs—substances considered to be drugs under the Food and
Drugs Act and which are sold for human use as the result of a prescription
from a health professional.
•
Non-prescribed drugs—include two subcomponents: over-the-counter drugs
and personal health supplies.
– Over-the-counter drugs—therapeutic drug products not requiring
a prescription.
– Personal health supplies—include items used primarily to promote or
maintain health, for example, oral hygiene products, diagnostic items such
as diabetic test strips and medical items such as incontinence products.
The drug category does not include drugs dispensed in hospitals and, generally,
in other institutions. These are included with the category of hospitals or other
institutions. The classification system is consistent with international standards
developed by the OECD.
Capital—includes expenditures on construction, machinery, equipment and
some software of hospitals, clinics, first-aid stations and residential care facilities.
It is based on full-cost or cash-basis accounting principles.
Public health—by governments and government agencies, includes
expenditures for items such as food and drug safety, health inspections, health
promotion activities, community mental health programs, public health nursing,
measures to prevent the spread of communicable disease and occupational
health to promote and enhance health and safety at the workplace in publicsector agencies.
79
National Health Expenditure Trends, 1975 to 2011
Administration—expenditures related to the cost of providing health insurance
programs by the government and private health insurance companies and all
costs for the infrastructure to operate health departments. The administrative
costs of operating hospitals, drug programs, long-term care programs and
other non-insured health services are not included under the category of
administration, but rather are included under the category of service, for
example, hospitals, other institutions and drugs.
Other health spending—at the aggregate level includes expenditures
on home care, medical transportation (ambulances), hearing aids, other
appliances and prostheses, health research and miscellaneous health care.
Some of the subcategories of the aggregate category are defined as follows:
•
Health research—expenditures for research activities designed to further
knowledge of the determinants of health, health status or methods of
providing health care, evaluation of health care delivery or of public health
programs. The category does not include research carried out by hospitals or
drug companies in the course of product development. These amounts would
be included with either the hospital or drug category.
•
Other—expenditures for items such as home care, medical transportation
(ambulances), hearing aids, other appliances, training of health workers and
voluntary health associations.
The definition of home care that is currently used in NHEX is based on the
definition used by the OECD, under which only the health professional
component of home care is intended to be included. The portion that is
commonly referred to as home support is considered to be a social service
expenditure rather than a health expenditure and is excluded when it can be
identified. A home care feasibility study at CIHI investigated the feasibility of
developing a set of estimates that identify both the health professional and
the home support components of home care. The process of updating the
data collected in this study is under way in order to assess the feasibility of
reporting this set of estimates.
Other Terms
Federal transfers—refer to the total of various federal, provincial and territorial
health financing arrangements that may be used to fund the delivery of health and
health-related services. They include at various times the Canada Health
Transfer, Canada Social Transfer, Health Reform Transfer, Canada Health and
Social Transfer, Canada Assistance Plan, Established Programs Financing,
Equalization, Territorial Formula Financing and Health Resource Fund, which
supported provincial capital health expenditures from the mid-1970s to the early
1980s, and transfers by the Department of Indian and Northern Affairs to the
territorial governments for the medical care and hospital insurance plans on behalf
80
National Health Expenditure Trends, 1975 to 2011
of Aboriginal People. More recently, several other targeted transfer mechanisms
were created, including the Diagnostic/Medical Equipment Fund, the Public Health
and Immunization Fund and the Wait Times Reduction Fund.
In April 2004, the federal government restructured its transfers into five major
programs: the Canada Health Transfer, Canada Social Transfer, Health Reform
Transfer, Equalization and Territorial Formula Financing. Effective April 1, 2004,
the Canada Health and Social Transfer was restructured to enhance the
transparency and accountability of federal support for health. The Canada
Health and Social Transfer was replaced by the Canada Health Transfer and
the Canada Social Transfer. In 2005–2006, the Health Reform Transfer was
rolled into the Canada Health Transfer program.
•
Canada Health Transfer (CHT)—is provided to each province and territory in
support of health care. CHT funding is provided through cash payments and
tax transfers and supports the government of Canada’s commitment to the
five principles of the Canada Health Act.
•
Canada Social Transfer (CST)—provides support to the provinces and
territories for post-secondary education, social assistance and social
services, including early childhood development and early learning and child
care.
•
Health Reform Transfer (HRT)—provides provinces and territories support
for health care reforms targeted to primary health care, home care and
catastrophic drug coverage. The HRT was integrated into the CHT starting
in 2005–2006.
•
Equalization—ensures that less prosperous provinces have sufficient
revenue to provide reasonably comparable levels of public services at
reasonably comparable levels of taxation. Equalization payments are
unconditional; provinces can spend them according to their respective
priorities. Eligibility
to receive equalization funding is determined by a formula measuring each
province’s revenue-raising capacity against a five-province standard.
Currently, six provinces receive equalization: Prince Edward Island, Nova
Scotia, New Brunswick, Quebec, Ontario and Manitoba.
•
Territorial Formula Financing (TFF)—ensures that territorial governments
can provide reasonably comparable levels of public services at reasonably
comparable levels of taxation, taking into account the higher costs in the
North. The transfers are based on a formula that fills the gap between the
expenditure requirements and revenue-raising capacity of the territories.
•
Diagnostic/Medical Equipment Fund—to improve access to publicly funded
diagnostic services, the government of Canada provides provinces and
territories with targeted funding that supports specialized staff training
and equipment.
81
National Health Expenditure Trends, 1975 to 2011
•
Wait Times Reduction Fund—to improve access to health care services, the
government of Canada provides provinces and territories with targeted
funding to assist in reducing wait times.
•
Public Health and Immunization Fund—to improve public health capacities,
the government of Canada provides provinces and territories with targeted
funding to support immunization programs.
•
Canada Health and Social Transfer (CHST)—on April 1, 1996, the CHST
replaced federal transfers for social assistance under the CAP and for health
and post-secondary education under EPF. The CHST was a block fund
provided in the form of both cash transfers and tax point transfers to all
provinces/territories in support of health, post-secondary education, social
assistance and social service programs. Provinces/territories allocated
the CHST to health and other social programs according to their particular
priorities while upholding the criteria and conditions of the Canada Health
Act. In 1996–1997, CHST transfers were allocated among the provinces
and territories in the same proportions as provincial/territorial entitlements
under the combined EPF and CAP transfers in 1995–1996.4
•
Canada Assistance Plan (CAP)—introduced in 1966 by the federal government
to share in eligible costs incurred by the provinces and territories in providing
social assistance and welfare services to persons in need or persons likely to
become in need if these services were not provided. The 1994 budget limited
1995–1996 CAP transfers for all provinces/territories to 1994–1995 levels.5
•
Established Programs Financing (EPF)—prior to the introduction of the
CHST, the federal government contributed to the operation of
provincial/territorial health insurance plans according to the provisions of
the Federal–Provincial Fiscal Arrangements and Federal Post-Secondary
Education and Health Contributions Act, 1977 (EPF Act). Under the act,
provinces and territories were entitled to equal per capita federal health
contribution increases according to a fixed formula (escalator). Health
contributions to the provinces/territories consisted of both cash and an
equalized tax transfer. The February 26, 1991, federal budget extended a
freeze at 1989–1990 levels to 1994–1995. Legislation later provided for EPF
entitlements to grow in 1995–1996 in accordance with the escalator, less
three percentage points.
Gross domestic product (GDP)6—is the sum of gross value-added originating
within the boundaries of Canada, regardless of the ownership of the factors
of production. Gross domestic product can be valued either at factor cost or
at market prices. In this publication, GDP is valued at market prices and is
expressed in terms of the prices actually paid by the purchaser. It includes all
indirect taxes, such as sales and excise taxes, customs duties and property
taxes, and also reflects the impact of subsidy payments.
Implicit price indices—see Methodological Notes, Calculation of Constant Dollars.
82
National Health Expenditure Trends, 1975 to 2011
Purchasing power parity (PPP)3—purchasing power parities are the rates of
currency conversion that equalize the purchasing power of different currencies.
This means that a given sum of money, when converted into different currencies
at the PPP rates, will buy the same basket of goods and services in all countries.
Thus PPPs are the rates of currency conversion that eliminate differences in
price levels between countries.
8.2
Major Data Limitations
Data contained in NHEX is estimated. The data is collected from diverse sources
and includes varying classes of financial information. The data is collected and
classified according to methods established by a review committee. CIHI
analysts and external experts continue to improve the comprehensiveness,
accuracy and currency of the data to provide the most complete and objective
estimates possible. A series of feasibility studies (for example, on home care,
public health and administration) were conducted to determine the advisability
and possibility of expanding estimates in NHEX for a number of priority issues.
The research papers for these feasibility studies are available on CIHI’s website
(www.cihi.ca). Notwithstanding, national health expenditure data is estimated and
should be used accordingly.
Most private-sector expenditures are estimated from survey data. Prior to 1996,
the Family Expenditure Survey by Statistics Canada,7 an important source of
private-sector data, was not carried out annually; therefore, trend data has been
imputed for years between surveys. Private-sector data was revised following
a methodology review in the early 1990s. The revised private-sector data
incorporated information estimated directly from new sources for 1988 and
subsequent years. Prior years were estimated using trend data. As a result,
readers should use caution when using the private-sector expenditure data
for small provinces and for years prior to 1988.
8.3
Collection and Non-Response
The following notes briefly describe some of the major technical points
associated with the compilation of the health expenditure estimates.
Additional information can be obtained by contacting the National Health
Expenditure section by phone at 613-241-7860, by fax at 613-241-8120
or by email at [email protected]
Hierarchy of Classification
National health expenditures in Canada are based on a system of classification
that is consistent with international standards developed by the OECD for
reporting health expenditures.
83
National Health Expenditure Trends, 1975 to 2011
National health expenditures are grouped within the broad categories of personal
health care or other expenditures:
•
Personal health care consists of expenditure for health goods and services
used by individuals.
•
Other expenditures consist of expenditures on behalf of society, such as
public health; expenditures made as investments for purposes of future
consumption, such as capital expenditures; the administrative expenses of
planning and managing the health care system; and research.
Personal health expenditures are classified within categories that describe
the type of health care used. Certain categories overlap. The hierarchy of
classification that is used to allocate overlapping categories of expenditure
is as follows:
•
Institutional setting—health care services consumed in hospitals or other
institutions are allocated to the institutional category if the institution
purchases the services on behalf of its patients. For example, physician
services and drugs paid through hospital budgets are classified as hospital
expenditures. This allocates expenditure to the supplier actually paid by
patients or their agents in the form of government or insurance companies. It
also reflects
data availability.
•
Self-employed provider of service—for example, all expenses of
physicians’ practices are considered to be expenditures for physician
services, even though some of these expenses would be for employment of
other health professionals, drugs or personal health supplies.
•
Type of good and service—drugs, personal health supplies and appliances
are examples.
An exception to the hierarchy of classification is eye care, in which
optometrist services, eyeglasses and contact lenses sold by optometrists
are combined as one category: vision care services.
The definitions and methods used in the preparation of this report are for the
most part based on those adopted in 1994 by the National Health Expenditure
Methodology Review Committee. This committee included representation from
Health Canada, Statistics Canada, the MSSS, the Canadian Medical Association
and the Canadian Healthcare Association.
International Comparisons: Data Comprehensiveness and
Boundaries of Health Care
The OECD manual A System of Health Accounts provides a comprehensive
framework for reporting expenditures on the entire field of health care activities
and proposes common functional boundaries of health care for international
comparisons. However, member countries do not yet fully report comprehensive
84
National Health Expenditure Trends, 1975 to 2011
data. Also, they may include expenditures that fall outside the boundaries of
health care as defined by the OECD. For OECD Health Data 2011, countries
were asked to provide notes on their departures from OECD/SHA boundaries.
Country notes are presented below. For each country, the list below shows,
under Excludes, expenditures that should have been included in total health
expenditure but were not. It shows, under Includes, expenditures that should
have been excluded from total health expenditure but were included.
Australia
Excludes
• Health expenditure on health services provided by the Australian Defence
Force, some school health expenditure and some expenditure incurred by
corrective services institutions.
Austria
Excludes
• Expenditure by the public sector on occupational health.
Belgium
Excludes
•
Expenditure by corporations on occupational health services.
•
Expenditure on all other industries’ secondary producers of health care.
• Capital expenditures.
Canada
Includes
•
Expenditure of Canadian hospitals for care provided to non-Canadians.
•
Revenues of Canadian hospitals from ancillary operations (gift shops, parking
lots, etc.). Only profit used to subsidize patient care should be included;
however, while hospital revenues from ancillary operations are reported,
profit cannot be determined from available data.
•
Expenditure of inpatient facilities for alcohol/drug addiction, except for privatesector expenditure after 1999.
•
Expenditure by the private sector in some long-term residential care facilities
providing mainly room and board and social services (for example, facilities
for mental retardation, emotionally disturbed children) until 1998.
•
Such items as oral hygiene (for example, dentifrice, dental floss,
toothbrushes, oral antiseptics), medicated shampoos, antiperspirants, etc.
85
National Health Expenditure Trends, 1975 to 2011
Excludes
•
Expenditure on school health made by provincial ministries of education.
•
Expenditure by private insurers for out-of-country care provided to
Canadians.
•
Private-sector expenditure on occupational health care.
•
Expenditures of voluntary health associations (societies dedicated to
prevention and treatment of major diseases such as arthritis, cancer,
diabetes, cerebral palsy, lung, kidney, liver and heart diseases, etc.).
•
Expenditure by public and private insurance plans for motor vehicle insurance
for health services not covered by the public programs for health care (such
as services of physiotherapists, chiropractors, etc.).
•
Expenditure on the systematic evaluation of health care delivery or of public
health programs (non-biomedical research). In Canada, this expenditure is
included under health research and development, a health-related function,
rather than under health administration and insurance.
Czech Republic
There are problems determining the boundaries for health care, health-related
care and non-health care.
Includes
•
Some health-related functions (for example, training of health workers and
health research).
Excludes
•
Health care provided in social services institutions (for example, long-term
nursing care).
•
Some private sources of finance, including non-profit institutions and
corporations.
•
Some out-of-pocket expenditure (out-of-pocket expenditure is probably
underestimated).
•
Curative care day cases (only patients undergoing analysis are included).
Denmark
Private investments in medical facilities are not available. Therefore, there is no
estimate of total private expenditure on health. Expenditure on other non-medical
durables, as well as public expenditure on therapeutic appliances, is also likely to
be underestimated.
86
National Health Expenditure Trends, 1975 to 2011
Excludes
•
Parts of private health expenditure, such as occupational health services, and
expenditure by non-profit institutions serving households, such as the Red
Cross and philanthropic and charitable institutions.
Estonia
Excludes
•
Private expenditures for long-term care, day care and home care.
Finland
Includes
•
Expenditure on environmental health.
•
Public research and development expenditures.
Excludes
•
Private capital formation of health care provider institutions.
•
Publicly provided rehabilitative services.
•
Some inpatient long-term nursing care expenditure (only long-term care
within health centre hospitals is included).
•
Hearing and medico-technical devices and all other miscellaneous
medical durables.
France
Excludes
•
Residential mental retardation facilities, mental health and substance abuse
facilities and all other residential care facilities.
•
Retail sales and other suppliers of hearing aids.
Germany
Excludes
•
Expenditure for military health and prison health.
•
Capital formation for ambulatory providers.
Hungary
Excludes
•
Private services provided abroad and financed by (voluntary)
insurance enterprises.
87
National Health Expenditure Trends, 1975 to 2011
•
Prescribed medicines, over-the-counter medicines, other medical nondurables, glasses and other vision products, orthopedic appliances and other
prosthetics, and hearing aids and medico-technical devices, including
wheelchairs. All other miscellaneous medical durables are included.
•
Health administration and health insurance (social and other).
•
Nursing and residential care facilities.
Iceland
The lack of adequate information hinders the estimation of capital formation in
the private sector.
Japan
Excludes
88
•
Some expenditure by central and local governments on administration of
health care services.
•
Expenditure made out of pocket or by private insurance agents on medical
services not covered by national medical insurance schemes. These include
– Advanced or experimental medical procedures, including clinical trials;
– Acupuncture and other forms of traditional healing;
– Some medical check-ups;
– Upgrades in hotel services for inpatient care; and
– Voluntary dental care.
•
Expenditures made by private insurance companies to supplement copayments
on health services covered by the national medical insurance schemes.
•
Expenditure made on health insurance to cover medical expenses for
residents of Japan while travelling abroad.
•
Expenditures made by non-profit institutions to finance health care to
disadvantaged citizens.
•
Nursing and residential care facilities. Medical care services at long-term care
welfare facilities for the elderly exist, but no estimation is made for these
services because no data is available.
•
Providers of ambulatory health care. No calculation is made for medical
treatments not covered by insurance (dental treatments not covered by
insurance, judo-orthopedy, massage, acupuncture, etc.), because no data
is available.
•
Retail sales and other providers of medical goods. No estimation is made,
except for glasses, hearing aids, mercury thermometers and mercurial
column blood pressure gauges.
National Health Expenditure Trends, 1975 to 2011
Korea
Excludes
• Data for administration expenditure by private insurance.
Luxembourg
Total, public and private health care expenditure includes aggregate health
care costs covered by the Grand Duchy of Luxembourg, including expenditure
on frontier-zone workers and residents insured by international institutions.
Therefore, the health care expenditure per inhabitant of Luxembourg cannot
be correctly calculated by dividing the health care expenditure by the resident
population of Luxembourg.
Mexico
Includes
• Figures for total expenditure also include health-related expenditure;
consequently for international comparison these items have to be deducted
from total expenditure.
The Netherlands
Starting in 2003, total expenditure on health care is not reported by category
of financing agent, since investment spending is not estimated by category of
financing agent.
New Zealand
Excludes
• Expenditures for capital items in OECD reporting.
Norway
No departures from OECD/SHA boundaries reported.
Poland
Excludes
• Expenditures on health by private insurers, private employers and private
non-profit institutions.
89
National Health Expenditure Trends, 1975 to 2011
Portugal
Excludes
• Private capital formation.
• Health expenditures of the military forces, workers of the ministry of justice
and police forces.
Slovak Republic
Excludes
• Private expenditures on joint examination and therapeutic units.
• Data on expenditure on private investment, private prevention and
administration, etc.
Slovenia
Excludes
• Clinical laboratory and private insurance (other than social insurance).
Spain
National health accounts do not include most long-term care (LTC) expenditure
until 2003. They include only the LTC provided by hospitals for this specific
purpose, in accordance with Spanish hospital statistics. However, from 2003,
they include an estimate for LTC, according to the SHA-LTC guidelines. For
private expenditure, the figures are a first attempt to identify and quantify the
different LTC expenditures.
Excludes
•
Health care incurred in nursing homes and residential care facilities
until 2002.
•
Health care incurred by industries in their production process (occupational
health care).
•
Much private investment in medical facilities (includes only hospital
capital expenditure).
•
Much prevention and public health expenditure (includes only public expenditure
and non-profit institutions serving households [NPISH] expenditure).
Sweden
Excludes
•
90
Private-sector expenditures other than out-of-pocket expenditures
of households.
National Health Expenditure Trends, 1975 to 2011
Switzerland
Includes
•
Investments in figures for medical services. Thus, the sum of personal
and collective health expenditure is greater than the reported total
current expenditure.
Excludes
•
Day cases of curative care; services of curative home care; day cases,
outpatients and home services of rehabilitative care; and day cases of longterm care.
•
Other medical non-durables and medico-technical devices, including wheelchairs.
•
Health administration and health insurance.
•
Outpatient care centres, ambulance services, blood and organ banks and
providers of all other ambulatory services.
•
Retail sales, other suppliers of optical glasses, other vision products, other
suppliers of hearing aids and other suppliers of medical appliances.
•
All other providers of health care.
Turkey
The health expenditure boundary in Turkey expands on that proposed for SHA
but retains additional health expenditure items in separate classifications so that
these can easily be removed to create SHA-compatible tables. Expenditures are
reported to the OECD in an SHA-compatible way.
The Turkish NHA covers Turkish residents’ expenditures for purchases of health
care abroad. However the purchase of health care domestically by non-residents
is not estimated separately and deducted from the total, as this is accepted as
non-feasible and should not significantly change the results.
United States
No departures from OECD/SHA boundaries reported.
United Kingdom
Includes
•
Expenditure by health administrations, prisons, the armed forces, households
and non-profit institutions, as well as investment in medical facilities by all
sectors of the economy, for 1997 to 2009. The figures are considered fit for
the purposes of analyzing health expenditure in the U.K. and for making
international comparisons.
91
National Health Expenditure Trends, 1975 to 2011
Excludes
•
Non-NHS expenditure on nursing care in nursing homes, occupational health
care and household production of health care. These components are not
treated correctly according to the OECD/SHA definition of health expenditure.
General Methods
The following is intended as a general overview of the methods applied to
calculate estimates of health expenditure in Canada. More detailed information
can be obtained by contacting the National Health Expenditure section by phone
at 613-241-7860, by fax at 613-241-8120 or by email at [email protected]
Provincial/Territorial Government
Data is extracted annually from provincial/territorial government public accounts.
Programs and/or program items are classified into health expenditure categories
according to accepted and standardized methods and definitions used in
estimating national health expenditure. Data from the public accounts is
supplemented with information from provincial/territorial government department
annual reports and annual statistical reports when available, as well as
information provided by provincial/territorial government department officials.
Total provincial government health spending figures include spending for health
services reported by the provincial/territorial ministry responsible for health
as well as by other departments that report spending on health according to
national health accounts definitions.
Adjustments for regional health authority and/or hospital deficits or surpluses are
not made in NHEX unless the provincial government assumes them. Once
assumed by the provincial government, they are allocated to the years when the
regional health authority and/or hospitals accumulated them.
During the preparation of this report, CIHI’s estimates of provincial/territorial
government health expenditure were submitted to provincial/territorial departments
of health for review.
Figures identified as forecasts are based on the growth rates of major programs
reported in provincial/territorial government main estimates and budgets.
The variations seen in administration, prevention and promotion, and health
research in 2006–2007 for Saskatchewan are due to methodological changes
in its accounting system. The methodological changes involved re-classifying
Saskatchewan’s health expenditure data. Partial methodological changes started
in 2005–2006, though they were not reflected in NHEX due to time limitations.
Full effects are apparent in the 2006–2007 data in this report.
92
National Health Expenditure Trends, 1975 to 2011
On April 1, 1999, Nunavut was formed from the eastern part of the Northwest
Territories. The Northwest Territories expenditures for calendar year 1999
include expenditures for Nunavut for one-quarter of the fiscal year ending March
31, 1999, prior to the formation of Nunavut. Consequently, expenditure data for
the Northwest Territories is not comparable before and after calendar year 1999.
Private Sector
Private-sector data was revised in 1995, following a methodology review that
began in the early 1990s. Private-sector data under the revised methodology
incorporated information estimated directly from new sources for 1988 and
subsequent years.
Expenditure amounts prior to 1988 were estimated using trend data. Therefore,
readers should exercise caution when using the private-sector expenditure data
for small provinces and for years prior to 1988.
Health insurance claims by category and premiums are collected from nine notfor-profit insurance companies and the Canadian Life and Health Insurance
Association, which surveys its member companies. The difference between
claims and premiums is allocated to the category of prepayment administration,
which relates to the cost of providing health insurance programs. Currently,
health care spending data by insurance companies providing casualty insurance
is not included in the estimates.
Out-of-pocket health expenditures are based on purchased data from the
Survey of Household Spending (SHS), formerly the Family Expenditure Survey,
fielded by Statistics Canada. Only category data from Section P of the survey on
direct costs for health care is used; the SHS categories of other medicines, drugs
and pharmaceuticals (that is, not prescribed by a doctor) and hospital care are
replaced with data from other sources as described below. National health
expenditure estimates are equal to the average expenditure per household for
each category multiplied by the estimated number of households.
The SHS is an annual survey that began in 1996. Prior to 1996, full surveys that
included both urban and rural areas were carried out in 1986 and 1992. In 1990,
a survey was conducted that included only metropolitan areas. In years when
complete surveys are carried out, data is available for the 10 provinces and
for 17 urban centres. The urban centres include Yellowknife and Whitehorse,
which are used to derive estimates of expenditure in the territories. Metropolitan
expenditures per household tend to be somewhat higher than provincial
estimates. All relevant categories were updated in complete survey years.
In years when only urban surveys were carried out, the percentage changes
in urban expenditures within each province or territory were used to update
category estimates from complete survey years.
93
National Health Expenditure Trends, 1975 to 2011
Between 1992 and 1996, when no surveys were conducted, provincial growth
rates of the Statistics Canada variables of personal expenditure on medical care
and dental care, drug and drug sundries, and other health care were used to
impute missing years. Starting in 2000, the SHS is conducted in the territories
only every second year. For 2000, 2002 and each year thereafter, out-of-pocket
estimates in the territories for physicians, dental care, eye care and other
professional services, prescribed drugs and other health goods and services
are estimated by CIHI. The SHS category of other medicines, drugs and
pharmaceuticals is replaced with information purchased from the Nielsen
Company, which tracks consumer sales of non-prescribed drugs sold in
Canada at retail. Each year, the Nielsen Company reports retail sales data
for two consistent years for more than 50 non-prescribed drug categories.
Data is reported by sales channel,xxii total dollar sales volume and regional
sales distribution for five regions that include nine provinces. Newfoundland
and Labrador and the territories are not included. The data is processed by
classifying the non-prescribed drug categories as either over-the-counter drugs
or personal health supplies. Regional sales amounts are separated into nine
provinces, and estimates for Newfoundland and Labrador and the territories are
calculated using provincial distributions of direct costs for health care from the
SHS. Lastly, appropriate provincial and federal sales taxes are incorporated into
the estimates.
The SHS category of hospital care is not used; instead the out-of-pocket
component of hospital care is estimated based on revenues from patient
services from Statistics Canada’s Annual Return of Health Care Facilities (HS-2)
prior to 1994–1995 and the Canadian MIS Database (CMDB) thereafter.
Private-sector estimates of other institutions are derived from data from Statistics
Canada’s Residential Care Facilities Survey (RCF). Data used from the survey
includes income to facilities from co-insurance or self-pay of residents, differential
for preferred accommodation and sundry earnings.
The non-consumption component of the private sector includes non-patient
revenue to hospitals, including ancillary operations, donations, investment
income, etc. This data is derived from Statistics Canada’s HS-2 prior to
1994–1995 and the CMDB thereafter.
The non-consumption portion of the private sector also includes expenditures for
biomedical and health care research by Canadian faculties of medicine derived
from medical education statistics published by the Association of Faculties of
Medicine of Canada. Included are amounts for research funded by national and
provincial not-for-profit foundations such as the Heart and Stroke Foundation of
xxii. As a general rule, Statistics Canada definitions govern the classification of stores by class of trade. Sales
channels include drug stores, food stores with pharmacies, grocery banners, mass merchandisers and
warehouse clubs, which are estimated from the Nielsen Company’s household panel data.
94
National Health Expenditure Trends, 1975 to 2011
Canada, the National Cancer Institute of Canada and the Canadian Cancer
Society, to name only a few. In addition, funding from local sources, internal
university sources, university and unaffiliated hospitals and foreign sources are
also included. The sum of these amounts is provincially distributed according
to the reported distribution of total amounts spent on research by the various
faculties of medicine across the country.
Capital expenditure in the private sector is also included as a non-consumption
component category. Additional information on the calculation of capital can be
found in the Calculation Methods section under Capital Expenditure and in the
Forecasting Method section.
Federal Direct
Data on federal direct health care spending is estimated from information
provided by federal government organizations supplemented with information
from the national public accounts. Federal government health care spending is
generally provided according to the province in which the expenditure was made.
Some data, however, is provided only at the national level; in these cases it is
distributed by the appropriate provincial/territorial population.
Historically, public health and administration in the federal direct sector have
been reported as one combined category. In an attempt to break out the category
into separate components for public health and administration, an analysis of
more detailed data available from 1988 to 2003 was undertaken. The estimated
distribution between the categories during this period was applied to the historical
data from 1975 to 1987 to produce separate estimates for public health and
administration for the entire time series.
Municipal Government
Municipal government health care spending is based on information provided by
the Public Sector Statistics Division (PSSD), formerly known as the Public
Institutions Division, of Statistics Canada.
Social Security Funds
In Canada, social security funds include the health care spending by workers’
compensation boards and the Drug Insurance Fund component of the MSSS
drug subsidy program. The workers’ compensation board data is derived from
special tabulations from each provincial and territorial workers’ compensation
board of its medical aid expenditures. Income replacement and occupational
rehabilitation are not included. Items included as medical aid that do not meet the
national health expenditure definition of health expenditures, such as funeral
expenses, clothing expenses, hotel accommodation and non-medical
transportation, are excluded.
95
National Health Expenditure Trends, 1975 to 2011
The workers’ compensation boards’ data is supplemented after 1996 with the
portion of the RAMQ’s drug program that is not funded by the MSSS. See the
definition of social security funds in the Concepts and Definitions section of this
report for additional information.
Calculation Methods
Calculation of Average Annual Rate of Growth
The average annual rate of growth is the constant annual rate necessary for a
value at the beginning of a period to grow to a value at the end of a period over
the number of compounding years in the period. The formula used to calculate
the average annual rate of growth is
e
(ln(value at end of period) − ln(value at beginning of period)) / T
−1
where the constant e equals 2.718, which is the base of the natural logarithm,
and T equals the number of years in the period.
Calculation of Calendar Year
Some information sources provide data in fiscal years. Calendar year data was
calculated by adding three-quarters of one fiscal year to one-quarter of the
previous fiscal year.
Calculation of Constant Dollars
Real health expenditure and real per capita health expenditure are presented in
constant (1997) dollars. Constant dollar expenditure was calculated using price
indices for public and private expenditures in each province and territory. The
indices are the implicit price indices (IPIs) for government current expenditure,
which are used to deflate public-sector health care spending, and the health
component of the consumer price index (CPI), which is used to deflate privatesector health care spending. Statistics Canada developed both sets of indices.
A more complete explanation of the methodology for calculating implicit price
indices is available in Statistics Canada publications.8
In the health expenditure series, public and private expenditures are adjusted
separately in each province using the appropriate index. Adjusted values are
summed to obtain Canada totals at constant dollar values. Consequently, the
overall implicit price index of the health expenditure series reflects the mix of
public and private expenditures reported in NHEX.
96
National Health Expenditure Trends, 1975 to 2011
The government current expenditure index was forecast for the latest year in this
report for the provinces and territories. The forecasts are based on the
Conference Board of Canada’s forecasts of this index for Canada, Ontario and
Quebec and CIHI’s forecasts for the remaining provinces.
The CPI (health) index was forecast to December of the latest year in this report
based on the average of the monthly index up to April of the same year, which
was the latest information available prior to the publication of this report.
Calculation of TOTAL Health Expenditure as a Percentage of Gross
Domestic Product
The GDP at market pricesxxiii was used to express total health expenditure as a
percentage of GDP. National GDP figures for Canada were used rather than the
sum of provincial/territorial GDP to calculate the total health expenditure–to-GDP
ratio for Canada.
The GDP figures provided by Statistics Canada were revised (upward) in 2001
as part of its overall revision to the methods for measuring the nation’s economic
activity. Revised GDP figures for Canada were available from 1975 to 2000.
Revised provincial and territorial GDP figures were available from Statistics
Canada from 1981 to 1999. No attempt was made by CIHI to estimate
provincial GDP prior to 1981. Forecasts of GDP figures at both the national
and provincial/territorial levels for the latest year were prepared by CIHI by
applying the Conference Board of Canada’s latest available forecasted growth
rate of GDP to the previous year’s GDP figures from Statistics Canada.
Calculation of per Capita Dollars
Per capita health expenditures were calculated using the most recent revised
population estimates from the Demography Division of Statistics Canada. This
takes into account the results of the census adjustment for net census under-count,
non-permanent residents and returning Canadians. Population figures for the latest
year are projections from the Demography Division of Statistics Canada.
Calculation of TOTAL Health Expenditure
Total health expenditure refers to the sum of the public and private sectors.
Canada refers to the sum of the 10 provinces and 3 territories. Total health
care spending in constant (1997) dollars is the sum of public-sector health care
spending in constant (1997) dollars and private-sector health care spending
in constant (1997) dollars. Canada average is the sum of provincial/territorial
expenditures divided by the sum of provincial/territorial data of another variable,
such as population.
xxiii. Information provided by the National Accounts and Environment Division of Statistics Canada.
97
National Health Expenditure Trends, 1975 to 2011
Capital Expenditure
Prior to a major methodology review in 1995, several categories in the private
sector were estimated using a residual method, whereby public-sector spending
was subtracted from an estimated total. The remainder was allocated entirely to
the private sector. Following a major methodology review in the early 1990s,
capital expenditure remained the only category that was estimated this way. In
1998, the method of calculating capital expenditure was reviewed and revised.
Capital expenditure for the private sector and provincial and municipal
government sectors is now estimated from information obtained from the
Investment and Capital Stock Division at Statistics Canada. Capital expenditure
in the federal direct sector is obtained from the national public accounts
and federal departments that provide health services. There are no capital
expenditures in the social security funds sector. The implications of this change
are twofold: capital expenditure in all sectors is based on full-cost or cash-basis
accounting principles, and capital is the only category of expenditure in which
spending is categorized as private or public based on ownership of the facility
in which the investment is made. This convention has been adopted due to
data limitations.
Forecasting Methods
Provincial government–sector health spending forecasts are based on the
growth rates of a consistent set of major health programs of provincial health
departments reported in provincial main estimates and budgets. In the case
of territorial government forecasts of the Northwest Territories and Nunavut,
estimates were based on amounts reported in their main estimates. In other
sectors, figures for these two territories were calculated by developing a forecast
for the Northwest Territories including Nunavut. The share of Nunavut spending
in the last year of actual data of the combined total of the Northwest Territories
and Nunavut was used as a proxy to break out the forecasts for the Northwest
Territories and Nunavut for the latest years.
The 2009 figures for capital expenditure in the provincial government sector, the
municipal government sector and the private sector are based on actual figures
from the Investment and Capital Stock Division of Statistics Canada. The 2010
capital figures are based on preliminary actual data, while 2011 capital data is
based on intentions.
Forecasts for the remaining categories in the federal direct, workers’
compensation boards, municipal government and private sector were made
entirely based on econometric analysis of time series trends. For each series,
up to 40 different univariate forecasting specifications were evaluated, and the
best one (based on the root mean square error of prediction) was selected.
The functional forms studied included the exponential smoothing family
(simple, double, Holt, Brown, Winters, damped trend, etc.), time trends,
98
National Health Expenditure Trends, 1975 to 2011
ARIMA specifications, etc. Logarithmic transformations were used when the
data warranted their use. A LOESS smoothing technique was used as well
to help in generating better forecasts in some cases by capturing recent
information in the series.
Forecasts of health expenditures are identified in the figures by special symbols
and in the data tables by the letter “f.”
Gross domestic product figures at both the national and provincial/territorial
levels were forecast for 2010 and 2011 by CIHI by applying the Conference
Board of Canada’s forecasted growth rate of GDP of this year to the previous
year’s GDP figures from Statistics Canada.
The government current expenditure price index forecasts are based on the
Conference Board of Canada’s latest forecasts of this index for Canada, Ontario
and Quebec and CIHI’s forecasts of the remaining provinces.
The CPI (health) index was forecast to December of the latest year based on the
average of the monthly index up to April of the same year, which was the latest
information available prior to the publication of this report.
Age and Sex Distribution Methods
The Series E data tables present provincial government health expenditure for
selected categories of spending by sex and age groupings. Total provincial/territorial
government expenditure by age, sex and province/territory is available for 1998
onwards. The five categories presented are hospitals, other institutions, physicians,
other professionals and drugs. The method of distributing the five categories and
total is explained below. The data reported in Series E of the data tables is not
age–sex standardized.
Hospitals
The distribution of provincial government hospital expenditure by age and sex is
based on information from CIHI’s Discharge Abstract Database (DAD)xxiv and
Hospital Morbidity Database (HMDB). The CIHI Case Mix Group (CMG) grouping
methodology was used to group patient discharge information into homogenous
groups, based on clinical and resource utilization characteristics. Currently, the
CMG can only be grouped back by a maximum of five years. Therefore, for the
period from 1995–1996 to 1996–1997, the 2001 methodology was employed,
while for the period 1997–1998 to 2002–2003, the 2002 methodology was used.
The 2003 CMG methodology was used for 2003–2004 to 2005–2006. After the
grouper redevelopment, the CMG+ methodology has been in place since 2006.
xxiv. The Discharge Abstract Database receives information from participating hospitals that represent about
85% of all hospital discharges in Canada. The database contains clinical, demographic and administrative
data for inpatient acute, chronic and rehabilitation care and day surgery.
99
National Health Expenditure Trends, 1975 to 2011
Thus the 2006 CMG+ methodology was used for 2006–2007, the 2008 CMG+
grouper was used for 2007–2008 and 2008–2009, and the 2010 CMG+ grouper
was used for 2009–2010.
Based on the CMG grouping methodology, patients are assigned to a group
according to diagnosis and surgical procedures. Within each group patients are
further classified into a complexity levelxxv based on the number and type of
comorbid diagnoses and age. Once the patient is grouped, a Resource Intensity
Weight (RIW)xxvi is assigned. The assigned RIWs were then aggregated to
generate total weighted cases by age and sex.
The provincial government hospital expenditure estimate for each province is
allocated to a given age group based on the weighted cases in that age group
relative to total weighted cases. Weighted case information from the DAD and
the HMDB is for acute inpatient care only. Weighted cases for the majority of
hospital-based ambulatory care (day surgery, emergency departments and
clinics) are currently limited to some facilities in a couple of provinces.
Nevertheless, acute inpatient weighted cases are used as a proxy to distribute
the national health expenditure estimate of hospital expenditure financed by
provincial governments, which includes inpatient and ambulatory care.
CIHI investigated the reasonableness of using the acute inpatient data as a
proxy to distribute comprehensive provincial government hospital expenditures
by comparing 1998–1999 weighted cases calculated from Alberta’s Ambulatory
Care data set with the Alberta acute inpatient weighted cases from the
DAD/HMDB. The analysis showed that the distribution of ambulatory care
weighted cases differs from inpatient weighted cases primarily in the senior
age groups. The impact of including the ambulatory care weighted cases with
the inpatient weighted cases is to lower per capita spending in the senior age
groups from what it would have been based on the inpatient weighted
cases only.
Data from the DAD/HMDB covers 11 jurisdictions across Canada; the territories
are combined due to the small number of facilities. Yukon, the Northwest
Territories and Nunavut (1999 onward) were distributed according to a combined
territorial distribution and further distributed based on population. Data for Prince
Edward Island and Saskatchewan from the DAD for 1995–1996 to 1997–1998
represents about 85% of total acute hospitalizations within each province;
however, from 1998–1999 onward the DAD represents 100% coverage in
these two provinces. Weighted cases for Quebec are based entirely on the
xxv.
Following extensive consultation with experts in the field, it is believed that this data has not been
substantially affected by recent concerns regarding complexity.
xxvi. RIWs are resource allocation algorithms developed by CIHI for estimating the relative hospital
resources used for a typical case. See www.cihi.ca/cihiweb/dispPage.jsp?cw_page=casemix_riw_e
for more information.
100
National Health Expenditure Trends, 1975 to 2011
HMDB. Data for 2002–2003 to 2008–2009 in Quebec, as well as for 2003–2004
in Manitoba, was unavailable and has been estimated based on an analysis of
the historical series.
Caution should be exercised when comparing age and sex expenditure
estimates across provinces, particularly with respect to Manitoba. Hospital
utilization data in Manitoba is reported to CIHI differently than in other provinces
and territories. In addition to acute inpatient care, Manitoba’s weighted cases
include chronic, rehabilitative and long-term hospital care, which results in higher
weights applied to senior age groups and ultimately higher spending in those
age groups.
Physicians
The distribution of provincial government physician expenditure by age and sex
is based on information from CIHI’s National Physician Database (NPDB). The
NPDB contains data on the socio-demographic and billing activities of fee-forservice physicians, as well as on the age and sex of patients. NPDB data is used
as a proxy to distribute all physicians’ services expenditure from NHEX. NHEX
includes primarily professional fees, paid by provincial medical care insurance
plans to physicians in private practice, but it also includes alternative payment
methods such as salaries, sessional and capitation payments.
Fiscal year 1996–1997 data was unavailable from the NPDB for Nova Scotia and
was estimated using growth rates in the population by age and sex applied to the
1995–1996 fee-for-service data from the NPDB. Data for 1995–1996 was also
unavailable from the NPDB for New Brunswick. Similar to Nova Scotia, it was
estimated using growth rates in the population by age and sex applied to 1994–1995
fee-for-service data from the NPDB. Yukon fee-for-service data from 1995–1996
onward was used to estimate the Northwest Territories by applying Yukon fee-forservice per capita spending by age and sex to the Northwest Territories population
for 1995–1996 onward. Similar to the Northwest Territories, Nunavut for 1999–2000
onward was estimated using Yukon data. Data was collected in fiscal year and
converted to calendar year (see Calculation Methods).
Data provided by the NPDB for the latest year is a preliminary estimate.
Other Institutions
Statistics Canada’s Residential Care Facilities Survey (RCF) was used to
estimate the provincial/territorial age and sex distribution for other institutions.
Facilities for delinquents, transients and others were excluded from the age–sex
distribution. Only facilities financed to provide a level of care for type II or higher
were considered for the estimation. These levels of care require a minimum
101
National Health Expenditure Trends, 1975 to 2011
of at least one and a half hours a day of medical and/or professional nursing
supervision. Patient counts by age and sex and by predominant level of care
within each facility were used to create the distributions.
In order for a facility’s patient count to be included it was also necessary for the
facility to report both income from provincial/territorial government sources and
days of care for provincial government–funded clients. Within a particular facility
type, patient counts by age and sex were weighted based on the predominant
level of care. Weights were generated using the estimated cost per patient for a
particular type of care relative to type II. That is, type II care was the basis and
had a weight of one. Once patient counts by age and sex, level of care and
facility type were assigned weights, the patient counts were aggregated to create
total weighted provincial or territorial patient counts. A distribution across age
and sex was generated and then applied to the appropriate provincial/territorial
NHEX figure for other institutions. The age groups from the RCF (<10, 11 to 17,
18 to 44, 45 to 64, 65 to 69, 70 to 74, 75 to 79, 80 to 84 and 85+) were expanded
into five-year age groups by CIHI using population, as well as DAD/HMDB
weighted cases.
At the time of publication data was unavailable for Quebec for all years. The
weighted patient counts for Canada (minus Quebec) from the RCF were used
as a proxy for Quebec’s distribution of other institutions expenditure.
Drugs
Provincial government prescribed drug expenditure primarily includes drugs that
are dispensed through provincial drug subsidy programs. The level of coverage
under these programs varies across the country. Universal drug plans with first
dollar coverage to all residents are currently not available in any province. Most
provincial government plans provide prescribed drugs to seniors and welfare
recipients. British Columbia, Saskatchewan and Manitoba provide some
coverage to all residents with an assortment of substantial individual deductibles
and copayments. Similarly, Quebec instituted a universal plan in 1997 that
requires Quebec residents to be covered under the provincial plan if a private
group plan, usually available through an employer, is not available.
CIHI requested drug claims that were paid in a given year by age and sex from
each provincial drug subsidy program. Drug claim information by age and sex
is currently unavailable from Prince Edward Island and Nunavut. Some data
for 2005–2006 was obtained from CIHI’s National Prescription Drug Utilization
Information System (NPDUIS) Database.
102
National Health Expenditure Trends, 1975 to 2011
The Newfoundland and Labrador Prescription Drug Program (NLPDP) supplied
expenditure data by age and sex from 2007–2008 onward. Data collected from
the NLPDP consists of five main plans (the Foundation Plan, 65Plus Plan,
Access Plan, Assurance Plan and Select Needs Plan) and prescription drug
claims paid by the Department of Health and Community Services.
Data from Nova Scotia consists of the Seniors PharmaCare Program and
prescription drug claims paid by the Department of Community Services through
the Income Assistance Program and Family Benefits Program. Data from the
Special Drug Program was unavailable; expenditure for this plan was distributed
using data from the Department of Community Services.
Data collected from the New Brunswick Prescription Drug Program consists
of 10 different drug plans: Seniors Plan (A), Cystic Fibrosis Plan (B), Social
Development (Individuals in Licensed Residential Facilities) (E), Social
Development (F), Children in Care (G), Multiple Sclerosis (H), Organ Transplant
(R), Human Growth Hormone (T), HIV (U) and Nursing Home (V). However,
there is no data available for Special Authorization(SA) (for drugs not normally
covered under the provincial formulary). Beginning in October 1996, claims
under SA are included in six other plans (A, B, G, R, T and V) if the claimant
is a beneficiary of one of these plans. In September 1997, this was expanded
to include plans E and F. Minor plans for which age–sex data was not
available were distributed using the overall distribution of plans for which
data was available.
The MSSS supplied data on its drug subsidy program in calendar year. The
plans included coverage for seniors, income security recipients and others.
Data for 1997 onward also included a general client group representing
recipients whose drug claims are paid through the self-financed Drug
Insurance Fund by the premiums of subscribers to the plan and not the
provincial government. Consequently, the age–sex distribution of this group
was not included with the rest of the provincial government program.xxvii
The Ontario Drug Benefits program (ODB) supplied age–sex data, which
included combined prescription drug claims paid by the Ministry of Health and
Long-Term Care and the Ministry of Community Services, as well as data for
the Trillium Drug Program, which was implemented in April 1995. The Special
Drug Program does not have an age–sex profile; its expenditure was therefore
applied to the ODB distribution.
Manitoba was unable to provide data for 1996–1997 because of the Drug
Programs Information Network (DPIN) conversion from a calendar year to a fiscal
year system. This resulted in a 15-month year from January 1996 to April 1997.
xxvii. See the definition of social security funds in the Variables and Concepts section of this report for
more information.
103
National Health Expenditure Trends, 1975 to 2011
The Department of Health’s Pharmacare plan supplied data on drug claims paid for
1997–1998 onward. Data for the Ministry of Family Services, Employment and
Income Assistance Division’s drug plan was supplied for 1997–1998 onward. The
figures reported for Manitoba in 1997 are based on fiscal year data for 1997–1998.
Data supplied by the Saskatchewan Drug Plan and Extended Benefits Branch
was reported by calendar year.
Alberta Health and Wellness provided expenditure data by age and sex on its
prescription drug programs from 1995–1996 onward. Data was supplied for
all four of Alberta’s prescription drug plans: Seniors, Widow’s Pension, Regular
and Palliative Care. Alberta Human Resources and Employment provided
data for its prescription drug expenditure under the Employment and Income
Assistance programs (formerly under Alberta Family and Social Services) for
1995–1996 to 1998–1999 and 2000–2001 onward. The age–sex distribution
for 1999–2000 Alberta Human Resources and Employment’s drug plan is
based on 1998–1999 data.
British Columbia’s Ministry of Health Services supplied claims paid by age and
sex of the client in calendar year from 1996 onward for each plan administered
by the PharmaCare program. NHEX drug plan expenditures for British Columbia
were converted to calendar year and then applied to the distribution of the
appropriate data supplied by the province.
Yukon Department of Health and Social Services supplied drug expenditure
claims for three administered drug plans: Seniors, Child Drug Plan and Chronic
Care Drug Plan. Data from 1995–1996 to 2004–2005 was provided for each
plan, with the exception of the Child Drug Plan, which was implemented in
1997–1998. The Northwest Territories Department of Health and Social Services
supplied data by age and sex for prescription drug claims paid for Extended
Health Benefits.
The provincial government drug estimate at the program level is allocated to
a given age group based on the value of claims paid in that age group relative
to total claims paid. In provinces with more than one program, the age–sex–
distributed programs were combined to represent a total estimate for the
province. Most data was collected in fiscal year and converted to calendar
year (see Calculation Methods).
Other Professionals
Expenditure for the category of other professionals accounted for less than 1% of
total provincial/territorial health expenditure in recent years. Provincial/territorial
governments provide a variety of health services delivered by health professionals
other than physicians, including primarily dentists, optometrists, chiropractors
and physiotherapists.
104
National Health Expenditure Trends, 1975 to 2011
All provinces provide various programs for seniors and children, as well as
programs for income assistance recipients. However, the services provided
vary considerably across Canada. For instance, Ontario, British Columbia and
Quebec provide physiotherapy services to residents, while other provinces
do not. Chiropractic services are provided through provincial insurance plans
from Ontario west to British Columbia, but nowhere else in Canada. Target
populations, copayments and deductibles also vary from province to province.
CIHI requested from each province data for claims that were paid for by
provincial/territorial governments in a given year, by age, sex and type of
service provided by other health care professionals. Details of data availability
and estimation methods are described below.
Data was unavailable from Prince Edward Island, New Brunswick and Nunavut.
The remaining provinces and territories were able to supply data by age and sex
for approximately 75% or more of other professional services. When a province
or territory was unable to supply 100% of services, CIHI estimated the age and
sex distribution for these services by using data from programs from other
provinces with similar coverage and eligibility levels.
The provincial government expenditure estimates for other professionals at
the program level are allocated to a given age group based on the value of
claims paid in that age group relative to total claims paid. In provinces with
more than one program, the age–sex–distributed programs were combined
to represent a total estimate for the provinces’ other professionals expenditure.
Most data was collected in fiscal year and converted to calendar year (see
Calculation Methods).
Total Provincial Government Health Expenditure by Age and Sex
To age–sex standardize total provincial government health expenditures, it is
necessary that all categories of expenditure be distributed by age and sex for
each province. Unfortunately, age–sex distributions for all provincial/territorial
government expenditures are currently not available in all provinces and
territories. Consequently, CIHI estimated the missing data using the following
methods. The age–sex distributions of drug subsidy programs for Prince Edward
Island and Nunavut were estimated for 1998 onward using the distributions
of drug subsidy programs in other provinces with similar target populations
and copayment plans. Prince Edward Island’s age–sex distribution for
drug expenditure was based on the Nova Scotia Seniors and Community
Services drug plans. Nunavut’s age–sex distribution was based on Northwest
Territories data.
The age–sex distributions of the category of other professionals in Prince Edward
Island, New Brunswick and Nunavut (1999 onward) were estimated for 1998
onward. The age–sex distributions of these provinces were based on the
distributions in other provinces of other health care provider programs that had
105
National Health Expenditure Trends, 1975 to 2011
similar beneficiaries and copayment plans. Dental expenditure by age and sex
in Prince Edward Island was based on Newfoundland and Labrador Dental
Health Plan clients age 3 to 16. Similarly, New Brunswick’s dental expenditure
for the Youth Income Assistance Plan was based on clients up to age 17 from
the Newfoundland and Labrador dental plan. New Brunswick’s age and
sex distribution for the Income Assistance Optometry Plan was based on
Saskatchewan Health’s Supplementary Health Optometry plan. As was the
case with Nunavut’s drug expenditure, Nunavut’s other professionals category
expenditure was based on the age–sex distribution for the Northwest Territories.
Quebec’s physiotherapy expenditure was distributed across a combined age–sex
distribution of Ontario and British Columbia’s fee-for-service physiotherapy plans.
Capital expenditure was estimated for all provinces and territories using the
general provincial/territorial populations by age and sex. This method was used
based on two criteria: 1) capital investments in health care institutions typically
last for decades, and those who do not use institutional services in a given year
may use them in the future; and 2) given the uncertainty of illness, the availability
of facilities has a value for all who potentially would use them if the need arose.
The remaining categories of public health, administration and other health
spending were also estimated using the general provincial/territorial populations
by age and sex based on the following rationale. Public health and health
research benefit the entire population, and it would be difficult to attribute them in
different proportions to specific age and sex groups. Prepayment administration
expenditures are accounted for mainly by the universal hospital and physicians’
services plans. The rationale for distributing them according to the general
population rather than based on utilization is because prepayment administration
expenses are made up largely of the costs of registration systems for eligible
residents, which cover the total population, and claims processing costs. The
convention of allocating ambulance expenditure by population distributions
is not believed to result in significant error of the total provincial expenditure
distributions due to its small share of the other health care spending category.
Age-Sex Standardization of Provincial Government Expenditures
For the purpose of age-sex standardization, CIHI used a direct method.
Standardized expenditures by category were calculated by multiplying the
male and female population of Canada in each of the 19 age groups by the
expenditure per capita for each age group and sex by province and territory.
Male and female standardized expenditure was aggregated and then divided by
the total Canada population to generate the standardized per capita spending for
a particular category by province and territory.
106
National Health Expenditure Trends, 1975 to 2011
8.4
Major Changes From Previous Years
In the process of compiling the national health expenditure series from year
to year, new information becomes available, methods and concepts are
refined and data sources are improved. The data is revised to incorporate
these enhancements.
Revision History
Provincial Government Sector
The revisions presented for Alberta are due to adjusted expenditures in the
health research category. Historical refinements were made for Quebec for
several years as well as for New Brunswick and British Columbia for 2008 data.
Table 7: Differences From Previously Reported Provincial Government–Sector Data,
by Province/Territory and Canada, 1996 to 2008 (Millions of Dollars)
Year N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C. Y.T. N.W.T. Nun. Canada
1996
---
---
---
---
-1.1
---
---
---
---
---
---
---
---
-1.1
1997
---
---
---
---
-0.4
---
---
---
---
---
---
---
---
-0.4
1998
---
---
---
---
---
---
---
---
---
---
---
---
---
0.0
1999
---
---
---
---
---
---
---
---
---
---
---
---
---
0.0
2000
---
---
---
---
---
---
---
---
---
---
---
---
---
0.0
2001
---
---
---
---
---
---
---
---
---
---
---
---
---
0.0
2002
---
---
---
---
---
---
---
---
---
---
---
---
---
0.0
2003
---
---
---
---
---
---
---
---
---
---
---
---
---
0.0
2004
---
---
---
0.1
---
---
---
---
---
---
---
---
---
0.1
2005
---
---
---
---
---
---
---
---
---
---
---
---
---
0.0
2006
---
---
---
---
---
---
---
---
---
---
---
---
---
0.0
2007
---
---
---
---
---
---
---
---
---
---
---
---
---
0.0
2008
---
---
---
---
99.4
---
---
---
---
---
---
94.1
-5.0 -0.3
107
National Health Expenditure Trends, 1975 to 2011
Private Sector
The historical revisions shown in Table 8 are largely due to methodological
changes in the category of health research from 1998 onwards. Over-thecounter drug data was also revised due to tax adjustments for Newfoundland
and Labrador, New Brunswick and Nova Scotia in 1997.
Table 8: Differences From Previously Reported Private-Sector Data, by
Province/Territory and Canada, 1997 to 2008 (Millions of Dollars)
Year N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C. Y.T. N.W.T. Nun. Canada
1997 0.3
---
0.4
1998 1.5
---
8.7 ---
0.4
---
50.2
41.6
--4.4
---
---
1.3 14.8
---
---
---
---
1.0
7.0 ---
---
---
129.6
1999 2.1
---
12.6 ---
65.8
61.1
6.1
2.0 21.7 10.5 ---
---
---
181.8
2000 2.1
---
12.3 ---
62.4
59.0
17.8
4.7 -14.0 30.2 ---
---
---
174.5
2001 1.7
---
8.8 ---
60.4
49.8
24.0
5.9 -39.7 44.9 ---
---
---
155.8
2002 1.1
---
7.2 ---
62.4
45.0
22.3
4.9 -48.0 55.5 ---
---
---
150.4
2003 1.2
---
5.3 ---
64.8
42.9
17.5
3.7 -40.7 61.3 ---
---
---
156.1
2004 1.8
---
6.0 ---
55.3
60.6
23.3
4.4 -46.4 53.5 ---
---
---
158.5
2005 1.7
---
5.3 ---
54.3
62.1
21.0
4.3 -47.4 55.4 ---
---
---
156.8
2006 1.1
---
4.6 ---
57.7
66.8
23.4
4.8 -53.5 51.9 ---
---
---
156.6
2007 0.9
---
4.3 ---
54.6
72.5
22.0
4.1 -59.6 57.4 ---
---
---
156.2
39.3
6.2
19.1 -12.3 -57.3 67.6 ---
---
---
47.5
2008 1.9 -11.0 -3.8 -2.3
108
---
National Health Expenditure Trends, 1975 to 2011
Federal Direct Sector
The historical revisions shown in Table 9 are largely due to methodological
changes to several federal departments, which date back to 2001. Methodological
revisions were also undertaken in the calculation of data from the Canadian
Institutes of Health Research (CIHR) in 2008.
Table 9: Differences From Previously Reported Federal Direct–Sector Data, by
Province/Territory and Canada, 2001 to 2008 (Millions of Dollars)
Year N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C.
Y.T.
N.W.T. Nun. Canada
2001 ---
---
---
---
---
---
---
---
-1.0
-0.7
---
---
---
-1.8
2002 ---
---
---
---
---
---
---
---
-0.3
-0.2
---
---
---
-0.6
2003 -0.1
---
-0.3 ---
-3.3
-4.5
-0.2
8.6
-2.9
-1.8
---
---
---
-4.4
2004 ---
---
0.4 ---
-7.0
6.1
---
2.9 -15.6
3.3
---
---
---
-10.0
2005 -0.9
-0.2 -1.3 -1.1 -15.2 -17.3
-2.0
-0.7 -24.3
-5.0
-0.1
-0.1
---
-68.2
-7.5
---
-0.1
---
-72.2
-0.1
-0.1
-98.4
---
293.5
2006 -0.8
-0.2 -1.4 -1.2 -12.2 -20.2
-1.9
-1.2 -25.4
2007 -1.1
-0.3 -1.9 -1.7 -16.5 -27.2
-2.4
-2.1 -34.0 -11.0
2008
-0.1 -3.2 23.0
-6.9
-1.4 -38.4 19.7
6.2
8.1 286.7
0.1
---
---
Municipal Government Sector
Spending data in this sector was revised for 2008 in Nova Scotia, Ontario
and Manitoba.
Table 10: Differences From Previously Reported Municipal Government–Sector Data,
by Province/Territory and Canada, 2008 (Millions of Dollars)
Year N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C.
2008 ---
---
0.4
---
---
-24.1 -2.0
---
---
---
Y.T.
---
N.W.T. Nun. Canada
---
---
-25.7
109
National Health Expenditure Trends, 1975 to 2011
Social Security Fund Sector
Historical revisions in the social security fund sector, shown in Table 11, were
implemented as follows: historical refinements were made for British Columbia
from 1985 and for Ontario from 1994. New data was made available for
Newfoundland and Labrador, the Northwest Territories and Nunavut from 2002.
Methodological changes were made for Quebec from 1995, and for Nova Scotia
and Saskatchewan from 2005. For Yukon, updated historical data is available
from 1993 to 2003.
Table 11: Differences From Previously Reported Social Security Fund–Sector Data,
by Province/Territory and Canada, 1985 to 2008 (Millions of Dollars)
Year N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C. Y.T. N.W.T. Nun. Canada
110
1985
---
---
---
---
---
---
---
---
---
0.6
---
---
---
0.6
1986
---
---
---
---
---
---
---
---
---
0.8
---
---
---
0.8
1987
---
---
---
---
---
---
---
---
---
1.0
---
---
---
1.0
1988
---
---
---
---
---
---
---
---
---
0.9
---
---
---
0.9
1989
---
---
---
---
---
---
---
---
---
0.7
---
---
---
0.7
1990
---
---
---
---
---
---
---
---
---
3.7
---
---
---
3.7
1991
---
---
---
---
---
---
---
---
---
0.7
---
---
---
0.7
1992
---
---
---
---
---
---
---
---
---
0.7
---
---
---
0.7
1993
---
---
---
---
---
---
---
---
---
0.7
0.5
---
---
1.1
1994
---
---
---
---
---
0.4
---
---
---
0.7
0.8
---
---
1.8
1995
---
---
---
---
-4.6
0.3
---
---
---
0.6
0.8
---
---
-2.9
1996
---
---
---
---
-5.1
0.3
---
---
---
---
0.7
---
---
-4.1
1997
---
---
---
---
-4.7
0.3
---
---
---
---
0.6
---
---
-3.9
1998
---
---
---
---
-5.3
0.3
---
---
---
---
0.4
---
---
-4.5
1999
---
---
---
---
-5.8
---
---
---
---
---
0.6
---
---
-5.2
2000
---
---
---
---
-6.0
---
---
---
---
--- -0.5
---
---
-6.4
2001
---
---
---
---
-5.8
---
---
---
---
--- -0.7
---
---
-6.4
2002
2.4
---
---
---
-6.3
---
---
---
---
--- -1.0
0.1
0.1
-4.6
2003
3.0
---
---
---
-6.3
---
---
---
---
--- -0.4
0.3
0.2
-3.3
2004
2.5
---
---
---
-6.7
---
---
---
---
---
---
0.2
0.1
-3.9
2005
2.6
---
0.5
---
18.4
---
---
0.3
---
---
---
0.5
0.4
22.6
2006
2.0
---
8.1
---
19.6
---
---
6.8
---
---
---
0.6
0.4
37.6
2007
2.3
---
8.9
---
52.3
1.9
---
0.3
---
---
---
0.6
0.4
66.8
2008
2.2
---
6.6
---
27.0
-8.7
---
-5.3
--- 14.5
---
0.7
0.5
37.4
National Health Expenditure Trends, 1975 to 2011
Age and Sex Expenditure Data
Changes to the age–sex distributions from the previous publication occurred
due to methodology revisions and new information from data sources. For
more detailed information please contact the NHEX section by telephone at
613-241-7860 or by email at [email protected]
Economic and Demographic Data
Statistics Canada recently revised its population estimates back to 2007. The
estimates in this report are now based on the latest released data of July 2011.
8.5
Sources of Data
National health expenditure estimates are compiled based on information from
the following sources.
Provincial Government Sector
•
Provincial public accounts and main estimates.
•
Provincial departments of health annual reports and statistical supplements
where available.
•
Annual reports of various foundations, agencies and commissions.
•
Special tabulations and specific information from various provincial
departments reporting health expenditures.
•
Federal transfers as a part of provincial government spending:
– EPF, CHT, CST—Federal–Provincial Relations Division, Federal
Department of Finance.
– CAP—Cost Shared Programs Division, Human Resources and
Development Canada.
– Contributions to the governments of the Northwest Territories and
Yukon—Public Accounts of Canada, Department of Indian Affairs
and Northern Development.
– Health Resource Fund—Health Canada.
Federal Direct Sector
•
•
Public Accounts of Canada.
Special tabulations/information from
– Health Canada;
– Department of Veterans Affairs;
– Department of National Defence;
– Public Safety Canada;
111
National Health Expenditure Trends, 1975 to 2011
– Statistics Canada;
– Citizenship and Immigration Canada; and
– Several organizations that are responsible for administering research funds
from the federal government, such as the Canada Foundation for Innovation,
Canadian Health Services Research Foundation and Canadian Institute for
Advanced Research.
Municipal Government Sector
• Special tabulation purchased from the Public Sector Statistics Division of
Statistics Canada.
Social Security Funds Sector
•
Special tabulations on medical aid spending provided by the
provincial/territorial workers’ compensation boards.
•
Annual reports of provincial/territorial workers’ compensation boards.
• Special tabulations from the MSSS.
Private Sector
112
•
Private insurance component:
– The not-for-profit portion is captured from special tabulations provided by the
not-for-profit insurance companies.
– The commercial portion is captured by a special tabulation provided by the
Canadian Life and Health Insurance Association.
•
Out-of-pocket component:
– Survey of Household Spending, Statistics Canada, except for the
following categories:
– Hospital accommodation—(adjusted revenues from patient services)
Annual Return of Health Care Facilities, fielded by Statistics Canada to
1994–1995, and the CMDB, administered by CIHI from 1995–1996 onward.
– Other institutions—Residential Care Facilities Survey fielded by
Statistics Canada.
– Over-the-counter drugs and personal health supplies—Market Review of
Selected Drug Categories at Retail, a special tabulation purchased from the
Nielsen Company Canada.
•
Non-consumption component:
– Hospital accommodation—(adjusted revenues from non-patient services)
Annual Return of Health Care Facilities, Part 2, fielded by Statistics Canada
to 1994–1995, and the CMDB, from 1995–1996 onward.
– Capital expenditures—special tabulation purchased from the Investment
and Capital Stock Division of Statistics Canada.
National Health Expenditure Trends, 1975 to 2011
– Health research—the Association of Faculties of Medicine of Canada,
Canadian Medical Education Statistics, Expenditure for Biomedical and
Health Care Research of Canadian Faculties of Medicine by Source
of Funds.
Age and Sex Data
•
CIHI’s DAD and HMDB.
•
CIHI’s NPDB.
•
Special tabulations provided by provincial/territorial government departments
responsible for administering drug and other health benefit programs.
• Statistics Canada’s Residential Care Facility Survey.
Economic and Demographic Data
•
Gross domestic product:
– Purchased from National Accounts and Environment Division, Statistics
Canada, for all years except the latest.
– Purchased from the Conference Board of Canada (GDP growth rates) for the
latest year.
•
Population—purchased from the Demography Division, Statistics Canada.
•
Provincial government expenditure—special tabulation purchased from the
Public Sector Statistics Division of Statistics Canada. Data is also extracted
from provincial Public Accounts, Budgets and Main Estimates.
•
Price indices:
– Income and Expenditure Accounts Division and Prices Division, Statistics
Canada, for all years except the latest.
– Purchased from The Conference Board of Canada for the latest year.
113
National Health Expenditure Trends, 1975 to 2011
9.0 Data Tables
This section provides summary-level expenditure data. These data tables are
organized as follows:
Series
A—Summary Data, Canada
B—Total Health Expenditure, by Source of Finance, by Province/Territory and
Canada (Selected Tables)
E—Provincial/Territorial Government Health Expenditure, by Age and Sex, by
Province/Territory and Canada (Selected Tables)
The CD-ROM affixed to the back cover of this report contains more comprehensive
data tables in Microsoft Excel. The data tables on the CD are organized as follows:
Series available on the CD-ROM
A—Summary Data, Canada
B—Total Health Expenditure, by Source of Finance, by Province/Territory
and Canada
C—Health Expenditure, by Use of Funds, by Source of Finance, Canada
D—Health Expenditure, by Use of Funds, by Source of Finance,
by Province/Territory
E—Provincial/Territorial Government Health Expenditure, by Age and Sex,
by Province/Territory and Canada
F—Provincial/Territorial Government Health Expenditure, by Province/Territory
and Canada
Each series generally follows the order below except as indicated. In addition,
tables in A.3, Series C, Series D, Series E and Series F.2 and F.3 are not
available in constant dollar values.
Current dollars
114
•
In millions of dollars.
•
Percentage distribution (use of funds only).
•
Per capita.
National Health Expenditure Trends, 1975 to 2011
•
Sector as a proportion of
– GDP (B.1 and F.1 series only).
– Total health expenditure (B.2 to B.8 series only).
– Total provincial/territorial government program/expenditure
(B.4 and F.4 series only).
Constant dollars
•
In millions of 1997 dollars (A, B and F.1 series only).
•
In 1997 dollars per capita (A, B and F.1 series only).
Most subseries also include a table of annual percentage changes.
In all tables, forecasts are denoted with the letter “f”; the symbol “---” denotes
data that is either unavailable or not applicable.
115
Series A
Summary Data, Canada
National Health Expenditure Trends, 1975 to 2011
Table A.1
Total Health Expenditure, Canada, 1975 to 2011—Summary
Year
1975
Total Health Expenditure in Current Dollars
Total
Per Capita
($’ 000,000)
($)
12,199.4
Total Health Expenditure in Constant 1997 dollars Total Health Expenditure as a % of GDP
Total
Per Capita
($’ 000,000)
($)
(%)
527.1
39,684.0
1,714.7
7.0
1976
14,049.8
599.1
40,766.5
1,738.5
7.0
1977
15,450.0
651.2
41,609.5
1,753.8
7.0
1978
17,106.8
713.9
42,940.6
1,791.9
7.0
1979
19,169.7
792.1
44,203.5
1,826.5
6.8
1980
22,298.4
909.5
46,676.2
1,903.9
7.1
1981
26,276.7
1,058.7
48,797.9
1,966.0
7.3
1982
30,759.1
1,224.6
51,097.5
2,034.3
8.1
1983
34,038.6
1,341.8
53,090.2
2,092.9
8.3
1984
36,743.1
1,434.9
55,046.8
2,149.6
8.2
1985
39,842.4
1,541.7
57,476.0
2,224.1
8.2
1986
43,338.1
1,660.4
60,275.6
2,309.3
8.5
1987
46,789.2
1,769.0
61,934.0
2,341.7
8.4
1988
50,960.1
1,901.8
64,633.6
2,412.1
8.3
1989
56,096.2
2,056.2
67,577.6
2,477.0
8.5
1990
61,026.3
2,203.3
69,794.4
2,519.9
1991
66,289.8
2,364.8
72,598.2
2,589.9
9.7
1992
69,749.9
2,458.9
74,097.8
2,612.1
10.0
1993
71,500.0
2,492.9
74,706.0
2,604.6
9.8
1994
73,111.4
2,521.2
75,259.8
2,595.2
9.5
1995
74,086.4
2,528.4
75,529.8
2,577.6
9.1
1996
74,713.9
2,523.2
75,750.7
2,558.2
8.9
1997
78,734.4
2,632.6
78,734.4
2,632.6
8.9
1998
84,083.9
2,788.2
82,858.5
2,747.6
9.2
1999
90,363.4
2,972.1
87,490.6
2,877.6
9.2
2000
98,589.1
3,212.5
92,066.0
3,000.0
9.0
9.2
2001
107,208.3
3,456.0
98,072.6
3,161.5
9.7
2002
115,093.2
3,668.6
102,276.3
3,260.1
10.0
2003
123,678.4
3,904.5
107,121.1
3,381.8
10.2
2004
131,787.1
4,119.0
112,154.0
3,505.3
10.2
2005
140,653.4
4,353.0
115,900.1
3,586.9
10.2
2006
150,923.6
4,633.0
121,030.9
3,715.3
10.4
2007
160,447.3
4,872.4
125,075.5
3,798.3
10.5
2008
172,223.5
5,169.4
130,560.6
3,918.9
10.8
2009
182,112.7
5,400.7
134,489.9
3,988.4
11.9
2010 f
192,853.9
5,654.1
138,782.3
4,068.8
11.9
2011 f
200,499.1
5,811.2
141,274.3
4,094.7
11.6
(annual percentage change)*
1976*
15.2
13.7
2.7
1.4
---
1980*
16.3
14.8
5.6
4.2
---
1985
8.4
7.4
4.4
3.5
---
1986
8.8
7.7
4.9
3.8
---
1987
8.0
6.5
2.8
1.4
---
1988
8.9
7.5
4.4
3.0
---
1989
10.1
8.1
4.6
2.7
---
1990
8.8
7.2
3.3
1.7
---
1991
8.6
7.3
4.0
2.8
---
1992
5.2
4.0
2.1
0.9
---
1993
2.5
1.4
0.8
-0.3
---
1994
2.3
1.1
0.7
-0.4
---
1995
1.3
0.3
0.4
-0.7
---
1996
0.8
-0.2
0.3
-0.8
---
1997
5.4
4.3
3.9
2.9
---
1998
6.8
5.9
5.2
4.4
---
1999
7.5
6.6
5.6
4.7
---
2000
9.1
8.1
5.2
4.3
---
2001
8.7
7.6
6.5
5.4
---
2002
7.4
6.2
4.3
3.1
---
2003
7.5
6.4
4.7
3.7
---
2004
6.6
5.5
4.7
3.7
---
2005
6.7
5.7
3.3
2.3
---
2006
7.3
6.4
4.4
3.6
---
2007
6.3
5.2
3.3
2.2
---
2008
7.3
6.1
4.4
3.2
---
2009
5.7
4.5
3.0
1.8
---
2010 f
5.9
4.7
3.2
2.0
---
2011 f
4.0
2.8
1.8
0.6
---
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
118
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table A.2.1
Total Health Expenditure by Source of Finance, Canada, 1975 to 2011—Current Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
1976
1977
1978
1979
8,709.3
10,129.9
11,102.0
12,269.4
13,696.6
398.3
439.7
475.2
485.6
512.8
71.6
105.8
114.2
111.7
156.0
121.1
141.9
153.1
173.8
186.8
9,300.3
10,817.2
11,844.6
13,040.5
14,552.3
2,899.2
3,232.6
3,605.4
4,066.3
4,617.4
12,199.4
14,049.8
15,450.0
17,106.8
19,169.7
1980
1981
1982
1983
1984
15,794.1
18,655.5
22,002.1
24,510.2
26,244.0
582.1
692.7
854.8
994.9
1,106.1
234.0
275.4
250.8
222.2
214.5
231.7
319.0
339.1
352.7
392.3
16,841.8
19,942.6
23,446.8
26,080.0
27,956.9
5,456.5
6,334.1
7,312.3
7,958.6
8,786.3
22,298.4
26,276.7
30,759.1
34,038.6
36,743.1
1985
1986
1987
1988
1989
28,202.8
30,501.5
32,821.9
35,806.2
39,332.1
1,157.7
1,260.8
1,349.7
1,522.8
1,686.6
273.1
310.2
404.6
303.5
326.4
462.0
457.0
479.5
531.1
566.8
30,095.5
32,529.4
35,055.7
38,163.7
41,911.9
9,746.9
10,808.7
11,733.5
12,796.4
14,184.3
39,842.4
43,338.1
46,789.2
50,960.1
56,096.2
1990
1991
1992
1993
1994
42,469.7
46,176.8
48,337.8
48,572.6
48,885.6
1,970.4
2,110.0
2,199.9
2,280.9
2,519.8
364.6
374.7
396.9
383.7
446.1
644.4
721.4
703.2
684.8
685.7
45,449.2
49,382.9
51,637.9
51,922.0
52,537.2
15,577.1
16,906.9
18,112.0
19,578.1
20,574.2
61,026.3
66,289.8
69,749.9
71,500.0
73,111.4
1995
1996
1997
1998
1999
48,936.4
49,080.1
51,143.2
54,391.6
58,329.8
2,667.0
2,606.2
2,828.0
3,027.5
3,152.9
394.9
348.1
318.7
765.9
565.4
718.0
769.0
911.5
1,001.1
1,134.7
52,716.3
52,803.4
55,201.3
59,186.0
63,182.8
21,370.1
21,910.5
23,533.1
24,897.9
27,180.7
74,086.4
74,713.9
78,734.4
84,083.9
90,363.4
2000
2001
2002
2003
2004
63,632.5
68,539.3
73,485.3
79,324.6
84,606.6
3,614.5
4,261.3
4,140.5
4,684.3
4,774.8
690.3
775.8
825.4
921.5
1,056.8
1,316.6
1,415.0
1,494.4
1,722.5
1,832.9
69,253.9
74,991.5
79,945.7
86,653.0
92,271.2
29,335.2
32,216.8
35,147.5
37,025.4
39,515.9
98,589.1
107,208.3
115,093.2
123,678.4
131,787.1
2005
2006
2007
2008
2009
90,723.1
96,743.7
103,676.9
111,852.1
118,900.4
4,924.8
5,249.4
5,680.7
6,343.7
6,871.9
1,008.8
1,032.5
962.4
868.4
938.8
1,947.1
2,095.7
2,210.9
2,387.2
2,378.2
98,603.9
105,121.3
112,531.0
121,451.3
129,089.4
42,049.5
45,802.3
47,916.3
50,772.2
53,023.3
140,653.4
150,923.6
160,447.3
172,223.5
182,112.7
2010 f
2011 f
126,353.0
130,344.0
6,980.1
7,112.8
991.6
851.1
2,532.5
2,660.5
136,857.2
140,968.4
55,996.7
59,530.7
192,853.9
200,499.1
1976*
1980*
16.3
15.3
10.4
13.5
47.6
50.0
17.2
24.0
16.3
15.7
11.5
18.2
15.2
16.3
1985
1986
1987
1988
1989
7.5
8.2
7.6
9.1
9.8
4.7
8.9
7.1
12.8
10.8
27.3
13.6
30.4
-25.0
7.6
17.8
-1.1
4.9
10.8
6.7
7.6
8.1
7.8
8.9
9.8
10.9
10.9
8.6
9.1
10.8
8.4
8.8
8.0
8.9
10.1
1990
1991
1992
1993
1994
8.0
8.7
4.7
0.5
0.6
16.8
7.1
4.3
3.7
10.5
11.7
2.8
6.0
-3.3
16.2
13.7
11.9
-2.5
-2.6
0.1
8.4
8.7
4.6
0.6
1.2
9.8
8.5
7.1
8.1
5.1
8.8
8.6
5.2
2.5
2.3
1995
1996
1997
1998
1999
0.1
0.3
4.2
6.4
7.2
5.8
-2.3
8.5
7.1
4.1
-11.5
-11.9
-8.4
140.3
-26.2
4.7
7.1
18.5
9.8
13.4
0.3
0.2
4.5
7.2
6.8
3.9
2.5
7.4
5.8
9.2
1.3
0.8
5.4
6.8
7.5
2000
2001
2002
2003
2004
9.1
7.7
7.2
7.9
6.7
14.6
17.9
-2.8
13.1
1.9
22.1
12.4
6.4
11.6
14.7
16.0
7.5
5.6
15.3
6.4
9.6
8.3
6.6
8.4
6.5
7.9
9.8
9.1
5.3
6.7
9.1
8.7
7.4
7.5
6.6
2005
2006
2007
2008
2009
7.2
6.6
7.2
7.9
6.3
3.1
6.6
8.2
11.7
8.3
-4.5
2.3
-6.8
-9.8
8.1
6.2
7.6
5.5
8.0
-0.4
6.9
6.6
7.0
7.9
6.3
6.4
8.9
4.6
6.0
4.4
6.7
7.3
6.3
7.3
5.7
2010 f
2011 f
6.3
3.2
1.6
1.9
5.6
-14.2
6.5
5.1
6.0
3.0
5.6
6.3
5.9
4.0
($’ 000,000)
Year
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2011.
119
National Health Expenditure Trends, 1975 to 2011
Table A.2.2
Total Health Expenditure by Source of Finance, Canada, 1975 to 2011—Current Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
1976
1977
1978
1979
71.4
72.1
71.9
71.7
71.4
3.3
3.1
3.1
2.8
2.7
0.6
0.8
0.7
0.7
0.8
1.0
1.0
1.0
1.0
1.0
76.2
77.0
76.7
76.2
75.9
23.8
23.0
23.3
23.8
24.1
100.0
100.0
100.0
100.0
100.0
1980
1981
1982
1983
1984
70.8
71.0
71.5
72.0
71.4
2.6
2.6
2.8
2.9
3.0
1.0
1.0
0.8
0.7
0.6
1.0
1.2
1.1
1.0
1.1
75.5
75.9
76.2
76.6
76.1
24.5
24.1
23.8
23.4
23.9
100.0
100.0
100.0
100.0
100.0
1985
1986
1987
1988
1989
70.8
70.4
70.1
70.3
70.1
2.9
2.9
2.9
3.0
3.0
0.7
0.7
0.9
0.6
0.6
1.2
1.1
1.0
1.0
1.0
75.5
75.1
74.9
74.9
74.7
24.5
24.9
25.1
25.1
25.3
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
69.6
69.7
69.3
67.9
66.9
3.2
3.2
3.2
3.2
3.4
0.6
0.6
0.6
0.5
0.6
1.1
1.1
1.0
1.0
0.9
74.5
74.5
74.0
72.6
71.9
25.5
25.5
26.0
27.4
28.1
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
66.1
65.7
65.0
64.7
64.6
3.6
3.5
3.6
3.6
3.5
0.5
0.5
0.4
0.9
0.6
1.0
1.0
1.2
1.2
1.3
71.2
70.7
70.1
70.4
69.9
28.8
29.3
29.9
29.6
30.1
100.0
100.0
100.0
100.0
100.0
2000
2001
2002
2003
2004
64.5
63.9
63.8
64.1
64.2
3.7
4.0
3.6
3.8
3.6
0.7
0.7
0.7
0.7
0.8
1.3
1.3
1.3
1.4
1.4
70.2
69.9
69.5
70.1
70.0
29.8
30.1
30.5
29.9
30.0
100.0
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
64.5
64.1
64.6
64.9
65.3
3.5
3.5
3.5
3.7
3.8
0.7
0.7
0.6
0.5
0.5
1.4
1.4
1.4
1.4
1.3
70.1
69.7
70.1
70.5
70.9
29.9
30.3
29.9
29.5
29.1
100.0
100.0
100.0
100.0
100.0
2010 f
2011 f
65.5
65.0
3.6
3.5
0.5
0.4
1.3
1.3
71.0
70.3
29.0
29.7
100.0
100.0
1976*
1980*
1.0
-0.9
-4.1
-2.4
28.2
28.9
1.7
6.6
1.0
-0.5
-3.2
1.6
-----
1985
1986
1987
1988
1989
-0.9
-0.6
-0.3
0.2
-0.2
-3.5
0.1
-0.8
3.6
0.6
17.4
4.4
20.8
-31.1
-2.3
8.6
-9.1
-2.8
1.7
-3.1
-0.7
-0.6
-0.2
0.0
-0.2
2.3
1.9
0.5
0.1
0.7
-----------
1990
1991
1992
1993
1994
-0.7
0.1
-0.5
-2.0
-1.6
7.4
-1.4
-0.9
1.1
8.0
2.7
-5.4
0.7
-5.7
13.7
4.5
3.1
-7.4
-5.0
-2.1
-0.3
0.0
-0.6
-1.9
-1.0
0.9
-0.1
1.8
5.4
2.8
-----------
1995
1996
1997
1998
1999
-1.2
-0.5
-1.1
-0.4
-0.2
4.4
-3.1
3.0
0.2
-3.1
-12.6
-12.6
-13.1
125.0
-31.3
3.3
6.2
12.5
2.8
5.5
-1.0
-0.7
-0.8
0.4
-0.7
2.5
1.7
1.9
-0.9
1.6
-----------
2000
2001
2002
2003
2004
0.0
-0.9
-0.1
0.5
0.1
5.1
8.4
-9.5
5.3
-4.3
11.9
3.4
-0.9
3.9
7.6
6.3
-1.2
-1.6
7.3
-0.1
0.5
-0.4
-0.7
0.9
-0.1
-1.1
1.0
1.6
-2.0
0.2
-----------
2005
2006
2007
2008
2009
0.5
-0.6
0.8
0.5
0.5
-3.4
-0.7
1.8
4.0
2.4
-10.6
-4.6
-12.3
-15.9
2.2
-0.5
0.3
-0.8
0.6
-5.8
0.1
-0.6
0.7
0.5
0.5
-0.3
1.5
-1.6
-1.3
-1.2
-----------
2010 f
2011 f
0.3
-0.8
-4.1
-2.0
-0.3
-17.4
0.6
1.0
0.1
-0.9
-0.3
2.3
-----
(percentage distribution of $’ 000,000)
Year
(annual percentage change) *
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
120
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table A.2.3
Total Health Expenditure by Source of Finance, Canada, 1975 to 2011—Current Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
1976
1977
1978
1979
376.3
432.0
467.9
512.0
565.9
17.2
18.8
20.0
20.3
21.2
3.1
4.5
4.8
4.7
6.4
5.2
6.0
6.5
7.3
7.7
401.9
461.3
499.2
544.2
601.3
125.3
137.9
152.0
169.7
190.8
527.1
599.1
651.2
713.9
792.1
1980
1981
1982
1983
1984
644.2
751.6
876.0
966.2
1,024.8
23.7
27.9
34.0
39.2
43.2
9.5
11.1
10.0
8.8
8.4
9.5
12.9
13.5
13.9
15.3
687.0
803.5
933.5
1,028.1
1,091.7
222.6
255.2
291.1
313.7
343.1
909.5
1,058.7
1,224.6
1,341.8
1,434.9
1985
1986
1987
1988
1989
1,091.3
1,168.6
1,241.0
1,336.3
1,441.7
44.8
48.3
51.0
56.8
61.8
10.6
11.9
15.3
11.3
12.0
17.9
17.5
18.1
19.8
20.8
1,164.6
1,246.3
1,325.4
1,424.3
1,536.3
377.2
414.1
443.6
477.6
519.9
1,541.7
1,660.4
1,769.0
1,901.8
2,056.2
1990
1991
1992
1993
1994
1,533.3
1,647.3
1,704.0
1,693.5
1,685.8
71.1
75.3
77.6
79.5
86.9
13.2
13.4
14.0
13.4
15.4
23.3
25.7
24.8
23.9
23.6
1,640.9
1,761.7
1,820.4
1,810.3
1,811.7
562.4
603.1
638.5
682.6
709.5
2,203.3
2,364.8
2,458.9
2,492.9
2,521.2
1995
1996
1997
1998
1999
1,670.1
1,657.5
1,710.1
1,803.6
1,918.5
91.0
88.0
94.6
100.4
103.7
13.5
11.8
10.7
25.4
18.6
24.5
26.0
30.5
33.2
37.3
1,799.1
1,783.2
1,845.7
1,962.6
2,078.1
729.3
739.9
786.9
825.6
894.0
2,528.4
2,523.2
2,632.6
2,788.2
2,972.1
2000
2001
2002
2003
2004
2,073.5
2,209.4
2,342.3
2,504.2
2,644.4
117.8
137.4
132.0
147.9
149.2
22.5
25.0
26.3
29.1
33.0
42.9
45.6
47.6
54.4
57.3
2,256.6
2,417.4
2,548.3
2,735.6
2,883.9
955.9
1,038.5
1,120.3
1,168.9
1,235.1
3,212.5
3,456.0
3,668.6
3,904.5
4,119.0
2005
2006
2007
2008
2009
2,807.7
2,969.8
3,148.4
3,357.3
3,526.1
152.4
161.1
172.5
190.4
203.8
31.2
31.7
29.2
26.1
27.8
60.3
64.3
67.1
71.7
70.5
3,051.6
3,226.9
3,417.3
3,645.4
3,828.3
1,301.4
1,406.0
1,455.1
1,524.0
1,572.5
4,353.0
4,633.0
4,872.4
5,169.4
5,400.7
2010 f
2011 f
3,704.4
3,777.9
204.6
206.2
29.1
24.7
74.2
77.1
4,012.4
4,085.8
1,641.7
1,725.4
5,654.1
5,811.2
1976*
1980*
14.8
13.8
9.0
12.0
45.7
48.1
15.6
22.4
14.8
14.2
10.0
16.7
13.7
14.8
1985
1986
1987
1988
1989
6.5
7.1
6.2
7.7
7.9
3.7
7.8
5.6
11.4
8.8
26.1
12.5
28.7
-26.0
5.6
16.7
-2.1
3.5
9.3
4.8
6.7
7.0
6.3
7.5
7.9
9.9
9.8
7.1
7.6
8.9
7.4
7.7
6.5
7.5
8.1
1990
1991
1992
1993
1994
6.4
7.4
3.4
-0.6
-0.5
15.1
5.8
3.0
2.5
9.3
10.0
1.5
4.7
-4.4
15.0
12.0
10.6
-3.7
-3.7
-1.0
6.8
7.4
3.3
-0.6
0.1
8.2
7.2
5.9
6.9
3.9
7.2
7.3
4.0
1.4
1.1
1995
1996
1997
1998
1999
-0.9
-0.8
3.2
5.5
6.4
4.7
-3.3
7.4
6.2
3.3
-12.4
-12.8
-9.4
138.3
-26.8
3.6
6.0
17.4
8.9
12.4
-0.7
-0.9
3.5
6.3
5.9
2.8
1.5
6.3
4.9
8.3
0.3
-0.2
4.3
5.9
6.6
2000
2001
2002
2003
2004
8.1
6.6
6.0
6.9
5.6
13.6
16.6
-3.9
12.0
0.9
21.0
11.2
5.2
10.6
13.5
15.0
6.3
4.4
14.2
5.3
8.6
7.1
5.4
7.4
5.4
6.9
8.6
7.9
4.3
5.7
8.1
7.6
6.2
6.4
5.5
2005
2006
2007
2008
2009
6.2
5.8
6.0
6.6
5.0
2.1
5.7
7.1
10.4
7.0
-5.5
1.5
-7.8
-10.8
6.8
5.2
6.8
4.4
6.7
-1.6
5.8
5.7
5.9
6.7
5.0
5.4
8.0
3.5
4.7
3.2
5.7
6.4
5.2
6.1
4.5
2010 f
2011 f
5.1
2.0
0.4
0.7
4.4
-15.1
5.3
3.9
4.8
1.8
4.4
5.1
4.7
2.8
($’ per capita)
Year
(annual percentage change) *
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2011.
121
National Health Expenditure Trends, 1975 to 2011
Table A.2.4
Total Health Expenditure by Source of Finance, Canada, 1975 to 2011—Constant Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
1976
1977
1978
1979
27,834.3
28,659.5
28,970.1
29,826.1
30,367.9
1,272.1
1,247.3
1,243.4
1,184.5
1,140.9
230.4
304.7
304.7
277.9
354.1
389.4
403.8
402.6
425.3
417.5
29,726.3
30,615.2
30,920.8
31,713.8
32,280.4
9,957.7
10,151.2
10,688.7
11,226.8
11,923.1
39,684.0
40,766.5
41,609.5
42,940.6
44,203.5
1980
1981
1982
1983
1984
31,774.8
33,201.3
35,100.5
37,028.8
38,230.8
1,174.0
1,236.2
1,370.6
1,503.6
1,609.6
482.4
501.6
410.0
342.1
318.2
469.8
572.2
544.4
537.8
574.5
33,901.0
35,511.3
37,425.5
39,412.3
40,733.1
12,775.2
13,286.6
13,672.1
13,677.9
14,313.7
46,676.2
48,797.9
51,097.5
53,090.2
55,046.8
1985
1986
1987
1988
1989
39,681.7
41,604.7
42,868.1
45,077.1
47,023.6
1,629.3
1,719.5
1,764.7
1,918.1
2,017.2
389.1
423.9
526.9
382.4
389.3
650.9
624.6
627.2
670.1
677.5
42,351.0
44,372.7
45,787.0
48,047.6
50,107.7
15,125.0
15,902.9
16,147.0
16,585.9
17,469.9
57,476.0
60,275.6
61,934.0
64,633.6
67,577.6
1990
1991
1992
1993
1994
48,187.1
50,300.9
51,154.3
50,743.2
50,294.9
2,237.4
2,304.4
2,336.9
2,393.3
2,599.6
413.7
409.0
420.6
401.3
461.7
731.8
785.5
745.3
716.6
707.1
51,569.9
53,799.7
54,657.0
54,254.4
54,063.2
18,224.5
18,798.4
19,440.8
20,451.6
21,196.6
69,794.4
72,598.2
74,097.8
74,706.0
75,259.8
1995
1996
1997
1998
1999
49,791.4
49,755.4
51,143.2
53,777.4
56,792.1
2,718.3
2,642.4
2,828.0
2,992.0
3,065.2
403.6
353.2
318.7
754.3
551.7
731.6
780.0
911.5
991.6
1,105.0
53,644.8
53,531.0
55,201.3
58,515.3
61,514.1
21,885.0
22,219.8
23,533.1
24,343.2
25,976.5
75,529.8
75,750.7
78,734.4
82,858.5
87,490.6
2000
2001
2002
2003
2004
59,403.3
62,836.1
65,149.2
68,327.4
71,632.7
3,369.1
3,900.2
3,663.6
4,032.7
4,033.8
647.5
716.5
736.4
799.5
896.6
1,227.5
1,295.4
1,322.5
1,473.1
1,550.4
64,647.3
68,748.2
70,871.7
74,632.6
78,113.5
27,418.7
29,324.4
31,404.6
32,488.5
34,040.5
92,066.0
98,072.6
102,276.3
107,121.1
112,154.0
2005
2006
2007
2008
2009
74,208.2
76,792.7
79,711.0
83,278.4
86,272.6
4,018.4
4,154.4
4,354.0
4,708.0
4,972.5
824.4
820.2
741.5
645.0
679.0
1,591.5
1,670.2
1,698.4
1,785.0
1,731.8
80,642.6
83,437.6
86,505.0
90,416.4
93,655.8
35,257.5
37,593.3
38,570.5
40,144.2
40,834.1
115,900.1
121,030.9
125,075.5
130,560.6
134,489.9
2010 f
2011 f
89,138.0
89,714.1
4,914.3
4,886.0
698.1
582.3
1,796.7
1,842.2
96,547.0
97,024.5
42,235.3
44,249.7
138,782.3
141,274.3
1976*
1980*
3.0
4.6
-2.0
2.9
32.2
36.2
3.7
12.5
3.0
5.0
1.9
7.1
2.7
5.6
1985
1986
1987
1988
1989
3.8
4.8
3.0
5.2
4.3
1.2
5.5
2.6
8.7
5.2
22.3
8.9
24.3
-27.4
1.8
13.3
-4.0
0.4
6.8
1.1
4.0
4.8
3.2
4.9
4.3
5.7
5.1
1.5
2.7
5.3
4.4
4.9
2.8
4.4
4.6
1990
1991
1992
1993
1994
2.5
4.4
1.7
-0.8
-0.9
10.9
3.0
1.4
2.4
8.6
6.3
-1.1
2.8
-4.6
15.0
8.0
7.3
-5.1
-3.9
-1.3
2.9
4.3
1.6
-0.7
-0.4
4.3
3.1
3.4
5.2
3.6
3.3
4.0
2.1
0.8
0.7
1995
1996
1997
1998
1999
-1.0
-0.1
2.8
5.2
5.6
4.6
-2.8
7.0
5.8
2.4
-12.6
-12.5
-9.8
136.7
-26.9
3.5
6.6
16.9
8.8
11.4
-0.8
-0.2
3.1
6.0
5.1
3.2
1.5
5.9
3.4
6.7
0.4
0.3
3.9
5.2
5.6
2000
2001
2002
2003
2004
4.6
5.8
3.7
4.9
4.8
9.9
15.8
-6.1
10.1
0.0
17.4
10.7
2.8
8.6
12.1
11.1
5.5
2.1
11.4
5.2
5.1
6.3
3.1
5.3
4.7
5.6
7.0
7.1
3.5
4.8
5.2
6.5
4.3
4.7
4.7
2005
2006
2007
2008
2009
3.6
3.5
3.8
4.5
3.6
-0.4
3.4
4.8
8.1
5.6
-8.0
-0.5
-9.6
-13.0
5.3
2.7
4.9
1.7
5.1
-3.0
3.2
3.5
3.7
4.5
3.6
3.6
6.6
2.6
4.1
1.7
3.3
4.4
3.3
4.4
3.0
2010 f
2011 f
3.3
0.6
-1.2
-0.6
2.8
-16.6
3.7
2.5
3.1
0.5
3.4
4.8
3.2
1.8
(in 1997 $’ 000,000)
Year
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
122
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table A.2.5
Total Health Expenditure by Source of Finance, Canada, 1975 to 2011—Constant Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
1976
1977
1978
1979
1,202.7
1,222.2
1,221.0
1,244.7
1,254.8
55.0
53.2
52.4
49.4
47.1
10.0
13.0
12.8
11.6
14.6
16.8
17.2
17.0
17.7
17.3
1,284.4
1,305.6
1,303.2
1,323.4
1,333.8
430.3
432.9
450.5
468.5
492.7
1,714.7
1,738.5
1,753.8
1,791.9
1,826.5
1980
1981
1982
1983
1984
1,296.1
1,337.7
1,397.5
1,459.7
1,492.9
47.9
49.8
54.6
59.3
62.9
19.7
20.2
16.3
13.5
12.4
19.2
23.1
21.7
21.2
22.4
1,382.8
1,430.7
1,490.0
1,553.7
1,590.7
521.1
535.3
544.3
539.2
559.0
1,903.9
1,966.0
2,034.3
2,092.9
2,149.6
1985
1986
1987
1988
1989
1,535.5
1,594.0
1,620.8
1,682.3
1,723.6
63.0
65.9
66.7
71.6
73.9
15.1
16.2
19.9
14.3
14.3
25.2
23.9
23.7
25.0
24.8
1,638.8
1,700.0
1,731.2
1,793.1
1,836.7
585.3
609.3
610.5
619.0
640.3
2,224.1
2,309.3
2,341.7
2,412.1
2,477.0
1990
1991
1992
1993
1994
1,739.8
1,794.4
1,803.3
1,769.2
1,734.4
80.8
82.2
82.4
83.4
89.6
14.9
14.6
14.8
14.0
15.9
26.4
28.0
26.3
25.0
24.4
1,861.9
1,919.3
1,926.8
1,891.6
1,864.3
658.0
670.6
685.3
713.0
730.9
2,519.9
2,589.9
2,612.1
2,604.6
2,595.2
1995
1996
1997
1998
1999
1,699.2
1,680.3
1,710.1
1,783.2
1,867.9
92.8
89.2
94.6
99.2
100.8
13.8
11.9
10.7
25.0
18.1
25.0
26.3
30.5
32.9
36.3
1,830.7
1,807.8
1,845.7
1,940.4
2,023.2
746.9
750.4
786.9
807.2
854.4
2,577.6
2,558.2
2,632.6
2,747.6
2,877.6
2000
2001
2002
2003
2004
1,935.7
2,025.6
2,076.6
2,157.1
2,238.9
109.8
125.7
116.8
127.3
126.1
21.1
23.1
23.5
25.2
28.0
40.0
41.8
42.2
46.5
48.5
2,106.5
2,216.2
2,259.0
2,356.1
2,441.4
893.4
945.3
1,001.0
1,025.6
1,063.9
3,000.0
3,161.5
3,260.1
3,381.8
3,505.3
2005
2006
2007
2008
2009
2,296.6
2,357.3
2,420.6
2,499.7
2,558.5
124.4
127.5
132.2
141.3
147.5
25.5
25.2
22.5
19.4
20.1
49.3
51.3
51.6
53.6
51.4
2,495.7
2,561.3
2,627.0
2,713.9
2,777.4
1,091.2
1,154.0
1,171.3
1,205.0
1,211.0
3,586.9
3,715.3
3,798.3
3,918.9
3,988.4
2010 f
2011 f
2,613.3
2,600.3
144.1
141.6
20.5
16.9
52.7
53.4
2,830.6
2,812.1
1,238.3
1,282.5
4,068.8
4,094.7
1976*
1980*
1.6
3.3
-3.2
1.6
30.5
34.5
2.4
11.1
1.6
3.7
0.6
5.8
1.4
4.2
1985
1986
1987
1988
1989
2.9
3.8
1.7
3.8
2.5
0.3
4.5
1.3
7.3
3.3
21.2
7.9
22.7
-28.4
0.0
12.3
-5.0
-0.9
5.5
-0.7
3.0
3.7
1.8
3.6
2.4
4.7
4.1
0.2
1.4
3.5
3.5
3.8
1.4
3.0
2.7
1990
1991
1992
1993
1994
0.9
3.1
0.5
-1.9
-2.0
9.2
1.8
0.2
1.3
7.4
4.7
-2.3
1.6
-5.6
13.8
6.4
6.1
-6.2
-4.9
-2.4
1.4
3.1
0.4
-1.8
-1.4
2.8
1.9
2.2
4.0
2.5
1.7
2.8
0.9
-0.3
-0.4
1995
1996
1997
1998
1999
-2.0
-1.1
1.8
4.3
4.7
3.5
-3.8
6.0
4.9
1.6
-13.5
-13.4
-10.7
134.8
-27.5
2.4
5.5
15.7
7.9
10.5
-1.8
-1.3
2.1
5.1
4.3
2.2
0.5
4.9
2.6
5.8
-0.7
-0.8
2.9
4.4
4.7
2000
2001
2002
2003
2004
3.6
4.6
2.5
3.9
3.8
8.9
14.5
-7.1
9.0
-1.0
16.3
9.5
1.6
7.5
11.0
10.1
4.4
0.9
10.3
4.2
4.1
5.2
1.9
4.3
3.6
4.6
5.8
5.9
2.5
3.7
4.3
5.4
3.1
3.7
3.7
2005
2006
2007
2008
2009
2.6
2.6
2.7
3.3
2.4
-1.4
2.5
3.7
6.9
4.4
-8.9
-1.3
-10.6
-14.0
4.0
1.6
4.1
0.6
3.9
-4.1
2.2
2.6
2.6
3.3
2.3
2.6
5.8
1.5
2.9
0.5
2.3
3.6
2.2
3.2
1.8
2010 f
2011 f
2.1
-0.5
-2.3
-1.7
1.6
-17.5
2.6
1.4
1.9
-0.7
2.3
3.6
2.0
0.6
(in 1997 $’ per capita)
Year
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2011.
123
National Health Expenditure Trends, 1975 to 2011
Table A.3.1.1—Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars
Year
Hospitals
Other
Institutions
Physicians
A
B
C
Dental Services
Other Professionals
Vision Care
Services
Other
Subtotal
D
($’ 000,000)
1975
5,454.9
741.7
226.1
128.4
1,096.2
1976
6,357.3
1,368.6
2,071.0
869.1
260.1
145.5
1,274.7
1977
6,792.8
1,577.0
1,125.0
2,284.4
1,839.9
1,034.6
295.8
162.6
1,493.0
1978
7,382.0
1,851.8
2,566.7
1,191.3
336.0
186.3
1,713.5
1979
8,114.1
2,171.7
2,857.1
1,374.5
365.8
219.2
1,959.5
1980
9,334.4
2,539.6
3,287.5
1,592.0
414.4
255.4
2,261.7
1981
11,030.7
2,889.9
3,824.8
1,811.8
513.6
303.7
2,629.1
1982
13,092.8
3,384.8
4,420.8
2,072.7
609.8
357.3
3,039.8
1983
14,417.6
3,741.6
5,052.7
2,225.7
715.0
411.6
3,352.4
1984
15,344.8
3,915.5
5,525.9
2,402.3
829.4
452.2
3,683.8
1985
16,260.3
4,105.9
6,045.7
2,711.3
925.9
496.4
4,133.6
1986
17,637.2
4,087.3
6,674.8
2,959.6
1,002.2
562.0
4,523.8
1987
18,951.1
4,329.2
7,342.8
3,203.6
1,075.6
634.3
4,913.5
1988
20,400.3
4,738.7
7,942.1
3,494.0
1,184.2
715.6
5,393.8
1989
22,270.1
5,141.3
8,506.7
3,820.7
1,302.3
833.8
5,956.7
1990
23,866.4
5,748.2
9,245.1
4,139.0
1,402.7
956.6
6,498.3
1991
25,716.3
6,345.2
10,205.5
4,467.5
1,484.8
1,082.7
7,035.0
1992
26,670.3
6,788.4
10,448.5
4,690.2
1,535.0
1,171.6
7,396.8
7,734.3
1993
26,744.4
6,797.4
10,499.1
4,926.9
1,587.0
1,220.4
1994
26,172.6
6,923.4
10,731.8
5,217.1
1,683.0
1,253.7
8,153.9
1995
25,511.9
7,153.6
10,638.3
5,482.5
1,774.4
1,293.9
8,550.8
1996
25,205.5
7,309.0
10,759.1
5,660.3
1,830.1
1,334.7
8,825.2
1997
24,778.0
8,620.0
11,324.0
5,883.0
2,189.2
1,523.0
9,595.2
1998
25,757.4
9,373.1
11,805.4
6,261.4
2,278.1
1,504.9
10,044.4
1999
26,843.6
9,955.6
12,411.4
6,757.4
2,348.8
1,702.1
10,808.2
2000
29,110.4
10,806.7
13,221.8
7,176.0
2,576.4
1,783.4
11,535.8
2001
30,964.6
11,495.3
14,149.7
7,761.1
2,761.1
1,998.0
12,520.2
2002
33,483.9
12,242.7
15,026.2
8,244.2
2,799.8
2,013.9
13,057.8
2003
36,003.0
12,938.2
15,838.9
8,472.9
2,681.6
2,050.2
13,204.7
2004
38,844.0
14,056.8
16,718.9
8,971.9
3,062.4
2,149.2
14,183.5
2005
40,989.4
14,458.4
17,887.6
9,822.5
3,182.5
2,176.4
15,181.3
2006
43,620.1
15,441.9
19,342.9
10,364.5
3,443.8
2,503.0
16,311.3
2007
46,095.9
16,122.6
20,805.2
11,107.3
3,769.7
2,513.1
17,390.2
2008
49,504.2
16,887.4
22,977.8
11,833.5
3,925.8
2,840.6
18,599.9
2009
52,949.5
18,092.2
24,822.7
12,136.9
4,221.4
2,814.9
19,173.2
2010 f
56,297.2
19,378.0
26,604.9
12,863.6
4,411.0
2,975.5
20,250.1
2011 f
58,417.4
20,233.0
28,095.0
13,770.0
4,674.5
3,166.2
21,610.7
1976*
1980*
16.5
15.0
21.7
16.9
12.6
15.1
17.2
15.8
15.0
13.3
13.3
16.5
16.3
15.4
1985
6.0
4.9
9.4
12.9
11.6
9.8
12.2
1986
8.5
-0.5
10.4
9.2
8.2
13.2
9.4
1987
7.4
5.9
10.0
8.2
7.3
12.9
8.6
1988
7.6
9.5
8.2
9.1
10.1
12.8
9.8
1989
9.2
8.5
7.1
9.3
10.0
16.5
10.4
1990
7.2
11.8
8.7
8.3
7.7
14.7
9.1
1991
7.8
10.4
10.4
7.9
5.8
13.2
8.3
1992
3.7
7.0
2.4
5.0
3.4
8.2
5.1
1993
0.3
0.1
0.5
5.0
3.4
4.2
4.6
1994
-2.1
1.9
2.2
5.9
6.1
2.7
5.4
1995
1996
1997
-2.5
-1.2
-1.7
3.3
2.2
17.9
-0.9
1.1
5.3
5.1
3.2
3.9
5.4
3.1
19.6
3.2
3.2
14.1
4.9
3.2
8.7
(annual percentage change)*
1998
4.0
8.7
4.3
6.4
4.1
-1.2
4.7
1999
4.2
6.2
5.1
7.9
3.1
13.1
7.6
2000
2001
2002
2003
2004
8.4
6.4
8.1
7.5
7.9
8.5
6.4
6.5
5.7
8.6
6.5
7.0
6.2
5.4
5.6
6.2
8.2
6.2
2.8
5.9
9.7
7.2
1.4
-4.2
14.2
4.8
12.0
0.8
1.8
4.8
6.7
8.5
4.3
1.1
7.4
2005
2006
2007
2008
2009
5.5
6.4
5.7
7.4
7.0
2.9
6.8
4.4
4.7
7.1
7.0
8.1
7.6
10.4
8.0
9.5
5.5
7.2
6.5
2.6
3.9
8.2
9.5
4.1
7.5
1.3
15.0
0.4
13.0
-0.9
7.0
7.4
6.6
7.0
3.1
2010 f
6.3
7.1
7.2
6.0
4.5
5.7
5.6
2011 f
3.8
4.4
5.6
7.0
6.0
6.4
6.7
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
124
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table A.3.1.1—Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars (cont'd)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
E
Capital Public Health Administration
F
G
($’ 000,000)
Other Health Spending
Health
Research
Other
H
Subtotal
J
Grand Total
A+B+C+D
+E+F+G+H+J
771.7
305.6
1,077.3
536.1
406.8
343.6
93.7
226.0
319.7
12,199.4
883.4
316.0
1,199.4
544.1
510.6
361.9
105.4
256.7
362.1
14,049.8
987.9
324.5
1,312.4
563.7
598.5
408.3
129.4
290.3
419.7
15,450.0
1,052.7
392.8
1,445.5
672.2
615.4
406.7
150.4
302.5
452.9
17,106.8
1,162.9
495.5
1,658.4
725.2
707.0
451.8
173.7
351.3
524.9
19,169.7
1,298.4
586.3
1,884.6
990.7
845.4
512.3
202.5
439.5
642.1
22,298.4
1,677.1
655.0
2,332.1
1,111.2
1,006.1
631.5
231.2
590.2
821.3
26,276.7
1,924.1
715.0
2,639.1
1,394.8
1,149.7
693.3
258.0
686.1
944.1
30,759.1
2,107.1
845.9
2,953.0
1,436.6
1,241.4
763.6
297.3
782.4
1,079.7
34,038.6
2,255.6
1,058.6
3,314.2
1,504.1
1,376.5
897.6
336.9
843.7
1,180.6
36,743.1
2,566.5
1,235.9
3,802.3
1,651.2
1,515.7
966.1
381.8
979.8
1,361.6
39,842.4
3,018.0
1,399.0
4,417.1
1,801.4
1,570.2
1,030.6
453.7
1,142.1
1,595.8
43,338.1
3,293.1
1,621.7
4,914.9
1,871.8
1,661.0
1,060.1
453.0
1,291.9
1,744.9
46,789.2
3,736.8
1,784.9
5,521.7
1,901.7
1,786.6
1,225.5
508.0
1,541.7
2,049.7
50,960.1
4,262.9
1,975.6
6,238.5
2,092.8
1,953.6
1,525.0
589.1
1,822.4
2,411.5
56,096.2
4,871.8
2,058.7
6,930.5
2,123.7
2,138.5
1,657.3
671.4
2,146.9
2,818.3
61,026.3
5,468.7
2,236.6
7,705.3
2,027.5
2,316.5
1,780.5
699.3
2,458.9
3,158.2
66,289.8
6,100.7
2,418.1
8,518.8
2,058.0
2,539.6
1,873.5
807.2
2,648.7
3,455.9
69,749.9
6,603.5
2,576.0
9,179.6
2,016.9
2,761.5
2,071.0
794.1
2,901.7
3,695.9
71,500.0
6,760.9
2,764.0
9,524.9
2,272.8
3,059.8
2,298.4
804.9
3,168.8
3,973.7
73,111.4
7,399.0
2,788.4
10,187.4
2,263.1
3,245.0
2,429.9
808.8
3,297.5
4,106.3
74,086.4
7,601.0
2,846.7
10,447.8
2,160.0
3,371.5
2,489.6
819.9
3,326.5
4,146.4
74,713.9
8,530.9
2,976.8
11,507.7
2,122.0
3,510.1
2,515.9
1,089.7
3,671.9
4,761.5
78,734.4
9,451.1
3,171.3
12,622.4
2,301.5
4,400.7
2,455.4
1,295.0
4,028.5
5,323.6
84,083.9
10,240.3
3,358.8
13,599.2
3,508.9
4,769.4
2,759.9
1,324.4
4,382.8
5,707.2
90,363.4
11,724.6
3,420.3
15,144.8
3,965.5
5,426.7
3,101.6
1,579.5
4,696.3
6,275.8
98,589.1
13,166.6
3,536.4
16,703.0
4,508.7
6,234.4
3,731.2
2,072.8
4,828.4
6,901.2
107,208.3
14,750.9
3,684.7
18,435.6
4,933.0
6,523.6
4,215.2
2,058.2
5,116.9
7,175.1
115,093.2
16,413.7
3,762.2
20,176.0
5,601.6
7,636.8
4,704.8
2,304.2
5,270.1
7,574.3
123,678.4
17,855.8
3,930.2
21,786.0
5,510.0
7,769.5
4,975.6
2,486.6
5,456.2
7,942.8
131,787.1
5,165.4
2,540.4
8,534.3
140,653.4
20,830.9
4,263.2
25,094.1
7,240.7
9,301.4
5,225.3
2,871.3
6,474.6
9,345.9
150,923.6
21,999.6
19,109.9
4,439.9
4,084.0
26,439.6
23,193.8
7,255.4
6,596.7
10,526.1
8,646.4
5,653.9
3,090.3
7,068.1
5,993.9
10,158.5
160,447.3
23,406.8
4,515.7
27,922.4
8,167.7
11,085.5
5,860.5
3,591.8
7,626.2
11,218.0
172,223.5
24,807.3
4,756.5
29,563.7
8,761.9
11,409.4
5,831.8
3,538.6
7,969.6
11,508.2
182,112.7
25,961.7
4,839.1
30,800.8
9,966.9
11,623.5
5,985.3
3,565.7
8,381.5
11,947.2
192,853.9
27,181.6
4,862.4
32,043.9
9,069.0
12,498.9
6,114.7
3,738.1
8,678.3
12,416.4
200,499.1
12.5
16.6
13.6
25.1
13.2
22.3
15.2
16.3
(annual percentage change)*
14.5
11.7
13.8
3.4
18.3
16.7
11.3
13.6
14.7
1.5
36.6
25.5
19.6
9.8
10.1
5.3
13.4
7.6
13.3
16.1
15.3
8.4
17.6
13.2
16.2
9.1
3.6
6.7
18.8
16.6
17.2
8.8
9.1
15.9
11.3
3.9
5.8
2.9
-0.2
13.1
9.3
8.0
13.5
10.1
12.3
1.6
7.6
15.6
12.1
19.3
17.5
8.9
14.1
10.7
13.0
10.0
9.3
24.4
16.0
18.2
17.7
10.1
14.3
4.2
11.1
1.5
9.5
8.7
14.0
17.8
16.9
8.8
12.3
8.6
11.2
-4.5
8.3
7.4
4.2
14.5
12.1
8.6
11.6
8.1
10.6
5.2
15.4
8.2
6.5
7.8
-2.0
8.7
10.5
-1.6
9.6
6.9
2.5
2.4
7.3
3.8
12.7
10.8
11.0
1.4
9.2
7.5
2.3
9.4
2.7
12.2
0.9
2.1
4.6
7.0
2.6
10.1
-0.4
-4.6
-1.8
6.1
3.9
4.1
5.7
2.5
1.1
0.5
1.4
32.9
4.1
0.9
10.4
3.3
1.0
14.8
1.3
0.8
5.4
6.8
1.5
9.6
7.7
9.4
5.2
10.8
6.5
9.7
8.5
25.4
-2.4
18.8
9.7
11.8
8.4
5.9
7.7
52.5
8.4
12.4
2.3
8.8
7.2
7.5
14.5
12.3
12.0
11.3
8.8
1.8
3.4
4.2
2.1
4.5
11.4
10.3
10.4
9.4
8.0
13.0
13.7
9.4
13.6
-1.6
13.8
14.9
4.6
17.1
1.7
12.4
20.3
13.0
11.6
5.8
19.3
31.2
-0.7
11.9
7.9
7.2
2.8
6.0
3.0
3.5
10.0
10.0
4.0
5.6
4.9
9.1
8.7
7.4
7.5
6.6
7.0
9.0
5.6
6.4
6.0
3.9
4.4
4.1
1.7
5.3
6.5
8.2
5.4
5.6
5.9
19.7
9.8
0.2
12.6
7.3
11.3
7.6
13.2
5.3
2.9
3.8
1.2
8.2
3.7
-0.5
2.2
13.0
7.6
16.2
-1.5
9.9
8.0
9.2
7.9
4.5
7.4
9.5
8.7
10.4
2.6
6.7
7.3
6.3
7.3
5.7
4.7
1.7
4.2
13.8
1.9
2.6
0.8
5.2
3.8
5.9
4.7
0.5
4.0
-9.0
7.5
2.2
4.8
3.5
3.9
4.0
Canadian Institute for Health Information, 2011.
125
National Health Expenditure Trends, 1975 to 2011
Table A.3.1.2—Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars
Hospitals
Other
Institutions
A
B
Year
1975
Subtotal
D
15.1
6.1
1.9
1.1
1976
45.2
9.7
14.7
6.2
1.9
1.0
9.1
44.0
10.2
14.8
6.7
1.9
1.1
9.7
1978
43.2
10.8
15.0
7.0
2.0
1.1
10.0
1979
42.3
11.3
14.9
7.2
1.9
1.1
10.2
1980
41.9
11.4
14.7
7.1
1.9
1.1
10.1
1981
42.0
11.0
14.6
6.9
2.0
1.2
10.0
1982
42.6
11.0
14.4
6.7
2.0
1.2
9.9
1983
42.4
11.0
14.8
6.5
2.1
1.2
9.8
1984
41.8
10.7
15.0
6.5
2.3
1.2
10.0
1985
40.8
10.3
15.2
6.8
2.3
1.2
10.4
1986
40.7
9.4
15.4
6.8
2.3
1.3
10.4
40.5
9.2
Dental Services
C
(percentage distribution of $’ 000,000)
1977
1987
44.7
Physicians
Other Professionals
Vision Care
Services
Other
9.3
15.7
6.8
2.3
1.4
9.0
10.5
1988
40.0
9.3
15.6
6.9
2.3
1.4
10.6
1989
39.7
9.2
15.2
6.8
2.3
1.5
10.6
1990
39.1
9.4
15.1
6.8
2.3
1.6
10.6
1991
38.8
9.6
15.4
6.7
2.2
1.6
10.6
1992
38.2
9.7
15.0
6.7
2.2
1.7
10.6
1993
37.4
9.5
14.7
6.9
2.2
1.7
10.8
1994
35.8
9.5
14.7
7.1
2.3
1.7
11.2
9.7
14.4
7.4
2.4
1.7
11.5
1996
33.7
9.8
14.4
7.6
2.4
1.8
11.8
1997
1995
31.5
34.4
10.9
14.4
7.5
2.8
1.9
12.2
1998
30.6
11.1
14.0
7.4
2.7
1.8
11.9
1999
29.7
11.0
13.7
7.5
2.6
1.9
12.0
2000
2001
2002
2003
2004
29.5
28.9
29.1
29.1
29.5
11.0
10.7
10.6
10.5
10.7
13.4
13.2
13.1
12.8
12.7
7.3
7.2
7.2
6.9
6.8
2.6
2.6
2.4
2.2
2.3
1.8
1.9
1.7
1.7
1.6
11.7
11.7
11.3
10.7
10.8
2005
2006
2007
2008
2009
29.1
28.9
28.7
28.7
29.1
10.3
10.2
10.0
9.8
9.9
12.7
12.8
13.0
13.3
13.6
7.0
6.9
6.9
6.9
6.7
2.3
2.3
2.3
2.3
2.3
1.5
1.7
1.6
1.6
1.5
10.8
10.8
10.8
10.8
10.5
2010 f
29.2
10.0
13.8
6.7
2.3
1.5
10.5
2011 f
29.1
10.1
14.0
6.9
2.3
1.6
10.8
-0.1
-2.6
-1.6
0.2
1.0
-0.8
3.5
(annual percentage change)*
1976*
1980*
1.2
-1.1
5.6
0.5
-2.3
-1.1
1.8
-0.4
1985
-2.3
-3.3
0.9
4.1
3.0
1.2
1986
-0.3
-8.5
1.5
0.4
-0.5
4.1
1987
-0.5
-1.9
1.9
0.3
-0.6
4.6
0.6
1988
-1.2
0.5
-0.7
0.1
1.1
3.6
0.8
1989
-0.8
-1.4
-2.7
-0.7
-0.1
5.8
0.3
1990
-1.5
2.8
-0.1
-0.4
-1.0
5.5
0.3
1991
-0.8
1.6
1.6
-0.6
-2.6
4.2
-0.3
1992
-1.4
1.7
-2.7
-0.2
-1.7
2.8
-0.1
1993
-2.2
-2.3
-2.0
2.5
0.9
1.6
2.0
1994
-4.3
-0.4
0.0
3.6
3.7
0.5
3.1
1995
-3.8
2.0
-2.2
3.7
4.0
1.8
3.5
1996
-2.0
1.3
0.3
2.4
2.3
2.3
2.3
1997
-6.7
11.9
-0.1
-1.4
13.5
8.3
3.2
1998
-2.7
1.8
-2.4
-0.3
-2.6
-7.5
-2.0
1999
-3.0
-1.2
-2.2
0.4
-4.1
5.2
0.1
2000
2001
2002
2003
2004
-0.6
-2.2
0.7
0.1
1.3
-0.5
-2.2
-0.8
-1.7
2.0
-2.4
-1.6
-1.1
-1.9
-0.9
-2.7
-0.5
-1.1
-4.4
-0.6
0.5
-1.4
-5.5
-10.9
7.2
-4.0
3.0
-6.1
-5.3
-1.6
-2.2
-0.2
-2.9
-5.9
0.8
2005
2006
2007
2008
2009
-1.1
-0.8
-0.6
0.1
1.2
-3.6
-0.5
-1.8
-2.4
1.3
0.2
0.8
1.2
2.9
2.2
2.6
-1.7
0.8
-0.7
-3.0
-2.6
0.8
3.0
-3.0
1.7
-5.1
7.2
-5.6
5.3
-6.3
0.3
0.1
0.3
-0.4
-2.5
2010 f
0.4
1.1
1.2
0.1
-1.3
-0.2
-0.3
2011 f
-0.2
0.4
1.6
3.0
1.9
2.4
2.7
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
126
0.6
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table A.3.1.2—Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars (cont'd)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
E
6.3
2.5
8.8
Capital Public Health Administration
Other Health Spending
Health
Research
Other
F
G
H
(percentage distribution of $’ 000,000)
4.4
3.3
2.8
Subtotal
J
0.8
1.9
2.6
Grand Total
A+B+C+D
+E+F+G+H+J
100.0
6.3
2.2
8.5
3.9
3.6
2.6
0.8
1.8
2.6
100.0
6.4
2.1
8.5
3.6
3.9
2.6
0.8
1.9
2.7
100.0
6.2
2.3
8.4
3.9
3.6
2.4
0.9
1.8
2.6
100.0
6.1
2.6
8.7
3.8
3.7
2.4
0.9
1.8
2.7
100.0
5.8
2.6
8.5
4.4
3.8
2.3
0.9
2.0
2.9
100.0
6.4
2.5
8.9
4.2
3.8
2.4
0.9
2.2
3.1
100.0
6.3
2.3
8.6
4.5
3.7
2.3
0.8
2.2
3.1
100.0
6.2
2.5
8.7
4.2
3.6
2.2
0.9
2.3
3.2
100.0
6.1
2.9
9.0
4.1
3.7
2.4
0.9
2.3
3.2
100.0
6.4
3.1
9.5
4.1
3.8
2.4
1.0
2.5
3.4
100.0
7.0
3.2
10.2
4.2
3.6
2.4
1.0
2.6
3.7
100.0
7.0
3.5
10.5
4.0
3.5
2.3
1.0
2.8
3.7
100.0
7.3
3.5
10.8
3.7
3.5
2.4
1.0
3.0
4.0
100.0
7.6
3.5
11.1
3.7
3.5
2.7
1.1
3.2
4.3
100.0
8.0
3.4
11.4
3.5
3.5
2.7
1.1
3.5
4.6
100.0
8.2
3.4
11.6
3.1
3.5
2.7
1.1
3.7
4.8
100.0
8.7
3.5
12.2
3.0
3.6
2.7
1.2
3.8
5.0
100.0
9.2
3.6
12.8
2.8
3.9
2.9
1.1
4.1
5.2
100.0
9.2
3.8
13.0
3.1
4.2
3.1
1.1
4.3
5.4
100.0
10.0
3.8
13.8
3.1
4.4
3.3
1.1
4.5
5.5
100.0
10.2
3.8
14.0
2.9
4.5
3.3
1.1
4.5
5.5
100.0
10.8
3.8
14.6
2.7
4.5
3.2
1.4
4.7
6.0
100.0
11.2
3.8
15.0
2.7
5.2
2.9
1.5
4.8
6.3
100.0
11.3
3.7
15.0
3.9
5.3
3.1
1.5
4.9
6.3
100.0
11.9
12.3
12.8
13.3
13.5
3.5
3.3
3.2
3.0
3.0
15.4
15.6
16.0
16.3
16.5
4.0
4.2
4.3
4.5
4.2
5.5
5.8
5.7
6.2
5.9
3.1
3.5
3.7
3.8
3.8
1.6
1.9
1.8
1.9
1.9
4.8
4.5
4.4
4.3
4.1
6.4
6.4
6.2
6.1
6.0
100.0
100.0
100.0
100.0
100.0
13.6
13.8
13.7
13.6
13.6
2.9
2.8
2.8
2.6
2.6
16.5
16.6
16.5
16.2
16.2
4.7
4.8
4.5
4.7
4.8
6.1
6.2
6.6
6.4
6.3
3.7
3.5
3.5
3.4
3.2
1.8
1.9
1.9
2.1
1.9
4.3
4.3
4.4
4.4
4.4
6.1
6.2
6.3
6.5
6.3
100.0
100.0
100.0
100.0
100.0
13.5
2.5
16.0
5.2
6.0
3.1
1.8
4.3
6.2
100.0
13.6
2.4
16.0
4.5
6.2
3.0
1.9
4.3
6.2
100.0
-0.6
-4.0
-10.2
1.7
-3.3
-2.3
-11.9
17.5
-2.3
0.3
-1.4
7.6
-1.7
5.2
-----
(annual percentage change)*
4.9
7.7
5.8
1.2
9.0
2.8
1.5
-8.5
-2.5
-0.7
4.5
7.1
6.4
---
8.1
4.1
6.8
0.3
-4.8
-1.9
9.2
7.2
7.7
---
1.1
7.4
3.1
-3.8
-2.0
-4.7
-7.5
4.8
1.3
---
4.2
1.1
3.2
-6.7
-1.2
6.1
3.0
9.6
7.9
---
3.6
0.5
2.6
0.0
-0.7
13.0
5.4
7.4
6.9
---
5.1
-4.2
2.1
-6.7
0.6
-0.1
4.8
8.3
7.4
---
3.3
0.0
2.4
-12.1
-0.3
-1.1
-4.1
5.4
3.2
---
6.0
2.8
5.1
-3.5
4.2
0.0
9.7
2.4
4.0
---
5.6
3.9
5.1
-4.4
6.1
7.8
-4.0
6.9
4.3
---
0.1
4.9
1.5
10.2
8.4
8.5
-0.9
6.8
5.1
---
8.0
-0.4
5.5
-1.7
4.7
4.3
-0.8
2.7
2.0
---
1.9
1.2
1.7
-5.4
3.0
1.6
0.5
0.0
0.1
---
6.5
-0.8
4.5
-6.8
-1.2
-4.1
26.1
4.7
9.0
-----
3.7
-0.2
2.7
1.6
17.4
-8.6
11.3
2.7
4.7
0.8
-1.4
0.3
41.9
0.8
4.6
-4.8
1.2
-0.2
---
4.9
3.3
4.4
3.5
2.1
-6.7
-4.9
-2.9
-5.0
-2.0
2.1
1.4
2.8
1.8
1.3
3.6
4.6
1.9
5.7
-7.7
4.3
5.6
-2.5
8.9
-4.5
3.0
10.6
5.2
3.9
-0.8
9.3
20.7
-7.5
4.2
1.3
-1.8
-5.5
-1.3
-4.2
-2.8
0.8
1.1
-3.2
-1.8
-1.6
-----------
0.3
1.6
-0.7
-0.9
0.2
-2.6
-2.7
-2.0
-5.2
-0.4
-0.2
0.8
-0.9
-1.6
0.1
12.2
2.3
-5.7
4.9
1.4
4.3
0.3
6.4
-1.9
-2.7
-2.7
-5.7
1.8
-3.4
-5.9
-4.3
5.3
1.2
8.3
-6.8
2.9
0.7
2.7
0.5
-1.2
0.7
2.1
2.2
2.9
-3.0
-----------
-1.2
-3.9
-1.6
7.4
-3.8
-3.1
-4.8
-0.7
-2.0
---
0.7
-3.4
0.1
-12.5
3.4
-1.7
0.8
-0.4
0.0
---
Canadian Institute for Health Information, 2011.
127
National Health Expenditure Trends, 1975 to 2011
Table A.3.1.3—Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars
Year
Hospitals
Other
Institutions
Physicians
A
B
C
Dental Services
Other Professionals
Vision Care
Services
Other
Subtotal
D
($’ per capita)
1975
235.7
48.6
79.5
32.0
9.8
5.5
47.4
1976
271.1
58.4
88.3
37.1
11.1
6.2
54.4
1977
286.3
66.5
96.3
43.6
12.5
6.9
62.9
1978
308.1
77.3
107.1
49.7
14.0
7.8
71.5
1979
335.3
89.7
118.1
56.8
15.1
9.1
81.0
1980
380.7
103.6
134.1
64.9
16.9
10.4
92.3
1981
444.4
116.4
154.1
73.0
20.7
12.2
105.9
1982
521.3
134.8
176.0
82.5
24.3
14.2
121.0
1983
568.4
147.5
199.2
87.7
28.2
16.2
132.2
1984
599.2
152.9
215.8
93.8
32.4
17.7
143.9
1985
629.2
158.9
233.9
104.9
35.8
19.2
160.0
1986
675.7
156.6
255.7
113.4
38.4
21.5
173.3
1987
716.5
163.7
277.6
121.1
40.7
24.0
185.8
1988
761.3
176.8
296.4
130.4
44.2
26.7
201.3
1989
816.3
188.5
311.8
140.0
47.7
30.6
218.3
1990
861.7
207.5
333.8
149.4
50.6
34.5
234.6
1991
917.4
226.4
364.1
159.4
53.0
38.6
251.0
1992
940.2
239.3
368.3
165.3
54.1
41.3
260.8
1993
932.5
237.0
366.1
171.8
55.3
42.6
269.7
1994
902.5
238.7
370.1
179.9
58.0
43.2
281.2
1995
1996
870.6
851.2
244.1
246.8
363.1
363.3
187.1
191.2
60.6
61.8
44.2
45.1
291.8
298.0
1997
828.5
288.2
378.6
196.7
73.2
50.9
320.8
1998
1999
854.1
882.9
310.8
327.4
391.5
408.2
207.6
222.3
75.5
77.3
49.9
56.0
333.1
355.5
2000
2001
2002
2003
2004
948.6
998.2
1067.3
1136.6
1214.1
352.1
370.6
390.2
408.5
439.3
430.8
456.1
479.0
500.0
522.5
233.8
250.2
262.8
267.5
280.4
84.0
89.0
89.2
84.7
95.7
58.1
64.4
64.2
64.7
67.2
375.9
403.6
416.2
416.9
443.3
2005
2006
2007
2008
2009
1268.5
1339.0
1399.8
1485.9
1570.3
447.5
474.0
489.6
506.9
536.5
553.6
593.8
631.8
689.7
736.1
304.0
318.2
337.3
355.2
359.9
98.5
105.7
114.5
117.8
125.2
67.4
76.8
76.3
85.3
83.5
469.8
500.7
528.1
558.3
568.6
2010 f
1650.5
568.1
780.0
377.1
129.3
87.2
593.7
2011 f
1693.2
586.4
814.3
399.1
135.5
91.8
626.4
1976*
1980*
15.0
13.6
20.1
15.4
11.1
13.6
15.7
14.3
13.5
11.8
11.8
15.0
14.8
13.9
1985
5.0
3.9
8.4
11.8
10.6
8.8
11.2
1986
7.4
-1.4
9.3
8.1
7.2
12.1
(annual percentage change)*
6.0
4.5
8.6
6.8
5.9
11.4
7.2
6.3
8.0
6.8
7.7
8.7
11.4
8.4
1989
7.2
6.6
5.2
7.4
8.0
14.4
8.5
5.6
10.1
7.0
6.7
1990
6.1
13.0
7.5
1991
6.5
9.1
9.1
6.7
4.6
11.8
7.0
1992
2.5
5.7
1.2
3.7
2.2
6.9
3.9
1993
-0.8
-1.0
-0.6
3.9
2.3
3.0
3.4
1994
-3.2
0.7
1.1
4.7
4.9
1.6
4.3
1995
-3.5
2.3
-1.9
4.0
4.3
2.1
3.8
1996
-2.2
1.1
0.1
2.2
2.1
2.1
2.1
1997
-2.7
16.8
4.2
2.9
18.4
13.0
7.6
1998
3.1
7.8
3.4
5.6
3.2
-2.0
3.8
1999
3.4
5.4
4.3
7.0
2.3
12.2
6.7
2000
7.4
7.5
5.5
5.2
8.7
3.8
5.7
2001
5.2
5.2
5.9
7.0
6.0
10.8
7.4
2002
6.9
5.3
5.0
5.0
0.3
-0.3
3.1
2003
6.5
4.7
4.4
1.8
-5.1
0.8
0.2
6.3
2004
6.8
7.6
4.5
4.8
13.1
3.8
2005
4.5
1.8
5.9
8.4
2.9
0.3
6.0
2006
5.6
5.9
7.3
4.7
7.3
14.1
6.6
2007
2008
2009
4.5
6.1
5.7
3.3
3.5
5.9
6.4
9.2
6.7
6.0
5.3
1.3
8.3
2.9
6.2
-0.7
11.7
-2.1
5.5
5.7
1.8
2010 f
5.1
5.9
6.0
4.8
3.3
4.5
4.4
2011 f
2.6
3.2
4.4
5.8
4.8
5.2
5.5
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
128
8.4
1987
1988
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table A.3.1.3—Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars (cont'd)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
E
33.3
13.2
46.5
Capital Public Health Administration
F
23.2
G
($’ per capita)
17.6
Other Health Spending
Health
Research
Other
H
14.8
Subtotal
J
4.1
9.8
13.8
Grand Total
A+B+C+D
+E+F+G+H+J
527.1
37.7
13.5
51.1
23.2
21.8
15.4
4.5
10.9
15.4
599.1
41.6
13.7
55.3
23.8
25.2
17.2
5.5
12.2
17.7
651.2
43.9
16.4
60.3
28.1
25.7
17.0
6.3
12.6
18.9
713.9
48.0
20.5
68.5
30.0
29.2
18.7
7.2
14.5
21.7
792.1
53.0
23.9
76.9
40.4
34.5
20.9
8.3
17.9
26.2
909.5
67.6
26.4
94.0
44.8
40.5
25.4
9.3
23.8
33.1
1058.7
76.6
28.5
105.1
55.5
45.8
27.6
10.3
27.3
37.6
1224.6
83.1
33.3
116.4
56.6
48.9
30.1
11.7
30.8
42.6
1341.8
88.1
41.3
129.4
58.7
53.8
35.1
13.2
32.9
46.1
1434.9
99.3
47.8
147.1
63.9
58.7
37.4
14.8
37.9
52.7
1541.7
115.6
53.6
169.2
69.0
60.2
39.5
17.4
43.8
61.1
1660.4
124.5
61.3
185.8
70.8
62.8
40.1
17.1
48.8
66.0
1769.0
139.5
66.6
206.1
71.0
66.7
45.7
19.0
57.5
76.5
1901.8
156.3
72.4
228.7
76.7
71.6
55.9
21.6
66.8
88.4
2056.2
175.9
74.3
250.2
76.7
77.2
59.8
24.2
77.5
101.8
2203.3
195.1
79.8
274.9
72.3
82.6
63.5
24.9
87.7
112.7
2364.8
215.1
85.2
300.3
72.5
89.5
66.0
28.5
93.4
121.8
2458.9
230.2
89.8
320.0
70.3
96.3
72.2
27.7
101.2
128.9
2492.9
233.1
95.3
328.5
78.4
105.5
79.3
27.8
109.3
137.0
2521.2
252.5
256.7
95.2
96.1
347.7
352.8
77.2
72.9
110.7
113.9
82.9
84.1
27.6
27.7
112.5
112.3
140.1
140.0
2528.4
2523.2
285.2
99.5
384.8
71.0
117.4
84.1
36.4
122.8
159.2
2632.6
313.4
336.8
105.2
110.5
418.6
447.3
76.3
115.4
145.9
156.9
81.4
90.8
42.9
43.6
133.6
144.2
176.5
187.7
2788.2
2972.1
382.0
424.4
470.2
518.2
558.1
111.4
114.0
117.4
118.8
122.8
493.5
538.4
587.6
636.9
680.9
129.2
145.3
157.2
176.8
172.2
176.8
201.0
207.9
241.1
242.8
101.1
120.3
134.4
148.5
155.5
51.5
66.8
65.6
72.7
77.7
153.0
155.6
163.1
166.4
170.5
204.5
222.5
228.7
239.1
248.3
3212.5
3456.0
3668.6
3904.5
4119.0
591.4
639.5
668.1
702.6
735.7
126.4
130.9
134.8
135.5
141.1
717.8
770.3
802.9
838.1
876.7
204.2
222.3
220.3
245.2
259.8
267.6
285.5
319.7
332.7
338.4
159.9
160.4
171.7
175.9
172.9
78.6
88.1
93.8
107.8
104.9
185.5
198.8
214.6
228.9
236.3
264.1
286.9
308.5
336.7
341.3
4353.0
4633.0
4872.4
5169.4
5400.7
761.1
141.9
903.0
292.2
340.8
175.5
104.5
245.7
350.3
5654.1
787.8
140.9
928.8
262.9
362.3
177.2
108.3
251.5
359.9
5811.2
13.0
10.2
2.1
16.8
9.9
12.2
0.2
34.9
11.0
15.1
12.1
23.5
11.8
20.7
13.7
14.8
(annual percentage change)*
23.9
18.0
4.0
11.9
12.7
15.7
13.7
8.8
9.1
6.6
12.3
15.1
14.3
7.4
16.4
12.1
15.0
8.0
2.6
5.6
17.6
15.4
16.0
7.7
7.7
14.4
9.8
2.5
4.4
1.5
-1.5
11.6
7.9
6.5
12.0
8.6
10.9
0.3
6.2
14.1
10.7
17.8
15.9
7.5
12.0
8.7
11.0
8.1
7.4
22.2
13.9
16.1
15.6
8.1
9.4
0.0
12.3
16.0
15.1
10.9
7.3
9.9
-5.7
7.0
6.2
2.9
13.2
10.7
7.3
10.2
12.6
6.8
2.6
9.3
0.3
8.3
7.8
4.0
7.0
14.1
6.4
8.1
4.0
7.2
7.1
5.4
6.6
-3.1
7.5
9.3
-2.7
8.4
5.8
1.4
1.3
6.1
2.6
11.5
9.6
9.8
0.2
8.0
6.3
1.1
8.3
-0.2
-0.6
3.0
2.3
0.3
1.7
1.0
1.5
-5.6
2.8
1.4
0.3
-0.2
-0.1
-0.2
11.1
3.5
9.1
5.8
-2.7
-1.5
3.1
5.0
0.1
4.6
31.6
9.3
13.7
4.3
5.9
9.9
5.7
8.8
7.6
24.3
-3.2
17.9
8.8
10.9
7.5
5.1
6.9
51.2
7.5
11.5
1.4
7.9
6.3
6.6
13.4
0.9
10.3
12.0
12.7
11.3
18.2
6.2
8.9
8.1
11.1
2.3
9.1
12.5
13.7
19.0
29.8
1.7
8.8
7.6
10.8
3.0
9.1
8.2
3.5
11.7
-1.8
4.8
2.8
6.2
10.2
1.1
8.4
12.5
15.9
10.5
10.9
2.0
4.6
6.4
7.7
3.4
6.9
-2.6
0.7
4.7
6.8
2.5
3.8
5.5
6.0
2.9
5.4
18.5
10.2
2.8
1.2
8.8
6.4
5.7
8.1
3.5
7.3
8.9
6.7
0.3
12.1
7.1
8.6
6.4
4.5
5.2
4.7
3.0
0.5
4.1
4.2
4.4
4.6
-0.9
11.3
6.0
12.0
4.1
1.7
7.0
2.5
-1.7
6.5
14.9
-2.7
8.0
6.6
3.3
7.5
9.2
1.4
5.2
6.1
4.5
3.5
0.6
3.0
12.5
0.7
1.5
-0.4
4.0
2.6
4.7
3.5
-0.7
2.8
-10.0
6.3
1.0
3.6
2.4
2.7
2.8
Canadian Institute for Health Information, 2011.
129
National Health Expenditure Trends, 1975 to 2011
Table A.3.2.1—Part 1
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars
Year
Hospitals
Other
Institutions
Physicians
A
B
C
Dental Services
Other Professionals
Vision Care
Services
Other
Subtotal
D
($’ 000,000)
1975
318.1
328.4
26.8
685.3
190.3
1976
379.6
369.5
29.5
799.3
219.4
91.6
1,110.3
1977
420.1
401.8
32.3
950.9
251.0
102.0
81.7
1,303.9
957.2
1978
520.1
484.3
38.3
1,087.3
284.0
110.8
1,482.1
1979
626.5
590.3
52.6
1,230.7
307.8
130.3
1,668.8
1980
749.2
718.2
51.5
1,397.0
347.1
150.5
1,894.6
1981
903.4
743.2
49.7
1,533.4
434.9
177.0
2,145.2
1982
1,090.8
853.4
67.7
1,802.7
518.6
214.3
2,535.7
1983
1,243.1
947.2
79.4
1,965.1
609.3
247.7
2,822.1
1984
1,408.5
992.3
81.3
2,135.5
711.7
271.2
3,118.4
1985
1,522.6
1,039.4
83.6
2,435.8
795.5
281.8
3,513.0
1986
1,700.1
1,104.9
76.9
2,672.5
856.2
301.3
3,829.9
1987
1,796.9
1,197.1
76.6
2,917.3
918.3
358.0
4,193.6
1988
1,903.1
1,270.4
79.6
3,182.6
1,003.4
419.6
4,605.6
1989
2,001.1
1,312.8
84.0
3,470.4
1,096.7
492.2
5,059.3
1990
2,240.3
1,581.4
87.9
3,756.8
1,177.3
562.1
5,496.2
1991
2,421.4
1,768.3
90.9
4,061.8
1,237.1
619.7
5,918.6
1992
2,537.8
1,889.9
93.8
4,272.8
1,295.4
679.0
6,247.2
1993
2,670.0
2,012.9
97.3
4,500.9
1,376.0
732.6
6,609.5
1994
2,660.6
2,092.0
102.2
4,781.2
1,479.0
797.4
7,057.6
1995
2,382.0
2,112.6
109.1
5,060.2
1,581.3
838.9
7,480.5
1996
2,248.1
2,105.4
119.5
5,274.1
1,634.9
884.0
7,793.0
1997
2,327.8
2,132.1
121.3
5,514.8
1,974.7
1,068.8
8,558.2
1998
2,335.7
2,210.3
143.3
5,909.1
2,073.5
1,028.1
9,010.7
1999
2,476.9
2,396.0
153.0
6,378.9
2,130.0
1,184.1
9,692.9
2000
2,664.6
2,650.2
175.3
6,783.6
2,346.1
1,217.2
10,346.9
2001
2,925.6
2,719.9
148.5
7,361.2
2,513.3
1,450.8
11,325.2
2002
3,279.4
2,943.2
259.8
7,830.0
2,559.9
1,506.1
11,896.0
2003
3,327.5
3,088.0
196.7
8,071.3
2,437.6
1,538.5
12,047.4
2004
3,629.0
3,576.0
232.4
8,554.7
2,812.1
1,634.5
13,001.3
2005
3,833.3
3,587.0
253.9
9,378.0
2,959.5
1,717.5
14,055.0
2006
3,974.8
4,129.4
304.0
9,868.0
3,212.3
2,037.6
15,117.8
2007
4,158.5
4,493.9
244.2
10,574.2
3,529.9
1,991.9
16,096.0
2008
4,446.7
4,765.9
390.3
11,256.2
3,661.5
2,244.4
17,162.0
2009
4,850.8
5,163.3
397.8
11,477.0
3,927.8
2,204.3
17,609.1
2010 f
5,228.6
5,590.0
420.5
12,177.0
4,103.4
2,332.8
18,613.2
2011 f
5,602.9
5,983.5
449.7
13,062.1
4,349.6
2,495.8
19,907.5
12.1
15.5
16.0
13.5
3.9
12.7
(annual percentage change)*
1976*
1980*
19.3
19.6
12.5
21.7
16.6
13.5
15.3
12.8
2.9
1985
8.1
14.1
11.8
1986
11.7
6.3
-8.0
9.7
7.6
6.9
1987
5.7
8.3
-0.4
9.2
7.3
18.8
9.5
5.9
6.1
3.9
9.1
9.3
17.2
9.8
1988
4.8
10.3
-2.0
1989
5.2
3.3
5.5
9.0
9.3
17.3
9.9
1990
12.0
20.5
4.6
8.3
7.4
14.2
8.6
1991
8.1
11.8
3.5
8.1
5.1
10.3
7.7
1992
4.8
6.9
3.2
5.2
4.7
9.6
5.6
1993
5.2
6.5
3.7
5.3
6.2
7.9
5.8
1994
-0.4
3.9
5.1
6.2
7.5
8.8
6.8
1995
1996
1997
-10.5
-5.6
3.5
1.0
-0.3
1.3
6.7
9.5
1.6
5.8
4.2
4.6
6.9
3.4
20.8
5.2
5.4
20.9
6.0
4.2
9.8
1998
0.3
3.7
18.1
7.2
5.0
-3.8
5.3
1999
6.0
8.4
6.7
7.9
2.7
15.2
7.6
2000
2001
2002
2003
2004
7.6
9.8
12.1
1.5
9.1
10.6
2.6
8.2
4.9
15.8
14.6
-15.3
75.0
-24.3
18.2
6.3
8.5
6.4
3.1
6.0
10.1
7.1
1.9
-4.8
15.4
2.8
19.2
3.8
2.2
6.2
6.7
9.5
5.0
1.3
7.9
2005
2006
2007
2008
2009
5.6
3.7
4.6
6.9
9.1
0.3
15.1
8.8
6.1
8.3
9.2
19.7
-19.7
59.8
1.9
9.6
5.2
7.2
6.4
2.0
5.2
8.5
9.9
3.7
7.3
5.1
18.6
-2.2
12.7
-1.8
8.1
7.6
6.5
6.6
2.6
2010 f
7.8
8.3
5.7
6.1
4.5
5.8
5.7
2011 f
7.2
7.0
6.9
7.3
6.0
7.0
7.0
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
130
9.0
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table A.3.2.1—Part 2
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars (cont'd)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
Capital Public Health Administration
E
F
G
($’ 000,000)
Other Health Spending
Health
Research
Other
H
Subtotal
J
Grand Total
A+B+C+D
+E+F+G+H+J
613.1
305.6
918.7
159.6
---
72.2
23.4
94.7
118.2
2,899.2
667.6
316.0
983.6
177.1
---
62.0
29.5
91.4
120.9
3,232.6
721.4
324.5
1,045.9
178.3
---
90.2
36.4
96.6
132.9
3,605.4
724.7
392.8
1,117.6
217.4
---
86.2
43.2
77.1
120.3
4,066.3
776.5
495.5
1,272.0
177.3
---
100.1
50.3
79.5
129.8
4,617.4
833.3
586.3
1,419.6
355.4
---
117.1
63.0
87.8
150.8
5,456.5
1,110.2
655.0
1,765.2
379.3
---
186.5
66.4
95.2
161.6
6,334.1
1,240.5
715.0
1,955.5
489.1
---
146.6
73.8
99.7
173.4
7,312.3
1,289.8
845.9
2,135.6
371.4
---
172.7
82.1
105.0
187.2
7,958.6
1,312.7
1,058.6
2,371.3
364.3
---
250.3
91.2
108.6
199.9
8,786.3
1,447.7
1,235.9
2,683.6
414.4
---
269.2
102.8
118.2
221.0
9,746.9
1,698.8
1,399.0
3,097.9
449.9
---
296.4
119.7
133.0
252.7
10,808.7
1,800.4
1,621.7
3,422.2
480.7
---
280.4
136.1
149.9
286.0
11,733.5
2,034.0
1,784.9
3,818.9
351.0
---
426.3
164.1
177.4
341.5
12,796.4
2,292.0
1,975.6
4,267.7
390.4
---
660.2
196.1
212.9
408.9
14,184.3
2,593.9
2,058.7
4,652.5
383.4
---
665.4
226.2
243.8
470.0
15,577.1
2,861.9
2,236.6
5,098.5
341.7
---
746.8
249.8
270.9
520.7
16,906.9
3,192.3
2,418.1
5,610.4
363.1
---
805.0
265.5
299.3
564.8
18,112.0
3,558.7
2,576.0
6,134.7
366.7
---
1,060.0
275.6
351.4
627.0
19,578.1
3,673.3
2,764.0
6,437.4
329.6
---
1,226.4
293.2
375.3
668.4
20,574.2
4,033.8
2,788.4
6,822.2
439.1
---
1,274.1
319.4
431.2
750.6
21,370.1
4,273.3
2,846.7
7,120.0
474.0
---
1,309.1
332.1
409.4
741.5
21,910.5
4,933.2
2,976.8
7,910.0
364.3
---
1,291.4
358.9
469.0
827.9
23,533.1
5,443.5
3,171.3
8,614.9
427.5
---
1,110.3
557.5
487.8
1,045.2
24,897.9
5,689.0
3,358.8
9,047.9
882.1
---
1,333.2
631.0
567.6
1,198.6
27,180.7
6,429.3
3,420.3
9,849.6
830.6
---
1,514.4
706.5
597.0
1,303.5
29,335.2
7,102.5
3,536.4
10,638.9
1,088.8
---
1,990.1
806.5
573.2
1,379.7
32,216.8
7,943.9
3,684.7
11,628.6
1,232.5
---
2,304.3
871.2
732.5
1,603.7
35,147.5
8,848.5
3,762.2
12,610.7
1,423.5
---
2,605.2
994.9
731.6
1,726.4
37,025.4
9,594.0
3,930.2
13,524.2
1,099.2
---
2,748.2
1,078.9
626.7
1,705.6
39,515.9
10,198.4
4,084.0
14,282.4
1,480.1
---
2,734.1
1,100.1
723.6
1,823.7
42,049.5
11,214.9
4,263.2
15,478.1
2,055.0
---
2,720.8
1,174.8
847.5
2,022.4
45,802.3
11,831.7
4,439.9
16,271.6
1,550.9
---
2,982.2
1,202.6
916.4
2,118.9
47,916.3
12,634.9
4,515.7
17,150.6
1,406.3
---
3,291.8
1,203.2
955.2
2,158.5
50,772.2
13,279.0
4,756.5
18,035.5
1,517.0
---
3,303.3
1,226.1
920.5
2,146.6
53,023.3
14,158.6
4,839.1
18,997.7
1,416.7
---
3,431.1
1,294.1
1,004.9
2,299.0
55,996.7
15,119.1
4,862.4
19,981.5
1,616.8
---
3,542.8
1,410.2
1,035.9
2,446.1
59,530.7
-14.1
17.0
26.0
25.4
-3.6
10.4
2.3
16.2
11.5
18.2
(annual percentage change)*
8.9
7.3
3.4
18.3
7.1
11.6
11.0
100.4
-----
10.3
16.7
13.2
13.8
---
7.6
12.7
8.8
10.6
10.9
17.3
13.2
15.4
8.6
---
10.1
16.4
12.5
14.3
10.9
6.0
15.9
10.5
6.9
---
-5.4
13.7
12.7
13.2
8.6
13.0
10.1
11.6
-27.0
---
52.0
20.6
18.3
19.4
9.1
10.8
12.7
10.7
11.8
11.2
---
54.9
19.5
20.0
19.7
13.2
4.2
9.0
-1.8
---
0.8
15.4
14.5
14.9
9.8
10.3
8.6
9.6
-10.9
---
12.2
10.4
11.1
10.8
8.5
8.1
10.0
6.3
---
7.8
6.3
10.5
8.5
7.1
11.5
11.5
6.5
9.3
1.0
---
31.7
3.8
17.4
11.0
8.1
3.2
7.3
4.9
-10.1
---
15.7
6.4
6.8
6.6
5.1
9.8
5.9
15.4
0.9
2.1
4.6
6.0
4.4
11.1
33.2
7.9
-23.1
-------
3.9
2.7
-1.3
9.0
4.0
8.1
14.9
-5.1
14.6
12.3
-1.2
11.6
3.9
2.5
7.4
10.3
6.5
8.9
17.3
---
-14.0
55.3
4.0
26.3
5.8
4.5
5.9
5.0
106.3
---
20.1
13.2
16.4
14.7
9.2
13.0
10.5
11.8
11.4
8.4
1.8
3.4
4.2
2.1
4.5
8.9
8.0
9.3
8.4
7.2
-5.8
31.1
13.2
15.5
-22.8
-----------
13.6
31.4
15.8
13.1
5.5
12.0
14.2
8.0
14.2
8.4
5.2
-4.0
27.8
-0.1
-14.3
8.7
5.9
16.2
7.7
-1.2
7.9
9.8
9.1
5.3
6.7
6.3
10.0
5.5
6.8
5.1
3.9
4.4
4.1
1.7
5.3
5.6
8.4
5.1
5.4
5.2
34.7
38.8
-24.5
-9.3
7.9
-----------
-0.5
-0.5
9.6
10.4
0.3
2.0
6.8
2.4
0.1
1.9
15.5
17.1
8.1
4.2
-3.6
6.9
10.9
4.8
1.9
-0.6
6.4
8.9
4.6
6.0
4.4
6.6
1.7
5.3
-6.6
---
3.9
5.5
9.2
7.1
5.6
6.8
0.5
5.2
14.1
---
3.3
9.0
3.1
6.4
6.3
Canadian Institute for Health Information, 2011.
131
National Health Expenditure Trends, 1975 to 2011
Table A.3.2.2—Part 1
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars
Year
1975
Hospitals
Other
Institutions
A
B
11.0
11.3
Physicians
Dental Services
Other Professionals
Vision Care
Services
Other
C
(percentage distribution of $' 000,000)
0.9
23.6
Subtotal
D
6.6
2.8
33.0
1976
11.7
11.4
0.9
24.7
6.8
2.8
34.3
1977
11.7
11.1
0.9
26.4
7.0
2.8
36.2
1978
12.8
11.9
0.9
26.7
7.0
2.7
36.4
1979
13.6
12.8
1.1
26.7
6.7
2.8
36.1
1980
13.7
13.2
0.9
25.6
6.4
2.8
34.7
1981
14.3
11.7
0.8
24.2
6.9
2.8
33.9
1982
14.9
11.7
0.9
24.7
7.1
2.9
34.7
1983
15.6
11.9
1.0
24.7
7.7
3.1
35.5
1984
16.0
11.3
0.9
24.3
8.1
3.1
35.5
1985
15.6
10.7
0.9
25.0
8.2
2.9
36.0
1986
15.7
10.2
0.7
24.7
7.9
2.8
35.4
1987
15.3
10.2
0.7
24.9
7.8
3.1
35.7
1988
14.9
9.9
0.6
24.9
7.8
3.3
36.0
1989
14.1
9.3
0.6
24.5
7.7
3.5
35.7
1990
14.4
10.2
0.6
24.1
7.6
3.6
35.3
1991
14.3
10.5
0.5
24.0
7.3
3.7
35.0
1992
14.0
10.4
0.5
23.6
7.2
3.7
34.5
1993
13.6
10.3
0.5
23.0
7.0
3.7
33.8
1994
12.9
10.2
0.5
23.2
7.2
3.9
34.3
1995
11.1
9.9
0.5
23.7
7.4
3.9
35.0
1996
10.3
9.6
0.5
24.1
7.5
4.0
35.6
1997
9.9
9.1
0.5
23.4
8.4
4.5
36.4
1998
9.4
8.9
0.6
23.7
8.3
4.1
36.2
1999
9.1
8.8
0.6
23.5
7.8
4.4
35.7
2000
2001
2002
2003
2004
9.1
9.1
9.3
9.0
9.2
9.0
8.4
8.4
8.3
9.0
0.6
0.5
0.7
0.5
0.6
23.1
22.8
22.3
21.8
21.6
8.0
7.8
7.3
6.6
7.1
4.1
4.5
4.3
4.2
4.1
35.3
35.2
33.8
32.5
32.9
2005
2006
2007
2008
2009
9.1
8.7
8.7
8.8
9.1
8.5
9.0
9.4
9.4
9.7
0.6
0.7
0.5
0.8
0.8
22.3
21.5
22.1
22.2
21.6
7.0
7.0
7.4
7.2
7.4
4.1
4.4
4.2
4.4
4.2
33.4
33.0
33.6
33.8
33.2
2010 f
9.3
10.0
0.8
21.7
7.3
4.2
33.2
2011 f
9.4
10.1
0.8
21.9
7.3
4.2
33.4
1976*
1980*
7.0
1.2
0.9
2.9
-1.1
-17.0
3.4
-4.6
0.5
-2.3
4.0
-3.9
(annual percentage change)*
1985
-2.6
-5.6
-7.3
2.8
0.8
-6.3
1.6
1986
0.7
-4.1
-17.0
-1.1
-2.9
-3.6
-1.7
1987
-2.6
-0.2
-8.2
0.6
-1.2
9.4
0.9
1988
-2.9
-2.7
-4.8
0.0
0.2
7.5
0.7
1989
-5.1
-6.8
-4.8
-1.6
-1.4
5.8
-0.9
1990
1.9
9.7
-4.7
-1.4
-2.2
4.0
-1.1
1991
-0.4
3.0
-4.7
-0.4
-3.2
1.6
-0.8
1992
-2.2
-0.2
-3.7
-1.8
-2.2
2.3
-1.5
1993
-2.7
-1.5
-4.1
-2.6
-1.7
-0.2
-2.1
1994
-5.2
-1.1
0.0
1.1
2.3
3.6
1.6
1995
-13.8
-2.8
2.8
1.9
2.9
1.3
2.0
1996
-7.9
-2.8
6.8
1.7
0.8
2.8
1997
-3.6
-5.7
-5.4
-2.6
12.5
12.6
2.2
1998
-5.2
-2.0
11.6
1.3
-0.8
-9.1
-0.5
1999
-2.9
-0.7
-2.2
-1.1
-5.9
5.5
-1.5
2000
2001
2002
2003
2004
-0.3
0.0
2.7
-3.7
2.2
2.5
-6.5
-0.8
-0.4
8.5
6.2
-22.9
60.4
-28.1
10.7
-1.5
-1.2
-2.5
-2.1
-0.7
2.1
-2.5
-6.6
-9.6
8.1
-4.8
8.5
-4.8
-3.0
-0.5
-1.1
-0.3
-3.7
-3.9
1.1
2005
2006
2007
2008
2009
-0.7
-4.8
0.0
0.9
4.5
-5.7
5.7
4.0
0.1
3.7
2.7
9.9
-23.2
50.8
-2.4
3.0
-3.4
2.4
0.5
-2.4
-1.1
-0.4
5.0
-2.1
2.7
-1.3
8.9
-6.6
6.3
-6.0
1.6
-1.3
1.8
0.6
-1.8
1.6
2010 f
2.1
2.5
0.1
0.5
-1.1
0.2
0.1
2011 f
0.8
0.7
0.6
0.9
-0.3
0.6
0.6
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
132
4.6
-3.9
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table A.3.2.2—Part 2
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars (cont'd)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
E
21.1
10.5
31.7
Capital Public Health Administration
Other Health Spending
Health
Research
Other
F
G
H
(percentage distribution of $’ 000,000)
5.5
---
2.5
Subtotal
J
0.8
3.3
4.1
Grand Total
A+B+C+D
+E+F+G+H+J
100.0
20.7
9.8
30.4
5.5
---
1.9
0.9
2.8
3.7
100.0
20.0
9.0
29.0
4.9
---
2.5
1.0
2.7
3.7
100.0
17.8
9.7
27.5
5.3
---
2.1
1.1
1.9
3.0
100.0
16.8
10.7
27.5
3.8
---
2.2
1.1
1.7
2.8
100.0
15.3
10.7
26.0
6.5
---
2.1
1.2
1.6
2.8
100.0
17.5
10.3
27.9
6.0
---
2.9
1.0
1.5
2.6
100.0
17.0
9.8
26.7
6.7
---
2.0
1.0
1.4
2.4
100.0
16.2
10.6
26.8
4.7
---
2.2
1.0
1.3
2.4
100.0
14.9
12.0
27.0
4.1
---
2.8
1.0
1.2
2.3
100.0
14.9
12.7
27.5
4.3
---
2.8
1.1
1.2
2.3
100.0
15.7
12.9
28.7
4.2
---
2.7
1.1
1.2
2.3
100.0
15.3
13.8
29.2
4.1
---
2.4
1.2
1.3
2.4
100.0
15.9
13.9
29.8
2.7
---
3.3
1.3
1.4
2.7
100.0
16.2
13.9
30.1
2.8
---
4.7
1.4
1.5
2.9
100.0
16.7
13.2
29.9
2.5
---
4.3
1.5
1.6
3.0
100.0
16.9
13.2
30.2
2.0
---
4.4
1.5
1.6
3.1
100.0
17.6
13.4
31.0
2.0
---
4.4
1.5
1.7
3.1
100.0
18.2
13.2
31.3
1.9
---
5.4
1.4
1.8
3.2
100.0
17.9
13.4
31.3
1.6
---
6.0
1.4
1.8
3.2
100.0
18.9
13.0
31.9
2.1
---
6.0
1.5
2.0
3.5
100.0
19.5
13.0
32.5
2.2
---
6.0
1.5
1.9
3.4
100.0
21.0
12.6
33.6
1.5
---
5.5
1.5
2.0
3.5
100.0
21.9
12.7
34.6
1.7
---
4.5
2.2
2.0
4.2
100.0
20.9
12.4
33.3
3.2
---
4.9
2.3
2.1
4.4
100.0
21.9
22.0
22.6
23.9
24.3
11.7
11.0
10.5
10.2
9.9
33.6
33.0
33.1
34.1
34.2
2.8
3.4
3.5
3.8
2.8
-----------
5.2
6.2
6.6
7.0
7.0
2.4
2.5
2.5
2.7
2.7
2.0
1.8
2.1
2.0
1.6
4.4
4.3
4.6
4.7
4.3
100.0
100.0
100.0
100.0
100.0
24.3
24.5
24.7
24.9
25.0
9.7
9.3
9.3
8.9
9.0
34.0
33.8
34.0
33.8
34.0
3.5
4.5
3.2
2.8
2.9
-----------
6.5
5.9
6.2
6.5
6.2
2.6
2.6
2.5
2.4
2.3
1.7
1.9
1.9
1.9
1.7
4.3
4.4
4.4
4.3
4.0
100.0
100.0
100.0
100.0
100.0
25.3
8.6
33.9
2.5
---
6.1
2.3
1.8
4.1
100.0
25.4
8.2
33.6
2.7
---
6.0
2.4
1.7
4.1
100.0
-2.4
-9.2
-7.3
0.1
-4.0
-5.6
-0.5
69.6
13.0
6.1
-13.5
-6.6
-8.3
-1.7
-----
1.6
-1.9
-0.3
(annual percentage change)*
-0.6
5.2
2.0
2.5
-------
-23.0
-1.0
-3.0
---
5.8
2.1
4.1
-2.1
---
-0.7
4.9
1.5
3.1
---
-2.4
6.8
1.8
-1.6
---
-12.8
4.8
3.8
4.3
---
3.6
0.9
2.3
-33.0
---
39.4
10.6
8.5
9.5
---
1.7
-0.1
0.8
0.3
---
39.7
7.8
8.3
8.0
---
3.0
-5.1
-0.7
-10.6
---
-8.2
5.1
4.3
4.7
---
0.1
1.0
-17.9
---
4.1
0.9
2.7
-0.8
---
0.6
-0.8
3.2
1.3
---
3.1
1.7
-1.4
1.2
-6.6
---
21.8
3.4
-4.0
1.7
8.6
2.4
2.7
2.1
---
---
-1.8
2.1
-0.1
-14.5
---
10.1
1.2
1.6
1.5
---
5.7
-2.9
2.0
28.3
---
0.0
4.9
10.6
8.1
---
3.3
-0.4
1.8
5.3
---
0.2
1.4
-7.4
-3.7
---
7.5
-2.6
3.4
-28.4
---
-8.1
0.6
6.7
4.0
4.3
0.7
2.9
10.9
---
-18.7
46.8
-1.7
19.3
---
-4.3
-3.0
-3.8
89.0
---
10.0
3.7
6.6
5.0
---
4.7
0.6
2.5
5.7
1.6
-5.6
-5.9
-4.5
-3.1
-2.1
0.9
-1.6
0.2
2.9
0.5
-12.8
19.4
3.8
9.6
-27.6
-----------
5.2
19.7
6.1
7.3
-1.2
3.7
4.0
-1.0
8.4
1.6
-2.5
-12.6
17.1
-5.2
-19.7
0.8
-3.6
6.5
2.2
-7.4
-----------
-0.1
1.0
0.8
0.8
0.6
-2.3
-4.2
-0.4
-4.0
0.9
-0.8
-0.5
0.5
-0.5
0.7
26.5
27.5
-27.9
-14.4
3.3
-----------
-6.5
-8.6
4.8
4.2
-3.9
-4.2
-2.0
-2.2
-5.6
-2.4
8.5
7.5
3.4
-1.6
-7.7
0.5
1.8
0.2
-3.9
-4.8
-----------
---
1.0
-3.7
-0.3
-11.6
---
-1.6
-0.1
3.4
1.4
---
0.4
-5.5
-1.1
7.3
---
-2.9
2.5
-3.0
0.1
---
Canadian Institute for Health Information, 2011.
133
National Health Expenditure Trends, 1975 to 2011
Table A.3.2.3—Part 1
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars
Hospitals
Other
Institutions
Physicians
A
B
C
Dental Services
Other Professionals
Vision Care
Services
Other
Subtotal
D
($’ per capita)
Year
1975
13.7
14.2
1.2
29.6
8.2
3.5
41.4
1976
16.2
15.8
1.3
34.1
9.4
3.9
47.3
1977
17.7
16.9
1.4
40.1
10.6
4.3
55.0
1978
21.7
20.2
1.6
45.4
11.9
4.6
61.9
1979
25.9
24.4
2.2
50.9
12.7
5.4
69.0
1980
30.6
29.3
2.1
57.0
14.2
6.1
1981
36.4
29.9
2.0
61.8
17.5
7.1
86.4
1982
43.4
34.0
2.7
71.8
20.6
8.5
101.0
1983
49.0
37.3
3.1
77.5
24.0
9.8
111.2
1984
55.0
38.7
3.2
83.4
27.8
10.6
121.8
1985
58.9
40.2
3.2
94.3
30.8
10.9
135.9
1986
65.1
42.3
2.9
102.4
32.8
11.5
146.7
77.3
1987
67.9
45.3
2.9
110.3
34.7
13.5
158.6
1988
71.0
47.4
3.0
118.8
37.4
15.7
171.9
1989
73.4
48.1
3.1
127.2
40.2
18.0
185.4
1990
80.9
57.1
3.2
135.6
42.5
20.3
198.4
1991
86.4
63.1
3.2
144.9
44.1
22.1
211.1
1992
89.5
66.6
3.3
150.6
45.7
23.9
220.2
1993
93.1
70.2
3.4
156.9
48.0
25.5
230.4
1994
91.7
72.1
3.5
164.9
51.0
27.5
243.4
1995
1996
81.3
75.9
72.1
71.1
3.7
4.0
172.7
178.1
54.0
55.2
28.6
29.9
255.3
263.2
1997
77.8
71.3
4.1
184.4
66.0
35.7
286.2
1998
77.5
73.3
4.8
195.9
68.8
34.1
298.8
1999
81.5
78.8
5.0
209.8
70.1
38.9
318.8
2000
2001
86.4
87.7
93.8
97.5
111.8
5.7
4.8
8.3
6.2
7.3
221.0
76.4
39.7
337.2
2002
2003
2004
86.8
94.3
104.5
105.0
113.4
237.3
249.6
254.8
267.4
81.0
81.6
77.0
87.9
46.8
48.0
48.6
51.1
365.1
379.2
380.3
406.4
2005
2006
2007
2008
2009
118.6
122.0
126.3
133.5
143.9
111.0
126.8
136.5
143.1
153.1
7.9
9.3
7.4
11.7
11.8
290.2
302.9
321.1
337.9
340.4
91.6
98.6
107.2
109.9
116.5
53.2
62.5
60.5
67.4
65.4
435.0
464.1
488.8
515.1
522.2
2010 f
153.3
163.9
12.3
357.0
120.3
68.4
545.7
2011 f
162.4
173.4
13.0
378.6
126.1
72.3
577.0
(annual percentage change)*
1976*
1980*
17.8
18.0
11.1
20.1
8.8
-3.2
15.1
12.1
13.8
11.3
14.5
12.1
1985
7.1
3.8
1.9
13.0
10.8
3.0
11.6
1986
10.6
5.2
-8.9
8.6
6.6
5.9
7.9
1987
4.3
6.9
-1.7
7.7
5.8
17.2
8.1
1988
4.5
4.8
2.5
7.7
7.9
15.7
8.4
1989
3.3
1.5
3.6
7.1
7.4
15.2
7.9
1990
10.3
18.7
3.1
6.6
5.7
12.5
7.0
1991
6.8
10.5
2.3
6.8
3.8
8.9
6.4
1992
3.6
5.6
2.0
4.0
3.5
8.3
4.3
1993
4.1
5.3
2.5
4.2
5.1
6.7
4.6
1994
-1.4
2.8
3.9
5.1
6.3
7.7
5.6
1995
-11.4
-0.1
1996
-6.6
-1.4
8.4
3.1
2.3
4.3
3.1
1997
2.5
0.3
0.6
5.6
3.5
19.6
19.7
8.7
1998
-0.5
2.8
17.1
6.3
4.1
-4.6
4.4
4.7
5.8
4.1
4.9
1999
5.2
7.5
5.9
7.1
1.9
14.2
6.7
2000
6.6
9.6
13.6
5.4
9.1
1.8
5.8
6.0
2001
8.6
-16.2
7.4
17.9
8.3
2002
10.8
7.0
73.0
5.2
0.7
2.6
3.9
2003
0.5
3.9
1.5
-25.0
2.1
-5.7
1.2
0.3
2004
8.0
14.6
17.0
4.9
14.2
5.2
6.8
2005
4.6
-0.7
8.2
8.5
4.2
4.0
7.0
2006
2.9
14.2
18.8
4.4
7.7
17.7
6.7
2007
3.5
7.7
-20.5
6.0
8.7
-3.3
5.3
2008
5.7
4.8
58.0
5.2
2.5
11.4
5.4
2009
7.8
7.0
0.7
0.7
6.0
-3.0
1.4
2010 f
6.6
7.0
4.5
4.9
3.3
4.6
4.5
2011 f
5.9
5.8
5.7
6.0
4.8
5.8
5.7
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
134
10.6
14.0
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table A.3.2.3—Part 2
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars (cont'd)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
Capital Public Health Administration
E
F
G
($’ per capita)
Other Health Spending
Health
Research
Other
H
Subtotal
J
Grand Total
A+B+C+D
+E+F+G+H+J
26.5
13.2
39.7
6.9
---
3.1
1.0
4.1
5.1
125.3
28.5
13.5
41.9
7.6
---
2.6
1.3
3.9
5.2
137.9
30.4
13.7
44.1
7.5
---
3.8
1.5
4.1
5.6
152.0
30.2
16.4
46.6
9.1
---
3.6
1.8
3.2
5.0
169.7
32.1
20.5
52.6
7.3
---
4.1
2.1
3.3
5.4
190.8
34.0
23.9
57.9
14.5
---
4.8
2.6
3.6
6.2
222.6
44.7
26.4
71.1
15.3
---
7.5
2.7
3.8
6.5
255.2
49.4
28.5
77.9
19.5
---
5.8
2.9
4.0
6.9
291.1
50.8
33.3
84.2
14.6
---
6.8
3.2
4.1
7.4
313.7
51.3
41.3
92.6
14.2
---
9.8
3.6
4.2
7.8
343.1
56.0
47.8
103.8
16.0
---
10.4
4.0
4.6
8.6
377.2
65.1
53.6
118.7
17.2
---
11.4
4.6
5.1
9.7
414.1
68.1
61.3
129.4
18.2
---
10.6
5.1
5.7
10.8
443.6
75.9
66.6
142.5
13.1
---
15.9
6.1
6.6
12.7
477.6
84.0
72.4
156.4
14.3
---
24.2
7.2
7.8
15.0
519.9
93.6
74.3
168.0
13.8
---
24.0
8.2
8.8
17.0
562.4
102.1
79.8
181.9
12.2
---
26.6
8.9
9.7
18.6
603.1
112.5
85.2
197.8
12.8
---
28.4
9.4
10.6
19.9
638.5
124.1
89.8
213.9
12.8
---
37.0
9.6
12.3
21.9
682.6
126.7
95.3
222.0
11.4
---
42.3
10.1
12.9
23.1
709.5
137.7
144.3
95.2
96.1
232.8
240.5
15.0
16.0
-----
43.5
44.2
10.9
11.2
14.7
13.8
25.6
25.0
729.3
739.9
164.9
99.5
264.5
12.2
---
43.2
12.0
15.7
27.7
786.9
180.5
105.2
285.7
14.2
---
36.8
18.5
16.2
34.7
825.6
187.1
110.5
297.6
29.0
---
43.9
20.8
18.7
39.4
894.0
209.5
229.0
253.2
279.3
299.9
111.4
114.0
117.4
118.8
122.8
320.9
343.0
370.7
398.1
422.7
27.1
35.1
39.3
44.9
34.4
-----------
49.3
64.2
73.5
82.2
85.9
23.0
26.0
27.8
31.4
33.7
19.5
18.5
23.3
23.1
19.6
42.5
44.5
51.1
54.5
53.3
955.9
1,038.5
1,120.3
1,168.9
1,235.1
315.6
344.3
359.3
379.2
393.8
126.4
130.9
134.8
135.5
141.1
442.0
475.1
494.1
514.8
534.9
45.8
63.1
47.1
42.2
45.0
-----------
84.6
83.5
90.6
98.8
98.0
34.0
36.1
36.5
36.1
36.4
22.4
26.0
27.8
28.7
27.3
56.4
62.1
64.3
64.8
63.7
1,301.4
1,406.0
1,455.1
1,524.0
1,572.5
415.1
141.9
557.0
41.5
---
100.6
37.9
29.5
67.4
1,641.7
438.2
140.9
579.1
46.9
---
102.7
40.9
30.0
70.9
1,725.4
(annual percentage change)*
7.5
5.9
2.1
16.8
5.7
10.2
9.5
97.9
-----
-15.2
15.5
24.3
23.7
-4.8
9.0
1.0
14.7
10.0
16.7
9.3
15.7
12.1
12.7
---
6.6
11.7
7.8
9.6
9.9
16.2
12.1
14.3
7.5
---
9.0
15.2
11.4
13.2
9.8
4.6
14.4
9.0
5.4
11.5
8.6
10.2
-27.9
---
50.0
19.0
16.8
17.8
7.6
10.7
8.7
9.8
9.2
---
52.1
17.3
17.9
17.6
8.9
13.7
12.8
13.2
11.5
2.6
---
-6.6
12.2
11.2
11.7
7.1
7.4
-3.3
---
-0.7
9.0
7.3
8.3
-11.9
---
10.9
9.1
9.8
9.4
7.2
10.2
6.8
8.7
5.0
---
6.5
5.0
9.2
7.2
5.9
8.2
10.3
5.4
8.1
-0.1
---
30.2
2.7
16.1
9.8
6.9
2.1
6.1
3.8
-11.1
---
14.4
5.2
5.6
5.4
3.9
8.7
-0.2
4.9
31.8
---
2.8
7.8
13.7
11.1
2.8
4.8
1.0
3.3
6.8
---
1.7
2.9
-6.1
-2.2
1.5
14.3
3.5
10.0
-23.9
---
-2.3
7.0
13.4
10.5
6.3
9.4
5.7
8.0
16.4
---
-14.7
54.0
3.1
25.2
4.9
3.7
5.1
4.2
104.7
---
19.1
12.3
15.4
13.7
8.3
12.0
0.9
7.8
-6.7
---
12.5
10.9
4.2
7.7
6.9
9.3
2.3
6.9
29.7
---
30.0
12.9
-5.0
4.7
8.6
26.4
10.6
11.9
---
14.5
6.8
14.9
7.9
10.3
1.1
7.4
14.4
---
12.0
13.1
-1.1
6.6
4.3
7.3
3.4
3.0
6.2
8.1
-23.6
---
4.4
7.4
-15.2
-2.2
5.7
5.3
2.9
4.6
33.3
---
-1.5
1.0
14.3
5.9
5.4
9.1
3.5
7.5
37.7
---
-1.3
5.9
16.2
10.0
8.0
4.4
3.0
4.0
-25.3
---
8.4
1.3
7.0
3.6
3.5
5.6
0.5
4.2
-10.4
---
9.1
-1.1
3.0
0.7
4.7
3.8
4.1
3.9
6.6
---
-0.9
0.7
-4.8
-1.7
3.2
5.4
0.6
4.1
-7.7
---
2.7
4.3
7.9
5.9
4.4
5.6
-0.7
4.0
12.8
---
2.1
7.7
1.9
5.2
5.1
Canadian Institute for Health Information, 2011.
135
National Health Expenditure Trends, 1975 to 2011
Table A.3.3.1—Part 1
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars
Year
Hospitals
Other
Institutions
Physicians
A
B
C
Dental Services
Other Professionals
Vision Care
Services
Other
Subtotal
D
($’ 000,000)
1975
5,136.8
796.6
1,813.2
56.4
35.9
46.7
139.0
1976
5,977.7
999.1
2,041.5
69.8
40.6
53.9
164.4
1977
6,372.7
1,175.2
2,252.1
83.7
44.9
60.5
189.1
1978
6,861.9
1,367.5
2,528.3
104.0
51.9
75.5
231.4
1979
7,487.6
1,581.4
2,804.5
143.8
58.0
88.9
290.7
1980
8,585.2
1,821.5
3,236.0
194.9
67.2
104.9
367.1
1981
10,127.4
2,146.7
3,775.1
278.4
78.7
126.7
483.9
1982
12,001.9
2,531.4
4,353.1
270.0
91.1
143.0
504.2
1983
13,174.5
2,794.4
4,973.3
260.7
105.7
164.0
530.3
1984
13,936.3
2,923.3
5,444.6
266.7
117.7
181.0
565.4
1985
14,737.7
3,066.5
5,962.1
275.5
130.4
214.6
620.5
1986
15,937.1
2,982.4
6,597.9
287.2
146.1
260.7
693.9
1987
17,154.2
3,132.1
7,266.2
286.3
157.3
276.4
719.9
1988
18,497.2
3,468.3
7,862.5
311.3
180.8
296.0
788.2
1989
20,269.0
3,828.5
8,422.7
350.3
205.6
341.5
897.4
1990
21,626.1
4,166.8
9,157.3
382.2
225.4
394.5
1,002.1
1991
23,294.9
4,576.9
10,114.5
405.7
247.7
463.0
1,116.4
1992
1993
24,132.6
24,074.4
4,898.5
4,784.5
10,354.7
10,401.8
417.4
426.1
239.6
211.0
492.6
487.8
1,149.6
1,124.8
1994
23,512.0
4,831.4
10,629.7
435.9
204.1
456.3
1,096.2
1995
23,129.9
5,041.1
10,529.2
422.2
193.1
455.0
1,070.3
1996
22,957.4
5,203.6
10,639.6
386.2
195.3
450.7
1,032.2
1997
1998
22,450.2
23,421.7
6,487.9
7,162.7
11,202.7
11,662.1
368.2
352.3
214.5
204.7
454.2
476.8
1,036.9
1,033.7
1999
24,366.7
7,559.6
12,258.5
378.5
218.8
518.0
1,115.3
2000
2001
2002
2003
2004
26,445.8
28,039.0
30,204.6
32,675.6
35,215.0
8,156.5
8,775.3
9,299.5
9,850.2
10,480.8
13,046.5
14,001.3
14,766.4
15,642.2
16,486.5
392.4
399.9
414.2
401.6
417.3
230.3
247.8
239.9
244.0
250.3
566.1
547.2
507.8
511.7
514.7
1,188.9
1,195.0
1,161.9
1,157.3
1,182.2
2005
2006
2007
2008
2009
37,156.1
39,645.2
41,937.4
45,057.6
48,098.7
10,871.4
11,312.5
11,628.7
12,121.5
12,928.9
17,633.7
19,038.9
20,561.0
22,587.4
24,424.9
444.4
496.5
533.1
577.3
660.0
223.0
231.5
239.8
264.3
293.6
458.9
465.4
521.2
596.2
610.6
1,126.3
1,193.5
1,294.2
1,437.8
1,564.2
2010 f
51,068.6
13,788.0
26,184.5
686.5
307.6
642.7
1,636.8
2011 f
52,814.5
14,249.5
27,645.4
707.9
324.9
670.4
1,703.3
1976*
1980*
16.4
14.7
25.4
15.2
12.6
15.4
23.8
35.5
13.3
15.9
15.4
18.0
18.3
26.3
1985
5.8
4.9
9.5
3.3
10.8
18.5
9.7
1986
8.1
-2.7
10.7
4.2
12.0
21.5
11.8
1987
7.6
5.0
10.1
-0.3
7.7
6.0
3.8
1988
7.8
10.7
8.2
8.8
14.9
7.1
9.5
1989
9.6
10.4
7.1
12.5
13.7
15.4
13.9
(annual percentage change)*
8.8
8.7
9.6
15.5
11.7
1991
7.7
9.8
10.5
6.1
9.9
17.4
11.4
1992
1990
3.6
6.7
7.0
2.4
2.9
9.1
-3.3
6.4
3.0
1993
-0.2
-2.3
0.5
2.1
-11.9
-1.0
-2.2
1994
-2.3
1.0
2.2
2.3
-3.3
-6.5
-2.5
1995
1996
1997
-1.6
-0.7
-2.2
4.3
3.2
24.7
-0.9
1.0
5.3
-3.1
-8.5
-4.7
-5.4
1.1
9.9
-0.3
-0.9
0.8
-2.4
-3.6
0.5
1998
4.3
10.4
4.1
-4.3
-4.6
5.0
-0.3
1999
4.0
5.5
5.1
7.4
6.9
8.6
7.9
2000
2001
2002
2003
2004
8.5
6.0
7.7
8.2
7.8
7.9
7.6
6.0
5.9
6.4
6.4
7.3
5.5
5.9
5.4
3.7
1.9
3.6
-3.0
3.9
5.3
7.6
-3.2
1.7
2.6
9.3
-3.3
-7.2
0.8
0.6
6.6
0.5
-2.8
-0.4
2.2
2005
2006
2007
2008
2009
5.5
6.7
5.8
7.4
6.7
3.7
4.1
2.8
4.2
6.7
7.0
8.0
8.0
9.9
8.1
6.5
11.7
7.4
8.3
14.3
-10.9
3.8
3.6
10.2
11.1
-10.8
1.4
12.0
14.4
2.4
-4.7
6.0
8.4
11.1
8.8
2010 f
6.2
6.6
7.2
4.0
4.8
5.3
4.6
2011 f
3.4
3.3
5.6
3.1
5.6
4.3
4.1
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
136
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table A.3.3.1—Part 2
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars (cont'd)
Prescribed
Drugs
Drugs
Non-Prescribed
Drugs
Subtotal
E
158.6
---
158.6
Capital Public Health Administration
F
376.4
G
($’ 000,000)
406.8
Other Health Spending
Health
Research
Other
H
271.4
Subtotal
J
70.3
131.2
201.6
Grand Total
A+B+C+D
+E+F+G+H+J
9,300.3
215.8
---
215.8
367.0
510.6
299.9
75.9
165.3
241.2
10,817.2
266.6
---
266.6
385.4
598.5
318.1
93.1
193.7
286.8
11,844.6
327.9
---
327.9
454.8
615.4
320.6
107.2
225.4
332.6
13,040.5
386.4
---
386.4
547.8
707.0
351.7
123.4
271.8
395.2
14,552.3
465.0
---
465.0
635.3
845.4
395.2
139.5
351.8
491.3
16,841.8
566.9
---
566.9
731.9
1,006.1
445.0
164.7
495.0
659.7
19,942.6
683.6
---
683.6
905.7
1,149.7
546.6
184.2
586.4
770.6
23,446.8
817.4
---
817.4
1,065.2
1,241.4
590.9
215.1
677.4
892.5
26,080.0
942.8
---
942.8
1,139.9
1,376.5
647.3
245.7
735.1
980.8
27,956.9
1,118.7
---
1,118.7
1,236.9
1,515.7
696.8
279.0
861.6
1,140.6
30,095.5
1,319.2
---
1,319.2
1,351.5
1,570.2
734.2
334.0
1,009.1
1,343.1
32,529.4
1,492.7
---
1,492.7
1,391.1
1,661.0
779.6
316.9
1,142.0
1,458.9
35,055.7
1,702.8
---
1,702.8
1,550.7
1,786.6
799.2
343.9
1,364.3
1,708.2
38,163.7
1,970.9
---
1,970.9
1,702.4
1,953.6
864.8
393.1
1,609.5
2,002.6
41,911.9
2,278.0
---
2,278.0
1,740.3
2,138.5
991.9
445.2
1,903.1
2,348.3
45,449.2
2,606.7
---
2,606.7
1,685.8
2,316.5
1,033.6
449.5
2,188.0
2,637.5
49,382.9
2,908.5
3,044.9
-----
2,908.5
3,044.9
1,694.9
1,650.2
2,539.6
2,761.5
1,068.6
1,010.9
541.7
518.6
2,349.3
2,550.3
2,891.0
3,068.9
51,637.9
51,922.0
3,087.6
---
3,087.6
1,943.2
3,059.8
1,072.0
511.8
2,793.5
3,305.3
52,537.2
3,365.3
---
3,365.3
1,824.0
3,245.0
1,155.8
489.3
2,866.3
3,355.7
52,716.3
3,327.7
---
3,327.7
1,685.9
3,371.5
1,180.5
487.7
2,917.2
3,404.9
52,803.4
3,597.7
4,007.5
-----
3,597.7
4,007.5
1,757.6
1,874.0
3,510.1
4,400.7
1,224.5
1,345.1
730.8
737.6
3,202.9
3,540.8
3,933.7
4,278.3
55,201.3
59,186.0
4,551.3
---
4,551.3
2,626.8
4,769.4
1,426.7
693.4
3,815.2
4,508.6
63,182.8
5,295.2
6,064.1
6,807.0
7,565.2
8,261.8
-----------
5,295.2
6,064.1
6,807.0
7,565.2
8,261.8
3,134.9
3,419.9
3,700.5
4,178.1
4,410.8
5,426.7
6,234.4
6,523.6
7,636.8
7,769.5
1,587.1
1,741.1
1,910.9
2,099.6
2,227.4
873.1
1,266.3
1,187.0
1,309.3
1,407.7
4,099.3
4,255.2
4,384.4
4,538.5
4,829.5
4,972.3
5,521.5
5,571.4
5,847.9
6,237.2
69,253.9
74,991.5
79,945.7
86,653.0
92,271.2
8,911.5
9,616.0
10,168.0
10,771.8
11,528.2
-----------
8,911.5
9,616.0
10,168.0
10,771.8
11,528.2
5,116.6
5,185.7
5,704.5
6,761.4
7,244.9
8,646.4
9,301.4
10,526.1
11,085.5
11,409.4
2,431.4
2,504.5
2,671.6
2,568.6
2,528.5
1,440.3
1,696.5
1,887.8
2,388.6
2,312.5
5,270.4
5,627.0
6,151.8
6,671.0
7,049.1
6,710.6
7,323.5
8,039.5
9,059.6
9,361.6
98,603.9
105,121.3
112,531.0
121,451.3
129,089.4
11,803.1
---
11,803.1
8,550.2
11,623.5
2,554.2
2,271.6
7,376.6
9,648.2
136,857.2
12,062.5
---
12,062.5
7,452.2
12,498.9
2,571.9
2,327.9
7,642.4
9,970.3
140,968.4
10.5
12.4
8.0
13.1
25.9
29.4
19.7
24.3
16.3
15.7
(annual percentage change)*
36.1
20.3
18.7
-------
36.1
20.3
18.7
-2.5
16.0
25.5
19.6
8.5
10.1
7.6
13.6
17.2
16.3
17.9
---
17.9
9.3
3.6
5.4
19.7
17.1
17.8
8.1
13.2
---
13.2
2.9
5.8
6.2
-5.1
13.2
8.6
7.8
7.6
14.1
---
14.1
11.5
7.6
2.5
8.5
19.5
17.1
8.9
15.7
---
15.7
9.8
9.3
8.2
14.3
18.0
17.2
9.8
15.6
---
15.6
2.2
9.5
14.7
13.3
18.2
17.3
8.4
15.0
14.4
---
14.4
4.2
1.0
12.3
8.7
11.6
---
11.6
0.5
9.6
3.4
20.5
7.4
9.6
4.6
4.7
---
4.7
-2.6
-3.1
8.7
8.3
-5.4
-4.3
8.6
6.2
0.6
1.4
---
1.4
17.8
10.8
6.0
-1.3
9.5
7.7
1.2
9.0
-1.1
8.1
-------
9.0
-1.1
8.1
-6.1
-7.6
4.3
6.1
3.9
4.1
7.8
2.1
3.7
-4.4
-0.3
49.8
2.6
1.8
9.8
1.5
1.5
15.5
0.3
0.2
4.5
11.4
---
11.4
6.6
25.4
9.9
0.9
10.5
8.8
7.2
13.6
---
13.6
40.2
8.4
6.1
-6.0
7.8
5.4
6.8
16.3
14.5
12.3
11.1
9.2
-----------
16.3
14.5
12.3
11.1
9.2
19.3
9.1
8.2
12.9
5.6
13.8
14.9
4.6
17.1
1.7
11.2
9.7
9.8
9.9
6.1
25.9
45.0
-6.3
10.3
7.5
7.4
3.8
3.0
3.5
6.4
10.3
11.0
0.9
5.0
6.7
9.6
8.3
6.6
8.4
6.5
7.9
7.9
5.7
5.9
7.0
-----------
7.9
7.9
5.7
5.9
7.0
16.0
1.3
10.0
18.5
7.2
11.3
7.6
13.2
5.3
2.9
9.2
3.0
6.7
-3.9
-1.6
2.3
17.8
11.3
26.5
-3.2
9.1
6.8
9.3
8.4
5.7
7.6
9.1
9.8
12.7
3.3
6.9
6.6
7.0
7.9
6.3
2.4
---
2.4
18.0
1.9
1.0
-1.8
4.6
3.1
6.0
2.2
---
2.2
-12.8
7.5
0.7
2.5
3.6
3.3
3.0
Canadian Institute for Health Information, 2011.
137
National Health Expenditure Trends, 1975 to 2011
Table A.3.3.2—Part 1
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars
Other Professionals
Vision Care
Services
Other
Hospitals
Other
Institutions
A
B
1975
55.2
8.6
19.5
0.6
0.4
0.5
1.5
1976
55.3
9.2
18.9
0.6
0.4
0.5
1.5
1977
53.8
9.9
19.0
0.7
0.4
0.5
1.6
1978
52.6
10.5
19.4
0.8
0.4
0.6
1.8
1979
51.5
10.9
19.3
1.0
0.4
0.6
2.0
1980
51.0
10.8
19.2
1.2
0.4
0.6
2.2
1981
50.8
10.8
18.9
1.4
0.4
0.6
2.4
1982
51.2
10.8
18.6
1.2
0.4
0.6
2.2
1983
50.5
10.7
19.1
1.0
0.4
0.6
2.0
1984
49.8
10.5
19.5
1.0
0.4
0.6
2.0
1985
49.0
10.2
19.8
0.9
0.4
0.7
2.1
1986
49.0
9.2
20.3
0.9
0.4
0.8
2.1
1987
48.9
8.9
20.7
0.8
0.4
0.8
2.1
1988
48.5
9.1
20.6
0.8
0.5
0.8
2.1
1989
48.4
9.1
20.1
0.8
0.5
0.8
2.1
1990
47.6
9.2
20.1
0.8
0.5
0.9
2.2
1991
47.2
9.3
20.5
0.8
0.5
0.9
2.3
1992
46.7
9.5
20.1
0.8
0.5
1.0
2.2
1993
46.4
9.2
20.0
0.8
0.4
0.9
2.2
1994
44.8
9.2
20.2
0.8
0.4
0.9
2.1
1995
43.9
9.6
20.0
0.8
0.4
0.9
2.0
1996
43.5
9.9
20.1
0.7
0.4
0.9
2.0
1997
40.7
11.8
20.3
0.7
0.4
0.8
1.9
1998
39.6
12.1
19.7
0.6
0.3
0.8
1.7
1999
38.6
12.0
19.4
0.6
0.3
0.8
1.8
2000
2001
2002
2003
2004
38.2
37.4
37.8
37.7
38.2
11.8
11.7
11.6
11.4
11.4
18.8
18.7
18.5
18.1
17.9
0.6
0.5
0.5
0.5
0.5
0.3
0.3
0.3
0.3
0.3
0.8
0.7
0.6
0.6
0.6
1.7
1.6
1.5
1.3
1.3
2005
2006
2007
2008
2009
37.7
37.7
37.3
37.1
37.3
11.0
10.8
10.3
10.0
10.0
17.9
18.1
18.3
18.6
18.9
0.5
0.5
0.5
0.5
0.5
0.2
0.2
0.2
0.2
0.2
0.5
0.4
0.5
0.5
0.5
1.1
1.1
1.2
1.2
1.2
2010 f
37.3
10.1
19.1
0.5
0.2
0.5
1.2
2011 f
37.5
10.1
19.6
0.5
0.2
0.5
1.2
-2.5
0.2
-0.8
2.0
1.7
9.1
Year
Physicians
Dental Services
C
(percentage distribution of $’ 000,000)
Subtotal
D
(annual percentage change)*
1976*
1980*
0.1
-0.9
1985
7.8
-0.5
-3.2
-0.3
6.4
17.1
-1.8
-2.6
1.7
-4.1
3.0
10.1
1986
0.0
-10.0
2.4
-3.6
3.6
12.4
3.5
1987
-0.1
-2.6
2.2
-7.5
-0.1
-1.6
-3.7
1.9
1988
-1.0
1.7
-0.6
-0.1
5.6
-1.6
0.6
1989
-0.2
0.5
-2.5
2.4
3.6
5.1
3.7
1990
-1.6
0.4
0.3
0.6
1.1
6.5
3.0
1991
-0.9
1.1
1.7
-2.3
1.1
8.0
2.5
1992
-0.9
2.4
-2.1
-1.6
-7.5
1.7
-1.5
1993
-0.8
-2.9
-0.1
1.5
-12.4
-1.5
-2.7
1994
-3.5
-0.2
1.0
1.1
-4.4
-7.6
-3.7
1995
-2.0
4.0
-1.3
-3.5
-5.7
-0.6
-2.7
1996
-0.9
3.1
0.9
-8.7
0.9
-1.1
-3.7
1997
-6.5
19.3
0.7
-8.8
5.1
-3.6
-3.9
1998
-2.7
3.0
-2.9
-10.8
-11.0
-2.1
-7.0
1999
-2.5
-1.1
-1.5
0.6
0.1
1.8
1.1
2000
2001
2002
2003
2004
-1.0
-2.1
1.0
-0.2
1.2
-1.6
-0.6
-0.6
-2.3
-0.1
-2.9
-0.9
-1.1
-2.3
-1.0
-5.4
-5.9
-2.8
-10.5
-2.4
-4.0
-0.6
-9.2
-6.2
-3.7
-0.3
-10.7
-13.0
-7.0
-5.5
-2.7
-7.2
-8.8
-8.1
-4.1
2005
2006
2007
2008
2009
-1.3
0.1
-1.2
-0.5
0.4
-2.9
-2.4
-4.0
-3.4
0.4
0.1
1.3
0.9
1.8
1.7
-0.3
4.8
0.3
0.3
7.6
-16.6
-2.6
-3.2
2.1
4.5
-16.6
-4.9
4.6
6.0
-3.7
-10.8
-0.6
1.3
2.9
2.3
2010 f
0.1
0.6
1.1
-1.9
-1.2
-0.7
-1.3
2011 f
0.4
0.3
2.5
0.1
2.5
1.3
1.0
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
138
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table A.3.3.2—Part 2
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars (cont'd)
Prescribed
Drugs
Drugs
Non-Prescribed
Drugs
Subtotal
E
1.7
---
1.7
Capital Public Health Administration
Other Health Spending
Health
Research
Other
F
G
H
(percentage distribution of $’ 000,000)
4.0
4.4
2.9
Subtotal
J
0.8
1.4
2.2
Grand Total
A+B+C+D
+E+F+G+H+J
100.0
2.0
---
2.0
3.4
4.7
2.8
0.7
1.5
2.2
100.0
2.3
---
2.3
3.3
5.1
2.7
0.8
1.6
2.4
100.0
2.5
---
2.5
3.5
4.7
2.5
0.8
1.7
2.6
100.0
2.7
---
2.7
3.8
4.9
2.4
0.8
1.9
2.7
100.0
2.8
---
2.8
3.8
5.0
2.3
0.8
2.1
2.9
100.0
2.8
---
2.8
3.7
5.0
2.2
0.8
2.5
3.3
100.0
2.9
---
2.9
3.9
4.9
2.3
0.8
2.5
3.3
100.0
3.1
---
3.1
4.1
4.8
2.3
0.8
2.6
3.4
100.0
3.4
---
3.4
4.1
4.9
2.3
0.9
2.6
3.5
100.0
3.7
---
3.7
4.1
5.0
2.3
0.9
2.9
3.8
100.0
4.1
---
4.1
4.2
4.8
2.3
1.0
3.1
4.1
100.0
4.3
---
4.3
4.0
4.7
2.2
0.9
3.3
4.2
100.0
4.5
---
4.5
4.1
4.7
2.1
0.9
3.6
4.5
100.0
4.7
---
4.7
4.1
4.7
2.1
0.9
3.8
4.8
100.0
5.0
---
5.0
3.8
4.7
2.2
1.0
4.2
5.2
100.0
5.3
---
5.3
3.4
4.7
2.1
0.9
4.4
5.3
100.0
5.6
---
5.6
3.3
4.9
2.1
1.0
4.5
5.6
100.0
5.9
---
5.9
3.2
5.3
1.9
1.0
4.9
5.9
100.0
5.9
---
5.9
3.7
5.8
2.0
1.0
5.3
6.3
100.0
6.4
---
6.4
3.5
6.2
2.2
0.9
5.4
6.4
100.0
6.3
---
6.3
3.2
6.4
2.2
0.9
5.5
6.4
100.0
6.5
---
6.5
3.2
6.4
2.2
1.3
5.8
7.1
100.0
6.8
---
6.8
3.2
7.4
2.3
1.2
6.0
7.2
100.0
7.2
---
7.2
4.2
7.5
2.3
1.1
6.0
7.1
100.0
7.6
8.1
8.5
8.7
9.0
-----------
7.6
8.1
8.5
8.7
9.0
4.5
4.6
4.6
4.8
4.8
7.8
8.3
8.2
8.8
8.4
2.3
2.3
2.4
2.4
2.4
1.3
1.7
1.5
1.5
1.5
5.9
5.7
5.5
5.2
5.2
7.2
7.4
7.0
6.7
6.8
100.0
100.0
100.0
100.0
100.0
9.0
9.1
9.0
8.9
8.9
-----------
9.0
9.1
9.0
8.9
8.9
5.2
4.9
5.1
5.6
5.6
8.8
8.8
9.4
9.1
8.8
2.5
2.4
2.4
2.1
2.0
1.5
1.6
1.7
2.0
1.8
5.3
5.4
5.5
5.5
5.5
6.8
7.0
7.1
7.5
7.3
100.0
100.0
100.0
100.0
100.0
8.6
---
8.6
6.2
8.5
1.9
1.7
5.4
7.0
100.0
8.6
---
8.6
5.3
8.9
1.8
1.7
5.4
7.1
100.0
17.0
4.0
-----
17.0
4.0
-16.2
0.2
-7.2
-2.3
8.3
11.8
2.9
7.4
-----
---
10.2
(annual percentage change)*
10.2
0.8
7.9
3.3
2.3
-5.0
-2.9
0.0
5.5
8.9
8.0
---
9.1
---
9.1
1.1
-4.2
-2.5
10.8
8.4
8.9
---
5.0
---
5.0
-4.5
-1.8
-1.5
-12.0
5.0
0.8
---
4.8
---
4.8
2.4
-1.2
-5.8
-0.3
9.7
7.6
---
5.4
---
5.4
0.0
-0.4
-1.5
4.1
7.4
6.8
---
6.6
---
6.6
-5.7
0.9
5.8
4.4
9.0
8.1
---
5.3
---
5.3
-10.8
-0.3
-4.1
-7.1
5.8
3.4
---
15.2
4.8
-1.1
4.1
---
4.1
-3.2
8.1
-5.9
-4.8
8.0
5.6
---
0.2
6.7
---
0.2
16.4
9.5
4.8
-2.5
8.3
6.4
---
8.6
---
6.7
-3.9
-6.5
5.7
7.4
-4.7
2.7
2.3
4.8
1.2
---
---
8.6
-1.3
---
-1.3
-7.7
3.7
2.0
-0.5
1.6
1.3
---
3.4
---
3.4
-0.3
-0.4
-0.8
43.3
5.0
10.5
---
---
3.9
---
3.9
-0.6
16.9
2.5
-5.9
3.1
1.4
---
6.4
---
6.4
31.3
1.5
-0.6
-11.9
0.9
-1.3
---
6.1
5.8
5.3
2.5
2.6
-----------
6.1
5.8
5.3
2.5
2.6
8.9
0.7
1.5
4.2
-0.9
3.8
6.1
-1.8
8.0
-4.5
1.5
1.3
3.0
1.4
-0.4
14.9
33.9
-12.1
1.8
1.0
-2.0
-4.1
-3.3
-4.5
-0.1
0.6
2.5
-5.3
-3.2
0.2
-----------
0.9
1.2
-1.2
-1.8
0.7
-----------
0.9
1.2
-1.2
-1.8
0.7
8.6
-4.9
2.8
9.8
0.8
4.1
0.9
5.7
-2.4
-3.2
2.1
-3.4
-0.4
-10.9
-7.4
-4.3
10.5
3.9
17.2
-8.9
2.1
0.1
2.1
0.5
-0.6
0.7
2.4
2.5
4.4
-2.8
-----------
-3.4
---
-3.4
11.3
-3.9
-4.7
-7.3
-1.3
-2.8
---
-0.8
---
-0.8
-15.4
4.4
-2.2
-0.5
0.6
0.3
---
Canadian Institute for Health Information, 2011.
139
National Health Expenditure Trends, 1975 to 2011
Table A.3.3.3—Part 1
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars
Year
Hospitals
Other
Institutions
Physicians
A
B
C
Dental Services
Other Professionals
Vision Care
Services
Other
Subtotal
D
($’ per capita)
1975
222.0
34.4
78.3
2.4
1.5
2.0
6.0
1976
254.9
42.6
87.1
3.0
1.7
2.3
7.0
1977
268.6
49.5
94.9
3.5
1.9
2.6
8.0
1978
286.4
57.1
105.5
4.3
2.2
3.2
9.7
1979
309.4
65.3
115.9
5.9
2.4
3.7
12.0
1980
350.2
74.3
132.0
8.0
2.7
4.3
15.0
1981
408.0
86.5
152.1
11.2
3.2
5.1
19.5
1982
477.8
100.8
173.3
10.8
3.6
5.7
20.1
1983
519.4
110.2
196.1
10.3
4.2
6.5
20.9
1984
544.2
114.2
212.6
10.4
4.6
7.1
22.1
1985
570.3
118.7
230.7
10.7
5.0
8.3
24.0
1986
610.6
114.3
252.8
11.0
5.6
10.0
26.6
1987
648.6
118.4
274.7
10.8
5.9
10.4
27.2
1988
690.3
129.4
293.4
11.6
6.7
11.0
29.4
1989
742.9
140.3
308.7
12.8
7.5
12.5
32.9
1990
780.8
150.4
330.6
13.8
8.1
14.2
36.2
1991
831.0
163.3
360.8
14.5
8.8
16.5
39.8
1992
850.7
172.7
365.0
14.7
8.4
17.4
40.5
1993
839.4
166.8
362.7
14.9
7.4
17.0
39.2
1994
810.8
166.6
366.6
15.0
7.0
15.7
37.8
1995
789.4
172.0
359.3
14.4
6.6
15.5
36.5
1996
775.3
175.7
359.3
13.0
6.6
15.2
34.9
1997
750.7
216.9
374.6
12.3
7.2
15.2
34.7
1998
776.7
237.5
386.7
11.7
6.8
15.8
34.3
1999
801.4
248.6
403.2
12.4
7.2
17.0
36.7
2000
2001
861.7
903.9
265.8
282.9
425.1
451.3
12.8
12.9
7.5
8.0
18.4
38.7
2002
2003
2004
962.8
1,031.6
1,100.6
296.4
311.0
327.6
470.7
493.8
515.3
13.2
12.7
13.0
7.6
7.7
7.8
17.6
16.2
16.2
16.1
38.5
37.0
36.5
37.0
2005
2006
2007
2008
2009
1,149.9
1,217.0
1,273.5
1,352.4
1,426.4
336.4
347.3
353.1
363.8
383.4
545.7
584.4
624.4
678.0
724.3
13.8
15.2
16.2
17.3
19.6
6.9
7.1
7.3
7.9
8.7
14.2
14.3
15.8
17.9
18.1
34.9
36.6
39.3
43.2
46.4
2010 f
1,497.2
404.2
767.7
20.1
9.0
18.8
48.0
2011 f
1,530.8
413.0
801.3
20.5
9.4
19.4
49.4
(annual percentage change)*
1976*
1980*
14.8
13.2
1985
4.8
3.9
8.5
2.3
9.8
17.5
8.7
1986
7.1
-3.7
9.6
3.2
10.9
20.3
10.7
1987
6.2
3.6
8.7
-1.6
6.3
4.6
2.4
1988
6.4
9.3
6.8
7.4
13.4
5.7
8.1
1989
7.6
8.4
5.2
10.5
11.7
13.3
11.8
1990
5.1
7.2
7.1
7.5
8.0
13.8
10.0
1991
6.4
8.5
9.1
4.9
8.6
16.0
10.1
1992
2.4
5.8
1.2
1.7
-4.4
5.1
1.8
1993
-1.3
-3.4
-0.6
1.0
-12.9
-2.1
-3.2
1994
-3.4
-0.1
1.1
1.2
-4.3
-7.5
-3.6
3.3
-2.0
-4.1
-6.3
1995
-2.6
23.8
13.7
11.1
13.9
22.2
33.8
11.9
14.4
13.9
16.5
-1.3
16.7
24.7
-3.4
1996
-1.8
2.1
0.0
-9.5
0.0
-2.0
-4.6
1997
-3.2
23.4
4.2
-5.6
8.8
-0.2
-0.5
1998
3.5
9.5
3.2
-5.1
-5.4
4.1
-1.1
1999
3.2
4.7
4.3
6.6
6.0
7.8
7.0
2000
7.5
6.9
5.4
2.7
4.3
8.3
5.6
2001
4.9
6.4
6.2
0.8
6.4
-4.4
-0.6
2002
6.5
4.8
4.3
2.4
-4.3
-8.2
-3.9
2003
7.1
4.9
4.9
-4.0
0.7
-0.2
-1.3
2004
6.7
5.3
4.3
2.9
1.6
-0.4
1.1
2005
4.5
2.7
5.9
5.5
-11.8
-11.7
-5.7
2006
5.8
3.2
7.1
10.8
3.0
0.6
5.1
2007
4.6
1.7
6.8
6.2
2.5
10.8
7.3
2008
6.2
3.0
8.6
7.0
8.9
13.1
9.8
2009
5.5
5.4
6.8
13.0
9.7
1.2
7.5
2010 f
5.0
5.4
6.0
2.8
3.6
4.1
3.5
2011 f
2.2
2.2
4.4
1.9
4.4
3.1
2.9
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
140
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table A.3.3.3—Part 2
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2011—Current Dollars (cont'd)
Prescribed
Drugs
Drugs
Non-Prescribed
Drugs
Subtotal
E
6.9
---
6.9
Capital Public Health Administration
F
16.3
G
($’ per capita)
17.6
Other Health Spending
Health
Research
Other
H
11.7
Subtotal
J
3.0
5.7
8.7
Grand Total
A+B+C+D
+E+F+G+H+J
401.9
9.2
---
9.2
15.6
21.8
12.8
3.2
7.0
10.3
461.3
11.2
---
11.2
16.2
25.2
13.4
3.9
8.2
12.1
499.2
13.7
---
13.7
19.0
25.7
13.4
4.5
9.4
13.9
544.2
16.0
---
16.0
22.6
29.2
14.5
5.1
11.2
16.3
601.3
19.0
---
19.0
25.9
34.5
16.1
5.7
14.3
20.0
687.0
22.8
---
22.8
29.5
40.5
17.9
6.6
19.9
26.6
803.5
27.2
---
27.2
36.1
45.8
21.8
7.3
23.3
30.7
933.5
32.2
---
32.2
42.0
48.9
23.3
8.5
26.7
35.2
1,028.1
36.8
---
36.8
44.5
53.8
25.3
9.6
28.7
38.3
1,091.7
43.3
---
43.3
47.9
58.7
27.0
10.8
33.3
44.1
1,164.6
50.5
---
50.5
51.8
60.2
28.1
12.8
38.7
51.5
1,246.3
56.4
---
56.4
52.6
62.8
29.5
12.0
43.2
55.2
1,325.4
63.5
---
63.5
57.9
66.7
29.8
12.8
50.9
63.7
1,424.3
72.2
---
72.2
62.4
71.6
31.7
14.4
59.0
73.4
1,536.3
82.2
---
82.2
62.8
77.2
35.8
16.1
68.7
84.8
1,640.9
93.0
---
93.0
60.1
82.6
36.9
16.0
78.1
94.1
1,761.7
102.5
---
102.5
59.7
89.5
37.7
19.1
82.8
101.9
1,820.4
106.2
---
106.2
57.5
96.3
35.2
18.1
88.9
107.0
1,810.3
106.5
---
106.5
67.0
105.5
37.0
17.6
96.3
114.0
1,811.7
114.8
---
114.8
62.2
110.7
39.4
16.7
97.8
114.5
1,799.1
112.4
---
112.4
56.9
113.9
39.9
16.5
98.5
115.0
1,783.2
120.3
---
120.3
58.8
117.4
40.9
24.4
107.1
131.5
1,845.7
132.9
---
132.9
62.1
145.9
44.6
24.5
117.4
141.9
1,962.6
149.7
---
149.7
86.4
156.9
46.9
22.8
125.5
148.3
2,078.1
172.5
195.5
217.0
238.8
258.2
-----------
172.5
195.5
217.0
238.8
258.2
102.2
110.2
118.0
131.9
137.9
176.8
201.0
207.9
241.1
242.8
51.7
56.1
60.9
66.3
69.6
28.4
40.8
37.8
41.3
44.0
133.6
137.2
139.8
143.3
150.9
162.0
178.0
177.6
184.6
194.9
2,256.6
2,417.4
2,548.3
2,735.6
2,883.9
275.8
295.2
308.8
323.3
341.9
-----------
275.8
295.2
308.8
323.3
341.9
158.3
159.2
173.2
202.9
214.9
267.6
285.5
319.7
332.7
338.4
75.2
76.9
81.1
77.1
75.0
44.6
52.1
57.3
71.7
68.6
163.1
172.7
186.8
200.2
209.0
207.7
224.8
244.1
271.9
277.6
3,051.6
3,226.9
3,417.3
3,645.4
3,828.3
346.0
---
346.0
250.7
340.8
74.9
66.6
216.3
282.9
4,012.4
349.6
---
349.6
216.0
362.3
74.5
67.5
221.5
289.0
4,085.8
(annual percentage change)*
34.3
18.8
17.6
-------
34.3
18.8
17.6
-3.8
14.5
7.5
23.9
18.0
9.1
9.1
10.9
6.6
11.6
24.3
27.8
18.1
22.7
14.8
14.2
6.7
12.5
16.1
15.2
16.8
---
16.8
8.2
2.6
4.3
18.5
16.0
16.6
7.0
11.7
---
11.7
1.6
4.4
4.8
-6.4
11.7
7.2
6.3
6.7
12.6
---
12.6
10.0
6.2
1.2
7.1
17.9
15.6
7.5
13.7
---
13.7
7.8
7.4
6.3
12.3
15.9
15.1
7.9
6.8
13.8
---
13.8
0.7
7.8
13.0
11.6
16.5
15.5
13.1
---
13.1
-4.3
7.0
3.0
-0.2
13.6
11.0
10.3
---
10.3
-0.7
8.3
2.2
19.1
6.1
8.3
3.3
3.5
---
3.5
-3.7
7.5
-6.4
-5.3
7.4
5.0
-0.6
0.3
---
0.3
16.5
9.6
4.9
-2.4
8.3
6.5
0.1
7.9
---
7.9
-7.1
0.5
-0.7
-2.1
---
-2.1
-8.5
2.8
1.1
-1.4
0.7
0.4
-0.9
7.0
---
7.0
3.2
3.1
2.7
48.3
8.7
14.4
10.5
---
10.5
5.7
24.3
8.9
0.1
9.6
7.9
6.3
12.6
---
12.6
39.0
7.5
5.2
-6.8
6.9
4.5
5.9
15.3
15.3
6.7
-5.4
1.5
18.2
12.7
10.2
24.7
13.3
---
13.3
7.9
13.7
8.5
43.5
2.7
9.9
7.1
---
11.0
7.0
3.5
8.5
-7.3
1.9
-0.2
5.4
10.1
---
10.1
11.8
15.9
8.8
9.2
2.5
4.0
7.4
8.1
---
8.1
4.5
0.7
5.0
6.4
5.4
5.6
5.4
6.8
14.9
---
10.2
8.1
1.3
6.4
8.1
9.3
3.5
11.0
6.8
---
5.0
7.4
6.5
8.6
5.8
7.0
---
7.0
0.5
6.7
2.2
16.8
5.9
8.2
5.7
4.6
---
4.6
8.8
12.0
5.5
10.1
8.2
8.6
5.9
4.7
---
4.7
17.2
4.1
-5.0
25.1
7.2
11.4
6.7
5.7
---
5.7
5.9
1.7
-2.7
-4.3
4.4
2.1
5.0
1.2
---
1.2
16.7
0.7
-0.1
-2.9
3.5
1.9
4.8
1.0
---
1.0
-13.8
6.3
-0.5
1.3
2.4
2.2
1.8
Canadian Institute for Health Information, 2011.
141
Series B
Total Health Expenditure
by Source of Finance, by
Province/Territory and Canada
(Selected Tables)
National Health Expenditure Trends, 1975 to 2011
Table B.1.1
Total Health Expenditure, by Province/Territory and Canada, 1975 to 2011—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Year
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
($’ 000,000)
1975
1976
1977
1978
1979
264.5
312.8
362.9
412.7
473.3
59.2
62.9
68.7
79.5
96.6
382.5
442.2
469.1
512.5
573.0
277.5
321.9
358.9
404.7
470.0
3,378.8
3,875.2
4,200.7
4,666.6
5,149.6
4,422.8
5,040.8
5,524.6
6,071.9
6,728.0
546.3
629.4
706.0
749.0
823.3
441.2
520.3
587.4
622.4
703.5
992.3
1,158.9
1,272.1
1,465.4
1,781.0
1,383.4
1,628.3
1,831.8
2,044.4
2,288.6
15.9
18.1
18.5
21.3
23.9
35.1
39.0
49.3
56.5
59.0
-----------
12,199.4
14,049.8
15,450.0
17,106.8
19,169.7
1980
1981
1982
1983
1984
528.4
621.3
701.2
773.7
751.7
122.3
136.4
152.4
164.5
171.0
657.2
788.8
919.1
1,004.9
1,125.3
562.5
681.2
819.3
894.6
975.1
5,886.5
6,887.8
7,890.5
8,675.3
9,313.7
7,634.1
8,903.0
10,445.2
11,850.0
13,086.0
971.4
1,153.2
1,332.1
1,478.6
1,592.0
815.7
949.0
1,130.0
1,257.6
1,371.3
2,153.1
2,623.7
3,351.7
3,622.1
3,764.2
2,880.0
3,430.4
3,870.2
4,155.7
4,428.9
26.1
28.2
37.1
38.0
37.9
61.1
73.8
110.4
123.5
125.8
-----------
22,298.4
26,276.7
30,759.1
34,038.6
36,743.1
1985
1986
1987
1988
1989
785.8
812.5
881.6
930.9
991.6
181.2
187.6
202.9
219.5
239.3
1,232.5
1,376.9
1,560.6
1,585.2
1,751.8
1,026.2
1,091.1
1,194.0
1,291.5
1,400.1
10,031.9
10,537.4
11,268.6
12,279.2
13,290.3
14,442.8
16,097.2
17,866.4
19,819.8
21,970.8
1,726.5
1,889.7
1,980.2
2,069.6
2,257.4
1,528.8
1,703.6
1,767.8
1,837.6
2,052.9
4,070.4
4,448.5
4,499.9
4,830.6
5,349.8
4,637.9
4,984.1
5,341.3
5,839.1
6,509.7
39.7
42.6
44.7
45.8
49.5
138.5
166.9
181.3
211.2
232.9
-----------
39,842.4
43,338.1
46,789.2
50,960.1
56,096.2
1990
1991
1992
1993
1994
1,096.4
1,153.2
1,197.4
1,209.1
1,249.3
256.2
280.6
295.0
311.7
313.7
1,866.9
1,970.0
2,031.6
2,025.0
2,023.4
1,533.5
1,629.3
1,699.8
1,739.1
1,793.0
14,311.5
15,634.6
16,376.1
16,904.2
17,327.9
23,799.1
26,194.3
27,575.2
28,074.9
28,749.1
2,484.3
2,576.0
2,701.9
2,749.1
2,804.9
2,252.2
2,319.8
2,325.4
2,301.9
2,385.2
5,749.4
6,062.5
6,430.7
6,520.4
6,313.4
7,376.3
8,127.4
8,769.7
9,297.4
9,771.3
53.6
62.6
67.5
80.1
94.0
246.8
279.5
279.6
287.1
286.3
-----------
61,026.3
66,289.8
69,749.9
71,500.0
73,111.4
1995
1996
1997
1998
1999
1,269.4
1,253.4
1,305.4
1,433.4
1,583.3
327.4
339.1
340.3
361.4
378.7
2,061.3
2,089.0
2,364.2
2,552.9
2,677.9
1,819.3
1,813.7
1,857.2
1,924.2
2,076.5
17,367.9
16,976.4
18,009.2
19,173.7
20,073.3
29,286.7
29,693.7
30,795.1
33,125.6
35,439.2
2,915.5
2,972.0
3,100.5
3,286.3
3,700.8
2,442.3
2,490.0
2,656.2
2,778.2
2,977.4
6,092.5
6,320.6
7,082.2
7,619.8
8,701.7
10,113.2
10,378.1
10,832.0
11,414.3
12,279.7
95.8
110.2
103.3
104.1
109.2
295.0
277.7
289.0
309.8
223.1
--------142.6
74,086.4
74,713.9
78,734.4
84,083.9
90,363.4
2000
2001
2002
2003
2004
1,687.2
1,802.9
1,926.1
2,061.8
2,138.1
401.4
475.9
505.4
541.0
538.2
2,836.6
3,013.3
3,306.8
3,595.5
3,725.0
2,218.6
2,467.8
2,615.6
2,788.5
2,979.8
21,667.5
23,608.1
25,004.4
26,579.6
28,011.2
39,040.0
41,792.2
45,404.6
49,584.6
53,316.0
4,063.6
4,381.6
4,607.2
4,927.1
5,234.7
3,159.8
3,457.0
3,623.1
3,870.8
4,126.0
9,601.8
10,962.4
11,793.7
12,627.7
13,832.3
13,412.6
14,680.1
15,670.2
16,389.4
17,126.0
123.2
142.7
155.5
156.3
167.5
208.5
240.0
265.7
263.4
284.3
168.5
184.3
215.0
292.7
308.0
98,589.1
107,208.3
115,093.2
123,678.4
131,787.1
2005
2006
2007
2008
2009
2,235.2
2,344.7
2,559.2
2,735.0
3,000.4
576.0
621.7
654.3
695.6
779.2
4,030.5
4,511.7
4,820.3
5,071.0
5,332.3
3,294.0
3,581.6
3,723.0
3,983.2
4,302.3
29,785.5
31,636.2
33,471.4
35,861.2
38,190.6
56,613.3
60,154.0
64,121.2
67,990.0
71,810.7
5,618.3
5,976.4
6,282.5
6,747.7
7,314.0
4,419.5
4,764.8
5,093.4
5,436.2
5,818.3
15,170.8
16,992.1
18,474.6
20,394.9
21,518.8
18,099.2
19,443.8
20,277.0
22,292.8
22,971.5
187.6
216.9
231.0
241.3
278.1
318.8
344.3
385.2
407.0
431.8
304.6
335.4
354.1
367.6
364.7
140,653.4
150,923.6
160,447.3
172,223.5
182,112.7
2010 f
2011 f
3,297.5
3,500.0
842.5
873.1
5,690.7
5,930.1
4,550.2
4,784.2
40,010.2
41,926.2
75,468.9
77,437.6
7,655.0
8,059.4
6,309.3
6,788.2
23,891.0
24,935.7
24,031.5
25,097.0
301.3
314.2
438.7
452.3
367.1
401.1
192,853.9
200,499.1
1976*
1980*
18.3
11.6
6.2
26.6
15.6
14.7
16.0
19.7
14.7
14.3
14.0
13.5
15.2
18.0
17.9
16.0
16.8
20.9
17.7
25.8
13.6
9.0
11.3
3.6
-----
15.2
16.3
1985
1986
1987
1988
1989
4.5
3.4
8.5
5.6
6.5
5.9
3.5
8.2
8.2
9.0
9.5
11.7
13.3
1.6
10.5
5.2
6.3
9.4
8.2
8.4
7.7
5.0
6.9
9.0
8.2
10.4
11.5
11.0
10.9
10.9
8.4
9.5
4.8
4.5
9.1
11.5
11.4
3.8
4.0
11.7
8.1
9.3
1.2
7.3
10.7
4.7
7.5
7.2
9.3
11.5
4.8
7.2
5.1
2.3
8.2
10.2
20.5
8.6
16.5
10.3
-----------
8.4
8.8
8.0
8.9
10.1
1990
1991
1992
1993
1994
10.6
5.2
3.8
1.0
3.3
7.0
9.5
5.1
5.7
0.6
6.6
5.5
3.1
-0.3
-0.1
9.5
6.2
4.3
2.3
3.1
7.7
9.2
4.7
3.2
2.5
8.3
10.1
5.3
1.8
2.4
10.1
3.7
4.9
1.7
2.0
9.7
3.0
0.2
-1.0
3.6
7.5
5.4
6.1
1.4
-3.2
13.3
10.2
7.9
6.0
5.1
8.2
16.8
7.9
18.6
17.4
6.0
13.2
0.1
2.7
-0.3
-----------
8.8
8.6
5.2
2.5
2.3
1995
1996
1997
1998
1999
1.6
-1.3
4.1
9.8
10.5
4.4
3.5
0.4
6.2
4.8
1.9
1.3
13.2
8.0
4.9
1.5
-0.3
2.4
3.6
7.9
0.2
-2.3
6.1
6.5
4.7
1.9
1.4
3.7
7.6
7.0
3.9
1.9
4.3
6.0
12.6
2.4
2.0
6.7
4.6
7.2
-3.5
3.7
12.0
7.6
14.2
3.5
2.6
4.4
5.4
7.6
1.9
15.1
-6.3
0.8
4.9
3.0
-5.9
4.1
7.2
-28.0
-----------
1.3
0.8
5.4
6.8
7.5
2000
2001
2002
2003
2004
6.6
6.9
6.8
7.0
3.7
6.0
18.6
6.2
7.0
-0.5
5.9
6.2
9.7
8.7
3.6
6.8
11.2
6.0
6.6
6.9
7.9
9.0
5.9
6.3
5.4
10.2
7.0
8.6
9.2
7.5
9.8
7.8
5.1
6.9
6.2
6.1
9.4
4.8
6.8
6.6
10.3
14.2
7.6
7.1
9.5
9.2
9.4
6.7
4.6
4.5
12.8
15.9
8.9
0.5
7.2
-6.5
15.1
10.7
-0.9
7.9
18.1
9.4
16.6
36.1
5.3
9.1
8.7
7.4
7.5
6.6
2005
2006
2007
2008
2009
4.5
4.9
9.1
6.9
9.7
7.0
7.9
5.2
6.3
12.0
8.2
11.9
6.8
5.2
5.2
10.5
8.7
3.9
7.0
8.0
6.3
6.2
5.8
7.1
6.5
6.2
6.3
6.6
6.0
5.6
7.3
6.4
5.1
7.4
8.4
7.1
7.8
6.9
6.7
7.0
9.7
12.0
8.7
10.4
5.5
5.7
7.4
4.3
9.9
3.0
12.0
15.6
6.5
4.4
15.3
12.2
8.0
11.9
5.6
6.1
-1.1
10.1
5.6
3.8
-0.8
6.7
7.3
6.3
7.3
5.7
2010 f
2011 f
9.9
6.1
8.1
3.6
6.7
4.2
5.8
5.1
4.8
4.8
5.1
2.6
4.7
5.3
8.4
7.6
11.0
4.4
4.6
4.4
8.3
4.3
1.6
3.1
0.7
9.3
5.9
4.0
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
144
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table B.1.2
Total Health Expenditure, by Province/Territory and Canada, 1975 to 2011—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
1975
1976
1977
1978
1979
475.29
555.99
641.93
726.96
830.23
502.62
529.82
572.56
653.05
785.24
462.74
529.45
558.65
606.81
674.68
409.87
466.84
515.80
578.47
668.42
533.75
605.80
653.12
724.60
796.36
531.61
599.11
649.52
706.71
776.66
533.03
610.01
680.14
719.36
793.65
1980
1981
1982
1983
1984
922.34
1,080.88
1,220.41
1,334.99
1,295.66
988.59
1,102.17
1,230.17
1,311.30
1,350.90
770.61
923.01
1,068.72
1,156.14
1,282.96
796.61
964.41
1,156.84
1,250.58
1,352.42
904.64
1,051.94
1,199.29
1,313.98
1,404.53
872.94
1,010.40
1,170.69
1,310.60
1,426.75
1985
1986
1987
1988
1989
1,356.50
1,409.34
1,532.79
1,618.95
1,720.39
1,419.40
1,460.70
1,578.34
1,698.12
1,840.01
1,392.54
1,548.24
1,746.68
1,766.48
1,938.19
1,418.05
1,504.71
1,640.40
1,768.26
1,904.32
1,505.01
1,570.76
1,661.41
1,795.46
1,918.16
1990
1991
1992
1993
1994
1,896.84
1,989.99
2,064.37
2,084.83
2,174.65
1,962.74
2,153.50
2,255.45
2,358.94
2,351.09
2,052.39
2,152.81
2,209.26
2,191.52
2,182.78
2,071.96
2,185.39
2,272.21
2,322.46
2,389.97
1995
1996
1997
1998
1999
2,237.14
2,238.91
2,369.01
2,654.75
2,968.31
2,436.16
2,497.61
2,500.34
2,660.92
2,778.63
2,220.76
2,242.84
2,535.39
2,739.45
2,867.64
2000
2001
3,195.28
3,453.96
2,940.60
3,482.35
2002
2003
2004
3,707.89
3,976.93
4,133.15
2005
2006
2007
2008
2009
Canada
Average
Alta.
B.C.
Y.T.
N.W.T
Nun.
480.92
558.53
621.68
653.82
733.15
548.65
619.96
653.15
724.79
849.06
553.44
642.64
712.85
782.10
859.40
726.48
804.44
810.18
899.00
998.00
818.67
880.95
1,103.96
1,248.03
1,289.33
-----------
527.13
599.14
651.19
713.87
792.08
938.89
1,112.70
1,272.56
1,393.48
1,485.30
843.21
972.49
1,144.53
1,255.25
1,350.41
982.07
1,143.63
1,415.24
1,515.28
1,574.92
1,049.86
1,214.75
1,347.15
1,430.31
1,503.55
1,073.08
1,177.79
1,517.96
1,611.11
1,585.31
1,319.09
1,552.38
2,228.99
2,420.07
2,392.39
-----------
909.54
1,058.67
1,224.61
1,341.85
1,434.85
1,553.40
1,705.55
1,852.54
2,013.75
2,173.70
1,595.25
1,731.01
1,803.40
1,878.01
2,045.59
1,490.78
1,655.19
1,711.73
1,787.57
2,014.15
1,693.92
1,829.95
1,847.76
1,968.11
2,143.98
1,559.34
1,659.09
1,751.15
1,874.31
2,035.64
1,630.07
1,739.80
1,741.02
1,720.95
1,826.71
2,546.73
3,052.14
3,293.37
3,792.49
4,084.51
-----------
1,541.72
1,660.39
1,769.04
1,901.82
2,056.18
2,043.36
2,213.09
2,303.89
2,362.48
2,409.37
2,311.07
2,511.89
2,608.87
2,626.67
2,657.46
2,246.92
2,321.53
2,428.27
2,459.81
2,497.17
2,236.27
2,313.60
2,316.20
2,286.26
2,362.72
2,257.18
2,338.38
2,442.42
2,444.45
2,337.72
2,241.49
2,409.20
2,528.43
2,606.22
2,658.36
1,928.76
2,164.74
2,242.01
2,638.01
3,165.61
4,190.00
4,586.61
4,480.52
4,517.40
4,394.37
-----------
2,203.31
2,364.84
2,458.85
2,492.87
2,521.16
2,422.62
2,410.86
2,467.84
2,563.77
2,766.37
2,405.71
2,342.58
2,475.62
2,627.99
2,741.01
2,674.59
2,679.20
2,742.64
2,914.19
3,079.97
2,582.01
2,620.42
2,728.98
2,889.01
3,239.21
2,408.26
2,443.35
2,609.05
2,730.39
2,934.21
2,227.99
2,277.57
2,502.48
2,628.02
2,946.49
2,677.58
2,678.72
2,743.29
2,865.71
3,061.24
3,145.60
3,511.90
3,248.86
3,342.91
3,549.36
4,430.96
4,109.41
4,266.11
4,611.55
5,486.97
--------5,317.71
2,528.35
2,523.19
2,632.61
2,788.20
2,972.10
3,037.42
3,231.81
2,956.07
3,290.91
2,945.14
3,191.58
3,340.92
3,512.64
3,541.64
3,805.84
3,135.42
3,456.55
3,195.32
3,586.31
3,320.61
3,599.43
4,048.81
4,737.37
5,149.06
5,878.03
6,125.90
6,554.36
3,212.52
3,455.96
3,690.64
3,939.54
3,903.77
3,538.56
3,839.23
3,971.38
3,485.93
3,711.94
3,962.29
3,358.21
3,546.46
3,710.60
3,751.81
4,043.58
4,292.65
3,986.93
4,240.55
4,471.95
3,638.09
3,891.34
4,147.20
3,784.49
3,994.38
4,311.57
3,807.68
3,944.15
4,073.93
5,159.10
5,112.71
5,425.66
6,403.63
6,237.18
6,637.98
7,480.48
10,035.17
10,396.20
3,668.59
3,904.47
4,118.96
4,347.46
4,594.56
5,053.85
5,403.02
5,904.66
4,168.16
4,507.83
4,735.54
4,984.99
5,522.54
4,306.09
4,809.85
5,151.03
5,413.43
5,677.95
4,384.27
4,803.11
4,993.82
5,333.01
5,741.55
3,920.16
4,145.45
4,354.05
4,626.46
4,878.50
4,505.47
4,749.50
5,012.24
5,257.38
5,496.46
4,785.02
5,047.52
5,263.70
5,597.37
5,997.22
4,463.96
4,802.67
5,092.12
5,362.22
5,653.66
4,624.23
4,966.64
5,259.40
5,678.84
5,862.25
4,248.39
4,581.93
4,705.04
5,085.20
5,150.23
6,042.61
6,720.43
7,093.46
7,285.11
8,263.75
7,462.49
7,969.85
8,846.95
9,313.70
9,886.91
10,150.45
10,889.73
11,322.35
11,635.53
11,327.71
4,352.97
4,632.96
4,872.41
5,169.40
5,400.70
2010 f
2011 f
6,469.05
6,883.84
5,921.87
6,115.31
6,037.83
6,288.49
6,052.75
6,358.08
5,059.85
5,260.97
5,712.73
5,792.40
6,196.32
6,462.88
6,033.99
6,421.13
6,420.69
6,570.15
5,303.84
5,449.84
8,726.79
8,995.64
10,024.82
10,242.28
11,051.05
11,928.64
5,654.09
5,811.22
1976*
1980*
17.0
11.1
5.4
25.9
14.4
14.2
13.9
19.2
13.5
13.6
12.7
12.4
14.4
18.3
16.1
15.0
13.0
15.7
16.1
22.2
10.7
7.5
7.6
2.3
-----
13.7
14.8
1985
1986
1987
1988
1989
4.7
3.9
8.8
5.6
6.3
5.1
2.9
8.1
7.6
8.4
8.5
11.2
12.8
1.1
9.7
4.9
6.1
9.0
7.8
7.7
7.2
4.4
5.8
8.1
6.8
8.9
9.8
8.6
8.7
7.9
7.4
8.5
4.2
4.1
8.9
10.4
11.0
3.4
4.4
12.7
7.6
8.0
1.0
6.5
8.9
3.7
6.4
5.5
7.0
8.6
2.8
6.7
0.1
-1.2
6.1
6.5
19.8
7.9
15.2
7.7
-----------
7.4
7.7
6.5
7.5
8.1
1990
1991
1992
1993
1994
10.3
4.9
3.7
1.0
4.3
6.7
9.7
4.7
4.6
-0.3
5.9
4.9
2.6
-0.8
-0.4
8.8
5.5
4.0
2.2
2.9
6.5
8.3
4.1
2.5
2.0
6.3
8.7
3.9
0.7
1.2
9.8
3.3
4.6
1.3
1.5
11.0
3.5
0.1
-1.3
3.3
5.3
3.6
4.4
0.1
-4.4
10.1
7.5
4.9
3.1
2.0
5.6
12.2
3.6
17.7
20.0
2.6
9.5
-2.3
0.8
-2.7
-----------
7.2
7.3
4.0
1.4
1.1
1995
1996
1997
1998
1999
2.9
0.1
5.8
12.1
11.8
3.6
2.5
0.1
6.4
4.4
1.7
1.0
13.0
8.0
4.7
1.4
-0.5
2.4
3.9
7.9
-0.2
-2.6
5.7
6.2
4.3
0.6
0.2
2.4
6.3
5.7
3.4
1.5
4.1
5.9
12.1
1.9
1.5
6.8
4.7
7.5
-4.7
2.2
9.9
5.0
12.1
0.7
0.0
2.4
4.5
6.8
-0.6
11.6
-7.5
2.9
6.2
0.8
-7.3
3.8
8.1
19.0
-----------
0.3
-0.2
4.3
5.9
6.6
2000
2001
2002
2003
2004
7.6
8.1
7.4
7.3
3.9
5.8
18.4
6.0
6.7
-0.9
5.9
6.4
9.5
8.5
3.4
6.9
11.3
5.9
6.5
6.7
7.4
8.4
5.2
5.6
4.6
8.5
5.1
6.8
7.8
6.2
9.3
7.5
4.8
6.4
5.5
6.9
10.2
5.3
7.0
6.6
8.4
12.2
5.5
5.5
7.9
8.5
8.4
5.8
3.6
3.3
14.1
17.0
8.9
-0.9
6.1
-6.2
14.2
8.9
-2.6
6.4
15.2
7.0
14.1
34.2
3.6
8.1
7.6
6.2
6.4
5.5
2005
2006
2007
2008
2009
5.2
5.7
10.0
6.9
9.3
6.8
8.1
5.1
5.3
10.8
8.4
11.7
7.1
5.1
4.9
10.6
9.6
4.0
6.8
7.7
5.6
5.7
5.0
6.3
5.4
5.0
5.4
5.5
4.9
4.5
7.0
5.5
4.3
6.3
7.1
7.6
7.6
6.0
5.3
5.4
7.3
7.4
5.9
8.0
3.2
4.3
7.9
2.7
8.1
1.3
11.4
11.2
5.6
2.7
13.4
12.4
6.8
11.0
5.3
6.2
-2.4
7.3
4.0
2.8
-2.6
5.7
6.4
5.2
6.1
4.5
Year
Sask.
($’ per capita)
(annual percentage change)*
2010 f
9.6
7.2
6.3
5.4
3.7
3.9
3.3
6.7
9.5
3.0
5.6
1.4
-2.4
4.7
2011 f
6.4
3.3
4.2
5.0
4.0
1.4
4.3
6.4
2.3
2.8
3.1
2.2
7.9
2.8
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
Canadian Institute for Health Information, 2011.
145
National Health Expenditure Trends, 1975 to 2011
Table B.1.3
Total Health Expenditure as a Percent of (Provincial/Territorial) G.D.P., by Province/Territory and Canada,
1975 to 2011—Current Dollars
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
Average
-----------
-----------
-----------
-----------
-----------
-----------
7.0
7.0
7.0
7.0
6.8
--8.5
9.5
9.8
9.4
--6.4
7.5
7.9
8.1
--4.9
5.9
6.2
6.0
--7.6
8.6
8.8
8.9
--5.9
7.9
8.6
8.3
--7.4
8.6
8.6
8.5
-----------
7.1
7.3
8.1
8.3
8.2
7.6
7.7
7.7
7.7
7.9
9.3
9.8
9.7
9.4
9.7
8.5
9.6
9.7
9.7
10.3
6.1
7.7
7.5
7.6
7.9
8.7
8.8
8.5
8.4
8.6
8.2
6.8
5.1
4.8
4.9
8.4
10.8
10.8
10.6
10.9
-----------
8.2
8.5
8.4
8.3
8.5
9.3
10.1
10.3
10.4
10.2
8.4
9.3
9.6
9.6
9.2
10.3
10.7
11.1
11.2
10.8
10.6
10.8
11.0
10.0
9.7
7.8
8.3
8.6
8.0
7.2
9.3
9.9
10.1
9.9
9.7
5.1
6.6
6.2
9.1
10.3
11.3
12.8
12.9
12.7
12.0
-----------
9.0
9.7
10.0
9.8
9.5
11.1
10.9
11.0
10.9
10.9
9.8
9.4
9.6
9.8
9.5
8.9
8.8
8.6
8.8
8.7
10.8
10.5
10.4
10.6
11.6
9.2
8.6
9.1
9.4
9.7
6.6
6.4
6.6
7.1
7.4
9.6
9.5
9.5
9.9
10.2
9.1
9.8
9.3
9.6
10.1
12.3
11.0
10.7
11.7
9.7
--------19.1
9.1
8.9
8.9
9.2
9.2
11.5
11.6
12.2
12.5
12.5
11.0
11.9
12.4
12.5
12.6
9.6
10.2
10.4
10.6
10.7
8.9
9.2
9.5
10.1
10.3
11.9
12.5
12.6
13.2
13.2
9.3
10.4
10.5
10.6
10.1
6.6
7.2
7.8
7.4
7.3
10.2
11.0
11.3
11.3
10.9
10.4
11.3
12.4
12.1
12.0
8.3
8.1
8.8
7.1
6.6
20.2
21.0
22.6
29.5
28.7
9.2
9.7
10.0
10.2
10.2
14.1
14.4
14.4
15.0
16.4
12.9
14.3
14.6
14.9
15.6
13.3
13.9
13.8
14.6
15.6
10.9
11.2
11.3
11.8
12.6
10.5
10.7
11.0
11.6
12.4
13.5
13.2
12.8
13.2
14.3
10.0
10.4
10.0
8.3
10.3
6.9
7.1
7.2
7.0
8.7
10.7
10.7
10.6
11.3
12.0
12.5
13.3
12.7
12.5
13.7
7.5
8.0
8.4
8.1
10.5
26.8
27.4
26.4
24.2
24.2
10.2
10.4
10.5
10.8
11.9
12.1
11.7
17.3
17.2
15.8
15.6
15.6
15.6
12.5
12.4
12.3
11.9
14.4
14.2
10.3
10.1
8.9
8.6
11.8
11.6
13.4
12.4
9.6
8.8
22.0
21.3
11.9
11.6
1976*
1980*
-----
-----
-----
-----
-----
-----
-----
-----
-----
-----
-----
1985
1986
1987
1988
1989
0.2
-5.1
1.3
-3.2
0.3
1.8
-8.2
1.5
-1.7
1.2
1.1
3.3
5.3
-4.1
3.7
-1.0
-4.7
-1.1
0.6
2.7
0.6
-3.7
-2.5
-0.6
2.7
0.9
1.1
0.3
-0.2
2.0
-0.6
5.3
-1.0
-3.2
2.8
5.9
12.4
1.4
0.3
5.4
0.8
25.9
-2.4
0.9
5.1
-2.5
1.7
-3.1
-1.5
2.4
1990
1991
1992
1993
1994
7.9
1.1
4.2
-1.3
-1.6
1.6
5.3
1.1
0.3
-1.4
2.3
1.6
0.6
-1.7
-1.8
6.8
4.8
1.4
-2.3
-0.9
4.2
8.0
2.6
0.8
-2.5
6.8
10.0
4.0
-0.6
-3.4
6.3
4.4
3.1
1.1
-3.3
3.2
2.2
1.1
-8.4
-3.0
-1.2
6.0
3.2
-6.4
-10.7
1995
1996
1997
1998
1999
-2.1
1.0
3.0
3.5
1.3
-1.1
-2.4
1.2
-0.3
-1.1
-1.4
0.2
8.4
2.8
-2.6
-5.3
-1.8
1.1
-1.0
-0.1
-3.6
-4.0
1.6
2.2
-2.5
-3.8
-1.3
-2.4
2.3
-1.2
0.1
-3.3
-0.3
1.8
9.1
-5.1
-6.9
5.9
3.2
2.9
2000
2001
-6.7
4.9
-0.5
16.3
-0.9
1.1
1.3
8.0
1.2
5.8
2.2
4.0
3.1
4.5
2002
2003
2004
-8.0
-2.8
-3.2
-1.6
4.3
-5.1
5.0
2.1
0.1
3.6
0.9
1.0
1.6
2.4
0.6
3.2
5.8
2.7
1.1
4.4
0.1
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
1975
1976
1977
1978
1979
-----------
-----------
-----------
-----------
-----------
-----------
-----------
1980
1981
1982
1983
1984
--12.1
12.5
12.9
11.8
--12.8
13.2
12.1
12.3
--9.9
10.0
9.7
9.8
--10.7
11.6
11.1
11.1
--8.6
9.3
9.4
9.3
--6.8
7.5
7.7
7.6
1985
1986
1987
1988
1989
11.8
11.2
11.4
11.0
11.0
12.5
11.5
11.7
11.5
11.6
9.9
10.3
10.8
10.4
10.7
10.9
10.4
10.3
10.4
10.7
9.3
9.0
8.8
8.7
9.0
1990
1991
1992
1993
1994
11.9
12.0
12.5
12.4
12.2
11.8
12.4
12.6
12.6
12.4
11.0
11.2
11.2
11.0
10.8
11.4
11.9
12.1
11.8
11.7
1995
1996
1997
1998
1999
11.9
12.0
12.4
12.8
13.0
12.3
12.0
12.2
12.1
12.0
10.7
10.7
11.6
11.9
11.6
2000
2001
2002
2003
2004
12.1
12.7
11.7
11.4
11.0
11.9
13.9
13.7
14.2
13.5
2005
2006
2007
2008
2009
10.2
9.0
8.7
8.6
12.0
2010 f
2011 f
Year
Man.
Sask.
(percentage)
(annual percentage change)*
-----
0.0
3.4
-1.3
-17.0
-25.4
-6.2
1.6
-1.6
28.8
0.6
-1.7
2.5
-----------
0.4
3.1
-1.0
-0.7
2.6
7.9
6.8
1.2
-1.7
-1.6
4.6
29.2
-5.1
46.1
13.8
3.8
13.1
0.6
-1.6
-5.3
-----------
5.2
7.8
2.9
-1.3
-3.5
-7.7
-3.2
3.2
7.2
4.8
-1.6
-0.4
-0.7
4.2
2.9
-11.5
6.8
-4.5
2.6
5.1
2.5
-10.5
-2.4
8.8
-16.7
-----------
-3.6
-2.3
-0.1
3.0
0.1
-3.4
11.7
-10.8
9.3
0.6
7.7
2.8
9.5
-14.8
-2.6
5.8
4.2
-0.4
5.7
1.1
0.1
-4.2
8.1
-5.2
-1.8
3.1
-0.8
-3.5
9.4
-2.4
-0.7
8.5
-18.6
-7.8
7.4
30.6
-2.9
3.2
2.1
0.1
2005
-7.6
4.1
3.5
5.9
2.7
2.0
2.4
-0.7
-5.3
-1.8
4.3
13.6
-6.6
0.3
2006
2007
2008
2009
-11.6
-2.7
-1.3
39.1
2.5
0.0
3.9
9.7
10.4
2.4
2.1
4.4
4.0
-0.7
5.7
7.5
2.3
1.0
4.7
6.1
1.9
2.3
5.9
6.8
-1.8
-2.9
2.9
8.6
4.0
-4.2
-17.0
23.8
3.1
1.5
-3.2
24.5
0.0
-1.1
6.8
6.7
5.9
-4.0
-2.2
10.0
7.6
4.2
-2.8
28.5
2.1
-3.6
-8.3
0.2
1.6
0.8
2.6
10.8
2010 f
2011 f
0.3
-2.9
5.3
-0.7
1.5
-0.9
-0.4
-0.2
-0.3
-0.8
-0.8
-3.4
0.2
-1.4
0.1
-1.6
2.8
-3.4
-1.8
-2.1
-2.2
-7.7
-8.3
-8.7
-9.1
-3.2
-0.3
-2.5
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
146
-----
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table B.2.1
Private Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2011—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Year
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
($’ 000,000)
1975
1976
1977
1978
1979
59.4
86.9
121.8
146.3
164.4
16.0
15.6
16.1
20.9
31.8
81.1
100.8
99.6
109.5
127.8
62.7
67.5
74.5
91.1
118.7
715.5
755.0
772.8
843.2
901.6
1,094.3
1,205.4
1,360.0
1,596.7
1,874.6
122.0
129.7
151.9
160.0
189.0
112.6
126.5
143.7
144.6
159.2
234.6
260.4
293.3
337.7
389.1
388.8
471.2
556.8
599.9
643.4
3.5
4.3
4.5
4.8
5.5
8.7
9.3
10.5
11.7
12.4
-----------
2,899.2
3,232.6
3,605.4
4,066.3
4,617.4
1980
1981
1982
1983
1984
178.6
210.8
218.4
234.7
191.8
47.1
49.3
50.4
51.1
49.9
147.8
166.8
199.2
215.9
248.5
147.2
177.7
210.1
232.6
265.6
1,089.0
1,397.1
1,528.6
1,643.1
1,827.6
2,126.9
2,377.6
2,834.2
3,253.5
3,624.8
232.3
287.6
315.1
337.6
367.8
167.2
185.9
204.1
219.1
258.6
493.1
581.5
786.9
720.5
767.5
807.9
879.1
943.1
1,026.9
1,159.2
6.1
6.2
6.8
6.7
6.9
13.2
14.6
15.4
16.9
18.1
-----------
5,456.5
6,334.1
7,312.3
7,958.6
8,786.3
1985
1986
1987
1988
1989
197.1
169.6
188.0
197.1
203.9
52.9
49.6
53.3
56.5
64.9
285.3
353.7
395.0
420.3
470.3
274.1
285.9
305.1
330.5
352.4
2,104.4
2,486.1
2,632.2
2,850.8
3,181.7
3,999.5
4,367.1
4,854.5
5,321.9
5,876.9
415.6
463.9
449.9
435.4
484.2
333.2
377.7
395.5
369.3
423.7
831.3
910.6
985.5
1,184.9
1,318.8
1,227.1
1,317.2
1,444.9
1,597.1
1,773.0
6.8
5.6
5.6
5.2
5.3
19.6
21.7
23.9
27.3
29.3
-----------
9,746.9
10,808.7
11,733.5
12,796.4
14,184.3
1990
1991
1992
1993
1994
220.6
247.5
269.1
284.2
301.1
70.0
76.8
85.8
93.5
96.7
490.4
518.8
554.5
579.5
610.2
397.4
442.4
466.7
503.0
520.8
3,497.4
3,819.3
4,141.5
4,444.6
4,653.5
6,466.2
7,038.2
7,573.7
8,253.2
8,740.7
533.2
570.0
602.6
660.2
689.2
460.1
490.9
505.8
574.1
606.4
1,422.5
1,505.1
1,584.2
1,719.9
1,785.7
1,986.0
2,159.5
2,291.2
2,427.0
2,533.2
5.0
6.1
6.9
10.6
9.9
28.4
32.3
29.7
28.3
26.8
-----------
15,577.1
16,906.9
18,112.0
19,578.1
20,574.2
1995
1996
1997
1998
1999
296.4
279.0
284.5
325.6
332.5
104.6
106.1
110.4
115.9
119.7
621.3
650.8
694.9
766.1
778.2
496.4
488.4
551.4
553.6
607.0
4,663.6
4,727.9
4,976.0
5,050.8
5,616.8
9,411.7
9,655.3
10,314.0
11,095.5
12,094.6
736.1
786.8
848.6
897.7
985.9
621.5
627.7
680.1
674.7
727.0
1,809.0
1,854.2
2,140.1
2,265.9
2,561.6
2,574.3
2,689.4
2,889.4
3,109.8
3,310.3
10.5
18.2
17.3
16.3
16.9
24.7
26.7
26.4
26.0
21.1
--------9.1
21,370.1
21,910.5
23,533.1
24,897.9
27,180.7
2000
2001
2002
368.6
387.4
416.0
123.7
147.5
139.8
868.2
930.6
1,042.5
638.6
727.8
786.5
5,967.7
6,621.8
7,141.6
13,082.2
14,186.0
15,841.5
1,058.2
1,197.1
1,247.1
778.6
875.5
903.8
2,808.8
3,218.4
3,337.4
3,586.8
3,860.3
4,218.0
24.8
27.5
33.2
19.6
26.3
28.7
9.3
10.6
11.2
29,335.2
32,216.8
35,147.5
2003
2004
470.5
509.2
161.3
162.3
1,111.7
1,137.0
840.9
864.5
7,671.7
7,888.3
16,447.8
17,727.8
1,282.1
1,345.3
975.0
1,025.7
3,522.5
3,882.3
4,466.5
4,893.7
32.3
35.5
29.9
30.3
13.3
13.9
37,025.4
39,515.9
2005
550.4
163.2
1,207.8
984.2
8,567.8
18,760.6
1,429.5
1,054.1
4,129.9
5,098.4
36.6
50.4
16.7
42,049.5
2006
2007
2008
2009
561.5
632.3
638.2
686.6
187.7
188.4
185.2
206.9
1,333.1
1,413.2
1,484.5
1,652.0
1,054.7
1,075.5
1,141.6
1,296.9
9,109.1
9,561.5
10,259.4
10,750.4
19,991.2
21,052.9
21,821.9
22,607.8
1,547.1
1,600.0
1,726.8
1,841.5
1,164.3
1,217.3
1,223.2
1,346.4
4,835.8
5,118.2
5,546.5
5,824.1
5,902.5
5,915.1
6,611.5
6,662.4
39.4
51.9
50.3
56.0
58.2
68.9
62.1
67.5
17.6
21.0
21.0
24.8
45,802.3
47,916.3
50,772.2
53,023.3
2010 f
2011 f
757.6
805.3
218.0
232.3
1,738.9
1,860.5
1,384.9
1,518.0
11,517.4
12,371.6
23,792.3
25,129.3
1,958.0
2,038.4
1,497.2
1,645.2
6,168.5
6,558.2
6,805.9
7,198.8
60.2
66.1
72.2
79.5
25.8
27.4
55,996.7
59,530.7
1976*
1980*
46.4
8.6
-2.5
48.2
24.3
15.6
7.8
24.0
5.5
20.8
10.2
13.5
6.3
22.9
12.3
5.0
11.0
26.7
21.2
25.6
23.1
11.5
7.0
6.4
-----
11.5
18.2
1985
1986
1987
1988
1989
2.7
-13.9
10.9
4.8
3.4
6.1
-6.3
7.4
6.2
14.8
14.8
24.0
11.7
6.4
11.9
3.2
4.3
6.7
8.3
6.6
15.1
18.1
5.9
8.3
11.6
10.3
9.2
11.2
9.6
10.4
13.0
11.6
-3.0
-3.2
11.2
28.8
13.4
4.7
-6.6
14.7
8.3
9.5
8.2
20.2
11.3
5.9
7.3
9.7
10.5
11.0
-1.2
-17.3
0.4
-7.5
1.2
8.3
10.5
10.0
14.4
7.5
-----------
10.9
10.9
8.6
9.1
10.8
1990
1991
1992
1993
1994
8.2
12.2
8.7
5.6
6.0
7.7
9.8
11.6
9.0
3.4
4.3
5.8
6.9
4.5
5.3
12.8
11.3
5.5
7.8
3.5
9.9
9.2
8.4
7.3
4.7
10.0
8.8
7.6
9.0
5.9
10.1
6.9
5.7
9.6
4.4
8.6
6.7
3.0
13.5
5.6
7.9
5.8
5.3
8.6
3.8
12.0
8.7
6.1
5.9
4.4
-4.8
20.9
14.1
52.5
-6.0
-3.3
13.7
-7.9
-4.7
-5.5
-----------
9.8
8.5
7.1
8.1
5.1
1995
1996
1997
1998
1999
-1.6
-5.9
2.0
14.4
2.1
8.2
1.4
4.1
5.0
3.3
1.8
4.7
6.8
10.2
1.6
-4.7
-1.6
12.9
0.4
9.6
0.2
1.4
5.2
1.5
11.2
7.7
2.6
6.8
7.6
9.0
6.8
6.9
7.9
5.8
9.8
2.5
1.0
8.3
-0.8
7.8
1.3
2.5
15.4
5.9
13.1
1.6
4.5
7.4
7.6
6.4
6.1
73.0
-5.2
-5.4
3.3
-7.8
8.3
-1.4
-1.3
-18.8
-----------
3.9
2.5
7.4
5.8
9.2
2000
2001
2002
2003
2004
10.8
5.1
7.4
13.1
8.2
3.3
19.3
-5.2
15.4
0.6
11.6
7.2
12.0
6.6
2.3
5.2
14.0
8.1
6.9
2.8
6.2
11.0
7.9
7.4
2.8
8.2
8.4
11.7
3.8
7.8
7.3
13.1
4.2
2.8
4.9
7.1
12.4
3.2
7.9
5.2
9.7
14.6
3.7
5.5
10.2
8.4
7.6
9.3
5.9
9.6
46.7
10.9
20.8
-2.6
10.0
-7.0
34.1
9.0
4.1
1.4
2.5
14.4
4.9
19.1
4.5
7.9
9.8
9.1
5.3
6.7
2005
2006
2007
2008
2009
8.1
2.0
12.6
0.9
7.6
0.6
15.0
0.3
-1.7
11.7
6.2
10.4
6.0
5.0
11.3
13.8
7.2
2.0
6.1
13.6
8.6
6.3
5.0
7.3
4.8
5.8
6.6
5.3
3.7
3.6
6.3
8.2
3.4
7.9
6.6
2.8
10.5
4.6
0.5
10.1
6.4
17.1
5.8
8.4
5.0
4.2
15.8
0.2
11.8
0.8
2.8
7.8
31.7
-3.1
11.4
66.2
15.4
18.5
-10.0
8.8
20.0
5.7
18.9
0.3
18.0
6.4
8.9
4.6
6.0
4.4
2010 f
2011 f
10.3
6.3
5.4
6.6
5.3
7.0
6.8
9.6
7.1
7.4
5.2
5.6
6.3
4.1
11.2
9.9
5.9
6.3
2.2
5.8
7.4
10.0
6.9
10.2
3.8
6.4
5.6
6.3
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
Canadian Institute for Health Information, 2011.
147
National Health Expenditure Trends, 1975 to 2011
Table B.2.2
Private Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2011—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
1975
1976
1977
1978
1979
106.65
154.40
215.42
257.68
288.40
135.81
131.42
134.19
171.57
258.31
98.13
120.69
118.59
129.63
150.52
92.57
97.96
107.02
130.17
168.79
113.03
118.03
120.15
130.92
139.42
131.53
143.27
159.90
185.85
216.40
118.99
125.66
146.30
153.65
182.19
1980
1981
1982
1983
1984
311.79
366.78
380.15
405.01
330.61
380.69
398.78
407.15
407.23
394.19
173.28
195.17
231.63
248.37
283.28
208.52
251.61
296.65
325.09
368.32
167.36
213.37
232.33
248.87
275.61
243.21
269.83
317.65
359.84
395.21
1985
1986
1987
1988
1989
340.16
294.15
326.89
342.81
353.75
414.66
386.13
414.24
437.42
499.18
322.36
397.71
442.14
468.32
520.32
378.68
394.24
419.14
452.46
479.28
315.70
370.59
388.08
416.85
459.21
1990
1991
1992
1993
1994
381.55
427.13
463.99
489.99
524.20
535.91
589.69
655.88
707.51
724.66
539.08
566.94
603.05
627.19
658.31
536.96
593.38
623.91
671.67
694.18
1995
1996
1997
1998
1999
522.27
498.31
516.33
603.02
623.44
778.40
781.25
811.16
853.14
878.29
669.35
698.71
745.24
822.05
833.35
2000
2001
2002
2003
2004
698.00
742.15
800.89
907.53
984.26
905.97
1,078.93
1,020.75
1,174.86
1,176.96
2005
2006
2007
2008
2009
1,070.49
1,100.28
1,248.76
1,260.69
1,351.20
2010 f
2011 f
Canada
Average
Alta.
B.C.
Y.T.
N.W.T
Nun.
122.75
135.75
152.08
151.90
165.93
129.69
139.32
150.57
167.03
185.49
155.56
185.95
216.69
229.50
241.59
160.46
192.59
197.19
200.49
229.00
202.70
209.75
236.08
258.67
271.21
-----------
125.27
137.85
151.96
169.69
190.79
224.54
277.48
301.03
318.16
343.13
172.83
190.48
206.74
218.66
254.68
224.89
253.47
332.28
301.41
321.10
294.53
311.30
328.28
353.45
393.53
251.86
257.98
276.32
282.66
287.69
284.92
306.50
311.09
331.49
344.96
-----------
222.57
255.20
291.12
313.74
343.11
430.17
462.71
503.36
540.72
581.43
383.98
424.97
409.78
395.06
438.77
324.93
366.97
383.01
359.28
415.71
345.94
374.58
404.68
482.78
528.50
412.58
438.48
473.72
512.66
554.42
278.89
229.51
219.52
196.03
194.61
361.05
396.69
433.59
490.09
514.33
-----------
377.16
414.11
443.63
477.56
519.92
499.35
540.63
582.66
621.16
647.05
627.92
674.92
716.54
772.16
807.95
482.25
513.71
541.56
590.76
613.62
456.84
489.59
503.84
570.20
600.67
558.47
580.52
601.71
644.78
661.19
603.48
640.15
660.58
680.33
689.18
180.81
210.04
230.03
347.90
334.47
481.64
529.44
476.22
445.89
410.95
-----------
562.40
603.14
638.49
682.59
709.48
660.95
649.20
732.76
737.64
808.66
645.98
652.41
684.03
692.27
766.97
859.52
871.18
918.57
976.12
1,051.12
651.90
693.69
746.91
789.20
862.92
612.84
615.97
668.05
663.07
716.46
661.54
668.13
756.21
781.48
867.37
681.57
694.17
731.75
780.76
825.22
346.09
580.94
543.38
524.56
548.37
370.96
395.82
389.36
387.25
519.57
--------338.43
729.30
739.95
786.87
825.61
893.99
929.70
998.07
1,115.60
1,187.04
1,212.20
850.90
970.56
1,048.19
1,119.37
1,149.59
811.16
895.20
959.16
1,023.61
1,044.95
1,119.54
1,192.33
1,309.00
1,341.31
1,427.33
922.32
1,039.77
1,079.23
1,103.43
1,149.28
772.58
875.38
907.57
980.13
1,030.97
934.74
1,052.90
1,070.93
1,114.22
1,210.13
887.99
946.52
1,024.93
1,074.87
1,164.12
813.89
911.33
1,100.78
1,056.96
1,151.06
484.88
645.24
692.07
708.13
708.29
338.32
378.42
388.55
456.07
469.23
955.88
1,038.54
1,120.32
1,168.88
1,235.06
1,180.97
1,361.24
1,363.48
1,327.39
1,466.43
1,290.40
1,421.18
1,510.17
1,584.80
1,759.07
1,309.94
1,414.38
1,442.58
1,528.39
1,730.77
1,127.63
1,193.61
1,243.78
1,323.57
1,373.26
1,493.03
1,578.42
1,645.67
1,687.39
1,730.42
1,217.48
1,306.65
1,340.54
1,432.45
1,509.93
1,064.72
1,173.53
1,216.97
1,206.56
1,308.31
1,258.82
1,413.46
1,457.07
1,544.40
1,586.63
1,196.74
1,390.93
1,372.54
1,508.14
1,493.72
1,177.12
1,220.89
1,593.79
1,518.95
1,665.08
1,179.97
1,346.79
1,582.85
1,420.18
1,545.93
556.13
572.83
670.53
665.81
771.17
1,301.36
1,406.01
1,455.11
1,523.96
1,572.45
1,486.15
1,583.83
1,532.25
1,627.41
1,844.97
1,972.94
1,842.26
2,017.37
1,456.54
1,552.41
1,800.99
1,879.69
1,584.87
1,634.61
1,431.88
1,556.19
1,657.78
1,727.97
1,502.08
1,563.24
1,742.29
1,893.76
1,649.11
1,800.89
775.67
815.45
1,641.71
1,725.42
1976*
1980*
44.8
8.1
-3.2
47.4
23.0
15.1
5.8
23.5
4.4
20.0
8.9
12.4
5.6
23.2
10.6
4.2
7.4
21.2
19.5
21.9
20.0
10.0
3.5
5.1
-----
10.0
16.7
1985
1986
1987
1988
1989
2.9
-13.5
11.1
4.9
3.2
5.2
-6.9
7.3
5.6
14.1
13.8
23.4
11.2
5.9
11.1
2.8
4.1
6.3
7.9
5.9
14.5
17.4
4.7
7.4
10.2
8.8
7.6
8.8
7.4
7.5
11.9
10.7
-3.6
-3.6
11.1
27.6
12.9
4.4
-6.2
15.7
7.7
8.3
8.0
19.3
9.5
4.8
6.3
8.0
8.2
8.1
-3.1
-17.7
-4.4
-10.7
-0.7
4.7
9.9
9.3
13.0
4.9
-----------
9.9
9.8
7.1
7.6
8.9
1990
1991
1992
1993
1994
7.9
11.9
8.6
5.6
7.0
7.4
10.0
11.2
7.9
2.4
3.6
5.2
6.4
4.0
5.0
12.0
10.5
5.1
7.7
3.4
8.7
8.3
7.8
6.6
4.2
8.0
7.5
6.2
7.8
4.6
9.9
6.5
5.4
9.1
3.9
9.9
7.2
2.9
13.2
5.3
5.7
3.9
3.7
7.2
2.5
8.8
6.1
3.2
3.0
1.3
-7.1
16.2
9.5
51.2
-3.9
-6.4
9.9
-10.1
-6.4
-7.8
-----------
8.2
7.2
5.9
6.9
3.9
1995
1996
1997
1998
1999
-0.4
-4.6
3.6
16.8
3.4
7.4
0.4
3.8
5.2
2.9
1.7
4.4
6.7
10.3
1.4
-4.8
-1.8
12.9
0.7
9.6
-0.2
1.0
4.8
1.2
10.8
6.4
1.4
5.4
6.3
7.7
6.2
6.4
7.7
5.7
9.3
2.0
0.5
8.5
-0.7
8.1
0.1
1.0
13.2
3.3
11.0
-1.1
1.8
5.4
6.7
5.7
3.5
67.9
-6.5
-3.5
4.5
-9.7
6.7
-1.6
-0.5
34.2
-----------
2.8
1.5
6.3
4.9
8.3
2000
2001
2002
2003
2004
12.0
6.3
7.9
13.3
8.5
3.2
19.1
-5.4
15.1
0.2
11.6
7.4
11.8
6.4
2.1
5.2
14.1
8.0
6.8
2.7
5.8
10.4
7.1
6.7
2.1
6.5
6.5
9.8
2.5
6.4
6.9
12.7
3.8
2.2
4.2
7.8
13.3
3.7
8.0
5.2
7.8
12.6
1.7
4.0
8.6
7.6
6.6
8.3
4.9
8.3
48.4
12.0
20.8
-4.0
8.9
-6.7
33.1
7.3
2.3
0.0
0.0
11.9
2.7
17.4
2.9
6.9
8.6
7.9
4.3
5.7
2005
2006
2007
2008
2009
8.8
2.8
13.5
1.0
7.2
0.3
15.3
0.2
-2.6
10.5
6.5
10.1
6.3
4.9
11.0
13.9
8.0
2.0
5.9
13.2
7.9
5.9
4.2
6.4
3.8
4.6
5.7
4.3
2.5
2.6
5.9
7.3
2.6
6.9
5.4
3.3
10.2
3.7
-0.9
8.4
4.0
12.3
3.1
6.0
2.7
2.8
16.2
-1.3
9.9
-1.0
2.3
3.7
30.5
-4.7
9.6
66.6
14.1
17.5
-10.3
8.9
18.5
3.0
17.1
-0.7
15.8
5.4
8.0
3.5
4.7
3.2
2010 f
2011 f
10.0
6.6
4.5
6.2
4.9
6.9
6.4
9.5
6.1
6.6
4.1
4.4
5.0
3.1
9.4
8.7
4.5
4.2
0.6
4.1
4.6
8.7
6.7
9.2
0.6
5.1
4.4
5.1
Year
Sask.
($’ per capita )
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
148
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table B.2.3
Private Sector Health Expenditure as a Proportion of Total Health Expenditure,
by Province/Territory and Canada, 1975 to 2011—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
1975
1976
1977
1978
1979
22.4
27.8
33.6
35.4
34.7
27.0
24.8
23.4
26.3
32.9
21.2
22.8
21.2
21.4
22.3
22.6
21.0
20.7
22.5
25.3
21.2
19.5
18.4
18.1
17.5
24.7
23.9
24.6
26.3
27.9
22.3
20.6
21.5
21.4
23.0
1980
1981
1982
1983
1984
33.8
33.9
31.1
30.3
25.5
38.5
36.2
33.1
31.1
29.2
22.5
21.1
21.7
21.5
22.1
26.2
26.1
25.6
26.0
27.2
18.5
20.3
19.4
18.9
19.6
27.9
26.7
27.1
27.5
27.7
1985
1986
1987
1988
1989
25.1
20.9
21.3
21.2
20.6
29.2
26.4
26.2
25.8
27.1
23.1
25.7
25.3
26.5
26.8
26.7
26.2
25.6
25.6
25.2
21.0
23.6
23.4
23.2
23.9
1990
1991
1992
1993
1994
20.1
21.5
22.5
23.5
24.1
27.3
27.4
29.1
30.0
30.8
26.3
26.3
27.3
28.6
30.2
25.9
27.2
27.5
28.9
29.0
1995
1996
1997
1998
1999
23.3
22.3
21.8
22.7
21.0
32.0
31.3
32.4
32.1
31.6
30.1
31.2
29.4
30.0
29.1
2000
2001
2002
2003
2004
21.8
21.5
21.6
22.8
23.8
30.8
31.0
27.7
29.8
30.1
2005
2006
2007
2008
2009
24.6
23.9
24.7
23.3
22.9
2010 f
2011 f
Sask.
Nun.
Canada
Average
Alta.
B.C.
Y.T.
N.W.T
25.5
24.3
24.5
23.2
22.6
23.6
22.5
23.1
23.0
21.8
28.1
28.9
30.4
29.3
28.1
22.1
23.9
24.3
22.3
22.9
24.8
23.8
21.4
20.7
21.0
-----------
23.8
23.0
23.3
23.8
24.1
23.9
24.9
23.7
22.8
23.1
20.5
19.6
18.1
17.4
18.9
22.9
22.2
23.5
19.9
20.4
28.1
25.6
24.4
24.7
26.2
23.5
21.9
18.2
17.5
18.1
21.6
19.7
14.0
13.7
14.4
-----------
24.5
24.1
23.8
23.4
23.9
27.7
27.1
27.2
26.9
26.7
24.1
24.6
22.7
21.0
21.4
21.8
22.2
22.4
20.1
20.6
20.4
20.5
21.9
24.5
24.7
26.5
26.4
27.1
27.4
27.2
17.1
13.2
12.6
11.4
10.7
14.2
13.0
13.2
12.9
12.6
-----------
24.5
24.9
25.1
25.1
25.3
24.4
24.4
25.3
26.3
26.9
27.2
26.9
27.5
29.4
30.4
21.5
22.1
22.3
24.0
24.6
20.4
21.2
21.8
24.9
25.4
24.7
24.8
24.6
26.4
28.3
26.9
26.6
26.1
26.1
25.9
9.4
9.7
10.3
13.2
10.6
11.5
11.5
10.6
9.9
9.4
-----------
25.5
25.5
26.0
27.4
28.1
27.3
26.9
29.7
28.8
29.2
26.9
27.8
27.6
26.3
28.0
32.1
32.5
33.5
33.5
34.1
25.2
26.5
27.4
27.3
26.6
25.4
25.2
25.6
24.3
24.4
29.7
29.3
30.2
29.7
29.4
25.5
25.9
26.7
27.2
27.0
11.0
16.5
16.7
15.7
15.4
8.4
9.6
9.1
8.4
9.5
--------6.4
28.8
29.3
29.9
29.6
30.1
30.6
30.9
31.5
30.9
30.5
28.8
29.5
30.1
30.2
29.0
27.5
28.0
28.6
28.9
28.2
33.5
33.9
34.9
33.2
33.3
26.0
27.3
27.1
26.0
25.7
24.6
25.3
24.9
25.2
24.9
29.3
29.4
28.3
27.9
28.1
26.7
26.3
26.9
27.3
28.6
20.1
19.2
21.3
20.7
21.2
9.4
11.0
10.8
11.4
10.7
5.5
5.8
5.2
4.5
4.5
29.8
30.1
30.5
29.9
30.0
28.3
30.2
28.8
26.6
26.6
30.0
29.5
29.3
29.3
31.0
29.9
29.4
28.9
28.7
30.1
28.8
28.8
28.6
28.6
28.1
33.1
33.2
32.8
32.1
31.5
25.4
25.9
25.5
25.6
25.2
23.9
24.4
23.9
22.5
23.1
27.2
28.5
27.7
27.2
27.1
28.2
30.4
29.2
29.7
29.0
19.5
18.2
22.5
20.9
20.1
15.8
16.9
17.9
15.2
15.6
5.5
5.3
5.9
5.7
6.8
29.9
30.3
29.9
29.5
29.1
23.0
23.0
25.9
26.6
30.6
31.4
30.4
31.7
28.8
29.5
31.5
32.5
25.6
25.3
23.7
24.2
25.8
26.3
28.3
28.7
20.0
21.1
16.5
17.6
7.0
6.8
29.0
29.7
1976*
1980*
23.8
-2.7
-8.2
17.1
7.5
0.8
-7.1
3.7
-8.0
5.7
-3.4
0.0
-7.7
4.2
-4.8
-9.4
-4.9
4.8
2.9
-0.2
8.4
2.3
-3.8
2.7
-----
-3.2
1.6
1985
1986
1987
1988
1989
-1.7
-16.8
2.2
-0.7
-2.9
0.1
-9.5
-0.7
-1.9
5.3
4.8
11.0
-1.5
4.7
1.3
-1.9
-1.9
-2.5
0.1
-1.6
6.9
12.5
-1.0
-0.6
3.1
0.0
-2.0
0.2
-1.2
-0.4
4.2
2.0
-7.4
-7.4
2.0
15.6
1.7
0.9
-10.2
2.7
0.2
0.2
7.0
12.0
0.5
1.1
-0.1
2.4
1.1
-0.4
-5.7
-22.9
-4.4
-9.7
-6.5
-1.7
-8.3
1.3
-1.8
-2.6
-----------
2.3
1.9
0.5
0.1
0.7
1990
1991
1992
1993
1994
-2.2
6.7
4.7
4.6
2.6
0.6
0.3
6.2
3.1
2.8
-2.2
0.3
3.6
4.8
5.4
3.0
4.8
1.1
5.3
0.4
2.1
0.0
3.5
4.0
2.1
1.6
-1.1
2.2
7.0
3.4
0.1
3.1
0.8
7.7
2.3
-1.0
3.6
2.8
14.7
1.9
0.4
0.3
-0.8
7.1
7.2
-1.1
-1.3
-1.7
-0.1
-0.7
-12.0
3.5
5.7
28.5
-19.9
-8.7
0.4
-7.9
-7.1
-5.3
-----------
0.9
-0.1
1.8
5.4
2.8
1995
1996
1997
1998
1999
-3.2
-4.7
-2.1
4.2
-7.5
3.7
-2.1
3.7
-1.2
-1.4
-0.1
3.4
-5.6
2.1
-3.2
-6.1
-1.3
10.3
-3.1
1.6
0.0
3.7
-0.8
-4.7
6.2
5.7
1.2
3.0
0.0
1.9
2.7
4.9
3.4
-0.2
-2.5
0.1
-0.9
1.6
-5.2
0.5
5.0
-1.2
3.0
-1.6
-1.0
-1.8
1.8
2.9
2.1
-1.1
4.1
50.3
1.1
-6.2
-1.5
-10.5
15.1
-5.2
-8.0
12.8
-----------
2.5
1.7
1.9
-0.9
1.6
2000
2001
2002
2003
2004
4.0
-1.6
0.5
5.6
4.4
-2.5
0.6
-10.7
7.8
1.1
5.3
0.9
2.1
-1.9
-1.3
-1.5
2.5
2.0
0.3
-3.8
-1.6
1.8
1.8
1.1
-2.4
-1.8
1.3
2.8
-4.9
0.2
-2.2
4.9
-0.9
-3.9
-1.2
0.9
2.8
-1.5
1.0
-1.3
-0.6
0.4
-3.6
-1.4
0.6
-0.8
-1.7
2.4
1.2
4.9
30.1
-4.3
10.9
-3.1
2.6
-0.6
16.6
-1.5
5.1
-6.0
-13.2
4.5
-10.0
-12.5
-0.7
-1.1
1.0
1.6
-2.0
0.2
2005
2006
2007
2008
2009
3.4
-2.7
3.2
-5.6
-1.9
-6.0
6.6
-4.7
-7.5
-0.3
-1.8
-1.4
-0.8
-0.1
5.8
3.0
-1.4
-1.9
-0.8
5.2
2.1
0.1
-0.8
0.1
-1.6
-0.3
0.3
-1.2
-2.2
-1.9
-1.0
1.7
-1.6
0.5
-1.6
-4.1
2.4
-2.2
-5.8
2.8
-3.0
4.5
-2.7
-1.8
-0.5
-1.4
7.8
-3.9
1.7
-2.2
-8.2
-6.7
23.7
-7.2
-3.4
48.2
6.9
5.9
-14.8
2.5
21.4
-4.0
12.6
-3.4
19.0
-0.3
1.5
-1.6
-1.3
-1.2
2010 f
2011 f
0.4
0.2
-2.6
2.9
-1.4
2.7
1.0
4.2
2.3
2.5
0.1
2.9
1.6
-1.1
2.5
2.1
-4.6
1.9
-2.4
1.3
-0.9
5.4
5.2
6.9
3.1
-2.6
-0.3
2.3
Year
Man.
(percentage)
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
Canadian Institute for Health Information, 2011.
149
National Health Expenditure Trends, 1975 to 2011
Table B.3.1
Public Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2011—
Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Year
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
($’ 000,000)
1975
205.1
43.2
301.4
214.8
2,663.2
3,328.5
424.4
328.6
757.8
994.5
12.4
26.4
---
9,300.3
1976
225.9
47.3
341.4
254.3
3,120.1
3,835.4
499.7
393.9
898.5
1,157.2
13.7
29.7
---
10,817.2
1977
241.1
52.6
369.5
284.4
3,427.9
4,164.6
554.1
443.7
978.9
1,275.0
14.0
38.8
---
11,844.6
1978
266.4
58.6
403.0
313.6
3,823.4
4,475.1
589.0
477.8
1,127.7
1,444.5
16.6
44.8
---
13,040.5
1979
308.9
64.8
445.1
351.3
4,248.1
4,853.4
634.3
544.3
1,391.9
1,645.2
18.4
46.6
---
14,552.3
1980
349.8
75.2
509.4
415.2
4,797.5
5,507.2
739.1
648.5
1,660.1
2,072.0
20.0
47.9
---
1981
410.4
87.0
622.0
503.5
5,490.7
6,525.4
865.6
763.1
2,042.2
2,551.3
22.0
59.2
---
19,942.6
1982
482.8
101.9
719.9
609.2
6,361.9
7,611.1
1,017.0
925.9
2,564.7
2,927.1
30.4
95.0
---
23,446.8
1983
539.0
113.4
789.0
662.1
7,032.2
8,596.5
1,141.0
1,038.5
2,901.6
3,128.8
31.4
106.6
---
26,080.0
1984
559.9
121.1
876.9
709.6
7,486.1
9,461.2
1,224.3
1,112.7
2,996.8
3,269.7
31.0
107.6
---
27,956.9
1985
588.8
128.3
947.2
752.2
7,927.6
10,443.3
1,310.9
1,195.5
3,239.1
3,410.8
32.9
118.9
---
30,095.5
1986
642.9
138.0
1,023.2
805.3
8,051.3
11,730.2
1,425.8
1,325.9
3,537.9
3,666.9
37.0
145.2
---
32,529.4
1987
693.6
149.7
1,165.5
888.9
8,636.4
13,011.9
1,530.2
1,372.2
3,514.4
3,896.4
39.1
157.4
---
35,055.7
1988
733.8
163.0
1,165.0
961.0
9,428.4
14,497.9
1,634.3
1,468.3
3,645.6
4,242.0
40.6
183.9
---
38,163.7
1989
787.7
174.4
1,281.5
1,047.7
10,108.6
16,093.9
1,773.2
1,629.2
4,031.0
4,736.8
44.2
203.6
---
41,911.9
1990
875.9
186.3
1,376.6
1,136.1
10,814.1
17,332.8
1,951.1
1,792.1
4,326.9
5,390.4
48.5
218.5
---
45,449.2
1991
905.7
203.8
1,451.2
1,186.9
11,815.3
19,156.1
2,006.0
1,828.9
4,557.5
5,967.8
56.5
247.2
---
49,382.9
1992
928.3
209.2
1,477.0
1,233.1
12,234.5
20,001.5
2,099.3
1,819.5
4,846.4
6,478.5
60.6
249.9
---
51,637.9
1993
924.9
218.2
1,445.5
1,236.1
12,459.6
19,821.7
2,088.9
1,727.8
4,800.5
6,870.4
69.5
258.7
---
51,922.0
1994
948.1
217.0
1,413.1
1,272.2
12,674.4
20,008.4
2,115.7
1,778.8
4,527.8
7,238.1
84.1
259.5
---
52,537.2
1995
973.1
222.8
1,440.0
1,323.0
12,704.3
19,875.0
2,179.4
1,820.8
4,283.5
7,538.9
85.2
270.3
---
52,716.3
1996
974.4
233.0
1,438.2
1,325.3
12,248.5
20,038.3
2,185.3
1,862.3
4,466.5
7,688.7
92.0
250.9
---
52,803.4
1997
1,020.8
229.9
1,669.3
1,305.7
13,033.2
20,481.1
2,251.9
1,976.1
4,942.1
7,942.6
86.0
262.6
---
1998
1,107.8
245.5
1,786.8
1,370.6
14,123.0
22,030.1
2,388.6
2,103.5
5,354.0
8,304.5
87.8
283.8
---
59,186.0
1999
1,250.8
259.0
1,899.7
1,469.5
14,456.5
23,344.6
2,714.9
2,250.4
6,140.2
8,969.4
92.4
201.9
133.6
63,182.8
2000
1,318.7
277.7
1,968.4
1,580.0
15,699.7
25,957.7
3,005.3
2,381.2
6,792.9
9,825.8
98.4
188.9
159.2
69,253.9
2001
1,415.5
328.5
2,082.7
1,740.0
16,986.3
27,606.2
3,184.5
2,581.5
7,744.0
10,819.7
115.3
213.6
173.7
74,991.5
2002
1,510.0
365.6
2,264.3
1,829.1
17,862.7
29,563.0
3,360.1
2,719.3
8,456.4
11,452.1
122.3
237.0
203.8
79,945.7
2003
1,591.3
379.7
2,483.8
1,947.6
18,908.0
33,136.8
3,645.0
2,895.9
9,105.3
11,922.9
124.0
233.5
279.4
86,653.0
2004
1,628.9
375.9
2,588.0
2,115.3
20,122.9
35,588.2
3,889.4
3,100.3
9,950.0
12,232.3
132.0
253.9
294.1
92,271.2
2005
1,684.8
412.8
2,822.7
2,309.8
21,217.7
37,852.7
4,188.8
3,365.4
11,041.0
13,000.8
151.1
268.4
288.0
98,603.9
2006
1,783.2
434.0
3,178.6
2,526.9
22,527.1
40,162.8
4,429.3
3,600.6
12,156.3
13,541.2
177.5
286.1
317.8
105,121.3
2007
1,926.8
465.9
3,407.1
2,647.5
23,909.9
43,068.3
4,682.5
3,876.1
13,356.4
14,361.9
179.1
316.3
333.1
112,531.0
2008
2,096.8
510.4
3,586.4
2,841.7
25,601.8
46,168.1
5,020.9
4,213.0
14,848.4
15,681.3
191.0
344.9
346.6
121,451.3
2009
2,313.8
572.3
3,680.3
3,005.4
27,440.3
49,202.9
5,472.5
4,471.9
15,694.7
16,309.1
222.1
364.3
339.9
129,089.4
2010 f
2011 f
2,540.0
2,694.7
624.5
640.7
3,951.8
4,069.6
3,165.3
3,266.2
28,492.7
29,554.6
51,676.7
52,308.3
5,697.1
6,021.0
4,812.1
5,143.1
17,722.5
18,377.5
17,225.6
17,898.1
241.1
248.1
366.5
372.8
341.3
373.7
136,857.2
140,968.4
1976*
1980*
10.1
13.2
9.5
16.0
13.3
14.4
18.4
18.2
17.2
12.9
15.2
13.5
17.8
16.5
18.6
19.3
16.4
25.9
10.9
8.3
12.7
2.9
-----
16.3
15.7
1985
5.2
5.9
6.0
5.9
10.4
7.1
7.4
8.1
4.3
6.1
10.5
---
7.6
1986
9.2
7.6
8.0
7.1
1.6
12.3
8.8
10.9
9.2
7.5
12.3
22.2
---
8.1
1987
7.9
8.5
13.9
10.4
7.3
10.9
7.3
3.5
-0.7
6.3
5.8
8.4
---
7.8
1988
5.8
8.9
-0.1
8.1
9.2
11.4
6.8
7.0
3.7
8.9
3.8
16.8
---
8.9
1989
7.4
7.0
10.0
9.0
7.2
11.0
8.5
11.0
10.6
11.7
9.1
10.7
---
9.8
1990
11.2
6.8
7.4
8.4
7.0
7.7
10.0
10.0
7.3
13.8
9.7
7.3
---
8.4
10.5
8.7
16,841.8
55,201.3
(annual percentage change)*
1991
8.0
3.4
9.4
5.4
4.5
9.3
2.8
2.1
5.3
10.7
16.4
13.2
---
1992
2.5
2.7
1.8
3.9
3.5
4.4
4.7
-0.5
6.3
8.6
7.2
1.1
---
4.6
1993
-0.4
4.3
-2.1
0.2
1.8
-0.9
-0.5
-5.0
-0.9
6.0
14.7
3.5
---
0.6
1994
2.5
-0.6
-2.2
2.9
1.7
0.9
1.3
3.0
-5.7
5.4
20.9
0.3
---
1.2
1995
2.6
4.0
0.2
-0.7
3.0
2.4
-5.4
4.2
1.4
4.1
---
0.3
1996
0.1
4.6
-0.1
0.2
-3.6
0.8
0.3
2.3
4.3
2.0
7.9
-7.2
---
0.2
1997
4.8
-1.3
16.1
-1.5
6.4
2.2
3.0
6.1
10.6
3.3
-6.5
4.6
---
4.5
1998
8.5
6.8
7.0
5.0
8.4
7.6
6.1
6.4
8.3
4.6
2.0
8.1
---
7.2
1999
12.9
5.5
6.3
7.2
2.4
6.0
13.7
7.0
14.7
8.0
5.2
-28.9
---
6.8
2000
5.4
7.2
3.6
7.5
8.6
11.2
10.7
5.8
10.6
9.5
6.5
-6.5
19.2
9.6
2001
7.3
18.3
5.8
10.1
8.2
6.4
6.0
8.4
14.0
10.1
17.1
13.1
9.1
8.3
2002
6.7
11.3
8.7
5.1
5.2
7.1
5.5
5.3
9.2
5.8
6.1
10.9
17.4
6.6
2003
5.4
3.8
9.7
6.5
5.9
12.1
8.5
6.5
7.7
4.1
1.4
-1.5
37.1
8.4
2004
2.4
-1.0
4.2
8.6
6.4
7.4
6.7
7.1
9.3
2.6
6.4
8.7
5.3
6.5
2005
3.4
9.8
9.1
9.2
5.4
6.4
7.7
8.5
11.0
6.3
14.5
5.7
-2.1
6.9
2006
5.8
5.1
12.6
9.4
6.2
6.1
5.7
7.0
10.1
4.2
17.5
6.6
10.3
6.6
2007
2008
2009
8.1
8.8
10.3
7.4
9.6
12.1
7.2
5.3
2.6
4.8
7.3
5.8
6.1
7.1
7.2
7.2
7.2
6.6
5.7
7.2
9.0
7.7
8.7
6.1
9.9
11.2
5.7
6.1
9.2
4.0
0.9
6.6
16.3
10.6
9.0
5.6
4.8
4.0
-1.9
7.0
7.9
6.3
2010 f
2011 f
9.8
6.1
9.1
2.6
7.4
3.0
5.3
3.2
3.8
3.7
5.0
1.2
4.1
5.7
7.6
6.9
12.9
3.7
5.6
3.9
8.6
2.9
0.6
1.7
0.4
9.5
6.0
3.0
2.7
1.9
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
150
19.9
19.2
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table B.3.2
Public Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2011—
Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
1975
368.63
366.81
364.61
317.30
420.71
400.07
414.03
1976
401.59
398.40
408.76
368.89
487.77
455.84
484.35
1977
426.51
438.37
440.06
408.78
532.97
489.62
533.84
1978
469.28
481.48
477.18
448.30
593.68
520.87
1979
541.83
526.92
524.16
499.63
656.94
1980
610.55
607.90
597.33
588.09
1981
714.10
703.39
727.84
712.80
1982
840.26
823.02
837.09
1983
929.97
904.07
1984
965.06
956.70
1985
1,016.34
1986
1,115.18
1987
1,205.91
1988
Canada
Average
Alta.
B.C.
Y.T.
N.W.T
Nun.
358.17
418.96
397.88
566.03
615.97
---
401.86
422.78
480.64
456.69
611.85
671.20
---
461.29
469.60
502.58
496.16
612.99
867.88
---
499.22
565.70
501.92
557.76
552.61
698.51
989.36
---
544.19
560.26
611.46
567.22
663.57
617.81
769.00
1,018.11
---
601.29
737.28
629.73
714.35
670.38
757.18
755.33
821.22
1,034.17
---
686.97
838.57
740.57
835.22
782.01
890.16
903.45
919.81
1,245.88
---
803.48
860.19
966.96
853.04
971.54
937.79
1,082.96
1,018.87
1,241.64
1,917.90
---
933.49
907.77
925.49
1,065.11
950.77
1,075.33
1,036.59
1,213.87
1,076.86
1,328.45
2,088.58
---
1,028.11
999.68
984.09
1,128.93
1,031.54
1,142.17
1,095.73
1,253.83
1,110.02
1,297.62
2,047.42
---
1,091.74
1,004.74
1,070.18
1,039.37
1,189.31
1,123.23
1,211.28
1,165.85
1,347.98
1,146.76
1,351.18
2,185.68
---
1,164.56
1,074.57
1,150.53
1,110.46
1,200.16
1,242.85
1,306.04
1,288.21
1,455.36
1,220.62
1,510.29
2,655.45
---
1,246.28
1,164.10
1,304.53
1,221.26
1,273.33
1,349.18
1,393.62
1,328.72
1,443.08
1,277.43
1,521.49
2,859.77
---
1,325.41
1,276.14
1,260.71
1,298.16
1,315.80
1,378.61
1,473.03
1,482.95
1,428.29
1,485.33
1,361.65
1,524.93
3,302.40
---
1,424.26
1989
1,366.63
1,340.84
1,417.87
1,425.04
1,458.95
1,592.27
1,606.82
1,598.43
1,615.48
1,481.22
1,632.10
3,570.18
---
1,536.26
1990
1,515.29
1,426.83
1,513.31
1,535.00
1,544.02
1,683.15
1,764.67
1,779.42
1,698.71
1,638.00
1,747.95
3,708.35
---
1,640.91
1991
1,562.86
1,563.81
1,585.86
1,592.01
1,672.46
1,836.97
1,807.82
1,824.01
1,757.86
1,769.05
1,954.71
4,057.16
---
1,761.70
1992
1,600.38
1,599.57
1,606.22
1,648.30
1,721.23
1,892.32
1,886.70
1,812.37
1,840.71
1,867.85
2,011.98
4,004.30
---
1,820.36
1993
1,594.84
1,651.43
1,564.33
1,650.79
1,741.32
1,854.51
1,869.05
1,716.06
1,799.67
1,925.89
2,290.11
4,071.51
---
1,810.27
1994
1,650.45
1,626.43
1,524.47
1,695.79
1,762.32
1,849.50
1,883.55
1,762.05
1,676.53
1,969.18
2,831.14
3,983.42
---
1,811.68
1995
1,714.87
1,657.77
1,551.41
1,761.67
1,759.73
1,815.07
1,930.11
1,795.42
1,566.45
1,996.01
2,799.51
4,060.01
---
1,799.05
1996
1,740.60
1,716.36
1,544.13
1,761.66
1,690.17
1,808.02
1,926.73
1,827.39
1,609.45
1,984.56
2,930.96
3,713.59
---
1,783.24
1997
1,852.68
1,689.18
1,790.15
1,735.08
1,791.60
1,824.07
1,982.07
1,941.00
1,746.27
2,011.53
2,705.48
3,876.75
---
1,845.74
1998
2,051.73
1,807.78
1,917.40
1,826.14
1,935.72
1,938.07
2,099.81
2,067.32
1,846.55
2,084.94
2,818.35
4,224.30
---
1999
2,344.87
1,900.33
2,034.29
1,957.71
1,974.04
2,028.84
2,376.29
2,217.76
2,079.12
2,236.02
3,000.99
4,967.41
4,979.28
2,078.12
2000
2,497.29
2,034.62
2,107.72
2,105.17
2,133.98
2,221.39
2,619.32
2,362.84
2,260.59
2,432.62
3,234.92
4,664.19
5,787.58
2,256.63
2001
2,711.82
2,403.43
2,233.74
2,320.35
2,296.37
2,320.31
2,766.07
2,581.16
2,533.41
2,652.91
3,826.04
5,232.80
6,175.94
2,417.42
2002
2,907.00
2,669.89
2,422.95
2,437.73
2,399.05
2,442.81
2,907.70
2,730.52
2,713.56
2,782.74
4,058.32
5,711.56
7,091.92
2,548.27
2003
3,069.40
2,764.67
2,652.19
2,592.58
2,522.85
2,702.27
3,137.12
2,911.21
2,880.16
2,869.28
4,055.76
5,529.05
9,579.10
2,735.60
2004
3,148.88
2,726.81
2,759.19
2,812.70
2,665.65
2,865.32
3,322.67
3,116.22
3,101.44
2,909.81
4,274.60
5,929.69
9,926.96
2,883.91
2005
3,276.97
2,987.19
3,015.69
3,074.33
2,792.53
3,012.44
3,567.54
3,399.24
3,365.41
3,051.65
4,865.49
6,282.52
9,594.32
3,051.61
2006
3,494.28
3,146.58
3,388.67
3,388.73
2,951.83
3,171.08
3,740.87
3,629.15
3,553.18
3,190.99
5,499.54
6,623.07
10,316.90
3,226.95
2007
3,805.10
3,372.06
3,640.86
3,551.24
3,110.26
3,366.57
3,923.16
3,875.15
3,802.32
3,332.50
5,499.67
7,264.10
10,651.83
3,417.31
2008
4,142.32
3,657.60
3,828.63
3,804.63
3,302.90
3,569.99
4,164.91
4,155.66
4,134.44
3,577.05
5,766.16
7,893.52
10,969.71
3,645.44
2009
4,553.46
4,056.11
3,918.88
4,010.78
3,505.24
3,766.03
4,487.29
4,345.34
4,275.63
3,656.51
6,598.67
8,340.98
10,556.54
3,828.25
2010 f
2011 f
4,982.90
5,300.01
4,389.61
4,487.90
4,192.86
4,315.55
4,210.50
4,340.71
3,603.31
3,708.56
3,911.74
3,912.71
4,611.46
4,828.27
4,602.11
4,864.94
4,762.90
4,842.19
3,801.76
3,886.60
6,984.49
7,101.88
8,375.71
8,441.38
10,275.37
11,113.19
4,012.38
4,085.79
1976*
8.9
8.6
12.1
16.3
15.9
13.9
17.0
18.0
14.7
14.8
8.1
9.0
---
14.8
1980*
12.7
15.4
14.0
17.7
12.2
12.4
16.8
18.2
14.1
22.3
6.8
1.6
---
14.2
1985
5.3
5.0
7.1
5.6
5.3
8.9
6.1
6.4
7.5
3.3
4.1
6.8
---
6.7
1986
9.7
7.0
7.5
6.8
0.9
10.6
7.8
10.5
8.0
6.4
11.8
21.5
---
7.0
1987
8.1
8.3
13.4
10.0
6.1
8.6
6.7
3.1
-0.8
4.7
0.7
7.7
---
6.3
1988
1989
5.8
7.1
8.3
6.4
-0.5
9.2
7.7
8.3
8.3
5.8
9.2
8.1
6.4
8.4
7.5
11.9
2.9
8.8
6.6
8.8
0.2
7.0
15.5
8.1
-----
7.5
7.9
1990
10.9
9.8
6.8
Year
Sask.
($’ per capita)
1,962.59
(annual percentage change)*
11.3
5.2
10.6
7.1
3.9
---
1991
3.1
9.6
4.8
3.7
8.3
9.1
2.4
2.5
3.5
8.0
11.8
9.4
---
1992
2.4
2.3
6.4
1.3
3.5
2.9
3.0
4.4
-0.6
4.7
5.6
2.9
-1.3
---
3.3
1993
1994
-0.3
3.5
3.2
-1.5
-2.6
-2.5
0.2
2.7
1.2
1.2
-2.0
-0.3
-0.9
0.8
-5.3
2.7
-2.2
-6.8
3.1
2.2
13.8
23.6
1.7
-2.2
-----
-0.6
0.1
1995
3.9
3.9
-0.1
-1.9
2.5
1.9
-6.6
1.4
-1.1
1.9
---
-0.7
1996
1.5
3.5
-0.5
0.0
-4.0
-0.4
-0.2
1.8
2.7
-0.6
4.7
-8.5
---
-0.9
1997
6.4
-1.6
15.9
-1.5
6.0
0.9
2.9
6.2
8.5
1.4
-7.7
4.4
---
3.5
1998
1999
10.7
14.3
7.0
5.1
7.1
6.1
5.2
7.2
8.0
2.0
6.3
4.7
5.9
13.2
6.5
7.3
5.7
12.6
3.6
7.2
4.2
6.5
9.0
17.6
-----
6.3
5.9
2000
6.5
7.1
3.6
7.5
8.1
9.5
10.2
6.5
8.7
8.8
7.8
-6.1
16.2
8.6
2001
8.6
18.1
6.0
10.2
7.6
4.5
5.6
9.2
12.1
9.1
18.3
12.2
6.7
7.1
2002
7.2
11.1
8.5
5.1
4.5
5.3
5.1
5.8
7.1
4.9
6.1
9.1
14.8
5.4
2003
2004
5.6
2.6
3.6
-1.4
9.5
4.0
6.4
8.5
5.2
5.7
10.6
6.0
7.9
5.9
6.6
7.0
6.1
7.7
3.1
1.4
-0.1
5.4
-3.2
7.2
35.1
3.6
7.4
5.4
2005
4.1
9.5
9.3
9.3
4.8
5.1
7.4
9.1
8.5
4.9
13.8
6.0
-3.4
5.8
2006
2007
2008
2009
6.6
8.9
8.9
9.9
5.3
7.2
8.5
10.9
12.4
7.4
5.2
2.4
10.2
4.8
7.1
5.4
5.7
5.4
6.2
6.1
5.3
6.2
6.0
5.5
4.9
4.9
6.2
7.7
6.8
6.8
7.2
4.6
5.6
7.0
8.7
3.4
4.6
4.4
7.3
2.2
13.0
0.0
4.8
14.4
5.4
9.7
8.7
5.7
7.5
3.2
3.0
-3.8
5.7
5.9
6.7
5.0
2010 f
2011 f
9.4
6.4
8.2
2.2
7.0
2.9
5.0
3.1
2.8
2.9
3.9
0.0
2.8
4.7
5.9
5.7
11.4
1.7
4.0
2.2
5.8
1.7
0.4
0.8
-2.7
8.2
4.8
1.8
1.9
6.7
1.8
7.7
5.8
5.7
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
7.4
Canadian Institute for Health Information, 2011.
151
National Health Expenditure Trends, 1975 to 2011
Table B.3.3
Public Sector Health Expenditure as a Proportion of Total Health Expenditure by Province/Territory
and Canada, 1975 to 2011—Current Dollars
P.E.I.
N.S.
N.B.
Que.
Ont.
1975
77.6
73.0
78.8
77.4
78.8
75.3
77.7
1976
72.2
75.2
77.2
79.0
80.5
76.1
79.4
1977
66.4
76.6
78.8
79.3
81.6
75.4
78.5
1978
1979
64.6
65.3
73.7
67.1
78.6
77.7
77.5
74.7
81.9
82.5
73.7
72.1
78.6
77.0
1980
66.2
61.5
77.5
73.8
1981
66.1
63.8
78.9
73.9
79.7
73.3
75.1
80.4
77.8
74.4
78.1
80.3
---
75.9
1982
68.9
66.9
78.3
74.4
80.6
72.9
76.3
81.9
76.5
75.6
81.8
86.0
---
76.2
1983
69.7
68.9
78.5
74.0
81.1
72.5
77.2
82.6
80.1
75.3
82.5
86.3
---
76.6
1984
74.5
70.8
77.9
72.8
80.4
72.3
76.9
81.1
79.6
73.8
81.9
85.6
---
76.1
1985
74.9
70.8
76.9
73.3
79.0
72.3
75.9
78.2
79.6
73.5
82.9
85.8
---
75.5
1986
79.1
73.6
74.3
73.8
76.4
72.9
75.4
77.8
79.5
73.6
86.8
87.0
---
75.1
1987
78.7
73.8
74.7
74.4
76.6
72.8
77.3
77.6
78.1
72.9
87.4
86.8
---
74.9
1988
1989
78.8
79.4
74.2
72.9
73.5
73.2
74.4
74.8
76.8
76.1
73.1
73.3
79.0
78.6
79.9
79.4
75.5
75.3
72.6
72.8
88.6
89.3
87.1
87.4
-----
74.9
74.7
1990
79.9
72.7
73.7
74.1
75.6
72.8
78.5
79.6
75.3
73.1
90.6
88.5
---
74.5
1991
78.5
72.6
73.7
72.8
75.6
73.1
77.9
78.8
75.2
73.4
90.3
88.5
---
74.5
1992
77.5
70.9
72.7
72.5
74.7
72.5
77.7
78.2
75.4
73.9
89.7
89.4
---
74.0
1993
1994
76.5
75.9
70.0
69.2
71.4
69.8
71.1
71.0
73.7
73.1
70.6
69.6
76.0
75.4
75.1
74.6
73.6
71.7
73.9
74.1
86.8
89.4
90.1
90.6
-----
72.6
71.9
Year
1995
Man.
Sask.
Nun.
Canada
Average
N.L.
Alta.
B.C.
Y.T.
N.W.T
74.5
76.4
71.9
77.9
75.2
---
76.2
75.7
77.5
71.1
76.1
76.2
---
77.0
75.5
76.9
69.6
75.7
78.6
---
76.7
76.8
77.4
77.0
78.2
70.7
71.9
77.7
77.1
79.3
79.0
-----
76.2
75.9
(percentage)
76.7
68.0
69.9
72.7
81.5
73.1
72.1
67.9
76.1
74.8
79.5
74.6
77.1
70.3
71.9
76.5
78.4
---
75.5
74.5
89.0
91.6
---
71.2
1996
77.7
68.7
68.8
73.1
72.2
67.5
73.5
74.8
70.7
74.1
83.5
90.4
---
70.7
1997
78.2
67.6
70.6
70.3
72.4
66.5
72.6
74.4
69.8
73.3
83.3
90.9
---
70.1
1998
1999
77.3
79.0
67.9
68.4
70.0
70.9
71.2
70.8
73.7
72.0
66.5
65.9
72.7
73.4
75.7
75.6
70.3
70.6
72.8
73.0
84.3
84.6
91.6
90.5
--93.6
70.4
69.9
2000
78.2
69.2
69.4
71.2
72.5
66.5
74.0
75.4
70.7
73.3
79.9
90.6
94.5
70.2
2001
78.5
69.0
69.1
70.5
72.0
66.1
72.7
74.7
70.6
73.7
80.8
89.0
94.2
2002
78.4
72.3
68.5
69.9
71.4
65.1
72.9
75.1
71.7
73.1
78.7
89.2
94.8
69.5
2003
2004
77.2
76.2
70.2
69.9
69.1
69.5
69.8
71.0
71.1
71.8
66.8
66.7
74.0
74.3
74.8
75.1
72.1
71.9
72.7
71.4
79.3
78.8
88.6
89.3
95.5
95.5
70.1
70.0
2005
75.4
71.7
70.0
70.1
71.2
66.9
74.6
76.1
72.8
71.8
80.5
84.2
94.5
70.1
2006
76.1
69.8
70.5
70.6
71.2
66.8
74.1
75.6
71.5
69.6
81.8
83.1
94.7
69.7
2007
75.3
71.2
70.7
71.1
71.4
67.2
74.5
76.1
72.3
70.8
77.5
82.1
94.1
70.1
2008
76.7
73.4
70.7
71.3
71.4
67.9
74.4
77.5
72.8
70.3
79.1
84.8
94.3
70.5
2009
77.1
73.4
69.0
69.9
71.9
68.5
74.8
76.9
72.9
71.0
79.9
84.4
93.2
70.9
2010 f
2011 f
77.0
77.0
74.1
73.4
69.4
68.6
69.6
68.3
71.2
70.5
68.5
67.5
74.4
74.7
76.3
75.8
74.2
73.7
71.7
71.3
80.0
78.9
83.5
82.4
93.0
93.2
71.0
70.3
69.9
(annual percentage change)*
1976*
-6.9
3.0
-2.0
2.1
2.1
1.1
2.2
1.6
1.5
-1.1
-2.4
1.3
---
1.0
1980*
1.4
-8.4
-0.2
-1.2
-1.2
0.0
-1.2
2.8
-1.3
0.1
-0.7
-0.7
---
-0.5
1985
0.6
0.0
-1.4
0.7
-1.7
0.0
-1.3
0.3
---
-0.7
1986
5.6
3.9
-3.3
0.7
-3.3
0.8
-0.6
-0.5
-0.1
0.0
4.7
1.4
---
-0.6
1987
-0.6
0.3
0.5
0.9
0.3
-0.1
2.4
-0.3
-1.8
-0.8
0.7
-0.2
---
-0.2
1988
1989
0.2
0.8
0.7
-1.8
-1.6
-0.5
0.0
0.6
0.2
-0.9
0.4
0.1
2.2
-0.5
2.9
-0.7
-3.4
-0.2
-0.4
0.2
1.4
0.8
0.3
0.4
-----
0.0
-0.2
0.0
-0.4
1.3
-0.3
1990
0.6
-0.2
0.8
-1.0
-0.7
-0.6
0.0
0.3
-0.1
0.4
1.4
1.3
---
1991
-1.7
-0.1
-0.1
-1.7
0.0
0.4
-0.8
-0.9
-0.1
0.5
-0.4
-0.1
---
0.0
1992
-1.3
-2.3
-1.3
-0.4
-1.1
-0.8
-0.2
-0.7
0.3
0.6
-0.6
1.0
---
-0.6
1993
1994
-1.3
-0.8
-1.3
-1.2
-1.8
-2.2
-2.0
-0.2
-1.3
-0.8
-2.7
-1.4
-2.2
-0.7
-4.1
-0.6
-2.3
-2.6
0.0
0.2
-3.3
3.0
0.8
0.6
-----
-1.9
-1.0
1995
1.0
-1.6
0.0
2.5
0.0
-2.5
-0.9
0.0
-2.0
0.6
-0.5
1.1
1996
1.4
1.0
-1.4
0.5
-1.4
-0.6
-1.6
0.3
0.5
-0.6
-6.2
-1.4
---
-0.7
1997
0.6
-1.7
2.6
-3.8
0.3
-1.4
-1.2
-0.5
-1.2
-1.0
-0.2
0.6
---
-0.8
1998
1999
-1.2
2.2
0.6
0.7
-0.9
1.4
1.3
-0.6
1.8
-2.2
0.0
-1.0
0.1
0.9
1.8
-0.2
0.7
0.4
-0.8
0.4
1.2
0.3
0.8
-1.2
-----
0.4
-0.7
2000
0.3
---
-1.0
-1.1
1.2
-2.2
0.6
0.6
0.9
0.8
-0.3
0.3
-5.5
0.1
0.9
0.5
2001
0.5
-0.3
-0.4
-1.0
-0.7
-0.7
-1.7
-0.9
-0.1
0.6
1.1
-1.7
-0.3
-0.4
2002
-0.1
4.8
-0.9
-0.8
-0.7
-1.4
0.3
0.5
1.5
-0.8
-2.6
0.2
0.6
-0.7
2003
2004
-1.6
-1.3
-3.0
-0.5
0.9
0.6
-0.1
1.6
-0.4
1.0
2.6
-0.1
1.4
0.4
-0.3
0.4
0.6
-0.2
-0.5
-1.8
0.8
-0.7
-0.6
0.8
0.7
0.0
0.9
-0.1
2005
0.8
-1.2
-1.1
2.6
-0.8
0.2
0.3
1.3
1.2
0.6
-1.0
0.1
2006
0.9
-2.6
0.6
0.6
0.0
-0.1
-0.6
-0.8
-1.7
-3.0
1.6
-1.3
0.2
-0.6
2007
-1.0
2.0
0.3
0.8
0.3
0.6
0.6
0.7
1.1
1.7
-5.3
-1.2
-0.7
0.7
2008
1.8
3.0
0.1
0.3
-0.1
1.1
-0.2
1.8
0.7
-0.7
2.1
3.2
0.2
0.5
2009
0.6
0.1
-2.4
-2.1
0.6
0.9
0.6
-0.8
0.2
0.9
0.9
-0.5
-1.2
0.5
2010 f
2011 f
-0.1
0.0
0.9
-1.0
0.6
-1.2
-0.4
-1.9
-0.9
-1.0
-0.1
-1.4
-0.5
0.4
-0.8
-0.7
1.7
-0.6
1.0
-0.5
0.2
-1.4
-1.0
-1.4
-0.2
0.2
0.1
-0.9
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
152
-3.6
2.2
-5.8
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table B.4.1
Provincial/Territorial Government Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2011—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Year
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
($’ 000,000)
1975
1976
1977
1978
1979
199.2
219.0
233.5
258.3
297.3
41.5
45.4
50.3
56.4
62.5
266.9
302.7
334.6
370.0
413.1
203.7
242.4
271.7
299.1
336.7
2,531.2
2,972.5
3,269.2
3,661.8
4,088.1
3,143.5
3,612.5
3,929.1
4,229.4
4,565.8
376.7
449.3
497.3
524.9
569.7
302.1
364.1
410.8
445.8
508.5
694.9
811.6
879.1
1,020.5
1,258.2
928.2
1,082.7
1,193.1
1,363.8
1,556.5
6.2
8.8
10.0
11.4
12.4
15.2
19.0
23.4
28.1
27.9
-----------
8,709.3
10,129.9
11,102.0
12,269.4
13,696.6
1980
1981
1982
1983
1984
336.8
393.4
461.9
515.7
534.6
72.6
84.1
98.5
109.5
116.5
474.5
572.4
662.7
728.7
800.3
395.1
478.2
579.6
627.2
671.5
4,607.8
5,268.2
6,101.1
6,740.9
7,165.5
5,164.6
6,069.9
7,104.3
8,019.2
8,826.6
652.8
782.9
915.1
1,021.3
1,102.1
604.5
709.8
859.0
965.6
1,022.9
1,510.2
1,871.3
2,426.3
2,769.4
2,843.5
1,932.3
2,374.8
2,720.3
2,932.2
3,074.8
13.6
15.0
22.4
22.8
23.5
29.3
35.5
51.0
57.8
62.0
-----------
15,794.1
18,655.5
22,002.1
24,510.2
26,244.0
1985
1986
1987
1988
1989
561.4
611.2
660.0
699.4
751.1
123.0
131.7
142.5
153.7
163.1
867.5
917.0
987.4
1,071.6
1,178.9
710.7
759.2
837.9
900.8
981.2
7,577.2
7,715.3
8,257.9
8,996.9
9,631.6
9,746.8
10,995.1
12,203.4
13,583.0
15,079.3
1,182.6
1,269.6
1,364.8
1,464.7
1,587.0
1,101.3
1,223.4
1,264.5
1,349.3
1,500.2
3,035.1
3,316.8
3,308.1
3,427.8
3,792.9
3,200.6
3,443.3
3,660.8
3,978.3
4,455.9
24.9
27.6
29.4
33.4
36.3
71.9
91.2
105.4
147.1
174.6
-----------
28,202.8
30,501.5
32,821.9
35,806.2
39,332.1
1990
1991
1992
1993
1994
836.0
861.0
881.0
880.9
902.6
173.7
189.6
196.2
205.2
200.4
1,263.6
1,333.8
1,356.8
1,322.9
1,280.1
1,057.2
1,102.1
1,142.4
1,154.7
1,189.3
10,250.4
11,213.3
11,617.6
11,841.5
12,007.4
16,195.9
17,951.3
18,810.3
18,618.2
18,753.5
1,742.8
1,788.7
1,867.8
1,856.8
1,861.9
1,636.4
1,658.2
1,635.9
1,539.4
1,560.5
4,043.8
4,241.0
4,506.3
4,452.2
4,103.5
5,043.6
5,578.3
6,060.7
6,424.1
6,740.9
38.6
45.6
49.1
58.1
71.5
187.9
213.9
213.6
218.4
214.0
-----------
42,469.7
46,176.8
48,337.8
48,572.6
48,885.6
1995
1996
1997
1998
1999
925.5
926.0
968.2
1,050.3
1,190.4
203.2
213.2
213.9
228.8
240.8
1,302.6
1,317.7
1,552.0
1,656.5
1,749.7
1,235.2
1,234.4
1,213.9
1,269.5
1,369.8
12,020.3
11,586.2
12,158.9
13,145.9
13,403.0
18,549.6
18,696.5
19,065.6
20,121.8
21,592.8
1,903.4
1,922.8
1,976.6
2,102.8
2,395.3
1,595.6
1,637.4
1,749.2
1,855.2
1,995.4
3,904.8
4,091.3
4,527.6
4,896.0
5,641.1
7,007.1
7,186.1
7,434.9
7,758.4
8,390.8
68.7
67.6
69.6
74.2
78.4
220.6
200.8
212.8
232.3
166.8
--------115.4
48,936.4
49,080.1
51,143.2
54,391.6
58,329.8
2000
2001
2002
2003
2004
1,246.8
1,333.7
1,423.3
1,498.1
1,538.7
258.2
305.1
344.4
354.5
347.8
1,788.1
1,885.1
2,061.4
2,271.0
2,364.2
1,466.6
1,595.4
1,678.9
1,793.0
1,952.4
14,455.8
15,536.1
16,410.9
17,270.3
18,395.1
23,941.2
25,257.5
27,252.2
30,380.5
32,725.4
2,630.8
2,794.1
2,964.4
3,220.5
3,436.4
2,092.9
2,266.4
2,391.8
2,533.5
2,733.7
6,214.9
7,033.8
7,730.9
8,287.0
9,110.3
9,164.8
10,118.4
10,763.6
11,185.5
11,434.5
83.8
96.9
102.1
103.8
113.3
152.1
170.8
191.2
191.3
211.1
136.3
146.0
170.3
235.8
243.9
63,632.5
68,539.3
73,485.3
79,324.6
84,606.6
2005
2006
2007
2008
2009
1,589.7
1,690.2
1,831.3
1,988.9
2,202.6
371.3
385.7
414.2
453.7
512.8
2,580.3
2,898.5
3,120.8
3,299.3
3,374.3
2,131.6
2,345.6
2,463.4
2,626.0
2,782.1
19,421.9
20,587.7
21,830.3
23,378.0
25,155.6
35,010.6
37,163.5
40,005.6
42,804.5
45,627.8
3,698.2
3,906.6
4,115.1
4,427.9
4,811.2
2,986.5
3,192.7
3,434.7
3,744.5
3,957.7
10,197.5
11,258.7
12,377.8
13,811.8
14,574.1
12,168.9
12,690.0
13,421.9
14,612.2
15,150.7
125.0
142.8
145.3
158.1
184.3
217.3
226.9
252.5
278.5
290.7
224.2
254.9
263.8
268.7
276.5
90,723.1
96,743.7
103,676.9
111,852.1
118,900.4
2010 f
2011 f
2,430.1
2,581.3
564.6
579.3
3,637.3
3,746.1
2,940.3
3,035.0
26,148.3
27,155.1
48,027.1
48,734.4
5,018.5
5,319.7
4,281.0
4,597.0
16,570.3
17,185.1
15,960.6
16,594.8
201.2
206.5
290.4
295.4
283.2
314.3
126,353.0
130,344.0
1976*
1980*
9.9
13.3
9.4
16.1
13.4
14.9
19.0
17.3
17.4
12.7
14.9
13.1
19.3
14.6
20.5
18.9
16.8
20.0
16.6
24.1
42.9
10.0
24.3
4.9
-----
16.3
15.3
1985
1986
1987
1988
1989
5.0
8.9
8.0
6.0
7.4
5.5
7.1
8.2
7.9
6.1
8.4
5.7
7.7
8.5
10.0
5.8
6.8
10.4
7.5
8.9
5.7
1.8
7.0
8.9
7.1
10.4
12.8
11.0
11.3
11.0
7.3
7.4
7.5
7.3
8.3
7.7
11.1
3.4
6.7
11.2
6.7
9.3
-0.3
3.6
10.7
4.1
7.6
6.3
8.7
12.0
5.7
10.9
6.6
13.8
8.5
16.0
26.9
15.7
39.5
18.7
-----------
7.5
8.2
7.6
9.1
9.8
1990
1991
1992
1993
1994
11.3
3.0
2.3
0.0
2.5
6.5
9.2
3.5
4.6
-2.3
7.2
5.6
1.7
-2.5
-3.2
7.7
4.2
3.7
1.1
3.0
6.4
9.4
3.6
1.9
1.4
7.4
10.8
4.8
-1.0
0.7
9.8
2.6
4.4
-0.6
0.3
9.1
1.3
-1.3
-5.9
1.4
6.6
4.9
6.3
-1.2
-7.8
13.2
10.6
8.6
6.0
4.9
6.6
18.1
7.6
18.3
23.0
7.6
13.8
-0.1
2.2
-2.0
-----------
8.0
8.7
4.7
0.5
0.6
1995
1996
1997
1998
1999
2.5
0.1
4.6
8.5
13.3
1.4
4.9
0.3
7.0
5.2
1.8
1.2
17.8
6.7
5.6
3.9
-0.1
-1.7
4.6
7.9
0.1
-3.6
4.9
8.1
2.0
-1.1
0.8
2.0
5.5
7.3
2.2
1.0
2.8
6.4
13.9
2.2
2.6
6.8
6.1
7.6
-4.8
4.8
10.7
8.1
15.2
3.9
2.6
3.5
4.3
8.2
-3.8
-1.7
2.9
6.6
5.8
3.1
-9.0
6.0
9.1
-28.2
-----------
0.1
0.3
4.2
6.4
7.2
2000
2001
2002
2003
2004
4.7
7.0
6.7
5.3
2.7
7.2
18.2
12.9
2.9
-1.9
2.2
5.4
9.4
10.2
4.1
7.1
8.8
5.2
6.8
8.9
7.9
7.5
5.6
5.2
6.5
10.9
5.5
7.9
11.5
7.7
9.8
6.2
6.1
8.6
6.7
4.9
8.3
5.5
5.9
7.9
10.2
13.2
9.9
7.2
9.9
9.2
10.4
6.4
3.9
2.2
6.9
15.6
5.4
1.7
9.1
-8.8
12.2
12.0
0.0
10.4
18.1
7.1
16.6
38.5
3.5
9.1
7.7
7.2
7.9
6.7
2005
2006
2007
2008
2009
3.3
6.3
8.4
8.6
10.7
6.8
3.9
7.4
9.5
13.0
9.1
12.3
7.7
5.7
2.3
9.2
10.0
5.0
6.6
5.9
5.6
6.0
6.0
7.1
7.6
7.0
6.1
7.6
7.0
6.6
7.6
5.6
5.3
7.6
8.7
9.3
6.9
7.6
9.0
5.7
11.9
10.4
9.9
11.6
5.5
6.4
4.3
5.8
8.9
3.7
10.4
14.2
1.8
8.8
16.6
2.9
4.4
11.3
10.3
4.4
-8.1
13.7
3.5
1.9
2.9
7.2
6.6
7.2
7.9
6.3
2010 f
2011 f
10.3
6.2
10.1
2.6
7.8
3.0
5.7
3.2
3.9
3.9
5.3
1.5
4.3
6.0
8.2
7.4
13.7
3.7
5.3
4.0
9.2
2.6
-0.1
1.7
2.4
11.0
6.3
3.2
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
Canadian Institute for Health Information, 2011.
153
National Health Expenditure Trends, 1975 to 2011
Table B.4.2
Provincial/Territorial Government Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2011—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
1975
1976
1977
1978
1979
357.93
389.23
413.02
454.97
521.39
352.59
382.69
419.05
463.11
508.31
322.89
362.38
398.43
438.08
486.44
300.87
351.60
390.52
427.54
478.79
399.86
464.68
508.29
568.59
632.20
377.83
429.35
461.94
492.26
527.07
367.52
435.49
479.07
504.13
549.20
1980
1981
1982
1983
1984
587.97
684.49
803.88
889.85
921.49
586.87
679.49
795.18
872.94
920.16
556.32
669.77
770.56
838.34
912.44
559.50
677.01
818.37
876.77
931.38
708.13
804.58
927.32
1,020.99
1,080.57
590.56
688.88
796.24
886.91
962.36
1985
1986
1987
1988
1989
969.11
1,060.19
1,147.48
1,216.34
1,303.10
963.16
1,025.64
1,108.04
1,189.24
1,254.08
980.11
1,031.12
1,105.10
1,194.19
1,304.30
982.04
1,046.94
1,151.22
1,233.44
1,334.56
1,136.74
1,150.09
1,217.52
1,315.53
1,390.10
1990
1991
1992
1993
1994
1,446.22
1,485.76
1,518.94
1,518.87
1,571.25
1,330.38
1,455.09
1,500.45
1,553.24
1,502.41
1,389.08
1,457.56
1,475.44
1,431.70
1,381.01
1,428.37
1,478.27
1,527.08
1,542.11
1,585.29
1995
1996
1997
1998
1999
1,630.96
1,654.16
1,757.15
1,945.16
2,231.77
1,511.50
1,570.44
1,571.56
1,684.76
1,766.59
1,403.36
1,414.75
1,664.36
1,777.59
1,873.69
2000
2001
2002
2003
2004
2,361.22
2,555.02
2,739.98
2,889.64
2,974.49
1,891.94
2,232.30
2,515.13
2,581.16
2,522.54
2005
2006
2007
2008
2009
3,091.99
3,312.09
3,616.56
3,929.08
4,334.58
2010 f
2011 f
Canada
Average
Alta.
B.C.
Y.T.
N.W.T
Nun.
329.31
390.81
434.77
468.37
529.91
384.21
434.15
451.35
504.73
599.83
371.34
427.31
464.30
521.74
584.48
281.70
392.62
437.49
480.31
515.50
355.89
427.62
523.77
619.68
610.55
-----------
376.32
431.98
467.93
512.01
565.93
630.94
755.38
874.17
962.48
1,028.22
624.90
727.33
870.10
963.78
1,007.33
688.82
815.66
1,024.50
1,158.55
1,189.68
704.40
840.95
946.88
1,009.21
1,043.87
559.22
628.28
915.40
965.33
983.04
632.58
746.47
1,030.57
1,132.08
1,178.74
-----------
644.23
751.62
875.97
966.22
1,024.85
1,048.32
1,164.97
1,265.35
1,380.08
1,491.89
1,092.73
1,163.01
1,242.92
1,329.10
1,438.04
1,073.93
1,188.64
1,224.38
1,312.55
1,471.92
1,263.05
1,364.43
1,358.38
1,396.57
1,520.06
1,076.10
1,146.18
1,200.20
1,276.99
1,393.40
1,020.22
1,125.67
1,142.60
1,255.80
1,337.46
1,320.82
1,666.65
1,915.62
2,641.91
3,061.59
-----------
1,091.32
1,168.59
1,240.96
1,336.28
1,441.70
1,463.53
1,587.25
1,634.44
1,654.93
1,669.57
1,572.74
1,721.43
1,779.63
1,741.91
1,733.51
1,576.21
1,612.05
1,678.64
1,661.38
1,657.61
1,624.80
1,653.75
1,629.49
1,528.88
1,545.80
1,587.56
1,635.78
1,711.51
1,669.10
1,519.44
1,532.63
1,653.57
1,747.40
1,800.79
1,833.90
1,391.27
1,578.60
1,630.67
1,913.85
2,406.47
3,189.46
3,510.43
3,423.11
3,437.35
3,284.08
-----------
1,533.34
1,647.32
1,704.03
1,693.50
1,685.76
1,644.78
1,640.82
1,613.06
1,691.40
1,824.87
1,664.98
1,598.79
1,671.41
1,801.80
1,830.19
1,694.03
1,686.95
1,698.00
1,770.20
1,876.60
1,685.66
1,695.29
1,739.72
1,848.60
2,096.54
1,573.35
1,606.75
1,718.15
1,823.25
1,966.46
1,427.96
1,474.25
1,599.84
1,688.58
1,910.13
1,855.19
1,854.82
1,882.96
1,947.83
2,091.76
2,257.88
2,154.16
2,187.86
2,381.31
2,548.64
3,313.42
2,972.33
3,141.80
3,456.79
4,103.00
--------4,303.32
1,670.06
1,657.50
1,710.05
1,803.61
1,918.50
1,914.73
2,021.76
2,205.82
2,424.96
2,520.53
1,954.06
2,127.56
2,237.56
2,386.73
2,596.12
1,964.90
2,100.32
2,204.06
2,304.34
2,436.76
2,048.82
2,122.90
2,251.87
2,477.50
2,634.83
2,292.92
2,426.92
2,565.29
2,771.76
2,935.66
2,076.82
2,266.09
2,401.67
2,546.87
2,747.68
2,068.22
2,301.09
2,480.77
2,621.32
2,839.73
2,268.96
2,480.95
2,615.43
2,691.83
2,720.03
2,756.05
3,216.74
3,389.07
3,396.58
3,669.06
3,756.67
4,183.20
4,608.66
4,529.92
4,930.13
4,957.08
5,192.98
5,924.44
8,083.36
8,232.34
2,073.46
2,209.43
2,342.34
2,504.24
2,644.35
2,686.79
2,796.23
2,998.16
3,251.57
3,634.26
2,756.79
3,090.10
3,334.88
3,522.09
3,593.05
2,837.18
3,145.56
3,304.33
3,515.79
3,712.76
2,556.17
2,697.70
2,839.74
3,016.00
3,213.40
2,786.26
2,934.27
3,127.17
3,309.89
3,492.40
3,149.72
3,299.37
3,447.78
3,673.00
3,945.03
3,016.57
3,218.02
3,433.84
3,693.55
3,845.70
3,108.31
3,290.81
3,523.74
3,845.82
3,970.35
2,856.38
2,990.40
3,114.40
3,333.17
3,396.80
4,026.97
4,424.38
4,462.10
4,773.71
5,475.83
5,085.46
5,252.20
5,797.95
6,373.41
6,657.27
7,468.92
8,277.65
8,436.37
8,505.48
8,587.80
2,807.72
2,969.78
3,148.43
3,357.31
3,526.09
4,767.41
5,076.92
3,968.95
4,057.59
3,859.23
3,972.45
3,911.24
4,033.47
3,306.83
3,407.47
3,635.48
3,645.38
4,062.21
4,265.91
4,094.26
4,348.41
4,453.24
4,527.99
3,522.55
3,603.59
5,827.66
5,911.86
6,637.20
6,689.69
8,523.50
9,346.74
3,704.42
3,777.86
1976*
1980*
8.7
12.8
8.5
15.5
12.2
14.4
16.9
16.9
16.2
12.0
13.6
12.0
18.5
14.9
18.7
17.9
13.0
14.8
15.1
20.5
39.4
8.5
20.2
3.6
-----
14.8
13.8
1985
1986
1987
1988
1989
5.2
9.4
8.2
6.0
7.1
4.7
6.5
8.0
7.3
5.5
7.4
5.2
7.2
8.1
9.2
5.4
6.6
10.0
7.1
8.2
5.2
1.2
5.9
8.0
5.7
8.9
11.1
8.6
9.1
8.1
6.3
6.4
6.9
6.9
8.2
6.6
10.7
3.0
7.2
12.1
6.2
8.0
-0.4
2.8
8.8
3.1
6.5
4.7
6.4
9.1
3.8
10.3
1.5
9.9
6.5
12.1
26.2
14.9
37.9
15.9
-----------
6.5
7.1
6.2
7.7
7.9
1990
1991
1992
1993
1994
11.0
2.7
2.2
0.0
3.4
6.1
9.4
3.1
3.5
-3.3
6.5
4.9
1.2
-3.0
-3.5
7.0
3.5
3.3
1.0
2.8
5.3
8.5
3.0
1.3
0.9
5.4
9.5
3.4
-2.1
-0.5
9.6
2.3
4.1
-1.0
-0.2
10.4
1.8
-1.5
-6.2
1.1
4.4
3.0
4.6
-2.5
-9.0
10.0
7.9
5.7
3.1
1.8
4.0
13.5
3.3
17.4
25.7
4.2
10.1
-2.5
0.4
-4.5
-----------
6.4
7.4
3.4
-0.6
-0.5
1995
1996
1997
1998
1999
3.8
1.4
6.2
10.7
14.7
0.6
3.9
0.1
7.2
4.9
1.6
0.8
17.6
6.8
5.4
3.8
-0.2
-1.7
4.9
7.9
-0.3
-4.0
4.5
7.8
1.6
-2.3
-0.4
0.7
4.3
6.0
1.7
0.6
2.6
6.3
13.4
1.8
2.1
6.9
6.1
7.9
-6.0
3.2
8.5
5.5
13.1
1.2
0.0
1.5
3.4
7.4
-6.2
-4.6
1.6
8.8
7.0
0.9
-10.3
5.7
10.0
18.7
-----------
-0.9
-0.8
3.2
5.5
6.4
2000
2001
2002
2003
2004
5.8
8.2
7.2
5.5
2.9
7.1
18.0
12.7
2.6
-2.3
2.2
5.6
9.1
9.9
3.9
7.1
8.9
5.2
6.7
8.8
7.4
6.9
4.9
4.5
5.7
9.2
3.6
6.1
10.0
6.4
9.4
5.8
5.7
8.0
5.9
5.6
9.1
6.0
6.0
7.9
8.3
11.3
7.8
5.7
8.3
8.5
9.3
5.4
2.9
1.0
8.1
16.7
5.4
0.2
8.0
-8.4
11.4
10.2
-1.7
8.8
15.2
4.8
14.1
36.4
1.8
8.1
6.6
6.0
6.9
5.6
2005
2006
2007
2008
2009
4.0
7.1
9.2
8.6
10.3
6.5
4.1
7.2
8.5
11.8
9.4
12.1
7.9
5.6
2.0
9.3
10.9
5.0
6.4
5.6
4.9
5.5
5.3
6.2
6.5
5.7
5.3
6.6
5.8
5.5
7.3
4.8
4.5
6.5
7.4
9.8
6.7
6.7
7.6
4.1
9.5
5.9
7.1
9.1
3.2
5.0
4.7
4.1
7.0
1.9
9.8
9.9
0.9
7.0
14.7
3.2
3.3
10.4
9.9
4.5
-9.3
10.8
1.9
0.8
1.0
6.2
5.8
6.0
6.6
5.0
2010 f
2011 f
10.0
6.5
9.2
2.2
7.4
2.9
5.3
3.1
2.9
3.0
4.1
0.3
3.0
5.0
6.5
6.2
12.2
1.7
3.7
2.3
6.4
1.4
-0.3
0.8
-0.7
9.7
5.1
2.0
Year
Sask.
($’ per capita)
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
154
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table B.4.3
Provincial/Territorial Government Sector Health Expenditure as a Proportion of
Total Health Expenditure by Province/Territory and Canada, 1975 to 2011—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
1975
1976
1977
1978
1979
75.3
70.0
64.3
62.6
62.8
70.2
72.2
73.2
70.9
64.7
69.8
68.4
71.3
72.2
72.1
73.4
75.3
75.7
73.9
71.6
74.9
76.7
77.8
78.5
79.4
71.1
71.7
71.1
69.7
67.9
69.0
71.4
70.4
70.1
69.2
1980
1981
1982
1983
1984
63.7
63.3
65.9
66.7
71.1
59.4
61.7
64.6
66.6
68.1
72.2
72.6
72.1
72.5
71.1
70.2
70.2
70.7
70.1
68.9
78.3
76.5
77.3
77.7
76.9
67.7
68.2
68.0
67.7
67.5
1985
1986
1987
1988
1989
71.4
75.2
74.9
75.1
75.7
67.9
70.2
70.2
70.0
68.2
70.4
66.6
63.3
67.6
67.3
69.3
69.6
70.2
69.8
70.1
75.5
73.2
73.3
73.3
72.5
1990
1991
1992
1993
1994
76.2
74.7
73.6
72.9
72.3
67.8
67.6
66.5
65.8
63.9
67.7
67.7
66.8
65.3
63.3
68.9
67.6
67.2
66.4
66.3
1995
1996
1997
1998
1999
72.9
73.9
74.2
73.3
75.2
62.0
62.9
62.9
63.3
63.6
63.2
63.1
65.6
64.9
65.3
2000
2001
2002
2003
2004
73.9
74.0
73.9
72.7
72.0
64.3
64.1
68.1
65.5
64.6
2005
2006
2007
2008
2009
71.1
72.1
71.6
72.7
73.4
2010 f
2011 f
73.7
73.8
Sask.
N.W.T
Nun.
Canada
Average
Alta.
B.C.
Y.T.
68.5
70.0
69.9
71.6
72.3
70.0
70.0
69.1
69.6
70.6
67.1
66.5
65.1
66.7
68.0
38.8
48.8
54.0
53.4
51.7
43.5
48.5
47.4
49.7
47.4
-----------
71.4
72.1
71.9
71.7
71.4
67.2
67.9
68.7
69.1
69.2
74.1
74.8
76.0
76.8
74.6
70.1
71.3
72.4
76.5
75.5
67.1
69.2
70.3
70.6
69.4
52.1
53.3
60.3
59.9
62.0
48.0
48.1
46.2
46.8
49.3
-----------
70.8
71.0
71.5
72.0
71.4
67.5
68.3
68.3
68.5
68.6
68.5
67.2
68.9
70.8
70.3
72.0
71.8
71.5
73.4
73.1
74.6
74.6
73.5
71.0
70.9
69.0
69.1
68.5
68.1
68.5
62.6
64.7
65.6
73.0
73.2
51.9
54.6
58.2
69.7
75.0
-----------
70.8
70.4
70.1
70.3
70.1
71.6
71.7
70.9
70.1
69.3
68.1
68.5
68.2
66.3
65.2
70.1
69.4
69.1
67.5
66.4
72.7
71.5
70.4
66.9
65.4
70.3
70.0
70.1
68.3
65.0
68.4
68.6
69.1
69.1
69.0
72.1
72.9
72.7
72.5
76.0
76.1
76.5
76.4
76.1
74.7
-----------
69.6
69.7
69.3
67.9
66.9
67.9
68.1
65.4
66.0
66.0
69.2
68.2
67.5
68.6
66.8
63.3
63.0
61.9
60.7
60.9
65.3
64.7
63.7
64.0
64.7
65.3
65.8
65.9
66.8
67.0
64.1
64.7
63.9
64.3
64.8
69.3
69.2
68.6
68.0
68.3
71.8
61.3
67.3
71.2
71.8
74.8
72.3
73.6
75.0
74.8
-----------
66.1
65.7
65.0
64.7
64.6
63.0
62.6
62.3
63.2
63.5
66.1
64.6
64.2
64.3
65.5
66.7
65.8
65.6
65.0
65.7
61.3
60.4
60.0
61.3
61.4
64.7
63.8
64.3
65.4
65.6
66.2
65.6
66.0
65.4
66.3
64.7
64.2
65.6
65.6
65.9
68.3
68.9
68.7
68.2
66.8
68.1
67.9
65.7
66.4
67.6
73.0
71.2
72.0
72.6
74.3
80.9
79.2
79.2
80.6
79.2
64.5
63.9
63.8
64.1
64.2
64.5
62.0
63.3
65.2
65.8
64.0
64.2
64.7
65.1
63.3
64.7
65.5
66.2
65.9
64.7
65.2
65.1
65.2
65.2
65.9
61.8
61.8
62.4
63.0
63.5
65.8
65.4
65.5
65.6
65.8
67.6
67.0
67.4
68.9
68.0
67.2
66.3
67.0
67.7
67.7
67.2
65.3
66.2
65.5
66.0
66.6
65.8
62.9
65.5
66.3
68.1
65.9
65.5
68.4
67.3
73.6
76.0
74.5
73.1
75.8
64.5
64.1
64.6
64.9
65.3
67.0
66.4
63.9
63.2
64.6
63.4
65.4
64.8
63.6
62.9
65.6
66.0
67.9
67.7
69.4
68.9
66.4
66.1
66.8
65.7
66.2
65.3
77.1
78.4
65.5
65.0
Year
Man.
(percentage)
(annual percentage change)*
1976*
1980*
-7.0
1.5
3.0
-8.3
-1.9
0.1
2.6
-1.9
2.4
-1.4
0.8
-0.3
3.5
-2.9
2.2
2.5
0.0
-0.7
-0.9
-1.3
25.9
0.9
11.7
1.3
-----
1.0
-0.9
1985
1986
1987
1988
1989
0.5
5.3
-0.5
0.4
0.8
-0.4
3.5
0.0
-0.2
-2.7
-1.0
-5.4
-5.0
6.8
-0.5
0.6
0.5
0.9
-0.6
0.5
-1.8
-3.1
0.1
0.0
-1.1
0.1
1.2
0.0
0.3
0.1
-1.1
-1.9
2.6
2.7
-0.7
-3.4
-0.3
-0.4
2.7
-0.5
-1.3
0.0
-1.4
-3.5
-0.1
-0.6
0.1
-0.8
-0.6
0.5
0.9
3.4
1.4
11.2
0.3
5.3
5.3
6.5
19.8
7.6
-----------
-0.9
-0.6
-0.3
0.2
-0.2
1990
1991
1992
1993
1994
0.7
-2.1
-1.5
-1.0
-0.8
-0.5
-0.3
-1.5
-1.0
-2.9
0.6
0.0
-1.4
-2.2
-3.2
-1.6
-1.9
-0.6
-1.2
-0.1
-1.2
0.1
-1.1
-1.3
-1.1
-0.8
0.7
-0.5
-2.8
-1.6
-0.2
-1.0
-0.4
-2.3
-1.7
-0.6
-1.6
-1.6
-4.9
-2.2
-0.8
-0.5
0.2
-2.6
-4.8
-0.1
0.4
0.7
0.0
-0.2
-1.5
1.1
-0.3
-0.3
4.8
1.6
0.5
-0.2
-0.4
-1.8
-----------
-0.7
0.1
-0.5
-2.0
-1.6
1995
1996
1997
1998
1999
0.9
1.3
0.4
-1.2
2.6
-2.9
1.3
0.0
0.7
0.4
-0.1
-0.2
4.1
-1.2
0.7
2.4
0.2
-4.0
0.9
0.0
-0.1
-1.4
-1.1
1.6
-2.6
-2.9
-0.6
-1.7
-1.9
0.3
-1.6
-0.9
-1.5
0.4
1.2
-0.1
0.7
0.1
1.4
0.4
-1.4
1.0
-1.2
0.5
0.9
0.4
-0.1
-0.9
-1.0
0.5
-5.6
-14.5
9.8
5.8
0.8
0.1
-3.3
1.8
1.8
-0.2
-----------
-1.2
-0.5
-1.1
-0.4
-0.2
2000
2001
2002
2003
2004
-1.7
0.1
-0.1
-1.7
-1.0
1.2
-0.4
6.3
-3.9
-1.4
-3.5
-0.8
-0.4
1.3
0.5
0.2
-2.2
-0.7
0.2
1.9
-0.1
-1.4
-0.3
-1.0
1.1
0.6
-1.4
-0.7
2.1
0.2
0.0
-1.5
0.9
1.6
0.4
-1.2
-1.0
0.7
-0.9
1.2
-0.2
-0.9
2.2
0.1
0.4
0.0
0.9
-0.3
-0.6
-2.2
-5.2
-0.2
-3.3
1.1
1.8
-2.4
-2.5
1.1
0.9
2.3
---2.1
0.0
1.7
-1.7
0.0
-0.9
-0.1
0.5
0.1
2005
2006
2007
2008
2009
-1.2
1.4
-0.7
1.6
0.9
-0.2
-3.8
2.1
3.0
0.9
0.9
0.4
0.8
0.5
-2.7
-1.2
1.2
1.0
-0.4
-1.9
-0.7
-0.2
0.2
0.0
1.0
0.8
-0.1
1.0
0.9
0.9
0.3
-0.7
0.2
0.2
0.2
2.0
-0.8
0.6
2.1
-1.2
2.1
-1.4
1.1
1.1
0.0
0.7
-2.9
1.4
-1.0
0.6
-1.5
-1.2
-4.5
4.2
1.1
-8.2
-3.3
-0.6
4.4
-1.6
-7.1
3.3
-2.0
-1.9
3.7
0.5
-0.6
0.8
0.5
0.5
2010 f
2011 f
0.4
0.1
1.8
-1.0
1.0
-1.2
-0.1
-1.8
-0.8
-0.9
0.2
-1.1
-0.3
0.7
-0.2
-0.2
2.4
-0.6
0.7
-0.4
0.8
-1.6
-1.7
-1.3
1.7
1.6
0.3
-0.8
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984
f: forecast.
Canadian Institute for Health Information, 2011.
155
Series E
Provincial/Territorial
Government Health
Expenditure, by Age and Sex,
by Province/Territory and
Canada (Selected Tables)
National Health Expenditure Trends, 1975 to 2011
Table E.1.1
Estimate of Total Provincial and Territorial Government Health Expenditures, by Age and Sex,
by Province/Territory and Canada, 2009—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Age Groups
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
($’ 000,000)
Both Sexes
<1
45.0
11.7
92.2
62.9
535.5
1,379.4
136.7
111.5
610.1
416.1
3.4
12.6
21.0
3,437.9
1-4
27.0
10.5
46.9
36.4
382.5
822.1
91.1
89.4
324.1
252.0
6.5
12.7
18.6
2,119.7
5-9
32.4
14.5
47.0
54.2
433.3
851.9
96.5
87.5
321.6
282.1
6.3
8.9
12.8
2,248.9
10-14
33.8
25.0
46.1
46.4
415.7
958.9
115.3
96.5
356.8
333.9
6.0
8.9
12.5
2,455.5
16.0
19.2
3,372.1
20-24
57.8
15.9
87.0
75.3
697.7
1,427.2
176.9
152.7
607.4
564.7
9.4
18.7
22.2
3,912.7
25-29
15-19
67.6
15.5
99.9
87.0
825.4
1,715.4
188.7
166.2
755.3
658.1
9.1
22.0
21.8
4,632.0
30-34
71.2
16.7
101.7
93.4
761.7
1,918.0
189.6
153.0
755.1
672.4
9.3
19.0
17.7
4,778.8
35-39
74.2
17.0
111.6
92.9
832.5
1,951.1
185.6
151.5
692.3
682.4
10.1
17.4
16.2
4,834.8
40-44
45-49
85.6
113.1
19.8
25.6
117.2
169.7
103.2
140.8
1,000.3
1,249.3
2,110.0
2,621.7
204.2
258.5
150.7
205.6
721.5
880.0
725.5
894.3
10.8
13.2
16.8
18.2
15.6
17.6
5,281.1
6,607.5
50-54
133.2
29.7
192.3
172.5
1,466.7
2,782.1
277.9
225.5
944.2
978.9
13.8
18.2
16.4
7,251.3
55-59
160.7
31.0
211.9
187.3
1,624.1
2,837.4
294.2
224.2
928.3
1,010.9
12.5
16.1
14.9
7,553.4
60-64
179.4
37.4
240.8
211.2
1,641.9
3,038.8
323.4
238.8
925.1
1,073.6
11.7
15.3
13.9
7,951.5
65-69
175.4
35.1
282.1
216.5
1,893.1
3,421.7
304.3
246.5
896.5
1,038.5
10.0
12.3
9.4
8,541.6
70-74
188.3
37.4
289.3
226.1
2,204.0
3,559.0
316.5
269.6
914.9
1,037.4
10.5
15.1
10.1
9,078.0
75-79
206.4
41.0
325.0
263.5
2,718.2
3,914.6
382.9
312.5
1,037.5
1,192.6
10.6
14.1
7.0
10,425.9
80-84
204.2
44.5
316.9
258.8
2,398.0
3,895.1
414.4
337.9
993.3
1,174.2
9.6
14.4
4.6
10,065.9
85-89
194.9
43.6
312.8
234.2
2,379.4
3,394.9
427.0
365.6
888.2
1,069.5
11.2
9.5
3.2
9,334.1
90+
103.8
25.6
201.6
153.5
1,121.4
1,750.7
274.2
237.7
531.4
608.8
2.6
4.6
1.6
5,017.6
2,202.6
512.8
3,374.3
2,782.1
25,155.6
45,627.8
4,811.2
3,957.7
14,574.1
15,150.7
184.3
290.7
276.5
118,900.4
<1
20.6
5.2
39.3
29.3
241.8
625.2
63.8
51.1
283.1
188.6
1.7
6.1
9.8
1,565.5
1-4
12.1
3.6
23.7
16.7
180.4
383.0
42.8
42.4
153.0
118.9
4.0
7.9
11.7
1,000.2
5-9
15.4
4.3
23.5
18.3
202.0
397.7
46.3
42.4
150.2
132.5
3.2
4.8
6.4
1,046.9
10-14
16.9
5.1
22.1
21.9
201.3
464.6
62.7
45.4
170.8
159.6
3.1
4.4
6.2
1,184.2
15-19
26.7
8.1
44.1
36.0
304.1
671.9
83.6
71.3
258.1
238.7
4.2
9.4
11.5
20-24
34.1
9.5
53.2
45.7
399.9
831.4
102.6
92.0
354.8
305.9
5.3
11.5
14.0
2,259.9
25-29
41.8
10.2
65.0
57.7
507.8
1,113.7
120.2
106.2
480.8
392.4
5.5
14.6
14.8
2,930.8
30-34
46.3
10.8
69.7
59.3
486.8
1,279.6
119.1
95.5
476.2
416.0
5.9
12.3
11.4
3,088.9
35-39
40-44
45.1
48.6
10.3
10.5
67.1
64.2
53.5
56.3
456.3
502.5
1,186.6
1,151.1
107.1
107.0
80.4
81.5
398.7
376.2
395.2
387.2
5.8
5.9
9.9
9.3
9.6
8.7
2,825.7
2,809.1
45-49
56.1
14.0
88.3
74.6
629.9
1,371.5
131.4
106.8
461.1
459.7
6.9
9.1
7.6
3,416.9
50-54
65.2
15.2
96.8
84.7
724.4
1,408.5
138.8
114.6
474.1
491.9
6.4
8.8
6.6
3,636.1
55-59
75.5
15.7
104.1
92.4
774.7
1,391.6
146.6
110.1
447.0
492.4
5.7
7.2
5.9
3,668.9
60-64
82.9
17.4
111.2
98.7
785.9
1,461.8
156.1
113.6
444.6
502.9
5.3
5.9
5.3
3,791.6
65-69
81.7
17.5
140.1
102.3
925.4
1,647.4
148.0
117.7
439.9
493.6
4.5
5.3
4.2
4,127.7
70-74
89.4
18.1
137.9
108.4
1,129.3
1,759.4
162.2
130.8
448.4
495.4
4.5
7.4
4.3
4,495.4
75-79
109.6
22.5
173.3
139.5
1,491.5
2,038.5
198.9
162.6
529.1
594.9
5.6
7.1
3.3
5,476.4
80-84
122.1
26.0
194.7
153.0
1,470.2
2,255.1
243.4
193.5
558.0
660.9
5.2
6.9
2.1
5,891.1
85-89
138.4
31.0
225.7
160.8
1,704.1
2,269.6
291.3
246.2
579.2
700.1
7.9
6.0
1.8
6,362.3
84.9
20.0
159.6
116.7
846.7
1,305.5
201.2
178.9
390.3
435.8
1.7
3.0
0.9
3,745.0
1,213.4
274.9
1,903.4
1,526.1
13,965.0
25,013.5
2,673.2
2,183.1
7,873.7
8,062.5
98.3
156.9
146.1
65,090.0
<1
24.3
6.5
52.9
33.5
293.7
754.2
72.9
60.4
327.0
227.5
1.7
6.5
11.2
1,872.4
1-4
14.9
6.9
23.2
19.7
202.0
439.1
48.2
47.0
171.1
133.1
2.5
4.9
6.9
1,119.5
5-9
17.0
10.2
23.6
36.0
231.4
454.1
50.2
45.0
171.4
149.6
3.1
4.1
6.4
1,202.0
10-14
16.9
19.9
24.0
24.5
214.4
494.4
52.6
51.1
185.9
174.2
2.9
4.4
6.3
15-19
22.1
7.2
38.5
29.8
270.8
605.8
69.8
63.5
232.7
246.3
3.7
6.6
7.7
1,604.5
20-24
23.7
6.4
33.8
29.6
297.8
595.8
74.3
60.7
252.6
258.8
4.0
7.2
8.2
1,652.8
25-29
25.8
5.3
34.9
29.3
317.5
601.7
68.5
60.0
274.5
265.8
3.6
7.3
7.1
1,701.2
30-34
24.9
5.9
31.9
34.1
274.9
638.4
70.6
57.5
278.9
256.4
3.4
6.7
6.3
1,689.9
35-39
40-44
29.1
37.0
6.8
9.3
44.5
53.0
39.4
46.9
376.2
497.8
764.5
958.9
78.5
97.1
71.1
69.2
293.6
345.3
287.2
338.3
4.2
4.8
7.5
7.5
6.6
6.9
2,009.2
2,472.0
45-49
57.0
11.5
81.4
66.2
619.5
1,250.2
127.0
98.7
418.9
434.6
6.4
9.1
10.1
3,190.6
50-54
67.9
14.5
95.4
87.8
742.3
1,373.6
139.1
110.8
470.0
487.0
7.4
9.4
9.8
3,615.2
55-59
85.2
15.3
107.8
94.9
849.5
1,445.8
147.6
114.1
481.2
518.5
6.7
8.9
9.0
3,884.6
60-64
96.5
20.1
129.6
112.5
856.0
1,577.0
167.3
125.2
480.5
570.6
6.4
9.4
8.6
4,159.9
65-69
93.7
17.6
142.1
114.2
967.8
1,774.3
156.3
128.8
456.6
544.9
5.5
7.0
5.1
4,413.9
70-74
98.8
19.3
151.4
117.7
1,074.7
1,799.5
154.3
138.8
466.4
542.0
6.0
7.7
5.9
4,582.6
75-79
96.8
18.5
151.7
124.0
1,226.6
1,876.1
184.1
149.9
508.4
597.7
5.1
7.0
3.8
80-84
82.1
18.5
122.2
105.8
927.8
1,640.1
170.9
144.5
435.2
513.3
4.4
7.5
2.5
4,174.7
85-89
56.6
12.6
87.1
73.3
675.3
1,125.4
135.7
119.4
309.0
369.4
3.3
3.5
1.4
2,971.9
Total
48.8
15.3
82.6
65.8
574.9
1,277.7
153.4
134.8
490.8
485.0
7.9
Female
90+
Total
1,767.6
Male
4,949.5
90+
19.0
5.6
42.0
36.7
274.8
445.2
73.1
58.9
141.1
173.0
0.9
1.6
0.6
1,272.6
Total
989.2
237.9
1,470.9
1,255.9
11,190.7
20,614.3
2,138.0
1,774.6
6,700.4
7,088.2
86.0
133.8
130.4
53,810.4
Note
See methodology for age-sex distribution in the Methodological Notes section of this report.
158
1,271.4
Canadian Institute for Health Information, 2011.
National Health Expenditure Trends, 1975 to 2011
Table E.1.1 (Cont'd)
Estimate of Total Provincial and Territorial Government Health Expenditures, by Age and Sex,
by Province/Territory and Canada, 2009—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Age Groups
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
($' per capita)
Both Sexes
<1
9,962.79
8,407.62
10,415.52
8,886.23
6,059.92
9,851.90
8,766.82
8,088.05
12,001.00
9,323.97
9,304.04
17,606.99
26,754.13
9,121.36
1-4
1,447.20
1,902.88
1,335.49
1,283.50
1,167.04
1,451.72
1,528.26
1,732.04
1,739.75
1,440.01
4,276.36
4,718.15
6,676.70
1,450.68
5-9
1,301.27
1,916.95
1,035.89
1,453.58
1,123.12
1,183.28
1,297.62
1,403.76
1,513.67
1,281.20
3,208.24
2,875.87
3,745.81
1,250.32
10-14
1,224.83
2,841.81
888.33
1,114.20
961.90
1,217.68
1,426.19
1,443.68
1,613.48
1,353.47
2,964.74
2,893.72
3,737.35
1,244.35
15-19
1,526.05
1,486.95
1,341.08
1,366.43
1,137.39
1,443.02
1,712.95
1,778.87
1,988.49
1,691.91
3,437.13
4,258.28
5,909.00
1,498.06
20-24
1,844.78
1,683.24
1,390.10
1,591.94
1,430.19
1,569.49
2,039.31
2,005.26
2,112.01
1,800.52
3,984.83
5,333.65
7,403.76
1,685.99
25-29
2,335.82
1,985.94
1,779.33
1,905.46
1,542.47
1,927.95
2,276.55
2,329.25
2,444.52
2,114.91
4,194.47
5,706.13
8,107.29
1,974.00
30-34
2,368.04
2,092.64
1,847.44
2,037.43
1,431.42
2,211.60
2,439.78
2,378.76
2,667.43
2,343.04
4,122.36
5,290.71
7,388.26
2,115.79
35-39
40-44
2,183.16
2,167.49
1,937.62
1,965.46
1,822.15
1,743.35
1,892.95
1,908.26
1,653.97
1,778.63
2,122.06
2,112.60
2,373.77
2,503.71
2,523.36
2,341.52
2,530.74
2,692.07
2,246.37
2,213.03
3,960.68
4,072.67
5,240.47
5,278.08
7,324.37
7,172.58
2,102.52
2,127.95
45-49
2,640.09
2,179.93
2,119.14
2,263.39
1,919.62
2,389.65
2,738.53
2,636.90
2,988.83
2,428.96
4,002.68
5,195.80
9,628.70
2,369.70
50-54
3,148.73
2,728.10
2,516.92
2,828.47
2,347.23
2,871.08
3,132.28
2,969.38
3,492.41
2,820.59
4,571.83
5,956.01
11,130.66
2,817.09
55-59
3,936.48
3,108.80
3,100.34
3,341.26
2,974.36
3,447.51
3,826.15
3,478.73
4,318.55
3,267.58
4,816.91
6,516.94
13,488.95
3,408.45
60-64
5,039.33
4,042.59
3,898.62
4,280.90
3,447.68
4,312.79
5,031.75
4,579.10
5,533.08
4,086.54
5,999.07
9,505.23
18,621.27
4,212.80
65-69
7,030.42
5,393.90
6,191.87
6,049.51
5,176.25
6,517.77
6,461.69
6,208.83
7,615.78
5,297.37
8,851.39
14,023.78
20,751.45
6,072.71
70-74
10,162.29
7,193.03
8,378.01
8,451.60
8,198.96
8,564.04
8,678.31
8,103.83
10,312.30
6,885.57
15,144.98
28,379.55
39,189.13
8,405.69
75-79
14,745.19
9,996.12
11,909.38
12,296.00
11,936.09
11,181.17
11,913.81
10,474.13
13,851.18
9,509.29
22,624.34
34,188.62
46,976.59
11,482.61
80-84
21,473.51
15,205.14
15,860.26
15,953.43
14,515.90
14,775.49
16,151.04
13,971.58
18,363.71
12,459.05
43,821.39
56,562.05
73,857.95
14,886.59
85-89
35,091.16
23,225.09
24,057.79
22,422.85
24,977.79
21,261.82
24,457.72
23,177.80
27,013.88
17,751.73
95,977.07
72,560.63
117,476.91
22,630.99
90+
38,659.57
24,805.99
27,876.22
27,624.23
23,687.88
23,838.80
29,062.41
25,520.89
31,558.60
20,375.06
39,936.92
78,421.73
93,072.13
24,729.84
Total
4,334.58
3,634.26
3,593.05
3,712.76
3,213.40
3,492.40
3,945.03
3,845.70
3,970.35
3,396.80
5,475.83
6,657.27
8,587.80
3,526.09
<1
9,560.47
7,368.46
9,220.37
8,453.76
5,630.79
9,137.79
8,302.51
7,644.73
11,403.61
8,741.80
9,315.26
17,541.05
27,052.19
8,526.58
1-4
1,345.45
1,317.28
1,382.57
1,209.64
1,129.57
1,388.31
1,475.28
1,689.71
1,690.23
1,406.11
5,569.10
6,118.71
8,709.30
1,407.06
5-9
1,258.90
1,168.05
1,054.25
1,005.96
1,075.08
1,136.54
1,282.43
1,400.59
1,467.35
1,246.70
3,449.88
2,958.43
3,978.85
1,198.80
10-14
1,263.82
1,190.43
872.87
1,092.68
953.83
1,207.44
1,596.82
1,391.69
1,585.39
1,335.36
3,007.43
2,952.56
3,764.66
1,230.73
15-19
1,726.23
1,588.48
1,443.97
1,533.75
1,232.89
1,550.27
1,904.26
1,936.90
2,151.03
1,723.55
3,938.59
5,271.41
20-24
2,179.95
2,030.96
1,694.10
1,998.19
1,675.67
1,868.58
2,435.75
2,494.68
2,601.81
2,029.48
4,732.97
6,908.89
9,651.82
2,002.56
25-29
2,860.28
2,488.57
2,212.23
2,532.26
1,940.33
2,489.13
2,969.32
2,998.77
3,302.10
2,523.16
5,160.81
7,437.31
10,598.54
2,523.30
30-34
35-39
2,998.28
2,565.79
2,588.86
2,330.79
2,435.30
2,147.68
2,537.47
2,152.93
1,869.92
1,863.83
2,888.40
2,564.60
3,096.32
2,778.44
2,974.81
2,701.45
3,560.72
3,070.26
2,866.60
2,581.90
4,919.68
4,387.34
7,059.47
6,549.37
10,089.98
8,912.16
2,737.30
2,476.98
40-44
2,383.45
2,113.05
1,877.61
2,051.90
1,824.29
2,307.46
2,658.77
2,550.61
2,916.84
2,345.70
4,293.92
5,935.52
7,984.20
2,280.84
45-49
2,595.36
2,346.54
2,171.17
2,348.86
1,955.24
2,514.96
2,832.04
2,739.88
3,206.57
2,478.80
4,087.14
5,381.70
8,932.91
2,464.71
50-54
3,014.89
2,708.21
2,479.10
2,723.22
2,304.01
2,893.69
3,193.30
3,017.41
3,605.05
2,784.57
4,629.18
5,815.47
10,187.77
2,814.92
55-59
3,641.22
3,096.16
2,995.20
3,237.78
2,789.65
3,311.85
3,780.58
3,453.09
4,233.22
3,130.15
4,817.72
6,475.20
11,786.18
3,266.03
60-64
4,609.15
3,702.35
3,538.44
3,979.25
3,217.01
4,048.94
4,789.01
4,344.59
5,335.38
3,775.91
5,776.02
9,021.37
15,007.90
3,943.72
65-69
6,448.74
5,182.02
5,949.93
5,642.50
4,882.10
6,040.21
6,103.07
5,794.24
7,372.13
4,953.72
9,344.48
13,688.25
18,762.93
5,693.46
70-74
9,341.50
6,640.53
7,571.74
7,706.93
7,862.27
7,893.75
8,289.30
7,469.04
9,615.19
6,375.28
13,920.50
27,638.61
37,798.03
7,842.46
75-79
14,496.55
10,201.41
11,387.00
11,687.50
11,662.46
10,552.23
11,150.90
9,993.64
13,098.47
9,016.96
22,958.55
35,657.03
47,845.94
10,975.13
80-84
21,807.17
15,000.38
16,188.48
15,630.97
14,643.71
14,410.40
15,791.43
13,776.17
17,815.34
12,321.09
43,721.15
51,246.54
60,116.65
14,700.42
85-89
38,065.47
24,678.27
26,119.15
23,297.80
26,787.73
21,776.86
25,202.24
24,418.11
27,510.75
18,569.38
111,969.77
71,088.00
147,018.19
23,665.66
90+
41,523.47
25,871.94
29,620.10
28,474.51
23,565.83
24,419.71
29,401.47
26,820.62
31,949.55
20,718.18
35,197.63
80,562.07
72,884.40
25,210.64
Total
4,686.85
3,807.96
3,938.99
4,000.39
3,536.50
3,775.30
4,363.72
4,218.28
4,385.20
3,586.20
5,969.77
7,445.98
9,419.50
3,829.49
9,686.27
Female
7,279.90
1,609.54
Male
<1
10,332.07
9,475.85
11,524.36
9,302.52
6,465.65
10,534.26
9,217.32
8,505.85
12,571.06
9,868.71
9,293.16
17,669.20
26,498.97
1-4
1,541.46
2,475.83
1,290.65
1,353.76
1,202.67
1,511.97
1,578.62
1,772.12
1,786.56
1,471.72
3,121.86
3,442.97
4,781.32
1,492.02
5-9
1,342.08
2,631.71
1,018.25
1,878.40
1,168.71
1,227.49
1,311.94
1,406.76
1,556.74
1,313.36
2,995.47
2,783.71
3,536.96
1,298.94
10-14
1,188.06
4,391.89
903.08
1,134.20
969.60
1,227.47
1,264.94
1,493.21
1,640.16
1,370.50
2,919.44
2,836.87
3,710.89
1,257.31
15-19
1,338.91
1,387.68
1,239.90
1,207.09
1,046.38
1,340.20
1,528.88
1,629.54
1,834.73
1,662.33
2,996.46
3,347.08
4,607.95
1,391.86
20-24
1,510.71
1,342.11
1,083.57
1,211.11
1,195.10
1,282.93
1,665.04
1,545.45
1,670.27
1,588.71
3,294.28
3,909.01
5,304.98
1,386.34
25-29
1,799.64
1,435.13
1,304.11
1,281.10
1,161.53
1,360.30
1,614.98
1,669.57
1,680.16
1,707.09
3,265.64
3,894.84
5,430.00
1,435.61
30-34
35-39
1,701.78
1,772.63
1,546.64
1,542.48
1,209.76
1,483.47
1,517.62
1,625.98
1,011.41
1,455.21
1,504.87
1,673.81
1,796.88
1,980.12
1,784.83
2,348.22
1,867.43
2,043.21
1,807.49
1,905.56
3,226.69
3,495.38
3,620.70
4,148.16
4,976.08
5,818.97
1,495.24
1,733.88
40-44
1,936.93
1,821.65
1,604.48
1,760.34
1,734.80
1,918.16
2,352.56
2,135.37
2,483.56
2,078.47
3,829.09
4,637.40
6,360.21
1,977.33
45-49
2,685.62
2,006.54
2,065.47
2,174.32
1,884.72
2,265.80
2,648.07
2,533.85
2,780.97
2,378.37
3,915.36
5,021.89
10,226.39
2,275.76
50-54
3,288.95
2,749.23
2,556.48
2,937.99
2,391.01
2,848.26
3,073.63
2,921.29
3,385.70
2,857.92
4,523.27
6,092.48
11,877.41
2,819.28
55-59
4,241.10
3,121.87
3,209.15
3,448.62
3,165.51
3,589.00
3,872.52
3,503.83
4,400.96
3,409.76
4,816.22
6,551.04
14,890.06
3,554.86
60-64
5,478.60
4,392.52
4,271.64
4,585.98
3,690.63
4,590.06
5,281.51
4,814.87
5,729.48
4,406.02
6,196.41
9,833.00
21,894.46
4,492.16
65-69
7,630.19
5,623.27
6,450.54
6,467.41
5,492.68
7,034.15
6,842.54
6,643.15
7,866.20
5,652.60
8,482.89
14,290.83
22,739.98
6,476.12
70-74
11,040.21
7,801.86
9,277.17
9,277.33
8,585.30
9,339.41
9,128.53
8,809.03
11,084.95
7,429.09
16,216.40
29,123.28
40,265.80
9,042.77
75-79
15,037.21
9,756.84
12,568.31
13,061.15
12,286.61
11,955.42
12,864.67
11,050.55
14,732.33
10,055.70
22,266.56
32,803.32
46,255.67
12,101.73
80-84
20,995.55
15,502.25
15,364.09
16,444.05
14,317.89
15,308.77
16,692.38
14,242.10
19,118.30
12,641.34
43,941.88
62,542.00
91,670.75
15,157.48
85-89
29,460.11
20,288.34
19,971.48
20,716.46
21,339.31
20,293.84
22,998.72
20,980.06
26,129.29
16,384.57
71,292.68
75,281.80
93,843.88
20,694.08
90+
29,541.47
21,640.92
22,778.02
25,229.89
24,072.07
22,284.47
28,168.12
22,245.06
30,525.38
19,559.32
52,575.02
74,822.07
158,682.25
23,415.66
Total
3,968.69
3,452.27
3,226.38
3,414.45
2,884.52
3,201.31
3,522.46
3,468.79
3,573.13
3,204.31
5,002.36
5,921.78
7,814.42
3,217.72
Canadian Institute for Health Information, 2011.
159
National Health Expenditure Trends, 1975 to 2011
References
1. Canadian Institute for Health Information, Public Health and Administration in
National Health Expenditures Feasibility Study (Ottawa, Ont.: CIHI, 2002).
2. Statistics Canada, “Table 2.1-1: Annual Population Estimates by Age Group
and Sex at July 1, Provincial Perspective—Canada,” Annual Demographic
Estimates: Canada, Provinces and Territories, 2010 (Ottawa, Ont.: Statistics
Canada, 2010), catalogue no. 91-215-X.
3. Organisation for Economic Co-operation and Development, OECD Health
Data 2011 (June edition) (Paris, France: OECD, 2011).
4. Health Canada, Canada Health Act Annual Report (Ottawa, Ont.:
Health Canada).
5. Human Resources Development Canada, Cost Shared Programs, Provincial
Entitlements Under the Canada Assistance Plan (unpublished) (Ottawa, Ont.:
HRDC, 1996).
6. Statistics Canada, Guide to the Income and Expenditure Accounts (Ottawa,
Ont.: Statistics Canada, 2008), catalogue no. 13-017, p. 23.
7. Statistics Canada, Family Expenditure in Canada (Ottawa, Ont.: Statistics
Canada, 1992), catalogue no. 65-555.
8. Statistics Canada, Guide to the Income and Expenditure Accounts (Ottawa,
Ont.: Statistics Canada, 2008), catalogue no. 13-017.
161
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Canadian Institute for Health Information, National Health Expenditure Trends, 1975
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