National Health Expenditure Trends, 1975 to 2010 October 2010

National Health Expenditure Trends, 1975 to 2010 October 2010
National Health Expenditure Trends,
1975 to 2010
October 2010
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National Health Expenditure Trends, 1975 to 2010
Table of Contents
Acknowledgements ............................................................................................................ ix
Highlights ............................................................................................................................ xi
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 .................................................. 32
5.0 Provincial and Territorial Government Health Expenditure by Age and Sex ............. 38
5.1 Method of Standardization................................................................................... 38
5.2 Age Distribution ................................................................................................... 40
5.3 Hospital and Physician Expenditure by Age and Sex ......................................... 41
5.4 Total Provincial/Territorial Government Expenditure by Age and Sex ................ 46
6.0 Provincial and Territorial Government Health Expenditures and Fiscal Position....... 48
7.0 International Comparisons ......................................................................................... 55
8.0 Methodological Notes ................................................................................................ 71
8.1 Concepts and Definitions..................................................................................... 71
8.2 Major Data Limitations ......................................................................................... 78
8.3 Collection and Non-Response ............................................................................. 78
8.4 Major Changes From Previous Years ................................................................ 100
8.5 Sources of Data ................................................................................................. 103
National Health Expenditure Trends, 1975 to 2010
9.0 Data Tables............................................................................................................... 106
Series A—Summary Data, Canada .......................................................................... 109
Series B—Total Health Expenditure by Source of Finance, by Province/Territory
and Canada (Selected Tables) ................................................................................. 137
Series E—Provincial/Territorial Government Health Expenditure, by Age and Sex,
by Province/Territory and Canada (Selected Tables) .............................................. 151
References ...................................................................................................................... 155
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.
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National Health Expenditure Trends, 1975 to 2010
List of Figures
Figure 1
Total Health Expenditure, Canada, 1975 to 2010 ............................................. 2
Figure 2
Total Health Expenditure, Annual Growth Rates in Constant 1997 Dollars,
Canada, 1976 to 2010 ....................................................................................... 3
Figure 3
Total Health Expenditure per Capita, Canada, 1975 to 2010............................ 4
Figure 4
Total Health Expenditure per Capita, Annual Growth Rates in Constant 1997
Dollars, Canada, 1976 to 2010 .......................................................................... 5
Figure 5
Total Health Expenditure as a Percentage of Gross Domestic Product,
Canada, 1975 to 2010 ....................................................................................... 6
Figure 6
Total Health Expenditure and Nominal GDP, Annual Growth, Canada,
1976 to 2010 ...................................................................................................... 7
Figure 7
Health Expenditure by Source of Finance, Canada, 1975 to 2010 ................... 8
Figure 8
Public- and Private-Sector Shares of Total Health Expenditure ........................ 9
Figure 9
Distribution of Private-Sector Health Expenditure by Source of Finance,
Canada, 1988 and 2008 (Millions of Dollars and Percentage Share) ............. 13
Figure 10 Share of Private-Sector Health Expenditure by Source of Finance,
Canada, 1988 to 2008 ..................................................................................... 14
Figure 11 Private-Sector Health Expenditure per Capita, Source of Finance,
Canada, 1988, 1998 and 2008 ........................................................................ 15
Figure 12 Total Health Expenditure by Use of Funds, Canada, 2008 (Billions of
Dollars and Percentage Share) ....................................................................... 17
Figure 13 Total Health Expenditure, Selected Use of Funds, Canada, 1975 to 2010..... 18
Figure 14 Public and Private Shares of Total Health Expenditure, by Use of Funds,
Canada, 2008 .................................................................................................. 19
Figure 15 Hospitals’ Share of Total Provincial/Territorial Government Health
Expenditure and Total Health Expenditure, Canada, 1975 to 2010 ................ 20
Figure 16 Drugs by Source of Finance and Type, Canada, 2008 (Billions of
Dollars and Percentage Share) ....................................................................... 22
Figure 17 Prescribed Drug Expenditure, Private-Sector Share, Canada,
1975 to 2010 .................................................................................................... 23
Figure 18 Private Prescribed Drug Expenditure, Shares by Selected Sources
of Finance, Canada, 1988 to 2008 .................................................................. 24
Figure 19 Public-Sector Physician Health Expenditure per Capita, Canada,
1975 to 2010 .................................................................................................... 25
Figure 20 Other Professionals Expenditure by Source of Finance and Type,
Canada, 2008 (Billions of Dollars and Percentage Share) .............................. 26
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National Health Expenditure Trends, 1975 to 2010
Figure 21 Other Professionals Expenditure, Percentage Share of Total Private
Spending, by Type, Canada, 1975 to 2010..................................................... 27
Figure 22 Private Dental Expenditure, Shares by Selected Sources of Finance,
Canada, 1988 to 2008 ..................................................................................... 28
Figure 23 Other Institutions Health Expenditure per Capita, Canada, 1975 to 2010 ...... 29
Figure 24 Public Health Spending as a Percentage of Total Health Expenditure,
Canada, 1975 to 2010 ..................................................................................... 31
Figure 25 Public- and Private-Sector Health Expenditure per Capita, 1988 to 2010,
by Province and Territory, Constant 1997 Dollars........................................... 35
Figure 26 Age Distribution, Canada, 1998 and 2008 ...................................................... 40
Figure 27 Provincial/Territorial Government Hospital Expenditure, by Age and
Sex, Canada, 2008 .......................................................................................... 42
Figure 28 Provincial/Territorial Government Hospital Expenditure per Capita,
by Age and Sex, Canada, 2008 ....................................................................... 43
Figure 29 Provincial/Territorial Government Physician Expenditure, by Age and
Sex, Canada, 2008 .......................................................................................... 44
Figure 30 Provincial/Territorial Government Physician Expenditure per Capita,
by Age and Sex, Canada, 2008 ....................................................................... 45
Figure 31 Total Provincial/Territorial Government Health Expenditure, by Age
and Sex, Canada, 2008 ................................................................................... 46
Figure 32 Total Provincial/Territorial Government Health Expenditure per Capita,
by Age and Sex, Canada, 2008 ....................................................................... 47
Figure 33 Provincial/Territorial Government Health Expenditure per Capita in
Constant 1997 Dollars, Canada, 1975 to 2010 ............................................... 48
Figure 34 Provincial/Territorial Government Revenue and Expenditure, Canada,
1993 to 2009 .................................................................................................... 50
Figure 35 Provincial/Territorial Debt Charges as a Proportion of Total Provincial/
Territorial Expenditure and Revenue, Canada, 1993 to 2009 ......................... 51
Figure 36 Provincial/Territorial Government Revenue and Health Expenditure,
Constant Dollar Indices (1993 = 100), Canada, 1993 to 2010 ....................... 52
Figure 37 Provincial/Territorial Government Revenues, Constant Dollar Indices
(1993 = 100), Canada, 1993 to 2009 .............................................................. 53
Figure 38 Provincial/Territorial Government Health Expenditure as a Proportion
of Total Provincial/Territorial Government Expenditure and Programs,
Canada, 1993 to 2009 ..................................................................................... 54
Figure 39 Total Health Expenditure as a Percentage of GDP, 26 Selected
Countries, 2008 ............................................................................................... 57
Figure 40 Public-Sector Health Expenditure as a Percentage of GDP,
26 Selected Countries, 2008 ........................................................................... 58
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National Health Expenditure Trends, 1975 to 2010
Figure 41 Private-Sector Health Expenditure as a Percentage of GDP,
26 Selected Countries, 2008 ........................................................................... 59
Figure 42 Total Health Expenditure per Capita in U.S. Dollars, 26 Selected
Countries, 2008 ............................................................................................... 60
Figure 43 Public-Sector Health Expenditure per Capita in U.S. Dollars,
26 Selected Countries, 2008 ........................................................................... 61
Figure 44 Private-Sector Health Expenditure per Capita in U.S. Dollars,
26 Selected Countries, 2008 ........................................................................... 62
Figure 45 Expenditure on Personal Health Care as a Percentage of Total
Health Expenditure, 25 Selected Countries, 2008 .......................................... 64
Figure 46 Public Share of Total Health Expenditure, 26 Selected Countries, 2008 ........ 65
Figure 47 Public Share of Expenditure on Medical Services, 25 Selected
Countries, 2008 ............................................................................................... 66
Figure 48 Public Share of Expenditure on Medical Goods, 25 Selected
Countries, 2008 ............................................................................................... 67
Figure 49 Percentage of Total Health Expenditure Financed by the Public Sector,
by Source of Finance, 26 Selected Countries, 2008 ....................................... 69
Figure 50 Percentage of Total Health Expenditure Financed by the Private Sector,
by Source of Finance, 26 Selected Countries, 2008 ....................................... 70
Figure 51 Composition of Total Health Expenditures, by Source of Finance ................. 71
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National Health Expenditure Trends, 1975 to 2010
List of Tables
Table 1
Distribution of Public-Sector Health Expenditure by Source of Finance,
Canada, 1975 and 2008 .................................................................................... 10
Table 2
Quebec Drug Insurance Fund, in Millions of Dollars, 1997 to 2010 ................. 12
Table 3
Private-Sector Health Expenditure by Source of Finance and Use of
Funds, Canada, 2008 (Millions of Dollars and Percentage Share) .................. 16
Table 4
Hospital Expenditure Summary by Sector of Finance, Canada, 2008 ............. 21
Table 5
Health Expenditure Summary, by Province/Territory and Canada, 2010......... 33
Table 6
Total Provincial/Territorial Government Health Expenditure per Capita,
Standardized for Age and Sex, by Province/Territory and Canada,
2005 to 2008 ..................................................................................................... 39
Table 7
Differences From Previously Reported Provincial Government–Sector Data
by Province/Territory and Canada, 1996 to 2007 (Millions of Dollars) ........... 100
Table 8
Differences From Previously Reported Private-Sector Data by Province/
Territory and Canada, 2003 to 2007 (Millions of Dollars) ............................... 101
Table 9
Differences From Previously Reported Federal Direct–Sector Data by
Province/Territory and Canada, 2002 to 2007 (Millions of Dollars) ................ 101
Table 10 Differences From Previously Reported Social Security Fund–Sector Data
by Province/Territory and Canada, 2004 to 2007 (Millions of Dollars) ........... 102
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National Health Expenditure Trends, 1975 to 2010
List of Data Tables
Series A—Summary Data, Canada
1
Total Health Expenditure, Canada, 1975 to 2010—Summary ............. 111
2.1–2.3
Total Health Expenditure by Source of Finance, Canada,
1975 to 2010—Current Dollars ............................................................. 112
2.4–2.5
Total Health Expenditure by Source of Finance, Canada,
1975 to 2010—Constant Dollars ........................................................... 115
3.1.1–3.1.3
Total Health Expenditure by Use of Funds, Canada,
1975 to 2010—Current Dollars ............................................................. 118
3.2.1–3.2.3
Private-Sector Health Expenditure by Use of Funds, Canada,
1975 to 2010—Current Dollars ............................................................. 124
3.3.1–3.3.3
Public-Sector Health Expenditure by Use of Funds, Canada,
1975 to 2010—Current Dollars ............................................................. 130
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 2010—Current Dollars ............................................................. 139
1.3
Total Health Expenditure as a Percentage of Provincial/Territorial GDP,
by Province/Territory and Canada, 1975 to 2010—Current Dollars ..... 141
2.1–2.2
Private-Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2010—Current Dollars ............................................................. 142
2.3
Private-Sector Health Expenditure as a Proportion of Total Health
Expenditure, by Province/Territory and Canada, 1975 to 2010—
Current Dollars ...................................................................................... 144
3.1–3.2
Public-Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2010—Current Dollars ............................................................. 145
3.3
Public-Sector Health Expenditure as a Proportion of Total Health
Expenditure, by Province/Territory and Canada, 1975 to 2010—
Current Dollars ...................................................................................... 147
4.1–4.2
Provincial/Territorial Government–Sector Health Expenditure, by
Province/Territory and Canada, 1975 to 2010—Current Dollars .......... 148
4.3
Provincial/Territorial Government–Sector Health Expenditure as a
Proportion of Total Health Expenditure, by Province/Territory and
Canada, 1975 to 2010—Current Dollars............................................... 150
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National Health Expenditure Trends, 1975 to 2010
Series E—Provincial Government Health Expenditure, by Age and Sex, by Province/
Territory and Canada (Selected Tables)
1.1
Estimate of Total Provincial and Territorial Government Health
Expenditures, by Age and Sex, by Province/Territory and Canada,
2008—Current Dollars .......................................................................... 152
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
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National Health Expenditure Trends, 1975 to 2010
Acknowledgements
The Canadian Institute for Health Information (CIHI) wishes to acknowledge the following
individuals for their contribution to National Health Expenditure Trends, 1975 to 2010:
• Christopher Kuchciak, Manager, Health Expenditures, CIHI
• Gilles Fortin, Program Consultant, CIHI
• Ruolz Ariste, Program Consultant, CIHI
• Jean He, Program Lead, CIHI
• Melissa Aggerwal, Senior Analyst, CIHI
• Viktoria Roman, Senior Analyst, CIHI
• Yiqun Yang, Senior Analyst, CIHI
• Dawn Liew, Analyst, CIHI
• Vicky Wang, Analyst, CIHI
• Matthew Pegutter, Analyst, CIHI
• Kara Nantais, Student, CIHI
It is only through the contribution of many individuals and organizations that the
production of National Health Expenditure Trends, 1975 to 2010 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, University of Victoria
• Richard Plain, PhD
• Robert G. Evans, PhD, University of British Columbia
• Hu Lu, Health Canada
• Xiaoyi Yan, PhD, Health Canada
• Jillian Oderkirk, Statistics Canada
• Jeremiah Hurley, PhD, McMaster University
• Stephen Law, PhD, Mount Allison University
• Caroline Boucher, ministère de la Santé et des Services sociaux, Quebec
• François Béland, ministère de la Santé et des Services sociaux, Quebec
• Francine Anne Roy, Director, Health Spending and Clinical Registries, CIHI
• Jean-Marie Berthelot, Vice President, Programs, CIHI
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National Health Expenditure Trends, 1975 to 2010
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 la Commission de la
santé et de la sécurité du travail du Québec
• The Nielsen Company Canada
• 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 Services, Medical Services Plan and
PharmaCare Planning and Special Projects
– 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.
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National Health Expenditure Trends, 1975 to 2010
Highlights
Total Health Expenditure
• Total health expenditure in Canada, in current dollars,i was $171.8 billion in 2008,
and is forecast to have reached $182.1 billion in 2009 and $191.6 billion in 2010.
• In current dollars, total health expenditure per capita in Canada was $5,154 in 2008.
Forecasts for 2009 and 2010 are expected to be $5,397 and $5,614, amounting to
respective growth rates of 4.7% and 4.0%. When adjusted for inflation and for
population changes, real rates of increase are expected to be 1.6% in 2009 and
1.4% in 2010.
• Total health expenditure in Canada was 10.7% of gross domestic product (GDP)
in 2008. It is forecast to be 11.9% in 2009 and 11.7% in 2010.
Total Health Expenditure by Source of Finance
• In 2008, 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 2008, the public sector spent $121.1 billion on health care,
accounting for 70.5% of total health expenditure. It is forecast to be $128.6 billion in
2009 and $135.1 billion in 2010, accounting for 70.6% and 70.5% of total health
spending, respectively.
Total Health Expenditure by Use of Funds
• In 2010, hospitals, which make up the largest component of health care spending,
are forecast to have grown by 6.2% from 2009 to reach $55.3 billion, reflecting 28.9%
of total health expenditure. This was the first year hospital expenditures are expected
to grow faster than overall spending on health care since 2004.
• In 2010, drugs, which account for the second-largest category, grew by 4.8% from
2009 to reach $31.1 billion, amounting to 16.3% of total health care spending.
• During the same period, spending on physicians increased by 6.9%, reaching
$26.3 billion, which represents 13.7% 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.
xi
National Health Expenditure Trends, 1975 to 2010
Health Expenditure in the Provinces and Territories
• Total health expenditure per capita varies among the provinces. In 2010, Alberta
and Manitoba are forecast to spend more per person on health care than any
other province, at $6,266 and $6,249, respectively. Quebec and British Columbia
are forecast to have the lowest health expenditure per capita, at $5,096 and
$5,355, respectively.
• In 2010, total health expenditure as a percentage of provincial GDP ranged from
8.2% in Alberta to 17.4% in Prince Edward Island. For the territories, the health
expenditure–to–territorial GDP ratio was 24.2% for Nunavut, 13.8% for the Yukon
and 7.7% for the Northwest Territories.
• Similar to previous years, health care spending by provincial and territorial
governments was highest for infants and seniors. In 2008, the latest available year
for data broken down by age group, Canadians younger than age 1 cost an estimated
$8,803 per person. For youths age 1 to 14, per person average spending on health
was $1,260; it was $2,286 per capita for those age 15 to 64. Compared to other age
groups, per person spending for seniors increased prominently: $5,828 for those age
65 to 69, $8,078 for those 70 to 74, $10,898 for those 75 to 79 and $18,160 for those
80 and older.
• During 2010, provincial and territorial government health expenditures are forecast to
reach $125.0 billion, which accounts for 65.3% of total health expenditures in Canada
and 94.3% of total health expenditures by all levels of government (the other two are
federal government direct at 5.0% and municipal government at 0.7%).
International Comparisons
• Among 26 countries that had comparable accounting systems in the Organisation for
Economic Co-operation and Development (OECD) in 2008, the latest year for which
data is available, spending per person on health care remained highest in the United
States (US$7,538). Canada was in the top fifth of countries in terms of per person
spending on health, spending US$4,079, which was similar to several other OECD
countries, including the Netherlands (US$4,063), Austria (US$3,970), Germany
(US$3,737) and France (US$3,696). The lowest per capita expenditures were
seen in Turkey (US$767) and Mexico (US$852).
xii
National Health Expenditure Trends, 1975 to 2010
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 2010 is CIHI’s 14th 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 2010; 2008 figures,
which are now considered to be “actual” rather than a forecast; and an outlook for
2009 and 2010;
• 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 2010; 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.
A detailed explanation of all revisions can be found at the end of this report
(see Section 8.4).
1
National Health Expenditure Trends, 1975 to 2010
1.0 Overview
1.1
Total Health Expenditure
2008 and Outlook for 2009 and 2010
Total health expenditures in Canada were $171.8 billion in 2008. Expenditures are
forecast to be $182.1 billion in 2009 and $191.6 billion in 2010, an annual increase of
6.0% and 5.2%, respectively.
When adjusted for inflation, total health expenditures rose to $130.7 billion in 2008,
which represents a 4.5% increase when compared to 2007. In constant dollar terms
(1997 dollars), the rates of growth are 2.9% in 2009 and 2.6% in 2010.
Figure 1: Total Health Expenditure, Canada, 1975 to 2010
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
2
National Health Expenditure Trends, 1975 to 2010
Trends—1975 to 2008
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 4.6% from 1996 to 2008. Since 1997, a trend of
relatively strong growth has been observed; this continued in 2008 (Figure 2). The
modest rates of growth during the early to mid-1990s reflected a flattening of the historic
growth curve. The trend since 1997 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 2010
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
3
National Health Expenditure Trends, 1975 to 2010
1.2
Total Health Expenditure per Capita
2008 and Outlook for 2009 and 2010
Total health expenditure per capita in Canada was $5,154 in 2008. Forecasts for 2009
and 2010 are expected to be $5,397 and $5,614 (Figure 3).
Figure 3: Total Health Expenditure per Capita, Canada, 1975 to 2010
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
4
National Health Expenditure Trends, 1975 to 2010
Trends—1975 to 2008
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 3.6% yearly from 1996 to 2008 (Figure 4).
The real rates of increase after adjusting for inflation are expected to be 1.6% in 2009
and 1.4% in 2010, nearly half of what was observed in 2008 (3.3%).
Figure 4: Total Health Expenditure per Capita, Annual Growth Rates in Constant
1997 Dollars, Canada, 1976 to 2010
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
5
National Health Expenditure Trends, 1975 to 2010
1.3
Total Health Expenditure and Economic Growth
2008 and Outlook for 2009 and 2010
Total health expenditure in Canada was 10.7% of gross domestic product (GDP) in 2008.
It is forecast to be 11.9% in 2009 and 11.7% in 2010 (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 Conference Board of
Canada is forecasting a 4.5% decline in GDP in 2009, which is reflected in a higher total
health expenditure–to-GDP ratio in 2009. In 2010, GDP is expected to grow faster than
health expenditures, resulting a slightly lower total health spending–to-GDP ratio than
in 2009.
Figure 5: Total Health Expenditure as a Percentage of Gross Domestic Product,
Canada, 1975 to 2010
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
6
National Health Expenditure Trends, 1975 to 2010
Trends—1975 to 2010
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 2010
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 and
reached 10.7% in 2008. Due to recessionary forces, the growth in GDP is forecast to be
negative in 2009, leading to a relatively higher health-to-GDP ratio of 11.9% in 2009
(Figure 5). In light of the recent economic recovery, GDP is forecast to rebound in 2010,
which will cause the ratio to drop to 11.7% in 2010.
7
National Health Expenditure Trends, 1975 to 2010
2.0 Total Health Expenditure by Source
of Finance
2008 and Outlook for 2009 and 2010
In 2008, governments and government agencies in Canada (the public sector) spent
$121.1 billion on health care (Figure 7). Public-sector expenditure is forecast to be
$128.6 billion in 2009 and $135.1 billion in 2010. The growth rates associated with these
forecasted increases are 6.2% and 5.1%, respectively. In 2008, private health insurers
and households (the private sector) spent $50.7 billion. Private-sector expenditure is
forecast to reach $53.5 billion in 2009 and $56.6 billion in 2010, with expected growth
rates of 5.5% in 2009 and 5.7% in 2010.
Since 1997, the public-sector share of total health expenditure has remained relatively
stable at around 70%. It accounted for 70.5% of total expenditure in 2008 and is forecast
to account for 70.6% in 2009 and 70.5% in 2010.
Figure 7: Health Expenditure by Source of Finance, Canada, 1975 to 2010
Note
See Table A.2.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
8
National Health Expenditure Trends, 1975 to 2010
Trends—1975 to 2008
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 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 29.5% in 2010 (Figure 8).
Figure 8: Public- and Private-Sector Shares of Total Health Expenditure
Note
See Table A.2.2.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
9
National Health Expenditure Trends, 1975 to 2010
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 public-sector 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 2008, provincial/territorial government expenditure was
$111.8 billion, accounting for 92.3% of public-sector expenditure.
Table 1: Distribution of Public-Sector Health Expenditure by Source of Finance,
Canada, 1975 and 2008
1975
Amount in Millions
Provincial/Territorial
Governments
2008
Percent
Amount in Millions
Percent
8,709.3
93.6
111,758.0
92.3
Federal Direct
398.3
4.3
6,050.2
5.0
Social Security Funds*
121.1
1.3
2,349.8
2.0
Municipal Governments
Total Expense
71.6
0.8
894.1
0.7
9,300.3
100.0
121,052.1
100.0
Notes
* This includes workers’ compensation boards and 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 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
five major programs: the Canada Health Transfer (CHT), Canada Social Transfer (CST),
Health Reform Transfer (HRT), Equalization and Territorial Formula Financing (TFF).
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.
10
National Health Expenditure Trends, 1975 to 2010
Direct Federal Health Expenditure
In 2008, federal government departments and agencies provided direct health care
services to Canadians worth $6.1 billion, accounting for 3.5% of total health expenditure
(including the public and private sectors). Forecasts indicate that the share of federal
direct spending will remain unchanged in 2010.
Federal departments that had the largest shares of total federal direct health expenditure
in 2008 were Health Canada, which funded 82.4%, the Department of Veterans Affairs
(8.2%), Public Safety Canada (4.1%) and the Department of National Defence (3.1%).
The Canadian Institutes of Health Research, which is included under Health Canada,
accounted for 16.3% 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 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.
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.
11
National Health Expenditure Trends, 1975 to 2010
Table 2 presents estimates from 1997 to 2010 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 2010
Year
Financed Through
Premiums
Financed by ministère
de la Santé et des
Services sociaux (Quebec)
Total
1997
169.1
700.3
869.4
1998
213.4
779.8
993.2
1999
262.7
918.3
1,181.0
2000
327.9
1,118.3
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
676.4
2,164.9
2,841.2
2008
762.8
2,297.2
3,060.0
f
2009
746.2
2,441.3
3,187.5
f
761.8
2,558.9
3,320.7
2010
Note
f: forecast.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
12
National Health Expenditure Trends, 1975 to 2010
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-of-pocket
expenditure accounted for 58.1% of private-sector expenditure. By 2008, the proportion
dropped to 49.1%, as expenditure by insurance firms grew more rapidly. The share
of non-consumption expenditure dropped from 12.7% to 9.7% during the same
period (Figure 9).
Figure 9: Distribution of Private-Sector Health Expenditure by Source of Finance,
Canada, 1988v and 2008 (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 non-patient
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 2010
Figure 10 presents the trend for private-sector health expenditure by source of finance
from 1988 to 2008. The share of private health insurance in private-sector health
expenditure increased 12.0% from 1998 to 2008, while the share of out-of-pocket
expenditure dropped nearly 9.0%. During the same period, the share of non-consumption
remained relatively stable.
Figure 10: Share of Private-Sector Health Expenditure by Source of Finance,
Canada, 1988 to 2008
Source
National Health Expenditure Database, Canadian Institute for Health Information.
14
National Health Expenditure Trends, 1975 to 2010
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 almost tripled, increasing from $139.4 in 1988 to $623.9 in 2008; out-of-pocket
health expenditure per capita increased from $277.5 to $750.7; and non-consumption
expenditure per capita increased from $60.7 to $147.5 during the same period.
Figure 11: Private-Sector Health Expenditure per Capita, Source of Finance,
Canada, 1988, 1998 and 2008
Source
National Health Expenditure Database, Canadian Institute for Health Information.
15
National Health Expenditure Trends, 1975 to 2010
Of more than $4.4 billion spent on hospital services by the private sector in 2008,
households and insurance firms together spent $2.0 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 $2.4 billion of the private sector. The distribution of expenditure financed by
insurance, households (out-of-pocket expenditure) and non-consumption in 2008 is
shown in Table 3.
Table 3: Private-Sector Health Expenditure by Source of Finance and Use of
Funds, Canada, 2008 (Millions of Dollars and Percentage Share)
Households
(Out of Pocket)
Amount in
Millions
Insurance
Percent
Amount in
Millions
815.0
18.3
1,201.0
4,844.5
100.0
383.3
98.2
7.0
Dental Care
5,217.7
46.4
Vision Care
2,910.5
79.5
Other—Other
Professionals
1,385.3
Prescribed
Drugs
Hospital
Accommodation
Non-Consumption
Percent
Percent
2,430.3
54.7
Amount in
Millions
Percent
4,446.3
100.0
4,844.5
100.0
1.8
390.3
100.0
6,038.5
53.6
11,256.2
100.0
751.0
20.5
3,661.5
100.0
61.7
859.1
38.3
2,244.4
100.0
4,167.8
33.0
8,467.2
67.0
12,634.9
100.0
Over-theCounter Drugs
2,531.9
100.0
2,531.9
100.0
Personal
Health
Supplies
1,983.8
100.0
1,983.8
100.0
1,406.3
100.0
3,291.8
100.0
1,077.5
100.0
Other
Institutions*
Physician Care
27.0
Amount in
Millions
Total
Other Professionals
Drugs
Capital
1,406.3
Administration
3,291.8
100.0
100.0
Other Health Spending
Health
Research*
1,077.5
100.0
Other Health
Care Goods
322.6
74.5
110.2
25.5
432.8
100.0
Other Health
Care Services
366.3
70.1
156.2
29.9
522.5
100.0
24,928.6
49.1
20,882.0
41.2
50,724.7
100.0
Total Expense
4,914.2
9.7
Note
* Estimated for 2008. 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 non-residents,
chronic care copayments, uninsured services and other patient services.
16
National Health Expenditure Trends, 1975 to 2010
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 28.7%
of total health expenditures in 2008. Drugs represent the second-largest share (16.3%),
while physicians make up the third-largest share (13.3%) (Figure 12).
Figure 12: Total Health Expenditure by Use of Funds, Canada, 2008 (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 2010
Figure 13 shows national expenditures for the three major uses of funds from
1975 to 2010 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 2010
Note
See Table C.1.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
18
National Health Expenditure Trends, 1975 to 2010
Figure 14 presents the public and private shares at the national level of the nine major
uses of funds in 2008. 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 Expenditure, by Use of Funds,
Canada, 2008
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 2010
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 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 2008, Canadians spent $49.4 billion on hospitals, accounting for 28.7% of total health
expenditure. Hospital spending is forecast to be $52.1 billion in 2009 and $55.3 billion in
2010, accounting for 28.6% and 28.9%, respectively.
Figure 15: Hospitals’ Share of Total Provincial/Territorial Government Health
Expenditure and Total Health Expenditure, Canada, 1975 to 2010
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 long-term 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 2010
Provincial and territorial government expenditure accounts for 89.6% 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, 2008
Total Expenditure
(in Millions)
Expenditure per Capita
Share of Total
Provincial/
Territorial
Other Public*
Private
Total
$44,265.3
$665.0
$4,446.3
$49,376.6
$1,328.2
$20.0
$133.4
$1,481.6
89.6%
1.4%
9.0%
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 2010
3.2
Drugs
Retail salesviii of prescribed and non-prescribed drugs together constituted the secondlargest category of health expenditure in 2008, at $28.0 billion. Spending on drugs is
forecast to have increased by another 6.3% in 2009, to $29.7 billion, and by 4.8% in
2010, to $31.1 billion.
Prescribed drugs amounted to 83.9% of total expenditure on drugs in 2008 (Figure 16),
of which 38.7% is attributed to the public sector and 45.2% to the private sector.
Figure 16: Drugs by Source of Finance and Type, Canada, 2008 (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 2010
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 2010, it is expected to be 53.5%.
Figure 17: Prescribed Drug Expenditure, Private-Sector Share, Canada,
1975 to 2010
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 2010
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 33.0% in 2008.
Figure 18: Private Prescribed Drug Expenditure, Shares by Selected Sources of
Finance, Canada, 1988 to 2008
Source
National Health Expenditure Database, Canadian Institute for Health Information.
24
National Health Expenditure Trends, 1975 to 2010
3.3
Physicians
Physician services constituted the third-largest category of total health expenditure
in 2008, at $22.9 billion, representing 13.3% of total health expenditure. In 2010, this
category is forecast to have grown by 6.9% from 2009 to reach $26.3 billion, reflecting
13.7% 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 $676 in 2008. Forecasts for 2009 and 2010 are expected to be $720 and $761
(Figure 19), with growth rates of 6.5% and 5.6%, respectively.
Figure 19: Public-Sector Physician Health Expenditure per Capita, Canada,
1975 to 2010
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 2010
3.4
Other Professionals
The broad category of other professionalsix includes care primarily provided by dentists
and denturists, optometrists and opticians, chiropractors, physiotherapists and private
duty nurses. The category of other professionals accounted for $18.5 billion, or 10.8%,
of total expenditures in 2008, and has maintained the highest percentage of private
spending of all the major categories (92.7%).
Dental care and vision care are the major discrete categories of expenditure in the
private sector for other professional services (Figure 20).
Figure 20: Other Professionals Expenditure by Source of Finance and Type,
Canada, 2008 (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. Care provided by nurses is included in hospital expenditures.
26
National Health Expenditure Trends, 1975 to 2010
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 65.4% in 2010.
The share of vision care in the private sector for other professional services is forecast
to increase from 19.9% in 1975 to 21.5% in 2010.
Figure 21: Other Professionals Expenditure, Percentage Share of Total Private
Spending, by Type, Canada, 1975 to 2010
Source
National Health Expenditure Database, Canadian Institute for Health Information.
27
National Health Expenditure Trends, 1975 to 2010
For dental services, the shares of private insurance and of household (out-of-pocket)
spending were almost equal in 1988. The share of household (out-of-pocket) spending
decreased to 46.4%, and that of private health insurance increased to 53.6%, in
2008 (Figure 22).
Figure 22: Private Dental Expenditure, Shares by Selected Sources of Finance,
Canada, 1988 to 2008
Source
National Health Expenditure Database, Canadian Institute for Health Information.
28
National Health Expenditure Trends, 1975 to 2010
3.5
Other Institutions
In 2008, the category of other institutions, which includes nursing homes and residential
care facilities, accounted for 9.9% of total health expenditures, or $17.0 billion. Other
institutions’ share of total health expenditure is forecast to be 9.7% of total health care
spending in both 2009 and 2010.
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 2008, the public share
of other institutions was 71.5%.
Other institutions’ health expenditure per capita increased during the period from 1975
to 2010 (Figure 23). It was $49 in 1975, and the number increased more than tenfold to
$509 in 2008, $524 in 2009 and $544 in 2010. The annual growth rate was 4.0% in 2008
and is forecast to be 2.8% in 2009 and 3.9% in 2010.
Figure 23: Other Institutions Health Expenditure per Capita, Canada, 1975 to 2010
Note
See Table C.1.3.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
29
National Health Expenditure Trends, 1975 to 2010
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
2008 for Canada.x The remaining categories include medical transportation, hearing
aids and appliances, voluntary health associations and explicitly identified home care.xi
In 2008, other health expenditures accounted for $10.9 billion, or 6.4%, of total health
expenditure. In 2009 and 2010, it is expected that other health spending will have
grown by 5.2% and 6.2%, respectively.
Public-sector sources accounted for 81.4% of other health expenditures in 2008, 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 publicsector 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.
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.
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 2010
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 2.1% in 2008, the privatesector share has risen to 6.5%.
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 6.4% in 2008. The share is expected to stay at the same level of 6.4% in
2010 (Figure 24).
Figure 24: Public Health Spending as a Percentage of Total Health Expenditure,
Canada, 1975 to 2010
Note
See Table A.3.1.2.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
31
National Health Expenditure Trends, 1975 to 2010
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 2010, total health
expenditure per capita in Alberta is expected to reach $6,266, followed by Manitoba
($6,249). The lowest per person expenditures are forecast for Quebec ($5,096),
followed by British Columbia ($5,355).
In 2010, total health expenditure as a percentage of provincial GDP will range from
8.2% in Alberta to 17.4% in Prince Edward Island. For the territories, the health
expenditure–to–territorial GDP ratio is forecast to be 24.2% for Nunavut, 13.8% for
the Yukon and 7.7% for the Northwest Territories.
In 2010, the public sector will be responsible for 70.5% of Canadian health expenditure.
It exceeds 79.0% in the territories and will be the lowest in Ontario (67.4%).
Provincial and territorial governments’ health expenditure per capita is expected to
average $3,663 in 2010. The highest per capita spending among the provinces is
projected to be in Newfoundland and Labrador ($4,564) and Alberta ($4,295), while
the lowest is forecast to be in Quebec ($3,341) and British Columbia ($3,544).
Private-sector expenditure will average $1,657 per capita in 2010. Nova Scotia ($1,810)
and Ontario ($1,841) are forecast to have the highest spending, while Saskatchewan
($1,336) and Newfoundland and Labrador ($1,347) 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.
32
0.4
0.4
N.W.T.
Nun.
5,614
12,355
9,265
7,977
5,355
6,266
5,888
6,249
5,641
5,096
5,845
6,085
5,937
6,099
11.7
24.2
7.7
13.8
11.9
8.2
10.3
15.0
12.2
12.6
15.9
16.1
17.4
10.5
Percent
Exp. as
Percent
of GDP
125.0
0.3
0.3
0.2
16.1
16.2
4.2
5.1
46.9
26.4
2.8
3.7
0.6
2.3
Amount in
Billions of
Dollars
Expenditure
3,663
8,862
5,954
5,234
3,544
4,295
4,077
4,155
3,548
3,341
3,789
3,944
3,988
4,564
Amount in
Dollars
Exp. per
Capita
Provincial/Territorial
Government
10.0
0.1
0.1
0.0
1.1
1.1
0.5
0.7
3.3
2.4
0.2
0.3
0.1
0.1
Amount in
Billions of
Dollars
Expenditure
294
2,731
1,746
1,069
249
298
474
563
252
300
292
331
462
188
Amount in
Dollars
Exp. per
Capita
Other Public Sector*
Notes
f: forecast.
* Other public sector includes federal direct, municipal and social security funds.
† Total public sector includes provincial/territorial government and other public sector.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
191.6
0.3
Canada
24.3
7.7
Man.
Y.T.
74.6
Ont.
B.C.
40.2
Que.
6.1
4.4
N.B.
23.6
5.7
N.S.
Alta.
0.8
Sask.
3.1
Amount in
Billions of
Dollars
P.E.I.
Amount in
Dollars
Expenditure
N.L.
Exp. per
Capita
Total
135.1
0.4
0.3
0.2
17.2
17.3
4.7
5.8
50.3
28.7
3.1
4.0
0.6
2.4
Amount in
Billions of
Dollars
3,957
11,593
7,700
6,304
3,793
4,593
4,551
4,718
3,800
3,641
4,081
4,275
4,450
4,752
Amount in
Dollars
Exp. per
Capita
70.5
93.8
83.1
79.0
70.8
73.3
77.3
75.5
67.4
71.4
69.8
70.3
75.0
77.9
Percent
Exp. as
Percent
of Total
Total Public Sector†
Expenditure
Table 5: Health Expenditure Summary, by Province/Territory and Canada, 2010f
56.6
0.0
0.1
0.1
7.1
6.3
1.4
1.9
24.4
11.5
1.3
1.7
0.2
0.7
Amount in
Billions of
Dollars
Expenditure
1,657
762
1,566
1,673
1,562
1,674
1,336
1,531
1,841
1,456
1,764
1,810
1,486
1,347
Amount in
Dollars
Exp. per
Capita
Private Sector
29.5
6.2
16.9
21.0
29.2
26.7
22.7
24.5
32.6
28.6
30.2
29.7
25.0
22.1
Percent
Exp. as
Percent
of Total
National Health Expenditure Trends, 1975 to 2010
33
National Health Expenditure Trends, 1975 to 2010
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 Non-Response
for more details.
34
National Health Expenditure Trends, 1975 to 2010
Figure 25: Public- and Private-Sector Health Expenditure per Capita, 1988 to 2010, 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.
35
National Health Expenditure Trends, 1975 to 2010
Figure 25: Public- and Private-Sector Health Expenditure per Capita, 1988 to 2010, 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.
36
National Health Expenditure Trends, 1975 to 2010
Figure 25: Public- and Private-Sector Health Expenditure per Capita, 1988 to 2010, 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 2010
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 2005 to 2008 (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-thanaverage 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.
38
2,687
2,757
2,837
2,556
2,786
3,150
3,017
3,108
2,856
4,027
5,085
7,469
2,808
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
2,808
11,545
7,934
5,430
2,772
3,377
2,833
3,058
2,818
2,517
2,723
2,608
2,578
3,093
Standardized
Amount in
Dollars
---
54.6
56.0
34.8
-2.9
8.6
-6.1
-2.9
1.2
-1.6
-4.0
-5.4
-4.1
0.0
Percent
Change
2,970
8,278
5,252
4,424
2,990
3,291
3,218
3,299
2,934
2,698
3,146
3,090
2,796
3,312
Actual
Amount in
Dollars
2,970
13,343
8,023
5,193
2,905
3,587
3,028
3,209
2,968
2,646
3,009
2,918
2,679
3,293
Standardized
Amount in
Dollars
2006
---
61.2
52.7
17.4
-2.8
9.0
-5.9
-2.7
1.1
-1.9
-4.3
-5.6
-4.2
-0.6
Percent
Change
3,148
8,436
5,798
4,460
3,115
3,523
3,434
3,447
3,127
2,840
3,304
3,335
2,999
3,615
Actual
Amount in
Dollars
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Population, Statistics Canada.
3,092
N.L.
Actual
Amount in
Dollars
2005
3,148
13,355
8,625
5,058
3,033
3,850
3,253
3,374
3,161
2,776
3,139
3,141
2,864
3,580
Standardized
Amount in
Dollars
2007
---
58.3
48.8
13.4
-2.6
9.3
-5.3
-2.1
1.1
-2.3
-5.0
-5.8
-4.5
-1.0
Percent
Change
3,353
8,498
6,370
4,766
3,333
3,842
3,694
3,671
3,309
3,002
3,515
3,523
3,254
3,927
Actual
Amount in
Dollars
3,353
14,041
9,278
5,395
3,252
4,208
3,528
3,613
3,342
2,925
3,328
3,319
3,114
3,876
Standardized
Amount in
Dollars
2008
---
65.2
45.6
13.2
-2.4
9.5
-4.5
-1.6
1.0
-2.6
-5.3
-5.8
-4.3
-1.3
Percent
Change
Table 6: Total Provincial/Territorial Government Health Expenditure per Capita, Standardized for Age and Sex, by Province/Territory
and Canada, 2005 to 2008
National Health Expenditure Trends, 1975 to 2010
39
National Health Expenditure Trends, 1975 to 2010
5.2
Age Distributionxiv
The population of Canada is aging rapidly by historical standards. The largest
concentration of population is in the middle age groups and moving upward.2 The
elderly population (age 65 and older), which accounted for nearly 14% of the total
population in 2008, will grow significantly due to the baby-boom cohort. Even over the
relatively short period from 1998 to 2008, 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 2008
Source
Population, Statistics Canada.
Conventional wisdom holds that future demands for health care by an aging population
will strain governments’ ability to fund services covered under the Canada Health Act.
Some Canadian studies suggest that the effects of population growth and aging will
be manageable, however, within the context of a growing economy.
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.
40
National Health Expenditure Trends, 1975 to 2010
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 2008. A brief discussion is provided, focusing
on the age and sex distributions in 2008 (for 19 age groupings) for the hospital and
physician categories.
The complete set of estimates for five major categories—hospitals, physicians, drugs,
other institutions and other professionals—from 1996 to 2008 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
approximately 59% of provincial and territorial government health expenditure in 2008.
Hospitals
Hospital expenditure for children younger than one year was approximately $2.6 billion
in 2008, more than the combined total hospital expenditure for all children and
teenagers age 1 to 19 ($2.0 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 approximately 50% of provincial/territorial
government hospital expenditure in Canada during 2008. Within this age group, most
was spent by 70- to 89-year-olds (38% of total). Children younger than one accounted
for 6%.
41
National Health Expenditure Trends, 1975 to 2010
Figure 27: Provincial/Territorial Government Hospital Expenditure, by Age
and Sex, Canada, 2008
Note
See Table E.2.13.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
42
National Health Expenditure Trends, 1975 to 2010
Hospital expenditure per capita exhibits a more striking age pattern than total
expenditure. Expenditure per capita exceeds $6,600 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, 2008
Note
See Table E.2.13.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Population, Statistics Canada.
43
National Health Expenditure Trends, 1975 to 2010
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 50% of total expenditure for females. Expenditure
for males for the same group accounts for 42% of total expenditure for males.
Figure 29: Provincial/Territorial Government Physician Expenditure, by Age
and Sex, Canada, 2008
Note
See Table E.4.13.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
44
National Health Expenditure Trends, 1975 to 2010
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, 2008
Note
See Table E.4.13.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Population, Statistics Canada.
45
National Health Expenditure Trends, 1975 to 2010
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 almost 44% of all provincial/territorial government
health spending in 2008, while comprising only 13.7% of the population (see Figure 26).
Females accounted for an estimated 55% of all provincial government spending in 2008.
Female seniors consumed the most, at 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 $8,200 per person for both sexes.
From youths age 1 to adults age 49, spending per person slowly increases but does not
exceed $2,260 per person. There is a pronounced increase in per capita spending in the
senior age groups.
Figure 31: Total Provincial/Territorial Government Health Expenditure, by Age
and Sex, Canada, 2008
Note
See Table E.1.11.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
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.
46
National Health Expenditure Trends, 1975 to 2010
Figure 32: Total Provincial/Territorial Government Health Expenditure per Capita,
by Age and Sex, Canada, 2008
Note
See Table E.1.11.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Population, Statistics Canada.
47
National Health Expenditure Trends, 1975 to 2010
6.0 Provincial and Territorial
Government Health Expenditures
and Fiscal Position
During the current year, 2010, provincial and territorial government health expenditures
are forecast to reach $125.0 billion, which accounts for more than 65% of total health
expenditures in Canada and 94% of expenditures by all levels of government.
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 2008 than at
any other time since 1975. This growth is expected to continue in 2009 and 2010 at a
slower pace. The 2008 estimate is approximately $52 per capita more than the amount
that would have been realized if the trend before 1993 had continued.
Figure 33: Provincial/Territorial Government Health Expenditure per Capita in
Constant 1997 Dollars, Canada, 1975 to 2010
Note
See Table B.4.7.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Population, Statistics Canada.
48
National Health Expenditure Trends, 1975 to 2010
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, but they reached a deficit of $4.2 billion in 2008. In 2009, provincial and territorial
governments experienced a deficit of $3.6 billion.
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. Provincial and territorial general government revenue and expenditure was the largest component (in 2008–2009)
of the series for total revenue and expenditure, which also includes institutional units controlled or mainly financed
by government, such as universities and health service organizations. For this analysis, fiscal year data has been
converted to calendar year.
49
National Health Expenditure Trends, 1975 to 2010
Figure 34: Provincial/Territorial Government Revenue and Expenditure, Canada,
1993 to 2009
Note
FMS data is estimated for 2009.
Source
Financial Management System, Statistics Canada.
50
National Health Expenditure Trends, 1975 to 2010
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 13 years, the improving
fiscal balance, combined with lower interest rates, led to lower debt charges, reaching
8.5% of expenditures and 8.6% of revenues in 2009.
Figure 35: Provincial/Territorial Debt Charges as a Proportion of Total Provincial/
Territorial Expenditure and Revenue, Canada, 1993 to 2009
Note
FMS data is estimated for 2009.
Source
Financial Management System, Statistics Canada.
51
National Health Expenditure Trends, 1975 to 2010
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 17 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 2009, revenue, at 1997
price levels, was 51% higher than in 1993. The cumulative increase in health
expenditures was 70% higher during that period (Figure 36).
Figure 36: Provincial/Territorial Government Revenue and Health Expenditure,
Constant Dollar Indices (1993 = 100), Canada, 1993 to 2010
Note
FMS data is estimated for 2009.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Financial Management System,
Statistics Canada.
52
National Health Expenditure Trends, 1975 to 2010
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 CHST and the CHT. 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 2009
Note
FMS data is estimated for 2009.
Source
Financial Management System, Statistics Canada.
53
National Health Expenditure Trends, 1975 to 2010
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.
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 35.9% and 39.2%, respectively, in 2009. The trends observed have been
stable for the last five years.
Figure 38: Provincial/Territorial Government Health Expenditure as a Proportion of
Total Provincial/Territorial Government Expenditure and Programs,
Canada, 1993 to 2009
Note
FMS data is estimated for 2009.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Financial Management System,
Statistics Canada.
54
National Health Expenditure Trends, 1975 to 2010
7.0 International Comparisons
Comparability of Health Expenditure Across Countries
For the last 10 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 2010 is at varying levels of comparability.3 This section shows health
expenditure information for the 26 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 26 countries are Australia, Austria, Belgium, Canada, the Czech
Republic, Denmark, Finland, France, Germany, Hungary, Iceland, Japan, Korea,
Luxembourg, Mexico, the Netherlands, New Zealand, Norway, Poland, Portugal, the
Slovak Republic, Spain, Switzerland, Sweden, Turkey 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 2010 is based on the SHA starting in the
following years:
• Australia: 1998
• Austria: 1990
• Belgium: 2003
• Canada: 1975
• Czech Republic: 2000
• Denmark: 2003
• Finland: 1995
• France: 1995
• Germany: 1992
• Hungary: 1998
• Iceland: 2003
• Japan: 1995
• Korea: 1980
• Luxembourg: 1999
xviii. See Data Comprehensiveness and Boundaries of Health Care in the Methodological Notes.
55
National Health Expenditure Trends, 1975 to 2010
• Mexico: 1999
• The Netherlands: 1998
• New Zealand: 2004
• Norway: 1997
• Poland: 2002
• Portugal: 2000
• Slovak Republic: 2004
• Spain: 1999
• Switzerland: 1995
• Sweden: 2001
• Turkey: 1999
• United States: 1999
Due to the change in reporting standards, this section on international comparisons
focuses on 2008 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
• 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.
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.
56
National Health Expenditure Trends, 1975 to 2010
Total Health Expenditure as a Percentage of GDP—2008
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.
In 2008, the United States had the highest ratio of total health expenditure to GDP,
at 16%, while Canada was at 10.4% (Figure 39).
Figure 39: Total Health Expenditure as a Percentage of GDP, 26 Selected
Countries, 2008
Notes
* Data for 2007.
† Data for 2006.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2010 (June edition) (Paris, France:
OECD, 2010).
57
National Health Expenditure Trends, 1975 to 2010
Public-Sector Health Expenditure as a Percentage of GDP—2008
With regard to public-sector spending on health as a percentage of GDP in 2008, Canada
falls within the middle of the countries. Public-sector health expenditure accounted for
8.7% of France’s GDP, the highest proportion among the countries. The ratios of publicsector spending to GDP were similar for Belgium, the United States, Norway, Portugal
and Canada (Figure 40).
Figure 40: Public-Sector Health Expenditure as a Percentage of GDP, 26 Selected
Countries, 2008
Notes
* Data for 2007.
† Data for 2006.
‡ Data for 2002.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2010 (June edition) (Paris, France:
OECD, 2010).
58
National Health Expenditure Trends, 1975 to 2010
Private-Sector Health Expenditure as a Percentage of GDP—2008
Private-sector health expenditure represented 8.5% of GDP in the United States in 2008,
by far the highest percentage among the countries. Canada is within a group of seven
countries with very similar private-sector health expenditure–to-GDP ratios ranging from
2.8% to 3.3%; other countries in this group are Belgium, Australia, Portugal, Korea,
Mexico and the Netherlands (Figure 41).
Even though the United States is considered a privately financed health care system, it
spent as much on public expenditure as Canada (7.4% versus 7.3%) in terms of publicsector spending as a share of GDP (Figure 40).
Figure 41: Private-Sector Health Expenditure as a Percentage of GDP, 26 Selected
Countries, 2008
Notes
* Data for 2007.
† Data for 2006.
‡ Data for 2002.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2010 (June edition) (Paris, France:
OECD, 2010).
59
National Health Expenditure Trends, 1975 to 2010
Health Expenditure per Capitaxix
Total Health Expenditure per Capita—2008
Canada, spending US$4,079 per person in 2008, is among the five countries with the
highest per capita spending on health. The United States had the highest health
expenditure per individual, which was US$7,538 in 2008. These figures were rather
similar in Canada, the Netherlands (US$4,063), Austria (US$3,970), Germany
(US$3,737), France (US$3,696) and Belgium (US$3,677) (Figure 42).
Figure 42: Total Health Expenditure per Capita in U.S. Dollars, 26 Selected
Countries, 2008
Notes
* Data for 2007.
† Data for 2006.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2010 (June edition) (Paris, France:
OECD, 2010).
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.
60
National Health Expenditure Trends, 1975 to 2010
Public-Sector Health Expenditure per Capita—2008
Norway has the highest public-sector per capita health spending at US$4,213, followed
by Luxembourg (US$3,825). Canada was within the top eight countries, with publicsector health spending at US$2,863 per person (Figure 43).
Figure 43: Public-Sector Health Expenditure per Capita in U.S. Dollars, 26 Selected
Countries, 2008
Notes
* Data for 2007.
† Data for 2006.
‡ Data for 2002.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2010 (June edition) (Paris, France:
OECD, 2010).
61
National Health Expenditure Trends, 1975 to 2010
Private-Sector Health Expenditure per Capita—2008
Canada, with private-sector per person spending of US$1,216, 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$4,031) and Switzerland (US$1,891).
Australia (US$1,089), the Netherlands (US$1,064), Belgium (US$1,009) and Austria
(US$917) were close to Canada’s level (Figure 44).
Figure 44: Private-Sector Health Expenditure per Capita in U.S. Dollars,
26 Selected Countries, 2008
Notes
* Data for 2007.
† Data for 2006.
‡ Data for 2002.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2010 (June edition) (Paris, France:
OECD, 2010).
62
National Health Expenditure Trends, 1975 to 2010
Total Health Expenditure by Use of Funds—2008
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 25 countries for
which the breakdown of total health expenditure is available (the breakdown is not
available for Turkey) (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 17% to 21% of total health expenditure for a
middle group of seven countries: Canada, France, Germany, Austria, Australia, Belgium
and Finland (Figure 45). The share of medical goods in total health care spending was
below 17% in nine 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.
63
National Health Expenditure Trends, 1975 to 2010
Figure 45: Expenditure on Personal Health Care as a Percentage of Total Health
Expenditure, 25 Selected Countries, 2008
Notes
* Data for 2007.
† Data for 2006.
§ Data for 2005.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2010 (June edition) (Paris, France:
OECD, 2010).
64
National Health Expenditure Trends, 1975 to 2010
Public Share of Health Expenditure—2008
Public Share of Total Health Expenditure—2008
Expenditure by the public sector represented more than 80% of total health expenditure
in Luxembourg, Denmark, Norway, Iceland, the Czech Republic, Sweden, Japan and
New Zealand. The share funded by the public sector was 70.2% in Canada. The country
with the lowest public-sector share was the United States, at 46.5% (Figure 46).
Figure 46: Public Share of Total Health Expenditure, 26 Selected Countries, 2008
Notes
* Data for 2007.
† Data for 2006.
‡ Data for 2002.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2010 (June edition) (Paris, France:
OECD, 2010).
65
National Health Expenditure Trends, 1975 to 2010
Public Share of Expenditure on Medical Services—2008
In Canada, 78.0% 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:
Hungary, Germany, Canada, Portugal, the Slovak Republic, Spain, Belgium and
Australia. The public-sector share was 49.0% in the United States and 44.5% in
Mexico (Figure 47).
Figure 47: Public Share of Expenditure on Medical Services, 25 Selected
Countries, 2008
Notes
* Data for 2007.
† Data for 2006.
§ Data for 2005.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2010 (June edition) (Paris, France:
OECD, 2010).
66
National Health Expenditure Trends, 1975 to 2010
Public Share of Expenditure on Medical Goods—2008
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). The public sector funded the
lowest shares of expenditure on medical goods in Canada (35.6%), the United States
(32.7%) and Mexico (20.8%) (Figure 48).
Figure 48: Public Share of Expenditure on Medical Goods, 25 Selected
Countries, 2008
Notes
* Data for 2007.
† Data for 2006.
§ Data for 2005.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2010 (June edition) (Paris, France:
OECD, 2010).
67
National Health Expenditure Trends, 1975 to 2010
Total Health Expenditure by Source of Finance—2008
Public-Sector Sources of Finance—2008
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 Luxembourg, the
Czech Republic, Denmark, Norway, Iceland, New Zealand, Sweden and Japan. In
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 67% and 80% of total health expenditure. In nine of these countries (France,
the Netherlands, Germany, the Slovak Republic, Hungary, Poland, Belgium, Austria and
Turkey), social security funds were the principal source of finance, in contrast to Canada,
where 1.4% 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.
68
National Health Expenditure Trends, 1975 to 2010
Figure 49: Percentage of Total Health Expenditure Financed by the Public Sector,
by Source of Finance, 26 Selected Countries, 2008
Notes
* Data for 2007.
† Data for 2006. (The percentages for Japan do not add up to the total in Figure 46 because capital expenditure
financed by the public sector could not be distributed between the two sources of finance.)
** Share of current health expenditure.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2010 (June edition) (Paris, France:
OECD, 2010).
69
National Health Expenditure Trends, 1975 to 2010
Private-Sector Sources of Finance—2008
Figure 50 shows countries in descending order according to the share of total health
expenditure financed by private insurance. In 22 countries, private-sector funding is broken
down between private insurance and all other private funds. However, this breakdown is
not available for Turkey, Iceland, the Slovak Republic and Norway. Approximately half of
total health expenditure was financed by the private sector in the United States (53.5%)
and Mexico (53.1%). Private insurance in the United States accounted for more than half
of private-sector health expenditure (34.1%), by far the largest proportion of any country.
Canada is included in a group of 10 countries (with Australia, Poland, Portugal, Hungary,
Spain, Turkey, Belgium, Finland and the Slovak Republic) where the private sector funded
between 25% and 33% of total health expenditure. In Canada, private insurance accounts
for 12.8% of total health expenditure.
Figure 50: Percentage of Total Health Expenditure Financed by the Private Sector,
by Source of Finance, 26 Selected Countries, 2008
Notes
* Data for 2007.
† Data for 2006.
Source
Organisation for Economic Co-operation and Development, OECD Health Data 2010 (June edition) (Paris, France:
OECD, 2010).
70
National Health Expenditure Trends, 1975 to 2010
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.
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).
71
National Health Expenditure Trends, 1975 to 2010
Source of Finance (Sectors)
National health expenditures are reported based on the principle of responsibility
for payment rather than on the 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 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.
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.
72
National Health Expenditure Trends, 1975 to 2010
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; nonpatient 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.
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.
73
National Health Expenditure Trends, 1975 to 2010
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.
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 nonprescribed 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 public-sector agencies.
74
National Health Expenditure Trends, 1975 to 2010
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 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.
75
National Health Expenditure Trends, 1975 to 2010
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.
• 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.
• 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.
76
National Health Expenditure Trends, 1975 to 2010
• 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, postsecondary 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.
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.
77
National Health Expenditure Trends, 1975 to 2010
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.
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.
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National Health Expenditure Trends, 1975 to 2010
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 data. Also, they may include
expenditures that fall outside the boundaries of health care as defined by the OECD.
For OECD Health Data 2010, 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.
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National Health Expenditure Trends, 1975 to 2010
Australia
Excludes
• Minor amounts spent on defence force and prison medical services, education of health
professionals outside health institutions and expenditure on school health services.
Austria
• No departures from OECD/SHA boundaries reported.
Belgium
Excludes
• Expenditure by corporations on occupational health services.
• Expenditure in all other industries’ secondary producers of health care.
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 private-sector
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.
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.).
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National Health Expenditure Trends, 1975 to 2010
• Expenditures 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
Problems with determinations of 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).
Denmark
• No departures from OECD/SHA boundaries reported after 2002.
Finland
Includes
• Expenditure on environmental health.
Excludes
• Private capital formation of health care provider institutions.
France
• Data on health expenditure is reported using a detailed analysis that allows for results
that are mostly compatible with the SHA standard.
Germany
Excludes
• Expenditure for military health and prison health.
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National Health Expenditure Trends, 1975 to 2010
Hungary
Excludes
• Private services provided abroad and financed by (voluntary) insurance enterprises.
Iceland
• No information available on departures from OECD/SHA boundaries
and classifications.
Japan
Excludes
• 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;
– Upgrade 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.
Korea
• No information available on departures from OECD/SHA boundaries
and classifications.
Luxembourg
• Total, public and private health care expenditure covers aggregate health care costs
covered by the Grand Duchy of Luxembourg, including expenditure in respect of
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.
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National Health Expenditure Trends, 1975 to 2010
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
• No departures from OECD/SHA boundaries reported.
New Zealand
Excludes
• New Zealand has not yet incorporated 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.
Portugal
Excludes
• Private capital formation.
• Health expenditures of the military forces, workers of the ministry of justice
and police forces.
Slovak Republic
• No information available on departures from OECD/SHA boundaries
and classifications.
Spain
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).
• Private investment in medical facilities includes only hospital capital expenditure.
• Prevention and public health expenditure includes only public expenditure.
83
National Health Expenditure Trends, 1975 to 2010
Sweden
Excludes
• Private-sector expenditures other than out-of-pocket expenditures of households.
Switzerland
Includes
• Figures for medical services include investments. Thus, the sum of personal and
collective health expenditure is greater than the reported total current expenditure.
Turkey
Within OECD Health Data, Turkish health expenditures are reported in an OECDcompatible way.
Includes
• 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
Excludes
• Estimates of structures investment do not include spending for moveable equipment.
84
National Health Expenditure Trends, 1975 to 2010
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.
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.
85
National Health Expenditure Trends, 1975 to 2010
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 not-forprofit 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.
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
86
National Health Expenditure Trends, 1975 to 2010
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 overthe-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-forprofit foundations such as the Heart and Stroke Foundation of 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.
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.
87
National Health Expenditure Trends, 1975 to 2010
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.
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.
88
National Health Expenditure Trends, 1975 to 2010
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 publicsector health care spending, and the health component of the consumer price index
(CPI), which is used to deflate private-sector 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.
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.
89
National Health Expenditure Trends, 1975 to 2010
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.
90
National Health Expenditure Trends, 1975 to 2010
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 2008 figures for capital expenditure in the provincial government sector, the
municipal government sector and the private sector are based on preliminary actual
figures from the Investment and Capital Stock Division of Statistics Canada. The 2009
and 2010 capital figures are 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, 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.”
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National Health Expenditure Trends, 1975 to 2010
Gross domestic product figures at both the national and provincial/territorial levels were
forecast for 2009 and 2010 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. Thus the 2006 CMG+ methodology was used for 2006–2007, while the 2008
CMG+ grouper was used for 2007–2008 and 2008–2009.
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.
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.
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.
92
National Health Expenditure Trends, 1975 to 2010
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. The 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 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-for-service 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.
93
National Health Expenditure Trends, 1975 to 2010
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-for-service 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 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.
94
National Health Expenditure Trends, 1975 to 2010
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.
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. Age–sex data was provided for the following plans: Seniors
Plan (A), Cystic Fibrosis Plan (B), Family and Community Social Services (E), Human
Resources Development (F), Organ Transplant (R), Human Growth Hormone (T) and
Nursing Home Program (V), leaving only three plans with no age and sex data: Children
in Care (G), HIV (U) and 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.
95
National Health Expenditure Trends, 1975 to 2010
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. 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.
The 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.
xxvii. See the definition of social security funds in the Variables and Concepts section of this report for
more information.
96
National Health Expenditure Trends, 1975 to 2010
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 approximately
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.
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).
97
National Health Expenditure Trends, 1975 to 2010
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 Newfoundland and Labrador, 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. Newfoundland and
Labrador age–sex distribution was based on New Brunswick’s Seniors, Community
and Social Services drug plans (plans A, E and F). 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 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.
98
National Health Expenditure Trends, 1975 to 2010
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.
99
National Health Expenditure Trends, 1975 to 2010
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
A methodological review undertaken by CIHI and the British Columbia Ministry of Health
Services resulted in historical revisions for the period of 2002–2003 to 2007–2008. Some
of the use of funds categories have been reallocated, such as hospitals, physicians and
drugs. In addition, the other institutions category has been revised back to 2005–2006,
based upon CIHI’s methodological review of category classifications.
There were also historical refinements made in Prince Edward Island, Alberta and the
Northwest Territories.
Table 7: Differences From Previously Reported Provincial Government–Sector Data
by Province/Territory and Canada, 1996 to 2007 (Millions of Dollars)
Year
100
N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta.
B.C.
Y.T. N.W.T. Nun. Canada
1996
---
---
---
---
---
---
---
---
---
---
---
-14.4
---
-14.4
1997
---
---
---
---
---
---
---
---
---
---
---
-18.3
---
-18.3
1998
---
---
---
---
---
---
---
---
---
---
---
-17.5
---
-17.5
1999
---
---
---
---
---
---
---
---
---
---
---
-9.2
---
-9.2
2000
---
-0.4
---
---
---
---
---
---
---
---
---
-6.0
---
-6.5
2001
---
-0.5
---
---
---
---
---
---
---
---
---
-6.4
---
-6.9
2002
---
-0.4
---
---
---
---
---
---
---
---
---
-8.3
---
-8.7
2003
---
-0.5
---
---
---
---
---
---
---
---
---
-10.4
---
-10.9
2004
---
-0.7
---
---
---
---
---
---
---
---
---
-14.8
---
-15.4
2005
---
-0.7
---
---
---
---
---
---
---
-206.5
---
-15.3
---
-222.5
2006
---
-0.7
---
---
---
---
---
---
---
-349.9
---
-15.1
---
-365.7
2007
---
-1.0
---
---
---
---
---
---
63.4
-394.5
---
-14.8
---
-346.9
National Health Expenditure Trends, 1975 to 2010
Private Sector
Adjustments were made to the following categories for selected provinces from 2003 to
2007: general and allied hospitals, personal health supplies, over-the-counter drugs,
other institutions and health research.
Table 8: Differences From Previously Reported Private-Sector Data by Province/
Territory and Canada, 2003 to 2007 (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
2003
0.1
0.1
---
---
---
---
---
---
---
---
0.1
---
---
0.2
2004
---
---
---
---
---
---
---
---
---
---
---
---
---
---
2005
-0.1
---
-0.1
0.1
---
---
0.4
-0.4
---
---
-0.1
-0.1
0.1
-0.1
2006
-1.9
-0.1
-0.6
-0.4
-3.9
-7.9
77.5
-0.5
-2.3
-2.6
-0.1
-0.4
---
56.8
2007
-3.9
-2.9
0.5
-11.8 -25.7
-6.0
-7.6
-5.3
-11.5
58.1
0.2
0.8
0.3
-14.7
Federal Direct Sector
The historical revisions as shown in Table 9 are largely due to methodological changes
to the Department of Veterans Affairs, one of the many departments included in the
federal direct expenditure calculations. These changes occurred in data from 2002
onwards. Revised data from Health Canada from 2006 onwards also contributed to the
historical changes.
Table 9: Differences From Previously Reported Federal Direct–Sector Data by
Province/Territory and Canada, 2002 to 2007 (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
2002
-2.7
-0.8
-5.2
-4.1
-89.4 -63.0
-6.4
-6.2
-13.5
-25.7
-0.1
-0.1
---
-217.1
2003
-3.8
-1.1
-7.3
-5.7 -126.0 -88.0
-8.7
-8.4
-18.9
-33.7
-0.1
-0.1
-0.1
-301.9
2004
-3.6
-1.0
-6.6
-5.2 -121.4 -75.1
-7.6
-7.9
-15.8
-30.0
-0.1
-0.1
---
-274.3
2005
-3.8
-1.0
-7.1
-5.6 -126.0 -84.6
-8.5
-8.3
-18.1
-32.3
-0.1
-0.1
---
-295.5
2006
-3.3
-0.9
-6.2
-5.0 -148.7 -69.0
-7.5
-7.1
-16.6
-29.3
-0.1
-0.1
0.0
-293.9
2007
-4.0
-1.1
-7.5
-6.0
-8.8
-8.1
-21.0
-36.0
1.0
0.6
-2.0
-275.7
-90.2 -92.5
101
National Health Expenditure Trends, 1975 to 2010
Municipal Government Sector
No historical revisions were made this year.
Social Security Fund Sector
New data for Ontario was made available in 2007. Changes in British Columbia and the
Yukon are the results of methodology revisions and updated historical information.
Table 10: Differences From Previously Reported Social Security Fund–Sector Data
by Province/Territory and Canada, 2004 to 2007 (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
2004
---
---
---
---
---
---
---
---
---
---
-1.0
---
---
-1.0
2005
---
---
---
---
---
---
---
---
---
---
-0.8
---
---
-0.8
2006
---
---
---
---
---
---
---
---
---
-0.2
-0.5
---
---
-0.7
2007
---
---
---
---
---
-11.9
---
---
---
-0.2
-1.3
---
---
-13.4
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 2010.
102
National Health Expenditure Trends, 1975 to 2010
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, CHST—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 the 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;
– 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.
103
National Health Expenditure Trends, 1975 to 2010
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.
• Annual report of the RAMQ.
Private Sector
• Private insurance component:
– The not-for-profit portion is captured from special tabulations provided by the notfor-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.
– 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.
104
National Health Expenditure Trends, 1975 to 2010
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.
• Price indices:
– Income and Expenditure Accounts Division and Prices Division, Statistics Canada,
for all years except the latest.
– Purchased from Conference Board of Canada for the latest year.
105
National Health Expenditure Trends, 1975 to 2010
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
• In millions of dollars.
• Percentage distribution (use of funds only).
• Per capita.
• 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).
106
National Health Expenditure Trends, 1975 to 2010
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.
107
Series A—Summary Data, Canada
National Health Expenditure Trends, 1975 to 2010
Table A.1
Total Health Expenditure, Canada, 1975 to 2010—Summary
Year
Total Health Expenditure in Current Dollars
Total
Per Capita
($’000,000)
($)
Total Health Expenditure in Constant 1997 Dollars Total Health Expenditure as a % of GDP
Total
Per Capita
($’000,000)
($)
(%)
1975
1976
12,199.4
14,049.8
527.1
599.1
39,684.0
40,766.5
1,714.7
1,738.5
7.0
7.0
1977
1978
1979
15,450.0
17,106.8
19,169.7
651.2
713.9
792.1
41,609.5
42,940.6
44,203.5
1,753.8
1,791.9
1,826.5
7.0
7.0
6.8
1980
1981
22,298.4
26,276.7
909.5
1,058.7
46,676.2
48,797.9
1,903.9
1,966.0
7.1
7.3
1982
1983
1984
30,759.1
34,038.6
36,743.1
1,224.6
1,341.8
1,434.9
51,097.5
53,090.2
55,046.8
2,034.3
2,092.9
2,149.6
8.1
8.3
8.2
1985
1986
39,841.8
43,337.3
1,541.7
1,660.4
57,475.1
60,274.4
2,224.0
2,309.3
8.2
8.5
1987
1988
1989
46,788.2
50,959.2
56,095.5
1,769.0
1,901.8
2,056.2
61,932.5
64,632.3
67,576.6
2,341.6
2,412.1
2,477.0
8.4
8.3
8.5
1990
1991
61,022.6
66,289.1
2,203.2
2,364.8
69,789.7
72,597.4
2,519.7
2,589.9
9.0
9.7
1992
1993
1994
69,749.2
71,498.9
73,109.7
2,458.8
2,492.8
2,521.1
74,097.1
74,704.7
75,258.0
2,612.1
2,604.6
2,595.2
10.0
9.8
9.5
1995
1996
74,089.2
74,719.1
2,528.4
2,523.4
75,532.7
75,756.0
2,577.7
2,558.4
9.1
8.9
1997
1998
1999
78,737.6
83,958.8
90,186.9
2,632.7
2,784.0
2,966.3
78,737.6
82,736.3
87,321.8
2,632.7
2,743.5
2,872.1
8.9
9.2
9.2
2000
2001
2002
2003
2004
98,421.1
107,060.7
114,947.9
123,530.0
131,642.4
3,207.0
3,451.2
3,664.0
3,899.8
4,114.4
91,909.3
97,939.2
102,147.6
106,991.9
112,030.5
2,994.9
3,157.2
3,256.0
3,377.7
3,501.5
9.1
9.7
10.0
10.2
10.2
2005
2006
2007
2008
2009 f
140,542.2
150,801.6
160,322.8
171,776.8
182,100.1
4,349.5
4,629.2
4,868.3
5,154.2
5,397.2
115,806.7
121,046.3
125,004.8
130,655.5
134,389.4
3,584.0
3,715.8
3,795.9
3,920.4
3,983.1
10.2
10.4
10.5
10.7
11.9
2010 f
191,639.1
5,613.6
137,862.8
4,038.4
11.7
(Annual Percentage Change)*
1976*
1980*
15.2
16.3
13.7
14.8
2.7
5.6
1.4
4.2
-----
1985
1986
1987
1988
1989
8.4
8.8
8.0
8.9
10.1
7.4
7.7
6.5
7.5
8.1
4.4
4.9
2.8
4.4
4.6
3.5
3.8
1.4
3.0
2.7
-----------
1990
1991
8.8
8.6
7.2
7.3
3.3
4.0
1.7
2.8
-----
1992
5.2
4.0
2.1
0.9
---
1993
1994
2.5
2.3
1.4
1.1
0.8
0.7
-0.3
-0.4
-----
1995
1996
1.3
0.9
0.3
-0.2
0.4
0.3
-0.7
-0.7
-----
1997
1998
1999
5.4
6.6
7.4
4.3
5.7
6.5
3.9
5.1
5.5
2.9
4.2
4.7
-------
2000
2001
9.1
8.8
8.1
7.6
5.3
6.6
4.3
5.4
-----
2002
2003
2004
7.4
7.5
6.6
6.2
6.4
5.5
4.3
4.7
4.7
3.1
3.7
3.7
-------
2005
2006
2007
2008
6.8
7.3
6.3
7.1
5.7
6.4
5.2
5.9
3.4
4.5
3.3
4.5
2.4
3.7
2.2
3.3
---------
2009 f
6.0
4.7
2.9
1.6
---
2010 f
5.2
4.0
2.6
1.4
---
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2010.
111 i
National Health Expenditure Trends, 1975 to 2010
Table A.2.1
Total Health Expenditure by Source of Finance, Canada, 1975 to 2010—Current Dollars
Provincial
Government
A
Federal
Direct
B
Municipal
Government
Social
Security Funds
Total
Public Sector
C
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
($’000,000)
Year
1975
1976
8,709.3
10,129.9
398.3
439.7
71.6
105.8
121.1
141.9
9,300.3
10,817.2
2,899.2
3,232.6
12,199.4
14,049.8
1977
1978
1979
11,102.0
12,269.4
13,696.6
475.2
485.6
512.8
114.2
111.7
156.0
153.1
173.8
186.8
11,844.6
13,040.5
14,552.3
3,605.4
4,066.3
4,617.4
15,450.0
17,106.8
19,169.7
1980
1981
15,794.1
18,655.5
582.1
692.7
234.0
275.4
231.7
319.0
16,841.8
19,942.6
5,456.5
6,334.1
22,298.4
26,276.7
1982
1983
1984
22,002.1
24,510.2
26,244.0
854.8
994.9
1,106.1
250.8
222.2
214.5
339.1
352.7
392.3
23,446.8
26,080.0
27,956.9
7,312.3
7,958.6
8,786.3
30,759.1
34,038.6
36,743.1
1985
1986
28,202.8
30,501.5
1,157.7
1,260.8
273.1
310.2
461.3
456.2
30,094.9
32,528.6
9,746.9
10,808.7
39,841.8
43,337.3
1987
1988
1989
32,821.9
35,806.2
39,332.1
1,349.7
1,522.8
1,686.6
404.6
303.5
326.4
478.5
530.3
566.0
35,054.7
38,162.8
41,911.1
11,733.5
12,796.4
14,184.3
46,788.2
50,959.2
56,095.5
1990
1991
42,469.7
46,176.8
1,970.4
2,110.0
364.6
374.7
640.8
720.8
45,445.5
49,382.2
15,577.1
16,906.9
61,022.6
66,289.1
1992
1993
1994
48,337.8
48,572.6
48,885.6
2,199.9
2,280.9
2,519.8
396.9
383.7
446.1
702.6
683.6
683.9
51,637.3
51,920.8
52,535.5
18,112.0
19,578.1
20,574.2
69,749.2
71,498.9
73,109.7
1995
1996
48,936.4
49,081.2
2,667.0
2,606.2
394.9
348.1
720.9
773.1
52,719.1
52,808.6
21,370.1
21,910.5
74,089.2
74,719.1
1997
1998
1999
51,143.6
54,391.6
58,329.8
2,828.0
3,027.5
3,152.9
318.7
765.9
565.4
915.4
1,005.6
1,140.0
55,205.6
59,190.5
63,188.0
23,532.1
24,768.3
26,998.8
78,737.6
83,958.8
90,186.9
2000
2001
2002
2003
2004
63,632.5
68,539.3
73,485.3
79,324.6
84,606.6
3,614.5
4,263.1
4,141.1
4,688.7
4,784.9
690.3
775.8
825.4
921.5
1,056.8
1,323.1
1,421.4
1,499.0
1,725.8
1,836.8
69,260.4
74,999.7
79,950.9
86,660.7
92,285.0
29,160.7
32,061.0
34,997.1
36,869.3
39,357.4
98,421.1
107,060.7
114,947.9
123,530.0
131,642.4
2005
2006
2007
2008
2009 f
90,723.1
96,743.7
103,676.9
111,758.0
118,974.9
4,993.0
5,321.7
5,779.1
6,050.2
6,345.7
1,008.8
1,032.5
962.4
894.1
883.7
1,924.5
2,058.1
2,144.2
2,349.8
2,371.9
98,649.5
105,155.9
112,562.7
121,052.1
128,576.2
41,892.7
45,645.7
47,760.1
50,724.7
53,523.9
140,542.2
150,801.6
160,322.8
171,776.8
182,100.1
2010 f
125,045.9
6,652.5
880.6
2,490.3
135,069.4
56,569.7
191,639.1
(Annual Percentage Change)*
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
7.5
8.2
7.6
9.1
4.7
8.9
7.1
12.8
27.3
13.6
30.4
-25.0
17.6
-1.1
4.9
10.8
7.6
8.1
7.8
8.9
10.9
10.9
8.6
9.1
8.4
8.8
8.0
8.9
1989
9.8
10.8
7.6
6.7
9.8
10.8
10.1
1990
8.0
16.8
11.7
13.2
8.4
9.8
8.8
1991
1992
1993
8.7
4.7
0.5
7.1
4.3
3.7
2.8
6.0
-3.3
12.5
-2.5
-2.7
8.7
4.6
0.5
8.5
7.1
8.1
8.6
5.2
2.5
1994
0.6
10.5
16.2
0.0
1.2
5.1
2.3
1995
0.1
5.8
-11.5
5.4
0.3
3.9
1.3
1996
1997
1998
0.3
4.2
6.4
-2.3
8.5
7.1
-11.9
-8.4
140.3
7.2
18.4
9.9
0.2
4.5
7.2
2.5
7.4
5.3
0.9
5.4
6.6
1999
7.2
4.1
-26.2
13.4
6.8
9.0
7.4
2000
9.1
14.6
22.1
16.1
9.6
8.0
9.1
2001
2002
2003
7.7
7.2
7.9
17.9
-2.9
13.2
12.4
6.4
11.6
7.4
5.5
15.1
8.3
6.6
8.4
9.9
9.2
5.3
8.8
7.4
7.5
2004
6.7
2.1
14.7
6.4
6.5
6.7
6.6
2005
7.2
4.4
-4.5
4.8
6.9
6.4
6.8
2006
2007
2008
6.6
7.2
7.8
6.6
8.6
4.7
2.3
-6.8
-7.1
6.9
4.2
9.6
6.6
7.0
7.5
9.0
4.6
6.2
7.3
6.3
7.1
2009 f
6.5
4.9
-1.2
0.9
6.2
5.5
6.0
2010 f
5.1
4.8
-0.3
5.0
5.1
5.7
5.2
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
8112
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table A.2.2
Total Health Expenditure by Source of Finance, Canada, 1975 to 2010—Current Dollars
Provincial
Government
A
Federal
Direct
B
Municipal
Government
C
Social
Security Funds
Total
Public Sector
D
A+B+C+D
E
Private
Sector
Total
F
E+F
G
(Percentage Distribution of $’000,000)
Year
1975
1976
71.4
72.1
3.3
3.1
0.6
0.8
1.0
1.0
76.2
77.0
23.8
23.0
100.0
100.0
1977
1978
1979
71.9
71.7
71.4
3.1
2.8
2.7
0.7
0.7
0.8
1.0
1.0
1.0
76.7
76.2
75.9
23.3
23.8
24.1
100.0
100.0
100.0
1980
1981
70.8
71.0
2.6
2.6
1.0
1.0
1.0
1.2
75.5
75.9
24.5
24.1
100.0
100.0
1982
1983
1984
71.5
72.0
71.4
2.8
2.9
3.0
0.8
0.7
0.6
1.1
1.0
1.1
76.2
76.6
76.1
23.8
23.4
23.9
100.0
100.0
100.0
1985
1986
70.8
70.4
2.9
2.9
0.7
0.7
1.2
1.1
75.5
75.1
24.5
24.9
100.0
100.0
1987
1988
1989
70.1
70.3
70.1
2.9
3.0
3.0
0.9
0.6
0.6
1.0
1.0
1.0
74.9
74.9
74.7
25.1
25.1
25.3
100.0
100.0
100.0
1990
1991
69.6
69.7
3.2
3.2
0.6
0.6
1.1
1.1
74.5
74.5
25.5
25.5
100.0
100.0
1992
1993
1994
69.3
67.9
66.9
3.2
3.2
3.4
0.6
0.5
0.6
1.0
1.0
0.9
74.0
72.6
71.9
26.0
27.4
28.1
100.0
100.0
100.0
1995
1996
66.1
65.7
3.6
3.5
0.5
0.5
1.0
1.0
71.2
70.7
28.8
29.3
100.0
100.0
1997
1998
1999
65.0
64.8
64.7
3.6
3.6
3.5
0.4
0.9
0.6
1.2
1.2
1.3
70.1
70.5
70.1
29.9
29.5
29.9
100.0
100.0
100.0
2000
2001
2002
2003
2004
64.7
64.0
63.9
64.2
64.3
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
70.4
70.1
69.6
70.2
70.1
29.6
29.9
30.4
29.8
29.9
100.0
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009 f
64.6
64 2
64.2
64.7
65.1
65.3
3.6
35
3.5
3.6
3.5
3.5
0.7
07
0.7
0.6
0.5
0.5
1.4
14
1.4
1.3
1.4
1.3
70.2
69 7
69.7
70.2
70.5
70.6
29.8
30 3
30.3
29.8
29.5
29.4
100.0
100 0
100.0
100.0
100.0
100.0
2010 f
65.3
3.5
0.5
1.3
70.5
29.5
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
-0.9
-3.5
17.4
8.5
-0.7
2.3
---
1986
1987
1988
-0.6
-0.3
0.2
0.1
-0.8
3.6
4.4
20.8
-31.1
-9.1
-2.8
1.8
-0.6
-0.2
0.0
1.9
0.5
0.1
-------
1989
-0.2
0.6
-2.3
-3.0
-0.2
0.7
---
1990
-0.7
7.4
2.7
4.1
-0.3
1.0
---
1991
1992
1993
0.1
-0.5
-2.0
-1.4
-0.9
1.1
-5.4
0.7
-5.7
3.6
-7.4
-5.1
0.0
-0.6
-1.9
-0.1
1.8
5.4
-------
1994
-1.6
8.0
13.7
-2.2
-1.0
2.8
---
(Annual Percentage Change)*
1995
-1.2
4.4
-12.6
4.0
-1.0
2.5
---
1996
1997
1998
-0.5
-1.1
-0.3
-3.1
3.0
0.4
-12.6
-13.1
125.4
6.3
12.4
3.0
-0.7
-0.8
0.6
1.7
1.9
-1.3
-------
1999
-0.2
-3.0
-31.3
5.5
-0.6
1.5
---
2000
0.0
5.0
11.9
6.4
0.4
-1.0
---
2001
2002
2003
-1.0
-0.1
0.4
8.4
-9.5
5.4
3.3
-0.9
3.9
-1.2
-1.8
7.1
-0.5
-0.7
0.9
1.1
1.7
-2.0
-------
2004
0.1
-4.2
7.6
-0.1
-0.1
0.2
---
2005
0.4
-2.3
-10.6
-1.9
0.1
-0.3
---
2006
2007
2008
-0.6
0.8
0.6
-0.7
2.1
-2.3
-4.6
-12.3
-13.3
-0.3
-2.0
2.3
-0.7
0.7
0.4
1.5
-1.6
-0.9
-------
2009 f
0.4
-1.1
-6.8
-4.8
0.2
-0.5
---
2010 f
-0.1
-0.4
-5.3
-0.2
-0.2
0.4
---
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2010.
113 i
National Health Expenditure Trends, 1975 to 2010
Table A.2.3
Total Health Expenditure by Source of Finance, Canada, 1975 to 2010—Current Dollars
Provincial
Government
A
Federal
Direct
B
Municipal
Government
Social
Security Funds
Total
Public Sector
C
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
($’ per Capita)
Year
1975
1976
376.32
431.98
17.21
18.75
3.10
4.51
5.23
6.05
401.86
461.29
125.27
137.85
527.13
599.14
1977
1978
1979
467.93
512.01
565.93
20.03
20.26
21.19
4.81
4.66
6.45
6.45
7.25
7.72
499.22
544.19
601.29
151.96
169.69
190.79
651.19
713.87
792.08
1980
1981
644.23
751.62
23.74
27.91
9.54
11.10
9.45
12.85
686.97
803.48
222.57
255.20
909.54
1,058.67
1982
1983
1984
875.97
966.22
1,024.85
34.03
39.22
43.20
9.99
8.76
8.38
13.50
13.90
15.32
933.49
1,028.11
1,091.74
291.12
313.74
343.11
1,224.61
1,341.85
1,434.85
1985
1986
1,091.32
1,168.59
44.80
48.30
10.57
11.88
17.85
17.48
1,164.54
1,246.25
377.16
414.11
1,541.70
1,660.36
1987
1988
1989
1,240.96
1,336.28
1,441.70
51.03
56.83
61.82
15.30
11.33
11.97
18.09
19.79
20.75
1,325.38
1,424.23
1,536.23
443.63
477.56
519.92
1,769.01
1,901.79
2,056.15
1990
1991
1,533.34
1,647.32
71.14
75.27
13.16
13.37
23.13
25.71
1,640.78
1,761.68
562.40
603.14
2,203.18
2,364.82
1992
1993
1994
1,704.03
1,693.50
1,685.76
77.55
79.52
86.89
13.99
13.38
15.38
24.77
23.83
23.59
1,820.34
1,810.23
1,811.62
638.49
682.59
709.48
2,458.83
2,492.83
2,521.10
1995
1996
1,670.06
1,657.54
91.02
88.02
13.48
11.75
24.60
26.11
1,799.15
1,783.42
729.30
739.95
2,528.45
2,523.36
1997
1998
1999
1,710.06
1,803.61
1,918.50
94.56
100.39
103.70
10.66
25.40
18.60
30.61
33.35
37.49
1,845.88
1,962.74
2,078.29
786.83
821.31
888.01
2,632.72
2,784.05
2,966.29
2000
2001
2002
2003
2004
2,073.46
2,209.43
2,342.34
2,504.24
2,644.35
117.78
137.42
132.00
148.02
149.55
22.49
25.01
26.31
29.09
33.03
43.11
45.82
47.78
54.48
57.41
2,256.84
2,417.69
2,548.43
2,735.84
2,884.34
950.20
1,033.52
1,115.53
1,163.95
1,230.10
3,207.04
3,451.20
3,663.96
3,899.79
4,114.44
2005
2006
2007
2008
2009 f
2,807.72
2,969.78
2
969 78
3,148.22
3,353.34
3,526.24
154.53
163.36
163
36
175.49
181.54
188.08
31.22
31.69
31
69
29.23
26.83
26.19
59.56
63.18
63
18
65.11
70.51
70.30
3,053.02
3,228.01
3
228 01
3,418.04
3,632.22
3,810.81
1,296.50
1,401.20
1
401 20
1,450.27
1,522.01
1,586.37
4,349.52
4,629.21
4
629 21
4,868.30
5,154.23
5,397.18
2010 f
3,662.93
194.87
25.80
72.95
3,956.55
1,657.08
5,613.63
(Annual Percentage Change)*
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
6.5
3.7
26.1
16.5
6.7
9.9
7.4
1986
1987
1988
7.1
6.2
7.7
7.8
5.6
11.4
12.5
28.7
-26.0
-2.1
3.5
9.4
7.0
6.3
7.5
9.8
7.1
7.6
7.7
6.5
7.5
1989
7.9
8.8
5.6
4.8
7.9
8.9
8.1
1990
6.4
15.1
10.0
11.5
6.8
8.2
7.2
1991
1992
1993
7.4
3.4
-0.6
5.8
3.0
2.5
1.5
4.7
-4.4
11.1
-3.7
-3.8
7.4
3.3
-0.6
7.2
5.9
6.9
7.3
4.0
1.4
1994
-0.5
9.3
15.0
-1.0
0.1
3.9
1.1
1995
-0.9
4.7
-12.4
4.3
-0.7
2.8
0.3
1996
1997
1998
-0.7
3.2
5.5
-3.3
7.4
6.2
-12.8
-9.4
138.3
6.1
17.2
8.9
-0.9
3.5
6.3
1.5
6.3
4.4
-0.2
4.3
5.7
1999
6.4
3.3
-26.8
12.4
5.9
8.1
6.5
2000
8.1
13.6
21.0
15.0
8.6
7.0
8.1
2001
2002
2003
6.6
6.0
6.9
16.7
-3.9
12.1
11.2
5.2
10.6
6.3
4.3
14.0
7.1
5.4
7.4
8.8
7.9
4.3
7.6
6.2
6.4
2004
5.6
1.0
13.5
5.4
5.4
5.7
5.5
2005
6.2
3.3
-5.5
3.8
5.8
5.4
5.7
2006
2007
2008
5.8
6.0
6.5
5.7
7.4
3.4
1.5
-7.8
-8.2
6.1
3.1
8.3
5.7
5.9
6.3
8.1
3.5
4.9
6.4
5.2
5.9
2009 f
5.2
3.6
-2.4
-0.3
4.9
4.2
4.7
2010 f
3.9
3.6
-1.5
3.8
3.8
4.5
4.0
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
8114
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table A.2.4
Total Health Expenditure by Source of Finance, Canada, 1975 to 2010—Constant Dollars
Provincial
Government
A
Federal
Direct
B
Municipal
Government
C
Social
Security Funds
Total
Public Sector
Private
Sector
Total
A+B+C+D
E
F
E+F
G
D
(In 1997 $’000,000)
Year
1975
1976
27,834.3
28,659.5
1,272.1
1,247.3
230.4
304.7
389.4
403.8
29,726.3
30,615.2
9,957.7
10,151.2
39,684.0
40,766.5
1977
1978
1979
28,970.1
29,826.1
30,367.9
1,243.4
1,184.5
1,140.9
304.7
277.9
354.1
402.6
425.3
417.5
30,920.8
31,713.8
32,280.4
10,688.7
11,226.8
11,923.1
41,609.5
42,940.6
44,203.5
1980
1981
31,774.8
33,201.3
1,174.0
1,236.2
482.4
501.6
469.8
572.2
33,901.0
35,511.3
12,775.2
13,286.6
46,676.2
48,797.9
1982
1983
1984
35,100.5
37,028.8
38,230.8
1,370.6
1,503.6
1,609.6
410.0
342.1
318.2
544.4
537.8
574.5
37,425.5
39,412.3
40,733.1
13,672.1
13,677.9
14,313.7
51,097.5
53,090.2
55,046.8
1985
1986
39,681.7
41,604.7
1,629.3
1,719.5
389.1
423.9
650.0
623.4
42,350.1
44,371.5
15,125.0
15,902.9
57,475.1
60,274.4
1987
1988
1989
42,868.1
45,077.1
47,023.6
1,764.7
1,918.1
2,017.2
526.9
382.4
389.3
625.8
668.9
676.5
45,785.5
48,046.4
50,106.7
16,147.0
16,585.9
17,469.9
61,932.5
64,632.3
67,576.6
1990
1991
48,187.1
50,300.9
2,237.4
2,304.4
413.7
409.0
727.1
784.7
51,565.3
53,799.0
18,224.5
18,798.4
69,789.7
72,597.4
1992
1993
1994
51,154.3
50,743.2
50,294.9
2,336.9
2,393.3
2,599.6
420.6
401.3
461.7
744.6
715.3
705.2
54,656.3
54,253.2
54,061.4
19,440.8
20,451.6
21,196.6
74,097.1
74,704.7
75,258.0
1995
1996
49,791.4
49,756.5
2,718.3
2,642.4
403.6
353.2
734.5
784.1
53,647.7
53,536.2
21,885.0
22,219.8
75,532.7
75,756.0
1997
1998
1999
51,143.6
53,777.4
56,792.1
2,828.0
2,992.0
3,065.2
318.7
754.3
551.7
915.4
996.2
1,108.7
55,205.6
58,519.9
61,517.7
23,532.1
24,216.4
25,802.6
78,737.6
82,736.3
87,320.3
2000
2001
2002
2003
2004
59,403.3
62,836.1
65,149.2
68,327.4
71,632.7
3,369.1
3,901.8
3,664.1
4,036.5
4,041.9
647.5
716.5
736.4
799.5
896.6
1,232.3
1,300.0
1,325.2
1,474.3
1,552.3
64,652.1
68,754.4
70,874.8
74,637.7
78,123.4
27,256.0
29,183.5
31,271.4
32,352.7
33,905.7
91,908.1
97,937.9
102,146.2
106,990.4
112,029.1
2005
2006
2007
2008
2009 f
74,208.2
76,898.2
76
898 2
79,739.3
83,604.8
86,223.2
4,073.6
4,219.7
4
219 7
4,431.8
4,507.6
4,581.6
824.4
821.2
821
2
741.9
664.6
634.6
1,571.6
1,639.8
1
639 8
1,644.4
1,768.8
1,735.9
80,677.8
83,578.9
83
578 9
86,557.4
90,545.8
93,175.4
35,127.5
37,466.0
37
466 0
38,446.0
40,108.3
41,212.5
115,805.3
121,044.9
121
044 9
125,003.4
130,654.0
134,387.9
2010 f
88,110.6
4,668.1
612.7
1,781.3
95,172.6
42,688.5
137,861.2
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
3.8
4.8
3.0
1.2
5.5
2.6
22.3
8.9
24.3
13.1
-4.1
0.4
4.0
4.8
3.2
5.7
5.1
1.5
4.4
4.9
2.8
1988
1989
5.2
4.3
8.7
5.2
-27.4
1.8
6.9
1.1
4.9
4.3
2.7
5.3
4.4
4.6
1990
1991
1992
2.5
4.4
1.7
10.9
3.0
1.4
6.3
-1.1
2.8
7.5
7.9
-5.1
2.9
4.3
1.6
4.3
3.1
3.4
3.3
4.0
2.1
1993
1994
-0.8
-0.9
2.4
8.6
-4.6
15.0
-3.9
-1.4
-0.7
-0.4
5.2
3.6
0.8
0.7
1995
1996
1997
-1.0
-0.1
2.8
4.6
-2.8
7.0
-12.6
-12.5
-9.8
4.1
6.8
16.7
-0.8
-0.2
3.1
3.2
1.5
5.9
0.4
0.3
3.9
1998
1999
5.1
5.6
5.8
2.4
136.7
-26.9
8.8
11.3
6.0
5.1
2.9
6.5
5.1
5.5
2000
2001
2002
4.6
5.8
3.7
9.9
15.8
-6.1
17.4
10.7
2.8
11.2
5.5
1.9
5.1
6.3
3.1
5.6
7.1
7.2
5.3
6.6
4.3
2003
2004
4.9
4.8
10.2
0.1
8.6
12.1
11.3
5.3
5.3
4.7
3.5
4.8
4.7
4.7
2005
2006
2007
3.6
3.6
3.7
0.8
3.6
5.0
-8.0
-0.4
-9.7
1.2
4.3
0.3
3.3
3.6
3.6
3.6
6.7
2.6
3.4
4.5
3.3
2008
4.8
1.7
-10.4
7.6
4.6
4.3
4.5
2009 f
3.1
1.6
-4.5
-1.9
2.9
2.8
2.9
2010 f
2.2
1.9
-3.5
2.6
2.1
3.6
2.6
(Annual Percentage Change)*
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2010.
115 i
National Health Expenditure Trends, 1975 to 2010
Table A.2.5
Total Health Expenditure by Source of Finance, Canada, 1975 to 2010—Constant Dollars
Provincial
Government
A
Federal
Direct
B
Municipal
Government
C
Social
Security Funds
Total
Public Sector
Private
Sector
Total
A+B+C+D
E
F
E+F
G
D
(In 1997 $’ per Capita)
Year
1975
1976
1,202.70
1,222.16
54.97
53.19
9.96
12.99
16.82
17.22
1,284.45
1,305.57
430.26
432.89
1,714.71
1,738.46
1977
1978
1979
1,221.03
1,244.65
1,254.78
52.40
49.43
47.14
12.84
11.60
14.63
16.97
17.75
17.25
1,303.25
1,323.43
1,333.80
450.51
468.50
492.65
1,753.76
1,791.93
1,826.46
1980
1981
1,296.08
1,337.66
47.89
49.80
19.68
20.21
19.16
23.06
1,382.81
1,430.73
521.09
535.31
1,903.90
1,966.04
1982
1983
1984
1,397.45
1,459.72
1,492.94
54.57
59.28
62.86
16.32
13.49
12.42
21.67
21.20
22.44
1,490.02
1,553.68
1,590.66
544.33
539.20
558.96
2,034.35
2,092.89
2,149.62
1985
1986
1,535.51
1,593.98
63.05
65.88
15.06
16.24
25.15
23.88
1,638.76
1,699.98
585.27
609.28
2,224.03
2,309.26
1987
1988
1989
1,620.79
1,682.27
1,723.63
66.72
71.58
73.94
19.92
14.27
14.27
23.66
24.96
24.80
1,731.10
1,793.09
1,836.64
610.50
618.98
640.35
2,341.60
2,412.07
2,476.98
1990
1991
1,739.76
1,794.45
80.78
82.21
14.94
14.59
26.25
27.99
1,861.73
1,919.24
657.98
670.62
2,519.71
2,589.86
1992
1993
1994
1,803.31
1,769.18
1,734.36
82.38
83.44
89.64
14.83
13.99
15.92
26.25
24.94
24.32
1,926.77
1,891.55
1,864.24
685.34
713.05
730.94
2,612.10
2,604.60
2,595.18
1995
1996
1,699.23
1,680.34
92.77
89.24
13.77
11.93
25.06
26.48
1,830.84
1,807.99
746.87
750.39
2,577.71
2,558.38
1997
1998
1999
1,710.06
1,783.24
1,867.92
94.56
99.21
100.82
10.66
25.01
18.15
30.61
33.03
36.46
1,845.88
1,940.50
2,023.35
786.83
803.01
848.66
2,632.72
2,743.51
2,872.01
2000
2001
2002
2003
2004
1,935.65
2,025.58
2,076.63
2,157.06
2,238.86
109.78
125.78
116.79
127.43
126.33
21.10
23.10
23.47
25.24
28.02
40.15
41.91
42.24
46.54
48.52
2,106.69
2,216.36
2,259.13
2,356.28
2,441.72
888.13
940.76
996.77
1,021.36
1,059.71
2,994.82
3,157.12
3,255.91
3,377.64
3,501.43
2005
2006
2007
2008
2009 f
2,296.61
2,360.57
2
360 57
2,421.34
2,508.59
2,555.53
126.07
129.53
129
53
134.57
135.25
135.79
25.52
25.21
25
21
22.53
19.94
18.81
48.64
50.34
50
34
49.93
53.07
51.45
2,496.83
2,565.65
2
565 65
2,628.37
2,716.86
2,761.58
1,087.13
1,150.11
1
150 11
1,167.44
1,203.46
1,221.48
3,583.96
3,715.76
3
715 76
3,795.81
3,920.33
3,983.06
2010 f
2,581.00
136.74
17.95
52.18
2,787.86
1,250.46
4,038.33
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
2.9
3.8
1.7
0.3
4.5
1.3
21.2
7.9
22.7
12.1
-5.0
-0.9
3.0
3.7
1.8
4.7
4.1
0.2
3.5
3.8
1.4
1988
1989
3.8
2.5
7.3
3.3
-28.4
0.0
5.5
-0.7
3.6
2.4
1.4
3.5
3.0
2.7
1990
1991
1992
0.9
3.1
0.5
9.2
1.8
0.2
4.7
-2.3
1.6
5.9
6.6
-6.2
1.4
3.1
0.4
2.8
1.9
2.2
1.7
2.8
0.9
1993
1994
-1.9
-2.0
1.3
7.4
-5.6
13.8
-5.0
-2.5
-1.8
-1.4
4.0
2.5
-0.3
-0.4
(Annual Percentage Change)*
1995
-2.0
3.5
-13.5
3.1
-1.8
2.2
-0.7
1996
1997
-1.1
1.8
-3.8
6.0
-13.4
-10.7
5.6
15.6
-1.2
2.1
0.5
4.9
-0.7
2.9
1998
1999
4.3
4.7
4.9
1.6
134.8
-27.5
7.9
10.4
5.1
4.3
2.1
5.7
4.2
4.7
2000
2001
2002
3.6
4.6
2.5
8.9
14.6
-7.1
16.3
9.5
1.6
10.1
4.4
0.8
4.1
5.2
1.9
4.7
5.9
6.0
4.3
5.4
3.1
2003
2004
3.9
3.8
9.1
-0.9
7.5
11.0
10.2
4.2
4.3
3.6
2.5
3.8
3.7
3.7
2005
2006
2007
2008
2009 f
2.6
2.8
2.6
3.6
1.9
-0.2
2.7
3.9
0.5
0.4
-8.9
-1.2
-10.6
-11.5
-5.7
0.3
3.5
-0.8
6.3
-3.1
2.3
2.8
2.4
3.4
1.6
2.6
5.8
1.5
3.1
1.5
2.4
3.7
2.2
3.3
1.6
2010 f
1.0
0.7
-4.6
1.4
1.0
2.4
1.4
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
8116
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table A.3.1.1—Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars
Hospitals Other Institutions
A
B
Physicians
Dental Services
Other Professionals
Vision Care
Services
Other
C
Subtotal
D
Year
($’000,000)
1975
1976
5,454.9
6,357.3
1,125.0
1,368.6
1,839.9
2,071.0
741.7
869.1
226.1
260.1
128.4
145.5
1,096.2
1,274.7
1977
1978
1979
6,792.8
7,382.0
8,114.1
1,577.0
1,851.8
2,171.7
2,284.4
2,566.7
2,857.1
1,034.6
1,191.3
1,374.5
295.8
336.0
365.8
162.6
186.3
219.2
1,493.0
1,713.5
1,959.5
1980
1981
9,334.4
11,030.7
2,539.6
2,889.9
3,287.5
3,824.8
1,592.0
1,811.8
414.4
513.6
255.4
303.7
2,261.7
2,629.1
1982
1983
1984
13,092.8
14,417.6
15,344.8
3,384.8
3,741.6
3,915.5
4,420.8
5,052.7
5,525.9
2,072.7
2,225.7
2,402.3
609.8
715.0
829.4
357.3
411.6
452.2
3,039.8
3,352.4
3,683.8
1985
1986
16,260.3
17,637.2
4,105.9
4,087.3
6,045.7
6,674.8
2,711.3
2,959.6
925.9
1,002.2
496.4
562.0
4,133.6
4,523.8
1987
1988
1989
18,951.1
20,400.3
22,270.1
4,329.2
4,738.7
5,141.3
7,342.8
7,942.1
8,506.7
3,203.6
3,494.0
3,820.7
1,075.6
1,184.2
1,302.3
634.3
715.6
833.8
4,913.5
5,393.8
5,956.7
1990
1991
23,866.4
25,716.3
5,748.2
6,345.2
9,245.1
10,205.5
4,139.0
4,467.5
1,402.7
1,484.8
956.6
1,082.7
6,498.3
7,035.0
1992
1993
1994
26,670.3
26,744.3
26,172.3
6,788.4
6,797.2
6,922.9
10,448.5
10,498.9
10,731.6
4,690.2
4,926.9
5,217.1
1,535.0
1,587.0
1,683.0
1,171.6
1,220.4
1,253.7
7,396.8
7,734.3
8,153.8
1995
1996
25,511.6
25,205.2
7,153.2
7,308.6
10,638.0
10,758.8
5,485.2
5,663.4
1,774.4
1,830.1
1,295.7
1,336.7
8,555.3
8,830.2
1997
1998
1999
24,777.8
25,757.2
26,843.5
8,619.6
9,372.7
9,955.4
11,323.8
11,805.3
12,411.3
5,885.8
6,264.6
6,760.7
2,189.2
2,278.1
2,348.8
1,524.8
1,506.9
1,704.3
9,599.8
10,049.7
10,813.7
2000
2001
2002
2003
2004
29,110.4
30,964.5
33,484.9
36,003.2
38,844.1
10,806.5
11,495.0
12,242.9
12,939.1
14,057.6
13,221.7
14,149.6
15,024.9
15,837.2
16,722.9
7,179.5
7,764.5
8,248.1
8,477.0
8,976.2
2,576.4
2,761.1
2,800.0
2,681.9
3,062.7
1,785.7
2,000.3
2,015.8
2,051.4
2,143.9
11,541.6
12,525.8
13,063.9
13,210.3
14,182.8
2005
2006
2007
2008
2009 f
40,985.5
43,615.2
46,087.2
49,376.6
52,120.9
14,459.4
15,442.7
16,123.3
16,976.0
17,673.8
17,899.4
19,352.8
20,814.4
22,932.2
24,614.7
9,827.0
10,368.9
11,113.4
11,840.8
12,633.3
3,182.9
3,444.0
3,769.9
3,927.4
4,221.5
2,172.7
2,486.9
2,458.8
2,754.7
2,947.8
15,182.6
16,299.9
17,342.1
18,522.8
19,802.6
2010 f
55,340.4
18,573.1
26,303.1
13,617.7
4,557.8
3,135.1
21,310.6
(Annual Percentage Change)*
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
1986
1987
6.0
8.5
7.4
4.9
-0.5
5.9
9.4
10.4
10.0
12.9
9.2
8.2
11.6
8.2
7.3
9.8
13.2
12.9
12.2
9.4
8.6
1988
1989
7.6
9.2
9.5
8.5
8.2
7.1
9.1
9.3
10.1
10.0
12.8
16.5
9.8
10.4
1990
1991
7.2
7.8
11.8
10.4
8.7
10.4
8.3
7.9
7.7
5.8
14.7
13.2
9.1
8.3
1992
3.7
7.0
2.4
5.0
3.4
8.2
5.1
1993
1994
0.3
-2.1
0.1
1.8
0.5
2.2
5.0
5.9
3.4
6.1
4.2
2.7
4.6
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
3.4
3.2
14.1
4.9
3.2
8.7
1998
1999
4.0
4.2
8.7
6.2
4.3
5.1
6.4
7.9
4.1
3.1
-1.2
13.1
4.7
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
8.1
6.2
2.8
5.9
9.7
7.2
1.4
-4.2
14.2
4.8
12.0
0.8
1.8
4.5
6.7
8.5
4.3
1.1
7.4
2005
2006
2007
2008
2009 f
5.5
6.4
5.7
7.1
5.6
2.9
6.8
4.4
5.3
4.1
7.0
8.1
7.6
10.2
7.3
9.5
5.5
7.2
6.5
6.7
3.9
8.2
9.5
4.2
7.5
1.3
14.5
-1.1
12.0
7.0
7.0
7.4
6.4
6.8
6.9
2010 f
6.2
5.1
6.9
7.8
8.0
6.4
7.6
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
8118
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table A.3.1.1—Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
E
Capital
F
Public Health Administration
G
Other Health Spending
Health
Research
Other
H
Subtotal
Grand Total
J
A+B+C+D+
E+F+G+H+J
($’000,000)
771.7
883.4
305.6
316.0
1,077.3
1,199.4
536.1
544.1
406.8
510.6
343.6
361.9
93.7
105.4
226.0
256.7
319.7
362.1
12,199.4
14,049.8
987.9
1,052.7
1,162.9
324.5
392.8
495.5
1,312.4
1,445.5
1,658.4
563.7
672.2
725.2
598.5
615.4
707.0
408.3
406.7
451.8
129.4
150.4
173.7
290.3
302.5
351.3
419.7
452.9
524.9
15,450.0
17,106.8
19,169.7
1,298.4
1,677.1
586.3
655.0
1,884.6
2,332.1
990.7
1,111.2
845.4
1,006.1
512.3
631.5
202.5
231.2
439.5
590.2
642.1
821.3
22,298.4
26,276.7
1,924.1
2,107.1
2,255.6
715.0
845.9
1,058.6
2,639.1
2,953.0
3,314.2
1,394.8
1,436.6
1,504.1
1,149.7
1,241.4
1,376.5
693.3
763.6
897.6
258.0
297.3
336.9
686.1
782.4
843.7
944.1
1,079.7
1,180.6
30,759.1
34,038.6
36,743.1
2,566.5
3,018.0
1,235.9
1,399.0
3,802.3
4,417.1
1,651.2
1,801.4
1,515.7
1,570.2
966.1
1,030.6
381.2
452.8
979.8
1,142.1
1,361.0
1,594.9
39,841.8
43,337.3
3,293.1
3,736.8
4,262.9
1,621.7
1,784.9
1,975.6
4,914.9
5,521.7
6,238.5
1,871.8
1,901.7
2,092.8
1,661.0
1,786.6
1,953.6
1,060.1
1,225.5
1,525.0
452.0
507.1
588.4
1,291.9
1,541.7
1,822.4
1,743.9
2,048.8
2,410.8
46,788.2
50,959.2
56,095.5
4,871.8
5,468.7
2,058.7
2,236.6
6,930.5
7,705.3
2,123.7
2,027.5
2,138.5
2,316.5
1,657.3
1,780.5
667.7
698.6
2,146.9
2,458.9
2,814.6
3,157.5
61,022.6
66,289.1
6,100.7
6,603.5
6,760.9
2,418.1
2,576.0
2,764.0
8,518.8
9,179.6
9,524.9
2,058.0
2,016.9
2,272.8
2,539.6
2,761.5
3,059.8
1,873.5
2,071.0
2,298.4
806.5
793.5
804.2
2,648.7
2,901.7
3,168.8
3,455.2
3,695.2
3,973.0
69,749.2
71,498.9
73,109.7
7,399.0
7,602.1
2,788.4
2,846.7
10,187.4
10,448.9
2,263.1
2,160.0
3,245.0
3,371.5
2,429.9
2,489.6
808.2
819.9
3,297.5
3,326.5
4,105.6
4,146.3
74,089.2
74,719.1
8,531.3
9,451.1
10,240.6
2,975.7
3,171.3
3,358.8
11,507.0
12,622.4
13,599.4
2,122.0
2,301.5
3,508.9
3,510.1
4,400.7
4,769.4
2,515.9
2,455.4
2,759.9
1,089.7
1,165.4
1,142.6
3,671.8
4,028.5
4,382.6
4,761.5
5,193.9
5,525.3
78,737.6
83,958.8
90,186.9
11,724.7
13,166.6
14,750.9
16,413.9
17,855.8
3,420.3
3,536.4
3,684.7
3,762.2
3,930.2
15,144.9
16,703.0
18,435.6
20,176.1
21,786.0
3,965.5
4,508.7
4,933.0
5,601.6
5,510.2
5,426.7
6,234.4
6,523.6
7,636.8
7,772.1
3,101.6
3,731.2
4,215.2
4,704.8
4,987.4
1,405.1
1,918.8
1,908.5
2,152.4
2,323.5
4,697.1
4,829.7
5,115.4
5,268.5
5,455.7
6,102.2
6,748.4
7,023.9
7,420.9
7,779.2
98,421.1
107,060.7
114,947.9
123,530.0
131,642.4
19,109.9
20,830.9
21,963.9
23,445.0
24,955.8
4,084.0
4,263.2
4,439.9
4,515.7
4,754.1
23,193.8
25,094.1
26,403.8
27,960.7
29,710.0
6,597.0
7,241.0
7,255.8
8,192.5
8,950.4
8,613.0
9,291.1
10,555.9
11,051.0
11,606.7
5,226.9
5,259.5
5,682.8
5,836.0
6,125.9
2,391.2
2,733.4
2,988.5
3,225.8
3,420.7
5,993.3
6,471.7
7,069.0
7,703.3
8,074.4
8,384.6
9,205.1
10,057.5
10,929.1
11,495.1
140,542.2
150,801.6
160,322.8
171,776.8
182,100.1
26,113.2
5,029.7
31,142.9
8,148.7
12,206.0
6,408.6
3,494.0
8,711.8
12,205.8
191,639.1
(Annual Percentage Change)*
14.5
11.7
3.4
18.3
11.3
13.6
1.5
36.6
25.5
19.6
5.3
13.4
12.5
16.6
13.6
25.1
13.2
22.3
15.2
16.3
13.8
17.6
9.1
16.7
13.2
15.9
14.7
16.2
11.3
9.8
9.1
3.9
10.1
3.6
5.8
7.6
6.7
2.9
13.1
18.8
-0.2
16.1
16.6
13.1
15.3
17.2
9.3
8.4
8.8
8.0
13.5
14.1
10.1
10.7
12.3
13.0
1.6
10.0
7.6
9.3
15.6
24.4
12.2
16.0
19.3
18.2
17.5
17.7
8.9
10.1
14.3
12.3
4.2
8.6
11.1
11.2
1.5
-4.5
9.5
8.3
8.7
7.4
13.5
4.6
17.8
14.5
16.8
12.2
8.8
8.6
11.6
8.1
10.6
1.5
9.6
5.2
15.4
7.7
9.4
5.2
8.2
2.4
6.5
7.3
7.8
3.8
-2.0
12.7
8.7
10.8
10.5
11.0
-1.6
1.4
9.6
9.2
6.9
7.5
2.5
2.3
9.4
2.7
12.2
0.9
2.1
4.5
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
0.9
5.4
10.8
8.4
6.6
5.9
9.7
7.7
8.5
52.5
25.4
8.4
-2.4
12.4
7.0
-2.0
9.7
8.8
9.1
6.4
6.6
7.4
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
1.8
12.4
20.3
13.0
11.6
6.0
23.0
36.6
-0.5
12.8
7.9
7.2
2.8
5.9
3.0
3.6
10.4
10.6
4.1
5.7
4.8
9.1
8.8
7.4
7.5
6.6
7.0
9.0
5.4
6.7
6.4
3.9
4.4
4.1
1.7
5.3
6.5
8.2
5.2
5.9
6.3
19.7
9.8
0.2
12.9
9.3
10.8
7.9
13.6
4.7
5.0
4.8
0.6
8.0
2.7
5.0
2.9
14.3
9.3
7.9
6.0
9.9
8.0
9.2
9.0
4.8
7.8
9.8
9.3
8.7
5.2
6.8
7.3
6.3
7.1
6.0
4.6
5.8
4.8
-9.0
5.2
4.6
2.1
7.9
6.2
5.2
Canadian Institute for Health Information, 2010.
119 i
National Health Expenditure Trends, 1975 to 2010
Table A.3.1.2—Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars
Other Professionals
Vision Care
Hospitals Other Institutions
A
B
Year
Physicians
Dental Services
Services
Other
C
Subtotal
D
(Percentage Distribution of $’000,000)
1975
1976
44.7
45.2
9.2
9.7
15.1
14.7
6.1
6.2
1.9
1.9
1.1
1.0
9.0
9.1
1977
1978
1979
44.0
43.2
42.3
10.2
10.8
11.3
14.8
15.0
14.9
6.7
7.0
7.2
1.9
2.0
1.9
1.1
1.1
1.1
9.7
10.0
10.2
1980
1981
41.9
42.0
11.4
11.0
14.7
14.6
7.1
6.9
1.9
2.0
1.1
1.2
10.1
10.0
1982
1983
1984
42.6
42.4
41.8
11.0
11.0
10.7
14.4
14.8
15.0
6.7
6.5
6.5
2.0
2.1
2.3
1.2
1.2
1.2
9.9
9.8
10.0
1985
1986
40.8
40.7
10.3
9.4
15.2
15.4
6.8
6.8
2.3
2.3
1.2
1.3
10.4
10.4
1987
1988
1989
40.5
40.0
39.7
9.3
9.3
9.2
15.7
15.6
15.2
6.8
6.9
6.8
2.3
2.3
2.3
1.4
1.4
1.5
10.5
10.6
10.6
1990
1991
39.1
38.8
9.4
9.6
15.2
15.4
6.8
6.7
2.3
2.2
1.6
1.6
10.6
10.6
1992
1993
1994
38.2
37.4
35.8
9.7
9.5
9.5
15.0
14.7
14.7
6.7
6.9
7.1
2.2
2.2
2.3
1.7
1.7
1.7
10.6
10.8
11.2
1995
1996
34.4
33.7
9.7
9.8
14.4
14.4
7.4
7.6
2.4
2.4
1.7
1.8
11.5
11.8
1997
1998
1999
31.5
30.7
29.8
10.9
11.2
11.0
14.4
14.1
13.8
7.5
7.5
7.5
2.8
2.7
2.6
1.9
1.8
1.9
12.2
12.0
12.0
2000
2001
2002
2003
2004
29.6
28.9
29.1
29.1
29.5
11.0
10.7
10.7
10.5
10.7
13.4
13.2
13.1
12.8
12.7
7.3
7.3
7.2
6.9
6.8
2.6
2.6
2.4
2.2
2.3
1.8
1.9
1.8
1.7
1.6
11.7
11.7
11.4
10.7
10.8
2005
2006
2007
2008
2009 f
29.2
28.9
28.7
28.7
28.6
10.3
10.2
10.1
9.9
9.7
12.7
12.8
13.0
13.3
13.5
7.0
6.9
6.9
6.9
6.9
2.3
2.3
2.4
2.3
2.3
1.5
1.6
1.5
1.6
1.6
10.8
10.8
10.8
10.8
10.9
2010 f
28.9
9.7
13.7
7.1
2.4
1.6
11.1
(Annual Percentage Change)*
1976*
1980*
1.2
-1.1
5.6
0.5
-2.3
-1.1
1.8
-0.4
-0.1
-2.6
-1.6
0.2
1.0
-0.8
1985
1986
1987
-2.3
-0.3
-0.5
-3.3
-8.5
-1.9
0.9
1.5
1.9
4.1
0.4
0.3
3.0
-0.5
-0.6
1.2
4.1
4.6
3.5
0.6
0.6
1988
1989
-1.2
-0.8
0.5
-1.4
-0.7
-2.7
0.1
-0.7
1.1
-0.1
3.6
5.8
0.8
0.3
1990
1991
-1.5
-0.8
2.8
1.6
-0.1
1.6
-0.4
-0.6
-1.0
-2.6
5.5
4.2
0.3
-0.3
1992
-1.4
1.7
-2.7
-0.2
-1.7
2.8
-0.1
1993
1994
-2.2
-4.3
-2.3
-0.4
-2.0
0.0
2.5
3.6
0.9
3.7
1.6
0.5
2.0
3.1
1995
1996
-3.8
-2.0
2.0
1.3
-2.2
0.3
3.7
2.4
4.0
2.3
2.0
2.3
3.5
2.3
1997
1998
1999
-6.7
-2.5
-3.0
11.9
2.0
-1.1
-0.1
-2.2
-2.1
-1.4
-0.2
0.5
13.5
-2.4
-4.0
8.3
-7.3
5.3
3.2
-1.8
0.2
2000
2001
2002
2003
2004
-0.6
-2.2
0.7
0.1
1.2
-0.5
-2.2
-0.8
-1.7
1.9
-2.4
-1.6
-1.1
-1.9
-0.9
-2.7
-0.6
-1.1
-4.4
-0.6
0.5
-1.5
-5.5
-10.9
7.2
-4.0
3.0
-6.1
-5.3
-1.9
-2.2
-0.2
-2.9
-5.9
0.7
2005
2006
2007
2008
2009 f
-1.2
-0.8
-0.6
0.0
-0.4
-3.7
-0.5
-1.8
-1.7
-1.8
0.3
0.8
1.2
2.8
1.3
2.5
-1.7
0.8
-0.6
0.6
-2.7
0.8
3.0
-2.8
1.4
-5.1
6.7
-7.0
4.6
0.9
0.3
0.1
0.1
-0.3
0.8
2010 f
0.9
-0.1
1.5
2.4
2.6
1.1
2.3
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
8120
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table A.3.1.2—Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars (cont’d)
Drugs
Other Health Spending
Prescribed Non-Prescribed
Drugs
Drugs
Health
Subtotal
E
Capital
F
Public Health Administration
G
Research
Other
H
Subtotal
Grand Total
J
A+B+C+D+
E+F+G+H+J
(Percentage Distribution of $’000,000)
6.3
6.3
2.5
2.2
8.8
8.5
4.4
3.9
3.3
3.6
2.8
2.6
0.8
0.8
1.9
1.8
2.6
2.6
100.0
100.0
6.4
6.2
6.1
2.1
2.3
2.6
8.5
8.4
8.7
3.6
3.9
3.8
3.9
3.6
3.7
2.6
2.4
2.4
0.8
0.9
0.9
1.9
1.8
1.8
2.7
2.6
2.7
100.0
100.0
100.0
5.8
6.4
2.6
2.5
8.5
8.9
4.4
4.2
3.8
3.8
2.3
2.4
0.9
0.9
2.0
2.2
2.9
3.1
100.0
100.0
6.3
6.2
6.1
2.3
2.5
2.9
8.6
8.7
9.0
4.5
4.2
4.1
3.7
3.6
3.7
2.3
2.2
2.4
0.8
0.9
0.9
2.2
2.3
2.3
3.1
3.2
3.2
100.0
100.0
100.0
6.4
7.0
3.1
3.2
9.5
10.2
4.1
4.2
3.8
3.6
2.4
2.4
1.0
1.0
2.5
2.6
3.4
3.7
100.0
100.0
7.0
7.3
7.6
3.5
3.5
3.5
10.5
10.8
11.1
4.0
3.7
3.7
3.5
3.5
3.5
2.3
2.4
2.7
1.0
1.0
1.0
2.8
3.0
3.2
3.7
4.0
4.3
100.0
100.0
100.0
8.0
8.2
3.4
3.4
11.4
11.6
3.5
3.1
3.5
3.5
2.7
2.7
1.1
1.1
3.5
3.7
4.6
4.8
100.0
100.0
8.7
9.2
9.2
3.5
3.6
3.8
12.2
12.8
13.0
3.0
2.8
3.1
3.6
3.9
4.2
2.7
2.9
3.1
1.2
1.1
1.1
3.8
4.1
4.3
5.0
5.2
5.4
100.0
100.0
100.0
10.0
10.2
3.8
3.8
13.8
14.0
3.1
2.9
4.4
4.5
3.3
3.3
1.1
1.1
4.5
4.5
5.5
5.5
100.0
100.0
10.8
11.3
11.4
3.8
3.8
3.7
14.6
15.0
15.1
2.7
2.7
3.9
4.5
5.2
5.3
3.2
2.9
3.1
1.4
1.4
1.3
4.7
4.8
4.9
6.0
6.2
6.1
100.0
100.0
100.0
11.9
12.3
12.8
13.3
13.6
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
3.2
3.5
3.7
3.8
3.8
1.4
1.8
1.7
1.7
1.8
4.8
4.5
4.5
4.3
4.1
6.2
6.3
6.1
6.0
5.9
100.0
100.0
100.0
100.0
100.0
13.6
13.8
13.7
13.6
13.7
2.9
2.8
2.8
2.6
2.6
16.5
16.6
16.5
16.3
16.3
4.7
4.8
4.5
4.8
4.9
6.1
6.2
6.6
6.4
6.4
3.7
3.5
3.5
3.4
3.4
1.7
1.8
1.9
1.9
1.9
4.3
4.3
4.4
4.5
4.4
6.0
6.1
6.3
6.4
6.3
100.0
100.0
100.0
100.0
100.0
13.6
2.6
16.3
4.3
6.4
3.3
1.8
4.5
6.4
100.0
(Annual Percentage Change)*
-0.6
-4.0
-10.2
1.7
-3.3
-2.3
-11.9
17.5
9.0
2.8
-8.5
-2.5
-2.3
0.3
-1.4
7.6
-1.7
5.2
-----
4.9
8.1
1.1
7.7
4.1
7.4
5.8
6.8
3.1
1.2
0.3
-3.8
1.6
-4.8
-2.0
-0.7
-1.9
-4.7
4.3
9.2
-7.6
7.1
7.2
4.8
6.3
7.7
1.3
-------
4.2
3.6
1.1
0.5
3.2
2.6
-6.7
0.0
-1.2
-0.7
6.1
13.0
3.0
5.4
9.6
7.4
7.9
6.9
-----
5.1
3.3
-4.2
0.0
2.1
2.3
-6.7
-12.1
0.6
-0.3
-0.1
-1.1
4.3
-3.7
8.3
5.4
7.3
3.3
-----
6.0
2.8
5.1
-3.5
4.2
0.0
9.7
2.4
4.0
---
5.6
0.1
3.9
4.9
5.1
1.5
-4.4
10.2
6.1
8.4
7.8
8.5
-4.0
-0.9
6.9
6.8
4.3
5.1
-----
8.0
1.9
-0.5
1.2
5.5
1.7
-1.7
-5.4
4.6
3.0
4.3
1.6
-0.8
0.6
2.7
0.0
2.0
0.1
-----
6.5
3.9
0.9
-0.8
-0.1
-1.4
4.5
2.9
0.3
-6.8
1.7
41.9
-1.2
17.6
0.9
-4.1
-8.5
4.6
26.1
0.3
-8.7
4.7
2.9
1.3
9.0
2.3
-1.0
-------
4.9
3.2
4.3
3.5
2.1
-6.7
-4.9
-3.0
-5.0
-2.0
2.0
1.4
2.8
1.8
1.3
3.6
4.5
1.9
5.7
-7.7
4.3
5.6
-2.5
8.9
-4.5
3.0
10.6
5.2
3.9
-0.5
12.7
25.5
-7.4
4.9
1.3
-1.8
-5.5
-1.4
-4.2
-2.8
1.2
1.7
-3.1
-1.7
-1.6
-----------
0.2
1.6
-0.8
-0.4
0.4
-2.7
-2.7
-2.0
-5.1
-0.7
-0.3
0.8
-1.0
-1.2
0.2
12.1
2.3
-5.7
5.4
3.1
3.8
0.5
6.9
-2.3
-0.9
-1.8
-6.2
1.6
-4.2
-1.0
-3.6
6.5
2.8
0.7
0.0
2.9
0.6
2.7
1.7
-1.1
1.0
2.3
2.8
1.4
-0.8
-----------
-0.6
0.5
-0.4
-13.5
-0.1
-0.6
-2.9
2.5
0.9
---
Canadian Institute for Health Information, 2010.
121 i
National Health Expenditure Trends, 1975 to 2010
Table A.3.1.3—Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars
Hospitals Other Institutions
A
B
Physicians
Dental Services
Other Professionals
Vision Care
Services
Other
C
Subtotal
D
Year
($’ per Capita)
1975
1976
235.70
271.10
48.61
58.36
79.50
88.32
32.05
37.06
9.77
11.09
5.55
6.20
47.37
54.36
1977
1978
1979
286.30
308.05
335.27
66.47
77.28
89.73
96.28
107.11
118.05
43.61
49.71
56.79
12.47
14.02
15.11
6.85
7.78
9.06
62.93
71.51
80.96
1980
1981
380.75
444.42
103.59
116.43
134.10
154.10
64.94
73.00
16.90
20.69
10.42
12.24
92.25
105.93
1982
1983
1984
521.26
568.36
599.23
134.76
147.50
152.91
176.01
199.18
215.79
82.52
87.74
93.81
24.28
28.19
32.39
14.23
16.23
17.66
121.03
132.16
143.86
1985
1986
629.20
675.72
158.88
156.60
233.94
255.73
104.92
113.39
35.83
38.40
19.21
21.53
159.95
173.32
1987
1988
716.52
761.34
163.68
176.85
277.62
296.40
121.12
130.40
40.67
44.19
23.98
26.71
185.77
201.30
1989
816.30
188.45
311.81
140.04
47.74
30.56
218.34
1990
1991
1992
1993
1994
861.68
917.41
940.19
932.45
902.52
207.53
226.36
239.31
236.99
238.73
333.79
364.07
368.34
366.05
370.07
149.43
159.37
165.34
171.78
179.91
50.64
52.97
54.11
55.33
58.04
34.54
38.63
41.30
42.55
43.23
234.62
250.97
260.76
269.66
281.17
1995
1996
1997
1998
1999
870.64
851.21
828.48
854.10
882.90
244.12
246.82
288.21
310.80
327.44
363.04
363.34
378.63
391.46
408.21
187.20
191.26
196.80
207.73
222.36
60.56
61.81
73.20
75.54
77.25
44.22
45.14
50.98
49.97
56.05
291.97
298.21
320.99
333.24
355.67
2000
2001
2002
2003
2004
948.56
998.17
1,067.33
1,136.60
1,214.06
352.13
370.55
390.24
408.48
439.37
430.83
456.13
478.92
499.97
522.67
233.94
250.30
262.91
267.62
280.55
83.95
89.01
89.25
84.67
95.72
58.19
64.48
64.25
64.76
67.01
376.08
403.78
416.41
417.04
443.28
2005
2006
2007
2008
2009 f
1,268.43
1,338.87
1,399.47
1,481.56
1,544.79
447.49
474.05
489.60
509.37
523.83
553.95
594.08
632.04
688.09
729.54
304.13
318.30
337.46
355.29
374.43
98.51
105.72
114.47
117.84
125.12
67.24
76.34
74.66
82.66
87.37
469.87
500.36
526.60
555.78
586.92
2010 f
1,621.07
544.06
770.49
398.90
133.51
91.83
624.24
(Annual Percentage Change)*
8122
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
1986
1987
5.0
7.4
6.0
3.9
-1.4
4.5
8.4
9.3
8.6
11.8
8.1
6.8
10.6
7.2
5.9
8.8
12.1
11.4
11.2
8.4
7.2
1988
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
1990
1991
1992
5.6
6.5
2.5
10.1
9.1
5.7
7.0
9.1
1.2
6.7
6.7
3.7
6.1
4.6
2.2
13.0
11.8
6.9
7.5
7.0
3.9
1993
1994
-0.8
-3.2
-1.0
0.7
-0.6
1.1
3.9
4.7
2.3
4.9
3.0
1.6
3.4
4.3
1995
1996
1997
-3.5
-2.2
-2.7
2.3
1.1
16.8
-1.9
0.1
4.2
4.1
2.2
2.9
4.3
2.1
18.4
2.3
2.1
12.9
3.8
2.1
7.6
1998
1999
3.1
3.4
7.8
5.4
3.4
4.3
5.6
7.0
3.2
2.3
-2.0
12.2
3.8
6.7
2000
2001
7.4
5.2
7.5
5.2
5.5
5.9
5.2
7.0
8.7
6.0
3.8
10.8
5.7
7.4
2002
2003
6.9
6.5
5.3
4.7
5.0
4.4
5.0
1.8
0.3
-5.1
-0.4
0.8
3.1
0.2
2004
6.8
7.6
4.5
4.8
13.1
3.5
6.3
2005
4.5
1.8
6.0
8.4
2.9
0.3
6.0
2006
2007
2008
2009 f
5.6
4.5
5.9
4.3
5.9
3.3
4.0
2.8
7.2
6.4
8.9
6.0
4.7
6.0
5.3
5.4
7.3
8.3
2.9
6.2
13.5
-2.2
10.7
5.7
6.5
5.2
5.5
5.6
2010 f
4.9
3.9
5.6
6.5
6.7
5.1
6.4
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table A.3.1.3—Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
Capital
E
F
Public Health Administration
G
Other Health Spending
Health
Research
Other
H
Subtotal
Grand Total
J
A+B+C+D+
E+F+G+H+J
($’ per Capita)
33.34
37.67
13.21
13.48
46.55
51.15
23.16
23.20
17.58
21.77
14.85
15.43
4.05
4.50
9.77
10.94
13.82
15.44
527.13
599.14
41.64
43.93
48.05
13.68
16.39
20.48
55.32
60.32
68.52
23.76
28.05
29.96
25.23
25.68
29.21
17.21
16.97
18.67
5.46
6.28
7.18
12.24
12.62
14.51
17.69
18.90
21.69
651.19
713.87
792.08
52.96
67.57
23.91
26.39
76.87
93.96
40.41
44.77
34.48
40.54
20.90
25.44
8.26
9.31
17.93
23.78
26.19
33.09
909.54
1,058.67
76.60
83.07
88.08
28.47
33.34
41.34
105.07
116.41
129.42
55.53
56.63
58.74
45.77
48.94
53.75
27.60
30.10
35.05
10.27
11.72
13.16
27.31
30.84
32.95
37.59
42.56
46.10
1,224.61
1,341.85
1,434.85
99.31
115.63
47.82
53.60
147.13
169.23
63.90
69.02
58.65
60.16
37.38
39.48
14.75
17.35
37.91
43.76
52.66
61.11
1,541.70
1,660.36
124.51
139.46
61.32
66.61
185.82
206.07
70.77
70.97
62.80
66.67
40.08
45.74
17.09
18.93
48.85
57.54
65.93
76.46
1,769.01
1,901.79
156.25
72.42
228.67
76.71
71.61
55.90
21.57
66.80
88.37
2,056.15
175.89
195.09
215.07
230.23
233.14
74.33
79.79
85.24
89.81
95.31
250.22
274.88
300.31
320.05
328.46
76.67
72.33
72.55
70.32
78.38
77.21
82.64
89.53
96.28
105.51
59.84
63.52
66.05
72.20
79.26
24.11
24.92
28.43
27.66
27.73
77.51
87.72
93.37
101.17
109.27
101.62
112.64
121.80
128.83
137.00
2,203.18
2,364.82
2,458.83
2,492.83
2,521.10
252.51
256.73
285.26
313.39
336.82
95.16
96.14
99.50
105.16
110.47
347.67
352.87
384.75
418.56
447.29
77.23
72.95
70.95
76.32
115.41
110.74
113.86
117.37
145.93
156.87
82.93
84.08
84.12
81.42
90.77
27.58
27.69
36.43
38.64
37.58
112.53
112.34
122.77
133.58
144.15
140.11
140.03
159.21
172.23
181.73
2,528.45
2,523.36
2,632.72
2,784.05
2,966.29
382.05
424.44
470.18
518.18
558.08
111.45
114.00
117.45
118.77
122.84
493.50
538.44
587.63
636.95
680.92
129.22
145.34
157.24
176.84
172.22
176.83
200.97
207.94
241.09
242.92
101.06
120.28
134.36
148.53
155.88
45.78
61.85
60.83
67.95
72.62
153.06
155.69
163.05
166.32
170.52
198.84
217.54
223.89
234.28
243.14
3,207.04
3,451.20
3,663.96
3,899.79
4,114.44
591.42
639.45
666.95
703.48
739.65
126.39
130.87
134.82
135.49
140.91
717.81
770.32
801.77
838.97
880.56
204.16
222.28
220.33
245.82
265.28
266.56
285.21
320.54
331.59
344.00
161.76
161.45
172.56
175.11
181.56
74.00
83.91
90.75
96.79
101.38
185.48
198.66
214.66
231.14
239.31
259.49
282.57
305.40
327.93
340.70
4,349.52
4,629.21
4,868.30
5,154.23
5,397.18
764.93
147.33
912.26
238.70
357.55
187.72
102.35
255.19
357.54
5,613.63
(Annual Percentage Change)*
13.0
10.2
2.1
16.8
9.9
12.2
0.2
34.9
23.9
18.0
4.0
11.9
11.0
15.1
12.1
23.5
11.8
20.7
13.7
14.8
12.7
16.4
7.7
15.7
12.1
14.4
13.7
15.0
9.8
8.8
8.0
2.5
9.1
2.6
4.4
6.6
5.6
1.5
12.1
17.6
-1.5
15.1
15.4
11.6
14.2
16.0
7.9
7.4
7.7
6.5
12.0
8.6
10.9
0.3
6.2
14.1
10.7
17.8
16.0
7.5
12.0
8.7
11.0
8.1
7.4
22.2
14.0
16.1
15.6
8.1
12.6
10.9
10.2
2.6
7.3
6.8
9.4
9.9
9.3
0.0
-5.7
0.3
7.8
7.0
8.3
7.0
6.2
4.0
11.8
3.4
14.1
16.0
13.2
6.4
15.0
10.8
8.1
7.2
7.3
4.0
7.1
1.3
5.4
6.1
6.6
2.6
-3.1
11.5
7.5
9.6
9.3
9.8
-2.7
0.2
8.4
8.0
5.8
6.3
1.4
1.1
8.3
1.7
11.1
-0.2
1.0
3.5
5.8
1.5
9.0
-1.5
-5.6
-2.7
5.0
2.8
3.1
4.6
1.4
0.1
-0.5
0.4
31.6
3.0
-0.2
9.3
2.3
-0.1
13.7
0.3
-0.2
4.3
9.9
7.5
5.7
5.1
8.8
6.9
7.6
51.2
24.3
7.5
-3.2
11.5
6.1
-2.8
8.8
7.9
8.2
5.5
5.7
6.5
13.4
11.1
0.9
2.3
10.3
9.1
12.0
12.5
12.7
13.7
11.3
19.0
21.8
35.1
6.2
1.7
9.4
9.4
8.1
7.6
10.8
10.2
3.0
1.1
9.1
8.4
8.2
12.5
3.5
15.9
11.7
10.5
-1.7
11.7
4.7
2.0
2.9
4.6
6.2
6.4
7.7
3.4
6.9
-2.6
0.8
4.9
6.9
2.5
3.8
5.5
6.0
2.9
5.4
18.5
9.7
3.8
1.9
8.8
6.7
5.7
8.1
4.3
5.5
5.1
3.5
3.0
0.5
4.0
7.3
4.1
4.6
5.0
8.9
-0.9
11.6
7.9
7.0
12.4
3.4
3.7
-0.2
6.9
1.5
3.7
13.4
8.1
6.7
4.7
7.1
8.0
7.7
3.5
8.9
8.1
7.4
3.9
6.4
5.2
5.9
4.7
3.4
4.6
3.6
-10.0
3.9
3.4
1.0
6.6
4.9
4.0
Canadian Institute for Health Information, 2010.
123 i
National Health Expenditure Trends, 1975 to 2010
Table A.3.2.1—Part 1
Private-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars
Hospitals
Other Institutions
Physicians
A
B
C
Dental Services
Other Professionals
Vision Care
Services
Other
Subtotal
D
($’000,000)
Year
1975
1976
318.1
379.6
328.4
369.5
26.8
29.5
685.3
799.3
190.3
219.4
81.7
91.6
957.2
1,110.3
1977
1978
1979
420.1
520.1
626.5
401.8
484.3
590.3
32.3
38.3
52.6
950.9
1,087.3
1,230.7
251.0
284.0
307.8
102.0
110.8
130.3
1,303.9
1,482.1
1,668.8
1980
1981
749.2
903.4
718.2
743.2
51.5
49.7
1,397.0
1,533.4
347.1
434.9
150.5
177.0
1,894.6
2,145.2
1982
1983
1984
1,090.8
1,243.1
1,408.5
853.4
947.2
992.3
67.7
79.4
81.3
1,802.7
1,965.1
2,135.5
518.6
609.3
711.7
214.3
247.7
271.2
2,535.7
2,822.1
3,118.4
1985
1986
1,522.6
1,700.1
1,039.4
1,104.9
83.6
76.9
2,435.8
2,672.5
795.5
856.2
281.8
301.3
3,513.0
3,829.9
1987
1988
1989
1,796.9
1,903.1
2,001.1
1,197.1
1,270.4
1,312.8
76.6
79.6
84.0
2,917.3
3,182.6
3,470.4
918.3
1,003.4
1,096.7
358.0
419.6
492.2
4,193.6
4,605.6
5,059.3
1990
1991
2,240.3
2,421.4
1,581.4
1,768.3
87.9
90.9
3,756.8
4,061.8
1,177.3
1,237.1
562.1
619.7
5,496.2
5,918.6
1992
1993
1994
2,537.8
2,670.0
2,660.6
1,889.9
2,012.9
2,092.0
93.8
97.3
102.2
4,272.8
4,500.9
4,781.2
1,295.4
1,376.0
1,479.0
679.0
732.6
797.4
6,247.2
6,609.5
7,057.6
1995
1996
2,382.0
2,248.1
2,112.6
2,105.4
109.1
119.5
5,060.2
5,274.1
1,581.3
1,634.9
838.9
884.0
7,480.5
7,793.0
1997
1998
1999
2,327.8
2,335.7
2,476.9
2,132.1
2,210.3
2,396.0
121.3
143.3
153.0
5,514.8
5,909.1
6,378.9
1,974.7
2,073.5
2,130.0
1,068.8
1,028.1
1,184.1
8,558.2
9,010.7
9,692.9
2000
2001
2002
2003
2004
2,664.6
2,925.6
3,279.4
3,327.5
3,629.0
2,650.2
2,719.9
2,943.2
3,088.0
3,576.0
175.3
148.5
259.8
196.7
232.4
6,783.6
7,361.2
7,830.0
8,071.3
8,554.7
2,346.1
2,513.3
2,559.9
2,437.6
2,812.1
1,217.2
1,450.8
1,506.1
1,538.5
1,634.5
10,346.9
11,325.2
11,896.0
12,047.4
13,001.3
2005
2006
2007
2008
2009 f
3,833.3
3,974.8
4,158.5
4,446.3
4,668.7
3,587.0
4,129.4
4,493.9
4,844.5
5,046.8
253.9
304.0
244.2
390.3
306.5
9,378.0
9,868.0
10,574.2
11,256.2
12,017.6
2,959.5
3,212.3
3,529.9
3,661.5
3,938.0
1,717.5
2,037.6
1,991.9
2,244.4
2,433.2
14,055.0
15,117.8
16,096.0
17,162.0
18,388.7
2010 f
4,941.8
5,248.8
327.0
12,950.5
4,251.8
2,605.0
19,807.4
(Annual Percentage Change)*
1976*
1980*
19.3
19.6
12.5
21.7
10.3
-2.0
16.6
13.5
15.3
12.8
12.1
15.5
16.0
13.5
1985
1986
8.1
11.7
4.8
6.3
2.9
-8.0
14.1
9.7
11.8
7.6
3.9
6.9
12.7
9.0
1987
1988
1989
5.7
5.9
5.2
8.3
6.1
3.3
-0.4
3.9
5.5
9.2
9.1
9.0
7.3
9.3
9.3
18.8
17.2
17.3
9.5
9.8
9.9
1990
1991
12.0
8.1
20.5
11.8
4.6
3.5
8.3
8.1
7.4
5.1
14.2
10.3
8.6
7.7
1992
1993
1994
4.8
5.2
-0.4
6.9
6.5
3.9
3.2
3.7
5.1
5.2
5.3
6.2
4.7
6.2
7.5
9.6
7.9
8.8
5.6
5.8
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
1999
0.3
6.0
3.7
8.4
18.1
6.7
7.2
7.9
5.0
2.7
-3.8
15.2
5.3
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 f
5.6
3.7
4.6
6.9
5.0
0.3
15.1
8.8
7.8
4.2
9.2
19.7
-19.7
59.8
-21.5
9.6
5.2
7.2
6.4
6.8
5.2
8.5
9.9
3.7
7.6
5.1
18.6
-2.2
12.7
8.4
8.1
7.6
6.5
6.6
7.1
2010 f
5.8
4.0
6.7
7.8
8.0
7.1
7.7
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
8124
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table A.3.2.1—Part 2
Private-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
E
Capital
F
Public Health Administration
G
Other Health Spending
Health
Research
Other
H
Subtotal
Grand Total
J
A+B+C+D+
E+F+G+H+J
($’000,000)
613.1
667.6
305.6
316.0
918.7
983.6
159.6
177.1
-----
72.2
62.0
23.4
29.5
94.7
91.4
118.2
120.9
2,899.2
3,232.6
721.4
724.7
776.5
324.5
392.8
495.5
1,045.9
1,117.6
1,272.0
178.3
217.4
177.3
-------
90.2
86.2
100.1
36.4
43.2
50.3
96.6
77.1
79.5
132.9
120.3
129.8
3,605.4
4,066.3
4,617.4
833.3
1,110.2
586.3
655.0
1,419.6
1,765.2
355.4
379.3
-----
117.1
186.5
63.0
66.4
87.8
95.2
150.8
161.6
5,456.5
6,334.1
1,240.5
1,289.8
1,312.7
715.0
845.9
1,058.6
1,955.5
2,135.6
2,371.3
489.1
371.4
364.3
-------
146.6
172.7
250.3
73.8
82.1
91.2
99.7
105.0
108.6
173.4
187.2
199.9
7,312.3
7,958.6
8,786.3
1,447.7
1,698.8
1,235.9
1,399.0
2,683.6
3,097.9
414.4
449.9
-----
269.2
296.4
102.8
119.7
118.2
133.0
221.0
252.7
9,746.9
10,808.7
1,800.4
2,034.0
2,292.0
1,621.7
1,784.9
1,975.6
3,422.2
3,818.9
4,267.7
480.7
351.0
390.4
-------
280.4
426.3
660.2
136.1
164.1
196.1
149.9
177.4
212.9
286.0
341.5
408.9
11,733.5
12,796.4
14,184.3
2,593.9
2,861.9
2,058.7
2,236.6
4,652.5
5,098.5
383.4
341.7
-----
665.4
746.8
226.2
249.8
243.8
270.9
470.0
520.7
15,577.1
16,906.9
3,192.3
3,558.7
3,673.3
2,418.1
2,576.0
2,764.0
5,610.4
6,134.7
6,437.4
363.1
366.7
329.6
-------
805.0
1,060.0
1,226.4
265.5
275.6
293.2
299.3
351.4
375.3
564.8
627.0
668.4
18,112.0
19,578.1
20,574.2
4,033.8
4,273.3
2,788.4
2,846.7
6,822.2
7,120.0
439.1
474.0
-----
1,274.1
1,309.1
319.4
332.1
431.2
409.4
750.6
741.5
21,370.1
21,910.5
4,933.2
5,443.5
5,689.0
2,975.7
3,171.3
3,358.8
7,908.9
8,614.9
9,047.9
364.3
427.5
882.1
-------
1,291.4
1,110.3
1,333.2
358.9
427.8
449.2
469.0
487.8
567.6
827.9
915.6
1,016.8
23,532.1
24,768.3
26,998.8
6,429.3
7,102.5
7,943.9
8,848.5
9,594.0
3,420.3
3,536.4
3,684.7
3,762.2
3,930.2
9,849.6
10,638.9
11,628.6
12,610.7
13,524.2
830.6
1,088.8
1,232.5
1,423.5
1,099.2
-----------
1,514.4
1,990.1
2,304.3
2,605.2
2,748.2
532.0
650.7
720.9
838.7
920.4
597.0
573.2
732.5
731.6
626.7
1,129.0
1,223.9
1,453.4
1,570.3
1,547.1
29,160.7
32,061.0
34,997.1
36,869.3
39,357.4
10,198.4
11,214.9
11,831.7
12,634.9
13,418.7
4,084.0
4,263.2
4,439.9
4,515.7
4,754.1
14,282.4
15,478.1
16,271.6
17,150.6
18,172.8
1,480.1
2,055.0
1,550.9
1,406.3
1,276.6
-----------
2,734.1
2,720.8
2,982.2
3,291.8
3,497.9
943.3
1,018.2
1,046.4
1,077.5
1,142.5
723.6
847.5
916.4
955.2
1,023.4
1,666.9
1,865.7
1,962.7
2,032.8
2,165.9
41,892.7
45,645.7
47,760.1
50,724.7
53,523.9
13,980.4
5,029.7
19,010.1
1,279.3
---
3,667.2
1,195.6
1,092.5
2,288.2
56,569.7
(Annual Percentage Change)*
8.9
7.3
3.4
18.3
7.1
11.6
11.0
100.4
-----
-14.1
17.0
26.0
25.4
-3.6
10.4
2.3
16.2
11.5
18.2
10.3
17.3
16.7
13.2
13.2
15.4
13.8
8.6
-----
7.6
10.1
12.7
16.4
8.8
12.5
10.6
14.3
10.9
10.9
6.0
13.0
12.7
15.9
10.1
10.7
10.5
11.6
11.8
6.9
-27.0
11.2
-------
-5.4
52.0
54.9
13.7
20.6
19.5
12.7
18.3
20.0
13.2
19.4
19.7
8.6
9.1
10.8
13.2
10.3
4.2
8.6
9.0
9.6
-1.8
-10.9
-----
0.8
12.2
15.4
10.4
14.5
11.1
14.9
10.8
9.8
8.5
11.5
11.5
3.2
8.1
6.5
7.3
10.0
9.3
4.9
6.3
1.0
-10.1
-------
7.8
31.7
15.7
6.3
3.8
6.4
10.5
17.4
6.8
8.5
11.0
6.6
7.1
8.1
5.1
9.8
5.9
15.4
0.9
2.1
4.5
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
4.5
6.6
5.9
8.9
5.0
17.3
106.3
-----
-14.0
20.1
19.2
5.0
4.0
16.4
10.6
11.1
5.3
9.0
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
18.4
22.3
10.8
16.4
9.7
5.2
-4.0
27.8
-0.1
-14.3
11.0
8.4
18.7
8.0
-1.5
8.0
9.9
9.2
5.3
6.7
6.3
10.0
5.5
6.8
6.2
3.9
4.4
4.1
1.7
5.3
5.6
8.4
5.1
5.4
6.0
34.7
38.8
-24.5
-9.3
-9.2
-----------
-0.5
-0.5
9.6
10.4
6.3
2.5
7.9
2.8
3.0
6.0
15.5
17.1
8.1
4.2
7.1
7.7
11.9
5.2
3.6
6.5
6.4
9.0
4.6
6.2
5.5
4.2
5.8
4.6
0.2
---
4.8
4.7
6.8
5.6
5.7
Canadian Institute for Health Information, 2010.
125 i
National Health Expenditure Trends, 1975 to 2010
Table A.3.2.2—Part 1
Private-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars
Hospitals
Other Institutions
A
B
Year
Physicians
Dental Services
Other Professionals
Vision Care
Services
Other
C
Subtotal
D
(Percentage Distribution of $'000,000)
1975
1976
11.0
11.7
11.3
11.4
0.9
0.9
23.6
24.7
6.6
6.8
2.8
2.8
33.0
34.3
1977
1978
1979
11.7
12.8
13.6
11.1
11.9
12.8
0.9
0.9
1.1
26.4
26.7
26.7
7.0
7.0
6.7
2.8
2.7
2.8
36.2
36.4
36.1
1980
1981
13.7
14.3
13.2
11.7
0.9
0.8
25.6
24.2
6.4
6.9
2.8
2.8
34.7
33.9
1982
1983
1984
14.9
15.6
16.0
11.7
11.9
11.3
0.9
1.0
0.9
24.7
24.7
24.3
7.1
7.7
8.1
2.9
3.1
3.1
34.7
35.5
35.5
1985
1986
15.6
15.7
10.7
10.2
0.9
0.7
25.0
24.7
8.2
7.9
2.9
2.8
36.0
35.4
1987
1988
1989
15.3
14.9
14.1
10.2
9.9
9.3
0.7
0.6
0.6
24.9
24.9
24.5
7.8
7.8
7.7
3.1
3.3
3.5
35.7
36.0
35.7
1990
1991
14.4
14.3
10.2
10.5
0.6
0.5
24.1
24.0
7.6
7.3
3.6
3.7
35.3
35.0
1992
1993
1994
14.0
13.6
12.9
10.4
10.3
10.2
0.5
0.5
0.5
23.6
23.0
23.2
7.2
7.0
7.2
3.7
3.7
3.9
34.5
33.8
34.3
1995
1996
11.1
10.3
9.9
9.6
0.5
0.5
23.7
24.1
7.4
7.5
3.9
4.0
35.0
35.6
1997
1998
1999
9.9
9.4
9.2
9.1
8.9
8.9
0.5
0.6
0.6
23.4
23.9
23.6
8.4
8.4
7.9
4.5
4.2
4.4
36.4
36.4
35.9
2000
2001
2002
2003
2004
9.1
9.1
9.4
9.0
9.2
9.1
8.5
8.4
8.4
9.1
0.6
0.5
0.7
0.5
0.6
23.3
23.0
22.4
21.9
21.7
8.0
7.8
7.3
6.6
7.1
4.2
4.5
4.3
4.2
4.2
35.5
35.3
34.0
32.7
33.0
2005
2006
2007
2008
2009 f
9.2
8.7
8.7
8.8
8.7
8.6
9.0
9.4
9.6
9.4
0.6
0.7
0.5
0.8
0.6
22.4
21.6
22.1
22.2
22.5
7.1
7.0
7.4
7.2
7.4
4.1
4.5
4.2
4.4
4.5
33.6
33.1
33.7
33.8
34.4
2010 f
8.7
9.3
0.6
22.9
7.5
4.6
35.0
(Annual Percentage Change)*
1976*
1980*
7.0
1.2
0.9
2.9
-1.1
-17.0
4.6
-3.9
3.4
-4.6
0.5
-2.3
4.0
-3.9
1985
1986
1987
-2.6
0.7
-2.6
-5.6
-4.1
-0.2
-7.3
-17.0
-8.2
2.8
-1.1
0.6
0.8
-2.9
-1.2
-6.3
-3.6
9.4
1.6
-1.7
0.9
1988
1989
-2.9
-5.1
-2.7
-6.8
-4.8
-4.8
0.0
-1.6
0.2
-1.4
7.5
5.8
0.7
-0.9
1990
1991
1.9
-0.4
9.7
3.0
-4.7
-4.7
-1.4
-0.4
-2.2
-3.2
4.0
1.6
-1.1
-0.8
1992
-2.2
-0.2
-3.7
-1.8
-2.2
2.3
-1.5
1993
1994
-2.7
-5.2
-1.5
-1.1
-4.1
0.0
-2.6
1.1
-1.7
2.3
-0.2
3.6
-2.1
1.6
1995
1996
-13.8
-7.9
-2.8
-2.8
2.8
6.8
1.9
1.7
2.9
0.8
1.3
2.8
2.0
1.6
1997
1998
1999
-3.6
-4.7
-2.7
-5.7
-1.5
-0.6
-5.4
12.2
-2.1
-2.6
1.8
-1.0
12.5
-0.2
-5.8
12.6
-8.6
5.7
2.3
0.0
-1.3
2000
2001
2002
2003
2004
-0.4
-0.1
2.7
-3.7
2.2
2.4
-6.7
-0.9
-0.4
8.5
6.1
-23.0
60.3
-28.1
10.7
-1.5
-1.3
-2.6
-2.2
-0.7
2.0
-2.6
-6.7
-9.6
8.1
-4.8
8.4
-4.9
-3.0
-0.5
-1.2
-0.4
-3.8
-3.9
1.1
2005
2006
2007
2008
2009 f
-0.8
-4.8
0.0
0.7
-0.5
-5.8
5.7
4.0
1.5
-1.3
2.6
9.9
-23.2
50.5
-25.6
3.0
-3.4
2.4
0.2
1.2
-1.1
-0.4
5.0
-2.3
1.9
-1.3
8.9
-6.6
6.1
2.7
1.6
-1.3
1.8
0.4
1.5
2010 f
0.1
-1.6
0.9
2.0
2.2
1.3
1.9
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
8126
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table A.3.2.2—Part 2
Private-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
E
Capital
F
Public Health Administration
G
Other Health Spending
Health
Research
Other
H
Subtotal
Grand Total
J
A+B+C+D+
E+F+G+H+J
(Percentage Distribution of $’000,000)
21.1
20.7
10.5
9.8
31.7
30.4
5.5
5.5
-----
2.5
1.9
0.8
0.9
3.3
2.8
4.1
3.7
100.0
100.0
20.0
17.8
16.8
9.0
9.7
10.7
29.0
27.5
27.5
4.9
5.3
3.8
-------
2.5
2.1
2.2
1.0
1.1
1.1
2.7
1.9
1.7
3.7
3.0
2.8
100.0
100.0
100.0
15.3
17.5
10.7
10.3
26.0
27.9
6.5
6.0
-----
2.1
2.9
1.2
1.0
1.6
1.5
2.8
2.6
100.0
100.0
17.0
16.2
14.9
9.8
10.6
12.0
26.7
26.8
27.0
6.7
4.7
4.1
-------
2.0
2.2
2.8
1.0
1.0
1.0
1.4
1.3
1.2
2.4
2.4
2.3
100.0
100.0
100.0
14.9
15.7
12.7
12.9
27.5
28.7
4.3
4.2
-----
2.8
2.7
1.1
1.1
1.2
1.2
2.3
2.3
100.0
100.0
15.3
15.9
16.2
13.8
13.9
13.9
29.2
29.8
30.1
4.1
2.7
2.8
-------
2.4
3.3
4.7
1.2
1.3
1.4
1.3
1.4
1.5
2.4
2.7
2.9
100.0
100.0
100.0
16.7
16.9
13.2
13.2
29.9
30.2
2.5
2.0
-----
4.3
4.4
1.5
1.5
1.6
1.6
3.0
3.1
100.0
100.0
17.6
18.2
17.9
13.4
13.2
13.4
31.0
31.3
31.3
2.0
1.9
1.6
-------
4.4
5.4
6.0
1.5
1.4
1.4
1.7
1.8
1.8
3.1
3.2
3.2
100.0
100.0
100.0
18.9
19.5
13.0
13.0
31.9
32.5
2.1
2.2
-----
6.0
6.0
1.5
1.5
2.0
1.9
3.5
3.4
100.0
100.0
21.0
22.0
21.1
12.6
12.8
12.4
33.6
34.8
33.5
1.5
1.7
3.3
-------
5.5
4.5
4.9
1.5
1.7
1.7
2.0
2.0
2.1
3.5
3.7
3.8
100.0
100.0
100.0
22.0
22.2
22.7
24.0
24.4
11.7
11.0
10.5
10.2
10.0
33.8
33.2
33.2
34.2
34.4
2.8
3.4
3.5
3.9
2.8
-----------
5.2
6.2
6.6
7.1
7.0
1.8
2.0
2.1
2.3
2.3
2.0
1.8
2.1
2.0
1.6
3.9
3.8
4.2
4.3
3.9
100.0
100.0
100.0
100.0
100.0
24.3
24.6
24.8
24.9
25.1
9.7
9.3
9.3
8.9
8.9
34.1
33.9
34.1
33.8
34.0
3.5
4.5
3.2
2.8
2.4
-----------
6.5
6.0
6.2
6.5
6.5
2.3
2.2
2.2
2.1
2.1
1.7
1.9
1.9
1.9
1.9
4.0
4.1
4.1
4.0
4.0
100.0
100.0
100.0
100.0
100.0
24.7
8.9
33.6
2.3
---
6.5
2.1
1.9
4.0
100.0
(Annual Percentage Change)*
-2.4
-9.2
-7.3
0.1
-4.0
-5.6
-0.5
69.6
-----
-23.0
-1.0
13.0
6.1
-13.5
-6.6
-8.3
-1.7
-----
-0.6
5.8
-2.4
5.2
2.1
6.8
2.0
4.1
1.8
2.5
-2.1
-1.6
-------
-3.0
-0.7
-12.8
1.6
4.9
4.8
-1.9
1.5
3.8
-0.3
3.1
4.3
-------
3.6
1.7
0.9
-0.1
2.3
0.8
-33.0
0.3
-----
39.4
39.7
10.6
7.8
8.5
8.3
9.5
8.0
-----
3.0
1.7
-5.1
0.1
-0.7
1.0
-10.6
-17.9
-----
-8.2
3.4
5.1
1.7
4.3
2.4
4.7
2.1
-----
4.1
0.9
2.7
-0.8
---
0.6
-0.8
3.2
1.3
---
3.1
-1.8
-1.4
2.1
1.2
-0.1
-6.6
-14.5
-----
21.8
10.1
-4.0
1.2
8.6
1.6
2.7
1.5
-----
5.7
3.3
-2.9
-0.4
2.0
1.8
28.3
5.3
-----
0.0
0.2
4.9
1.4
10.6
-7.4
8.1
-3.7
-----
7.5
4.8
-4.1
-2.7
1.3
-2.8
3.4
3.5
-3.7
-28.4
11.5
89.3
-------
-8.1
-18.3
10.2
0.6
13.3
-3.7
6.7
-1.2
6.8
4.0
5.1
1.9
-------
4.6
0.5
2.5
5.7
1.6
-5.7
-6.0
-4.5
-3.1
-2.1
0.8
-1.8
0.1
2.9
0.5
-12.8
19.2
3.7
9.6
-27.7
-----------
5.2
19.5
6.1
7.3
-1.2
9.7
11.2
1.5
10.4
2.8
-2.6
-12.7
17.1
-5.2
-19.8
2.8
-1.4
8.8
2.6
-7.7
-----------
-0.1
0.9
0.8
0.5
0.6
-2.4
-4.2
-0.5
-4.2
-0.2
-0.8
-0.5
0.5
-0.8
0.4
26.5
27.4
-27.9
-14.6
-14.0
-----------
-6.5
-8.7
4.8
3.9
0.7
-3.7
-0.9
-1.8
-3.0
0.5
8.5
7.5
3.3
-1.8
1.5
1.2
2.7
0.5
-2.5
1.0
-----------
-1.4
0.1
-1.0
-5.2
---
-0.8
-1.0
1.0
0.0
---
Canadian Institute for Health Information, 2010.
127 i
National Health Expenditure Trends, 1975 to 2010
Table A.3.2.3—Part 1
Private-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars
Hospitals
Other Institutions
Physicians
A
B
C
Dental Services
Other Professionals
Vision Care
Services
Other
Subtotal
D
Year
($’ per Capita)
1975
1976
13.74
16.19
14.19
15.76
1.16
1.26
29.61
34.09
8.22
9.36
3.53
3.90
41.36
47.35
1977
1978
1979
17.71
21.70
25.89
16.93
20.21
24.39
1.36
1.60
2.17
40.08
45.37
50.85
10.58
11.85
12.72
4.30
4.62
5.39
54.96
61.85
68.95
1980
1981
30.56
36.40
29.29
29.94
2.10
2.00
56.98
61.78
14.16
17.52
6.14
7.13
77.28
86.43
1982
1983
1984
43.43
49.00
55.00
33.98
37.34
38.75
2.69
3.13
3.17
71.77
77.47
83.39
20.65
24.02
27.79
8.53
9.76
10.59
100.95
111.25
121.78
1985
1986
58.92
65.14
40.22
42.33
3.24
2.95
94.26
102.39
30.78
32.80
10.90
11.54
1987
1988
67.94
71.02
45.26
47.41
2.90
2.97
110.30
118.78
34.72
37.45
13.54
15.66
135.94
146.73
158.55
1989
73.35
48.12
3.08
127.21
40.20
18.04
185.45
1990
1991
1992
1993
1994
80.88
86.38
89.46
93.09
91.75
57.09
63.08
66.62
70.18
72.14
3.17
3.24
3.31
3.39
3.52
135.64
144.90
150.63
156.92
164.88
42.51
44.13
45.67
47.97
51.00
20.29
22.11
23.94
25.54
27.50
198.44
211.14
220.23
230.44
243.37
1995
1996
1997
1998
1999
81.29
75.92
77.83
77.45
81.47
72.10
71.10
71.29
73.29
78.81
3.72
4.03
4.06
4.75
5.03
172.69
178.11
184.40
195.95
209.80
53.96
55.21
66.03
68.76
70.06
28.63
29.85
35.74
34.09
38.95
255.29
263.18
286.16
298.79
318.81
2000
2001
2002
2003
2004
86.83
94.31
104.53
105.05
113.42
86.36
87.68
93.82
97.49
111.77
5.71
4.79
8.28
6.21
7.26
221.04
237.29
249.58
254.81
267.37
76.45
81.02
81.60
76.95
87.89
39.66
46.77
48.01
48.57
51.09
337.15
365.08
379.18
380.33
406.35
2005
2006
2007
2008
2009 f
118.63
122.02
126.27
133.41
138.37
111.01
126.76
136.46
145.36
149.58
7.86
9.33
7.42
11.71
9.09
290.23
302.92
321.09
337.75
356.18
91.59
98.61
107.19
109.86
116.72
53.15
62.55
60.49
67.34
72.12
434.98
464.08
488.77
514.95
545.02
2010 f
144.76
153.75
9.58
379.36
124.55
76.31
580.21
171.88
(Annual Percentage Change)*
8128
1976*
1980*
17.8
18.0
11.1
20.1
8.8
-3.2
15.1
12.1
13.8
11.3
10.6
14.0
14.5
12.1
1985
1986
7.1
10.6
3.8
5.2
1.9
-8.9
13.0
8.6
10.8
6.6
3.0
5.9
11.6
7.9
1987
1988
1989
4.3
4.5
3.3
6.9
4.8
1.5
-1.7
2.5
3.6
7.7
7.7
7.1
5.8
7.9
7.4
17.2
15.7
15.2
8.1
8.4
7.9
1990
1991
10.3
6.8
18.7
10.5
3.1
2.3
6.6
6.8
5.7
3.8
12.5
8.9
7.0
6.4
1992
1993
1994
3.6
4.1
-1.4
5.6
5.3
2.8
2.0
2.5
3.9
4.0
4.2
5.1
3.5
5.1
6.3
8.3
6.7
7.7
4.3
4.6
5.6
1995
1996
-11.4
-6.6
-0.1
-1.4
5.6
8.4
4.7
3.1
5.8
2.3
4.1
4.3
4.9
3.1
1997
1998
1999
2.5
-0.5
5.2
0.3
2.8
7.5
0.6
17.1
5.9
3.5
6.3
7.1
19.6
4.1
1.9
19.7
-4.6
14.2
8.7
4.4
6.7
2000
2001
6.6
8.6
9.6
1.5
13.6
-16.2
5.4
7.4
9.1
6.0
1.8
17.9
5.8
8.3
2002
10.8
7.0
73.0
5.2
0.7
2.6
3.9
2003
2004
0.5
8.0
3.9
14.6
-25.0
17.0
2.1
4.9
-5.7
14.2
1.2
5.2
0.3
6.8
2005
2006
4.6
2.9
-0.7
14.2
8.2
18.8
8.5
4.4
4.2
7.7
4.0
17.7
7.0
6.7
2007
3.5
7.7
-20.5
6.0
8.7
-3.3
5.3
2008
2009 f
5.7
3.7
6.5
2.9
57.9
-22.4
5.2
5.5
2.5
6.2
11.3
7.1
5.4
5.8
2010 f
4.6
2.8
5.4
6.5
6.7
5.8
6.5
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table A.3.2.3—Part 2
Private-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
E
Capital
Public Health Administration
F
G
Other Health Spending
Health
Research
Other
H
Subtotal
Grand Total
J
A+B+C+D+
E+F+G+H+J
($’ per Capita)
26.49
28.47
13.21
13.48
39.70
41.95
6.90
7.55
-----
3.12
2.64
1.01
1.26
4.09
3.90
5.11
5.15
125.27
137.85
30.40
30.24
32.08
13.68
16.39
20.48
44.08
46.64
52.56
7.51
9.07
7.33
-------
3.80
3.60
4.14
1.53
1.80
2.08
4.07
3.22
3.28
5.60
5.02
5.36
151.96
169.69
190.79
33.99
44.73
23.91
26.39
57.91
71.12
14.50
15.28
-----
4.78
7.51
2.57
2.68
3.58
3.84
6.15
6.51
222.57
255.20
49.39
50.84
51.26
28.47
33.34
41.34
77.85
84.19
92.60
19.47
14.64
14.22
-------
5.84
6.81
9.77
2.94
3.24
3.56
3.97
4.14
4.24
6.90
7.38
7.81
291.12
313.74
343.11
56.02
65.09
47.82
53.60
103.84
118.69
16.03
17.24
-----
10.42
11.36
3.98
4.58
4.57
5.10
8.55
9.68
377.16
414.11
68.07
75.91
84.01
61.32
66.61
72.42
129.39
142.52
156.43
18.18
13.10
14.31
-------
10.60
15.91
24.20
5.15
6.12
7.19
5.67
6.62
7.80
10.81
12.74
14.99
443.63
477.56
519.92
93.65
102.10
112.53
124.07
126.67
74.33
79.79
85.24
89.81
95.31
167.98
181.89
197.78
213.89
221.98
13.84
12.19
12.80
12.79
11.37
-----------
24.02
26.64
28.38
36.96
42.29
8.17
8.91
9.36
9.61
10.11
8.80
9.66
10.55
12.25
12.94
16.97
18.57
19.91
21.86
23.05
562.40
603.14
638.49
682.59
709.48
137.66
144.32
164.95
180.51
187.12
95.16
96.14
99.50
105.16
110.47
232.82
240.45
264.45
285.67
297.59
14.99
16.01
12.18
14.18
29.01
-----------
43.48
44.21
43.18
36.82
43.85
10.90
11.22
12.00
14.19
14.78
14.72
13.82
15.68
16.17
18.67
25.62
25.04
27.68
30.36
33.44
729.30
739.95
786.83
821.31
888.01
209.50
228.96
253.21
279.34
299.86
111.45
114.00
117.45
118.77
122.84
320.95
342.96
370.66
398.12
422.69
27.07
35.10
39.29
44.94
34.36
-----------
49.35
64.15
73.45
82.24
85.89
17.34
20.98
22.98
26.48
28.77
19.45
18.48
23.35
23.09
19.59
36.79
39.45
46.33
49.57
48.35
950.20
1,033.52
1,115.53
1,163.95
1,230.10
315.62
344.27
359.28
379.12
397.71
126.39
130.87
134.82
135.49
140.91
442.01
475.14
494.10
514.61
538.61
45.81
63.08
47.09
42.20
37.84
-----------
84.61
83.52
90.56
98.77
103.67
29.19
31.26
31.77
32.33
33.86
22.39
26.02
27.83
28.66
30.33
51.59
57.27
59.60
60.99
64.19
1,296.50
1,401.20
1,450.27
1,522.01
1,586.37
409.52
147.33
556.86
37.47
---
107.42
35.02
32.00
67.03
1,657.08
(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
16.2
15.7
12.1
12.1
14.3
12.7
7.5
-----
6.6
9.0
11.7
15.2
7.8
11.4
9.6
13.2
9.9
9.8
4.6
11.5
14.4
8.6
9.0
10.2
5.4
-27.9
-----
-6.6
50.0
12.2
19.0
11.2
16.8
11.7
17.8
7.1
7.6
10.7
8.7
9.8
9.2
---
52.1
17.3
17.9
17.6
8.9
11.5
2.6
7.4
-3.3
---
-0.7
13.7
12.8
13.2
8.2
9.0
10.2
7.3
6.8
8.3
8.7
-11.9
5.0
-----
10.9
6.5
9.1
5.0
9.8
9.2
9.4
7.2
7.2
5.9
10.3
2.1
5.4
6.1
8.1
3.8
-0.1
-11.1
-----
30.2
14.4
2.7
5.2
16.1
5.6
9.8
5.4
6.9
3.9
8.7
-0.2
4.9
31.8
---
2.8
7.8
13.7
11.1
2.8
4.8
14.3
1.0
3.5
3.3
10.0
6.8
-23.9
-----
1.7
-2.3
2.9
7.0
-6.1
13.4
-2.2
10.5
1.5
6.3
9.4
3.7
5.7
5.1
8.0
4.2
16.4
104.7
-----
-14.7
19.1
18.2
4.1
3.1
15.4
9.7
10.2
4.4
8.1
12.0
9.3
0.9
2.3
7.8
6.9
-6.7
29.7
-----
12.5
30.0
17.3
21.0
4.2
-5.0
10.0
7.2
7.0
8.8
10.6
10.3
7.3
3.0
1.1
3.4
8.1
7.4
6.2
11.9
14.4
-23.6
-------
14.5
12.0
4.4
9.5
15.2
8.6
26.4
-1.1
-15.2
17.4
7.0
-2.5
7.9
4.3
5.7
5.3
9.1
2.9
3.5
4.6
7.5
33.3
37.7
-----
-1.5
-1.3
1.5
7.1
14.3
16.2
6.7
11.0
5.4
8.1
4.4
5.5
4.9
3.0
0.5
4.0
4.0
4.2
4.7
-25.3
-10.4
-10.3
-------
8.4
9.1
5.0
1.7
1.8
4.7
7.0
3.0
5.8
4.1
2.3
5.2
3.5
4.9
4.2
3.0
4.6
3.4
-1.0
---
3.6
3.4
5.5
4.4
4.5
Canadian Institute for Health Information, 2010.
129 i
National Health Expenditure Trends, 1975 to 2010
Table A.3.3.1—Part 1
Public-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars
Hospitals Other Institutions
A
B
Physicians
Dental Services
Other Professionals
Vision Care
Services
Other
C
Subtotal
D
Year
($’000,000)
1975
1976
5,136.8
5,977.7
796.6
999.1
1,813.2
2,041.5
56.4
69.8
35.9
40.6
46.7
53.9
139.0
164.4
1977
6,372.7
1,175.2
1978
1979
6,861.9
7,487.6
1,367.5
1,581.4
2,252.1
83.7
44.9
60.5
189.1
2,528.3
2,804.5
104.0
143.8
51.9
58.0
75.5
88.9
231.4
290.7
1980
1981
1982
8,585.2
10,127.4
12,001.9
1,821.5
2,146.7
2,531.4
3,236.0
3,775.1
4,353.1
194.9
278.4
270.0
67.2
78.7
91.1
104.9
126.7
143.0
367.1
483.9
504.2
1983
1984
13,174.5
13,936.3
2,794.4
2,923.3
4,973.3
5,444.6
260.7
266.7
105.7
117.7
164.0
181.0
530.3
565.4
1985
1986
1987
14,737.7
15,937.1
17,154.2
3,066.5
2,982.4
3,132.1
5,962.1
6,597.9
7,266.2
275.5
287.2
286.3
130.4
146.1
157.3
214.6
260.7
276.4
620.5
693.9
719.9
1988
1989
18,497.2
20,269.0
3,468.3
3,828.5
7,862.5
8,422.7
311.3
350.3
180.8
205.6
296.0
341.5
788.2
897.4
1990
1991
1992
1993
1994
21,626.1
23,294.9
24,132.6
24,074.4
23,511.8
4,166.8
4,576.9
4,898.5
4,784.4
4,830.9
9,157.3
10,114.5
10,354.7
10,401.6
10,629.4
382.2
405.7
417.4
426.1
435.9
225.4
247.7
239.6
211.0
204.1
394.5
463.0
492.6
487.7
456.2
1,002.1
1,116.4
1,149.6
1,124.8
1,096.2
1995
1996
1997
1998
1999
23,129.6
22,957.1
22,450.0
23,421.6
24,366.5
5,040.7
5,203.2
6,487.5
7,162.4
7,559.4
10,528.9
10,639.3
11,202.5
11,662.0
12,258.3
425.0
389.3
371.0
355.5
381.8
193.1
195.3
214.5
204.7
218.8
456.7
452.7
456.0
478.8
520.2
1,074.9
1,037.2
1,041.6
1,039.0
1,120.8
2000
2001
2002
2003
2004
26,445.7
28,038.9
30,205.5
32,675.7
35,215.1
8,156.3
8,775.1
9,299.6
9,851.0
10,481.6
13,046.3
14,001.1
14,765.2
15,640.5
16,490.5
395.9
403.4
418.1
405.7
421.6
230.3
247.8
240.1
244.2
250.6
568.4
549.5
509.7
512.9
509.4
1,194.7
1,200.7
1,167.9
1,162.8
1,181.5
2005
2006
2007
2008
2009 f
37,152.1
39,640.4
41,928.7
44,930.2
47,452.2
10,872.3
11,313.3
11,629.4
12,131.5
12,627.1
17,645.4
19,048.8
20,570.2
22,541.8
24,308.1
449.0
500.9
539.1
584.6
615.8
223.5
231.8
240.0
265.9
283.5
455.1
449.4
466.9
510.3
514.6
1,127.6
1,182.1
1,246.1
1,360.8
1,413.9
2010 f
50,398.7
13,324.3
25,976.1
667.1
306.0
530.0
1,503.2
(Annual Percentage Change)*
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
1986
5.8
8.1
4.9
-2.7
9.5
10.7
3.3
4.2
10.8
12.0
18.5
21.5
9.7
11.8
1987
1988
1989
7.6
7.8
9.6
5.0
10.7
10.4
10.1
8.2
7.1
-0.3
8.8
12.5
7.7
14.9
13.7
6.0
7.1
15.4
3.8
9.5
13.9
1990
6.7
8.8
8.7
9.1
9.6
15.5
11.7
1991
7.7
9.8
10.5
6.1
9.9
17.4
11.4
1992
1993
3.6
-0.2
7.0
-2.3
2.4
0.5
2.9
2.1
-3.3
-11.9
6.4
-1.0
3.0
-2.2
1994
-2.3
1.0
2.2
2.3
-3.3
-6.5
-2.5
1995
1996
1997
1998
1999
-1.6
-0.7
-2.2
4.3
4.0
4.3
3.2
24.7
10.4
5.5
-0.9
1.0
5.3
4.1
5.1
-2.5
-8.4
-4.7
-4.2
7.4
-5.4
1.1
9.9
-4.6
6.9
0.1
-0.9
0.7
5.0
8.6
-1.9
-3.5
0.4
-0.3
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
3.7
-3.0
3.9
5.3
7.6
-3.1
1.7
2.6
9.3
-3.3
-7.2
0.6
-0.7
6.6
0.5
-2.7
-0.4
1.6
2005
2006
2007
2008
2009 f
5.5
6.7
5.8
7.2
5.6
3.7
4.1
2.8
4.3
4.1
7.0
8.0
8.0
9.6
7.8
6.5
11.6
7.6
8.4
5.3
-10.8
3.7
3.6
10.8
6.6
-10.6
-1.3
3.9
9.3
0.8
-4.6
4.8
5.4
9.2
3.9
2010 f
6.2
5.5
6.9
8.3
7.9
3.0
6.3
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
8130
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table A.3.3.1—Part 2
Public-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
E
Capital
F
Public Health Administration
G
Other Health Spending
Health
Research
Other
H
Subtotal
Grand Total
J
A+B+C+D+
E+F+G+H+J
($’000,000)
158.6
215.8
-----
158.6
215.8
376.4
367.0
406.8
510.6
271.4
299.9
70.3
75.9
131.2
165.3
201.6
241.2
9,300.3
10,817.2
266.6
---
266.6
385.4
598.5
327.9
386.4
-----
327.9
386.4
454.8
547.8
615.4
707.0
318.1
93.1
193.7
286.8
11,844.6
320.6
351.7
107.2
123.4
225.4
271.8
332.6
395.2
13,040.5
14,552.3
465.0
566.9
683.6
-------
465.0
566.9
683.6
635.3
731.9
905.7
845.4
1,006.1
1,149.7
395.2
445.0
546.6
139.5
164.7
184.2
351.8
495.0
586.4
491.3
659.7
770.6
16,841.8
19,942.6
23,446.8
817.4
942.8
-----
817.4
942.8
1,065.2
1,139.9
1,241.4
1,376.5
590.9
647.3
215.1
245.7
677.4
735.1
892.5
980.8
26,080.0
27,956.9
1,118.7
1,319.2
1,492.7
-------
1,118.7
1,319.2
1,492.7
1,236.9
1,351.5
1,391.1
1,515.7
1,570.2
1,661.0
696.8
734.2
779.6
278.4
333.2
315.9
861.6
1,009.1
1,142.0
1,140.0
1,342.3
1,457.9
30,094.9
32,528.6
35,054.7
1,702.8
1,970.9
-----
1,702.8
1,970.9
1,550.7
1,702.4
1,786.6
1,953.6
799.2
864.8
343.0
392.3
1,364.3
1,609.5
1,707.3
2,001.9
38,162.8
41,911.1
2,278.0
2,606.7
2,908.5
3,044.9
3,087.6
-----------
2,278.0
2,606.7
2,908.5
3,044.9
3,087.6
1,740.3
1,685.8
1,694.9
1,650.2
1,943.2
2,138.5
2,316.5
2,539.6
2,761.5
3,059.8
991.9
1,033.6
1,068.6
1,010.9
1,072.0
441.5
448.9
541.0
517.9
511.1
1,903.1
2,188.0
2,349.3
2,550.3
2,793.5
2,344.6
2,636.8
2,890.4
3,068.2
3,304.6
45,445.5
49,382.2
51,637.3
51,920.8
52,535.5
3,365.3
3,328.8
3,598.1
4,007.5
4,551.6
-----------
3,365.3
3,328.8
3,598.1
4,007.5
4,551.6
1,824.0
1,685.9
1,757.6
1,874.0
2,626.8
3,245.0
3,371.5
3,510.1
4,400.7
4,769.4
1,155.8
1,180.5
1,224.5
1,345.1
1,426.7
488.8
487.7
730.8
737.6
693.4
2,866.2
2,917.1
3,202.9
3,540.7
3,815.1
3,355.0
3,404.8
3,933.6
4,278.3
4,508.5
52,719.1
52,808.6
55,205.6
59,190.5
63,188.0
5,295.3
6,064.1
6,807.0
7,565.4
8,261.8
-----------
5,295.3
6,064.1
6,807.0
7,565.4
8,261.8
3,134.9
3,419.9
3,700.5
4,178.1
4,411.0
5,426.7
6,234.4
6,523.6
7,636.8
7,772.1
1,587.1
1,741.1
1,910.9
2,099.6
2,239.2
873.1
1,268.0
1,187.6
1,313.7
1,403.1
4,100.1
4,256.5
4,382.9
4,536.9
4,829.0
4,973.2
5,524.5
5,570.5
5,850.6
6,232.1
69,260.4
74,999.7
79,950.9
86,660.7
92,285.0
8,911.5
9,616.1
10,132.2
10,810.1
11,537.2
-----------
8,911.5
9,616.1
10,132.2
10,810.1
11,537.2
5,116.9
5,186.0
5,704.9
6,786.2
7,673.8
8,613.0
9,291.1
10,555.9
11,051.0
11,606.7
2,492.9
2,538.8
2,700.5
2,544.2
2,628.0
1,447.9
1,715.2
1,942.1
2,148.2
2,278.2
5,269.8
5,624.1
6,152.7
6,748.0
7,051.0
6,717.7
7,339.3
8,094.7
8,896.3
9,329.3
98,649.5
105,155.9
112,562.7
121,052.1
128,576.2
12,132.8
---
12,132.8
6,869.4
12,206.0
2,741.4
2,298.4
7,619.2
9,917.6
135,069.4
(Annual Percentage Change)*
36.1
20.3
-----
36.1
20.3
-2.5
16.0
25.5
19.6
10.5
12.4
8.0
13.1
25.9
29.4
19.7
24.3
16.3
15.7
18.7
17.9
-----
18.7
17.9
8.5
9.3
10.1
3.6
7.6
5.4
13.3
19.7
17.2
17.1
16.2
17.7
7.6
8.1
13.2
14.1
15.7
-------
13.2
14.1
15.7
2.9
11.5
9.8
5.8
7.6
9.3
6.2
2.5
8.2
-5.2
8.6
14.4
13.2
19.5
18.0
8.6
17.1
17.3
7.8
8.9
9.8
15.6
---
15.6
2.2
9.5
14.7
12.5
18.2
17.1
8.4
14.4
---
14.4
-3.1
8.3
4.2
1.7
15.0
12.5
8.7
11.6
4.7
-----
11.6
4.7
0.5
-2.6
9.6
8.7
3.4
-5.4
20.5
-4.3
7.4
8.6
9.6
6.2
4.6
0.5
1.4
---
1.4
17.8
10.8
6.0
-1.3
9.5
7.7
1.2
9.0
-1.1
8.1
11.4
13.6
-----------
9.0
-1.1
8.1
11.4
13.6
-6.1
-7.6
4.3
6.6
40.2
6.1
3.9
4.1
25.4
8.4
7.8
2.1
3.7
9.9
6.1
-4.4
-0.2
49.8
0.9
-6.0
2.6
1.8
9.8
10.5
7.7
1.5
1.5
15.5
8.8
5.4
0.3
0.2
4.5
7.2
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
1.8
11.2
9.7
9.8
9.9
6.6
25.9
45.2
-6.3
10.6
6.8
7.5
3.8
3.0
3.5
6.4
10.3
11.1
0.8
5.0
6.5
9.6
8.3
6.6
8.4
6.5
7.9
7.9
5.4
6.7
6.7
-----------
7.9
7.9
5.4
6.7
6.7
16.0
1.4
10.0
19.0
13.1
10.8
7.9
13.6
4.7
5.0
11.3
1.8
6.4
-5.8
3.3
3.2
18.5
13.2
10.6
6.1
9.1
6.7
9.4
9.7
4.5
7.8
9.3
10.3
9.9
4.9
6.9
6.6
7.0
7.5
6.2
5.2
---
5.2
-10.5
5.2
4.3
0.9
8.1
6.3
5.1
Canadian Institute for Health Information, 2010.
131 i
National Health Expenditure Trends, 1975 to 2010
Table A.3.3.2—Part 1
Public-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars
Hospitals Other Institutions
A
B
Year
Physicians
Dental Services
Other Professionals
Vision Care
Services
Other
C
Subtotal
D
(Percentage Distribution of $’000,000)
1975
1976
55.2
55.3
8.6
9.2
19.5
18.9
0.6
0.6
0.4
0.4
0.5
0.5
1.5
1.5
1977
1978
1979
53.8
52.6
51.5
9.9
10.5
10.9
19.0
19.4
19.3
0.7
0.8
1.0
0.4
0.4
0.4
0.5
0.6
0.6
1.6
1.8
2.0
1980
1981
51.0
50.8
10.8
10.8
19.2
18.9
1.2
1.4
0.4
0.4
0.6
0.6
2.2
2.4
1982
1983
1984
51.2
50.5
49.8
10.8
10.7
10.5
18.6
19.1
19.5
1.2
1.0
1.0
0.4
0.4
0.4
0.6
0.6
0.6
2.2
2.0
2.0
1985
1986
49.0
49.0
10.2
9.2
19.8
20.3
0.9
0.9
0.4
0.4
0.7
0.8
2.1
2.1
1987
1988
1989
48.9
48.5
48.4
8.9
9.1
9.1
20.7
20.6
20.1
0.8
0.8
0.8
0.4
0.5
0.5
0.8
0.8
0.8
2.1
2.1
2.1
1990
1991
47.6
47.2
9.2
9.3
20.1
20.5
0.8
0.8
0.5
0.5
0.9
0.9
2.2
2.3
1992
1993
1994
46.7
46.4
44.8
9.5
9.2
9.2
20.1
20.0
20.2
0.8
0.8
0.8
0.5
0.4
0.4
1.0
0.9
0.9
2.2
2.2
2.1
1995
1996
43.9
43.5
9.6
9.9
20.0
20.1
0.8
0.7
0.4
0.4
0.9
0.9
2.0
2.0
1997
1998
1999
40.7
39.6
38.6
11.8
12.1
12.0
20.3
19.7
19.4
0.7
0.6
0.6
0.4
0.3
0.3
0.8
0.8
0.8
1.9
1.8
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
18.0
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 f
37.7
37.7
37.2
37.1
36.9
11.0
10.8
10.3
10.0
9.8
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
0.4
0.4
0.4
1.1
1.1
1.1
1.1
1.1
2010 f
37.3
9.9
19.2
0.5
0.2
0.4
1.1
1976*
1980*
0.1
-0.9
7.8
-0.5
-3.2
-0.3
6.4
17.1
-2.5
0.2
-0.8
2.0
1.7
9.1
1985
1986
1987
1988
-1.8
0.0
-0.1
-1.0
-2.6
-10.0
-2.6
1.7
1.7
2.4
2.2
-0.6
-4.0
-3.6
-7.5
-0.1
3.0
3.6
-0.1
5.6
10.1
12.4
-1.6
-1.6
1.9
3.5
-3.7
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
1992
1993
-0.9
-0.9
-0.8
1.1
2.4
-2.9
1.6
-2.1
-0.1
-2.3
-1.6
1.5
1.1
-7.5
-12.4
8.0
1.7
-1.5
2.5
-1.5
-2.7
(Annual Percentage Change)*
1994
-3.5
-0.2
1.0
1.1
-4.4
-7.6
-3.7
1995
-2.0
4.0
-1.3
-2.8
-5.7
-0.2
-2.3
1996
1997
1998
-0.9
-6.5
-2.7
3.0
19.3
3.0
0.9
0.7
-2.9
-8.6
-8.8
-10.6
0.9
5.1
-11.0
-1.1
-3.6
-2.1
-3.7
-3.9
-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
1.1
-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
-9.1
-6.1
-3.7
-0.3
-10.7
-13.0
-7.2
-6.7
-2.8
-7.2
-8.7
-8.1
-4.6
2005
2006
2007
2008
2009 f
-1.3
0.1
-1.2
-0.4
-0.6
-3.0
-2.4
-4.0
-3.0
-2.0
0.1
1.3
0.9
1.9
1.5
-0.4
4.7
0.5
0.8
-0.8
-16.6
-2.7
-3.3
3.0
0.4
-16.4
-7.4
-2.9
1.6
-5.1
-10.7
-1.7
-1.5
1.5
-2.2
2010 f
1.1
0.4
1.7
3.1
2.7
-2.0
1.2
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
8132
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table A.3.3.2—Part 2
Public-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
E
Capital
F
Public Health Administration
G
Other Health Spending
Health
Research
Other
H
Subtotal
Grand Total
J
A+B+C+D+
E+F+G+H+J
(Percentage Distribution of $’000,000)
1.7
2.0
-----
1.7
2.0
4.0
3.4
4.4
4.7
2.9
2.8
0.8
0.7
1.4
1.5
2.2
2.2
100.0
100.0
2.3
2.5
2.7
-------
2.3
2.5
2.7
3.3
3.5
3.8
5.1
4.7
4.9
2.7
2.5
2.4
0.8
0.8
0.8
1.6
1.7
1.9
2.4
2.6
2.7
100.0
100.0
100.0
2.8
2.8
-----
2.8
2.8
3.8
3.7
5.0
5.0
2.3
2.2
0.8
0.8
2.1
2.5
2.9
3.3
100.0
100.0
2.9
3.1
3.4
-------
2.9
3.1
3.4
3.9
4.1
4.1
4.9
4.8
4.9
2.3
2.3
2.3
0.8
0.8
0.9
2.5
2.6
2.6
3.3
3.4
3.5
100.0
100.0
100.0
3.7
4.1
-----
3.7
4.1
4.1
4.2
5.0
4.8
2.3
2.3
0.9
1.0
2.9
3.1
3.8
4.1
100.0
100.0
4.3
4.5
4.7
-------
4.3
4.5
4.7
4.0
4.1
4.1
4.7
4.7
4.7
2.2
2.1
2.1
0.9
0.9
0.9
3.3
3.6
3.8
4.2
4.5
4.8
100.0
100.0
100.0
5.0
5.3
-----
5.0
5.3
3.8
3.4
4.7
4.7
2.2
2.1
1.0
0.9
4.2
4.4
5.2
5.3
100.0
100.0
5.6
5.9
5.9
-------
5.6
5.9
5.9
3.3
3.2
3.7
4.9
5.3
5.8
2.1
1.9
2.0
1.0
1.0
1.0
4.5
4.9
5.3
5.6
5.9
6.3
100.0
100.0
100.0
6.4
6.3
-----
6.4
6.3
3.5
3.2
6.2
6.4
2.2
2.2
0.9
0.9
5.4
5.5
6.4
6.4
100.0
100.0
6.5
6.8
7.2
-------
6.5
6.8
7.2
3.2
3.2
4.2
6.4
7.4
7.5
2.2
2.3
2.3
1.3
1.2
1.1
5.8
6.0
6.0
7.1
7.2
7.1
100.0
100.0
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
6.8
6.8
100.0
100.0
100.0
100.0
100.0
9.0
9.1
9.0
8.9
9.0
-----------
9.0
9.1
9.0
8.9
9.0
5.2
4.9
5.1
5.6
6.0
8.7
8.8
9.4
9.1
9.0
2.5
2.4
2.4
2.1
2.0
1.5
1.6
1.7
1.8
1.8
5.3
5.3
5.5
5.6
5.5
6.8
7.0
7.2
7.3
7.3
100.0
100.0
100.0
100.0
100.0
9.0
---
9.0
5.1
9.0
2.0
1.7
5.6
7.3
100.0
17.0
4.0
-----
17.0
4.0
-16.2
0.2
7.9
3.3
-5.0
-2.9
-7.2
-2.3
8.3
11.8
2.9
7.4
-----
10.2
9.1
5.0
4.8
---------
10.2
9.1
5.0
4.8
0.8
1.1
-4.5
2.4
2.3
-4.2
-1.8
-1.2
0.0
-2.5
-1.5
-5.8
5.3
10.7
-12.0
-0.3
8.9
8.4
5.0
9.7
8.0
8.9
0.8
7.6
---------
(Annual Percentage Change)*
5.4
---
5.4
0.0
-0.4
-1.5
4.2
7.4
6.8
---
6.6
---
6.6
-5.7
1.0
5.8
3.8
9.0
8.0
---
5.3
6.7
4.1
-------
5.3
6.7
4.1
-10.9
-3.9
-3.2
-0.3
4.8
8.1
-4.1
-1.1
-5.9
-6.4
15.3
-4.8
5.8
2.7
8.0
3.5
4.8
5.6
-------
0.2
---
0.2
16.4
9.5
4.8
-2.5
8.3
6.4
---
8.6
---
8.6
-6.5
5.7
7.4
-4.7
2.2
1.2
---
-1.3
3.4
3.9
-------
-1.3
3.4
3.9
-7.7
-0.3
-0.6
3.7
-0.4
16.9
2.0
-0.8
2.5
-0.4
43.3
-5.9
1.6
5.0
3.1
1.3
10.5
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
-4.4
1.5
1.3
3.0
1.4
0.1
14.9
34.1
-12.1
2.1
0.3
-2.0
-4.1
-3.4
-4.5
0.0
0.6
2.6
-5.4
-3.1
0.0
-----------
0.9
1.2
-1.6
-0.8
0.5
-----------
0.9
1.2
-1.6
-0.8
0.5
8.5
-4.9
2.8
10.6
6.5
3.7
1.2
6.1
-2.7
-1.1
4.1
-4.5
-0.6
-12.4
-2.7
-3.5
11.1
5.8
2.9
-0.2
2.1
0.1
2.2
2.0
-1.6
0.8
2.5
3.0
2.2
-1.3
-----------
0.1
---
0.1
-14.8
0.1
-0.7
-4.0
2.9
1.2
---
Canadian Institute for Health Information, 2010.
133 i
National Health Expenditure Trends, 1975 to 2010
Table A.3.3.3—Part 1
Public-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars
Hospitals Other Institutions
A
B
Physicians
Dental Services
Other Professionals
Vision Care
Services
Other
C
Subtotal
D
Year
($’ per Capita)
1975
1976
221.96
254.91
34.42
42.61
78.34
87.06
2.44
2.98
1.55
1.73
2.02
2.30
6.00
7.01
1977
1978
1979
268.60
286.35
309.38
49.53
57.07
65.34
94.92
105.51
115.88
3.53
4.34
5.94
1.89
2.17
2.40
2.55
3.15
3.67
7.97
9.66
12.01
1980
1981
350.19
408.03
74.30
86.49
131.99
152.10
7.95
11.22
2.74
3.17
4.28
5.10
14.97
19.49
1982
1983
1984
477.83
519.36
544.22
100.78
110.16
114.16
173.31
196.05
212.62
10.75
10.28
10.42
3.63
4.17
4.59
5.69
6.46
7.07
20.07
20.91
22.08
1985
1986
570.29
610.59
118.66
114.26
230.71
252.78
10.66
11.00
5.05
5.60
8.30
9.99
1987
1988
648.58
690.31
118.42
129.44
274.73
293.43
10.82
11.62
5.95
6.75
10.45
11.05
24.01
26.58
27.22
29.41
1989
742.95
140.33
308.73
12.84
7.54
12.52
32.89
1990
1991
1992
1993
1994
780.79
831.03
850.73
839.36
810.77
150.44
163.28
172.68
166.81
166.59
330.62
360.83
365.03
362.65
366.54
13.80
14.47
14.71
14.85
15.03
8.14
8.84
8.45
7.36
7.04
14.24
16.52
17.37
17.01
15.73
36.18
39.83
40.53
39.22
37.80
1995
1996
1997
1998
1999
789.34
775.29
750.65
776.65
801.43
172.02
175.72
216.92
237.50
248.63
359.32
359.30
374.57
386.71
403.18
14.50
13.15
12.41
11.79
12.56
6.59
6.59
7.17
6.79
7.20
15.59
15.29
15.25
15.88
17.11
36.68
35.03
34.83
34.45
36.86
2000
2001
2002
2003
2004
861.73
903.86
962.80
1,031.56
1,100.64
265.77
282.87
296.43
310.99
327.60
425.11
451.34
470.64
493.76
515.41
12.90
13.00
13.33
12.81
13.18
7.50
7.99
7.65
7.71
7.83
18.52
17.71
16.25
16.19
15.92
38.93
38.70
37.23
36.71
36.93
2005
2006
2007
2008
2009 f
1,149.79
1,216.86
1,273.19
1,348.15
1,406.41
336.48
347.29
353.14
364.01
374.25
546.09
584.75
624.63
676.38
720.46
13.90
15.38
16.37
17.54
18.25
6.92
7.11
7.29
7.98
8.40
14.09
13.79
14.18
15.31
15.25
34.90
36.29
37.84
40.83
41.91
2010 f
1,476.31
390.31
760.91
19.54
8.96
15.53
44.03
(Annual Percentage Change)*
8134
1976*
1980*
14.8
13.2
23.8
13.7
11.1
13.9
22.2
33.8
11.9
14.4
13.9
16.5
16.7
24.7
1985
1986
4.8
7.1
3.9
-3.7
8.5
9.6
2.3
3.2
9.8
10.9
17.5
20.3
8.7
10.7
1987
1988
1989
6.2
6.4
7.6
3.6
9.3
8.4
8.7
6.8
5.2
-1.6
7.4
10.5
6.3
13.4
11.7
4.6
5.7
13.3
2.4
8.1
11.8
1990
1991
5.1
6.4
7.2
8.5
7.1
9.1
7.5
4.9
8.0
8.6
13.8
16.0
10.0
10.1
1992
1993
1994
2.4
-1.3
-3.4
5.8
-3.4
-0.1
1.2
-0.7
1.1
1.7
1.0
1.2
-4.4
-12.9
-4.3
5.1
-2.1
-7.5
1.8
-3.2
-3.6
1995
1996
-2.6
-1.8
3.3
2.1
-2.0
0.0
-3.5
-9.4
-6.3
0.0
-0.9
-1.9
-3.0
-4.5
1997
1998
1999
-3.2
3.5
3.2
23.4
9.5
4.7
4.2
3.2
4.3
-5.6
-5.0
6.5
8.8
-5.4
6.0
-0.3
4.1
7.7
-0.6
-1.1
7.0
2000
2001
7.5
4.9
6.9
6.4
5.4
6.2
2.7
0.8
4.3
6.4
8.3
-4.4
5.6
-0.6
2002
2003
2004
6.5
7.1
6.7
4.8
4.9
5.3
4.3
4.9
4.4
2.5
-3.9
2.9
-4.2
0.8
1.6
-8.3
-0.3
-1.7
-3.8
-1.4
0.6
2005
2006
4.5
5.8
2.7
3.2
6.0
7.1
5.5
10.7
-11.7
2.9
-11.5
-2.1
-5.5
4.0
2007
4.6
1.7
6.8
6.5
2.4
2.8
4.3
2008
2009 f
5.9
4.3
3.1
2.8
8.3
6.5
7.1
4.1
9.5
5.3
8.0
-0.4
7.9
2.6
2010 f
5.0
4.3
5.6
7.1
6.7
1.8
5.1
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table A.3.3.3—Part 2
Public-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2010—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
E
Capital
F
Public Health Administration
G
Other Health Spending
Health
Research
Other
H
Subtotal
Grand Total
J
A+B+C+D+
E+F+G+H+J
($’ per Capita)
6.85
9.20
-----
6.85
9.20
16.27
15.65
17.58
21.77
11.73
12.79
3.04
3.24
5.67
7.05
8.71
10.29
401.86
461.29
11.23
13.69
15.97
-------
11.23
13.69
15.97
16.25
18.98
22.64
25.23
25.68
29.21
13.41
13.38
14.53
3.92
4.47
5.10
8.17
9.41
11.23
12.09
13.88
16.33
499.22
544.19
601.29
18.97
22.84
-----
18.97
22.84
25.91
29.49
34.48
40.54
16.12
17.93
5.69
6.64
14.35
19.94
20.04
26.58
686.97
803.48
27.22
32.22
36.82
-------
27.22
32.22
36.82
36.06
41.99
44.51
45.77
48.94
53.75
21.76
23.30
25.28
7.33
8.48
9.59
23.35
26.70
28.71
30.68
35.18
38.30
933.49
1,028.11
1,091.74
43.29
50.54
-----
43.29
50.54
47.86
51.78
58.65
60.16
26.96
28.13
10.77
12.76
33.34
38.66
44.11
51.43
1,164.54
1,246.25
56.44
63.55
72.24
-------
56.44
63.55
72.24
52.59
57.87
62.40
62.80
66.67
71.61
29.48
29.83
31.70
11.94
12.80
14.38
43.18
50.92
59.00
55.12
63.72
73.38
1,325.38
1,424.23
1,536.23
82.24
92.99
102.53
106.16
106.47
-----------
82.24
92.99
102.53
106.16
106.47
62.83
60.14
59.75
57.54
67.01
77.21
82.64
89.53
96.28
105.51
35.81
36.87
37.67
35.25
36.97
15.94
16.01
19.07
18.06
17.62
68.71
78.05
82.82
88.92
96.33
84.65
94.07
101.89
106.97
113.95
1,640.78
1,761.68
1,820.34
1,810.23
1,811.62
114.85
112.42
120.31
132.89
149.70
-----------
114.85
112.42
120.31
132.89
149.70
62.25
56.94
58.77
62.14
86.40
110.74
113.86
117.37
145.93
156.87
39.44
39.87
40.94
44.60
46.92
16.68
16.47
24.43
24.46
22.81
97.82
98.51
107.09
117.41
125.48
114.50
114.99
131.53
141.87
148.29
1,799.15
1,783.42
1,845.88
1,962.74
2,078.29
172.55
195.48
216.97
238.84
258.22
-----------
172.55
195.48
216.97
238.84
258.22
102.15
110.24
117.95
131.90
137.86
176.83
200.97
207.94
241.09
242.92
51.72
56.13
60.91
66.28
69.98
28.45
40.88
37.85
41.47
43.85
133.60
137.21
139.71
143.23
150.93
162.05
178.09
177.56
184.70
194.78
2,256.84
2,417.69
2,548.43
2,735.84
2,884.34
275.79
295.19
307.67
324.36
341.94
-----------
275.79
295.19
307.67
324.36
341.94
158.36
159.20
173.23
203.62
227.44
266.56
285.21
320.54
331.59
344.00
77.15
77.93
82.00
76.34
77.89
44.81
52.65
58.97
64.46
67.52
163.09
172.65
186.83
202.48
208.98
207.90
225.30
245.80
266.94
276.51
3,053.02
3,228.01
3,418.04
3,632.22
3,810.81
355.40
---
355.40
201.22
357.55
80.30
67.33
223.19
290.51
3,956.55
(Annual Percentage Change)*
34.3
18.8
-----
34.3
18.8
-3.8
14.5
23.9
18.0
9.1
10.9
6.6
11.6
24.3
27.8
18.1
22.7
14.8
14.2
17.6
16.8
11.7
12.6
---------
17.6
16.8
11.7
12.6
7.5
8.2
1.6
10.0
9.1
2.6
4.4
6.2
6.7
4.3
4.8
1.2
12.3
18.5
-6.4
7.2
16.1
16.0
11.7
17.9
15.2
16.6
7.2
15.6
6.7
7.0
6.3
7.5
13.7
---
13.7
7.8
7.4
6.3
12.3
15.9
15.2
7.9
13.8
---
13.8
0.7
7.8
13.0
10.8
16.5
15.4
6.8
13.1
10.3
3.5
-------
13.1
10.3
3.5
-4.3
-0.7
-3.7
7.0
8.3
7.5
3.0
2.2
-6.4
0.5
19.1
-5.3
13.6
6.1
7.4
11.1
8.3
5.0
7.4
3.3
-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
5.0
6.7
-5.4
1.5
0.5
-0.7
-2.1
7.0
10.5
-------
-2.1
7.0
10.5
-8.5
3.2
5.7
2.8
3.1
24.3
1.1
2.7
8.9
-1.3
48.3
0.1
0.7
8.7
9.6
0.4
14.4
7.9
-0.9
3.5
6.3
12.7
---
12.7
39.0
7.5
5.2
-6.8
6.9
4.5
5.9
15.3
13.3
11.0
-------
15.3
13.3
11.0
18.2
7.9
7.0
12.7
13.7
3.5
10.2
8.5
8.5
24.7
43.7
-7.4
6.5
2.7
1.8
9.3
9.9
-0.3
8.6
7.1
5.4
10.1
8.1
-----
10.1
8.1
11.8
4.5
15.9
0.8
8.8
5.6
9.6
5.7
2.5
5.4
4.0
5.5
7.4
5.4
6.8
7.0
-----
6.8
7.0
14.9
0.5
9.7
7.0
10.2
1.0
2.2
17.5
8.1
5.9
6.7
8.4
5.8
5.7
4.2
5.4
5.4
-------
4.2
5.4
5.4
8.8
17.5
11.7
12.4
3.4
3.7
5.2
-6.9
2.0
12.0
9.3
4.8
8.2
8.4
3.2
9.1
8.6
3.6
5.9
6.3
4.9
3.9
---
3.9
-11.5
3.9
3.1
-0.3
6.8
5.1
3.8
Canadian Institute for Health Information, 2010.
135 i
Series B—Total Health Expenditure by Source
of Finance, by Province/Territory and Canada
(Selected Tables)
National Health Expenditure Trends, 1975 to 2010
Table B.1.1
Total Health Expenditure, by Province/Territory and Canada, 1975 to 2010—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
264.5
312.8
59.2
62.9
382.5
442.2
277.5
321.9
3,378.8
3,875.2
4,422.8
5,040.8
546.3
629.4
441.2
520.3
992.3
1,158.9
1,383.4
1,628.3
15.9
18.1
35.1
39.0
-----
12,199.4
14,049.8
1977
1978
1979
362.9
412.7
473.3
68.7
79.5
96.6
469.1
512.5
573.0
358.9
404.7
470.0
4,200.7
4,666.6
5,149.6
5,524.6
6,071.9
6,728.0
706.0
749.0
823.3
587.4
622.4
703.5
1,272.1
1,465.4
1,781.0
1,831.8
2,044.4
2,288.6
18.5
21.3
23.9
49.3
56.5
59.0
-------
15,450.0
17,106.8
19,169.7
1980
1981
528.4
621.3
122.3
136.4
657.2
788.8
562.5
681.2
5,886.5
6,887.8
7,634.1
8,903.0
971.4
1,153.2
815.7
949.0
2,153.1
2,623.7
2,880.0
3,430.4
26.1
28.2
61.1
73.8
-----
22,298.4
26,276.7
1982
1983
1984
701.2
773.7
751.7
152.4
164.5
171.0
919.1
1,004.9
1,125.3
819.3
894.6
975.1
7,890.5
8,675.3
9,313.7
10,445.2
11,850.0
13,086.0
1,332.1
1,478.6
1,592.0
1,130.0
1,257.6
1,371.3
3,351.7
3,622.1
3,764.2
3,870.2
4,155.7
4,428.9
37.1
38.0
37.9
110.4
123.5
125.8
-------
30,759.1
34,038.6
36,743.1
1985
1986
785.8
812.5
181.2
187.6
1,232.5
1,376.9
1,026.2
1,091.1
10,031.9
10,537.4
14,442.8
16,097.2
1,726.5
1,889.7
1,528.8
1,703.6
4,070.4
4,448.5
4,637.3
4,983.3
39.7
42.6
138.5
166.9
-----
39,841.8
43,337.3
1987
1988
1989
881.6
930.9
991.6
202.9
219.5
239.3
1,560.6
1,585.2
1,751.8
1,194.0
1,291.5
1,400.1
11,268.6
12,279.2
13,290.3
17,866.4
19,819.8
21,970.8
1,980.2
2,069.6
2,257.4
1,767.8
1,837.6
2,052.9
4,499.9
4,830.6
5,349.8
5,340.3
5,838.3
6,509.0
44.7
45.8
49.5
181.3
211.2
232.9
-------
46,788.2
50,959.2
56,095.5
1990
1991
1,096.4
1,153.2
256.2
280.6
1,866.9
1,970.0
1,533.5
1,629.3
14,311.5
15,634.6
23,799.1
26,194.3
2,484.3
2,576.0
2,252.2
2,319.8
5,749.4
6,062.5
7,372.6
8,126.7
53.6
62.6
246.8
279.5
-----
61,022.6
66,289.1
1992
1993
1994
1,197.4
1,209.1
1,249.3
295.0
311.7
313.7
2,031.6
2,025.0
2,023.4
1,699.8
1,739.1
1,793.0
16,376.1
16,904.2
17,327.9
27,575.2
28,074.9
28,748.7
2,701.9
2,749.1
2,804.9
2,325.4
2,301.9
2,385.2
6,430.7
6,520.4
6,313.4
8,769.1
9,296.8
9,770.7
67.5
79.6
93.2
279.6
287.1
286.3
-------
69,749.2
71,498.9
73,109.7
1995
1996
1,269.4
1,253.4
327.4
339.1
2,061.3
2,089.0
1,819.3
1,813.7
17,372.5
16,982.6
29,286.4
29,693.3
2,915.5
2,972.1
2,442.3
2,490.0
6,092.5
6,320.6
10,112.7
10,378.1
94.9
109.5
295.0
277.7
-----
74,089.2
74,719.1
1997
1998
1999
1,305.1
1,431.9
1,581.2
340.3
361.4
378.7
2,363.8
2,544.2
2,665.3
1,856.8
1,924.2
2,076.5
18,014.3
19,128.8
20,013.3
30,794.8
33,083.7
35,378.2
3,100.5
3,281.9
3,694.6
2,656.2
2,776.8
2,975.4
7,082.1
7,605.1
8,680.1
10,832.0
11,407.3
12,269.2
102.7
103.7
108.7
289.0
309.9
223.1
----142.6
78,737.6
83,958.8
90,186.9
2000
2001
2002
2003
2004
1,685.1
1,801.2
1,922.6
2,057.7
2,133.8
401.4
475.9
505.4
541.0
538.2
2,824.3
3,004.5
3,299.6
3,590.4
3,718.6
2,218.6
2,467.8
2,615.6
2,788.5
2,979.8
21,611.1
23,553.5
24,948.2
26,524.4
27,969.6
38,981.0
41,742.3
45,359.5
49,546.1
53,249.3
4,045.7
4,357.6
4,584.9
4,909.8
5,211.4
3,155.1
3,451.1
3,618.3
3,858.5
4,118.8
9,615.8
11,003.2
11,842.1
12,671.3
13,894.3
13,382.4
14,635.9
15,614.9
16,329.9
17,069.2
123.6
143.4
156.5
156.8
167.5
208.5
240.0
265.5
263.1
284.0
168.5
184.3
214.9
292.5
307.9
98,421.1
107,060.7
114,947.9
123,530.0
131,642.4
2005
2006
2007
2008
2009 f
2,231.8
2,342.4
2,557.1
2,724.7
2,873.6
576.2
621.9
654.6
706.7
796.3
4,025.9
4,500.4
4,809.0
5,071.0
5,381.3
3,295.1
3,582.8
3,724.7
3,962.6
4,183.7
29,728.0
31,571.1
33,381.0
35,687.4
38,212.7
56,568.5
60,107.5
64,074.0
67,729.9
71,581.5
5,599.4
5,954.9
6,262.9
6,737.5
7,150.1
4,415.6
4,754.5
5,091.1
5,455.1
5,859.7
15,242.5
17,071.0
18,568.3
20,495.7
22,018.0
18,048.8
19,399.4
20,230.7
22,191.3
22,965.3
187.7
216.9
231.0
241.3
271.0
318.4
343.8
384.8
406.4
423.3
304.3
335.0
353.7
367.2
383.5
140,542.2
150,801.6
160,322.8
171,776.8
182,100.1
2010 f
3,095.1
840.0
5,711.2
4,385.3
40,217.0
74,629.2
7,707.8
6,130.7
23,583.3
24,258.9
272.0
405.8
402.8
191,639.1
(Annual Percentage Change)*
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
10.6
5.2
3.8
7.0
9.5
5.1
6.6
5.5
3.1
9.5
6.2
4.3
7.7
9.2
4.7
8.3
10.1
5.3
10.1
3.7
4.9
9.7
3.0
0.2
7.5
5.4
6.1
13.3
10.2
7.9
8.2
16.8
7.9
6.0
13.2
0.1
-------
8.8
8.6
5.2
1993
1994
1.0
3.3
5.7
0.6
-0.3
-0.1
2.3
3.1
3.2
2.5
1.8
2.4
1.7
2.0
-1.0
3.6
1.4
-3.2
6.0
5.1
17.9
17.1
2.7
-0.3
-----
2.5
2.3
1995
1996
1.6
-1.3
4.4
3.5
1.9
1.3
1.5
-0.3
0.3
-2.2
1.9
1.4
3.9
1.9
2.4
2.0
-3.5
3.7
3.5
2.6
1.8
15.4
3.0
-5.9
-----
1.3
0.9
1997
4.1
0.4
13.2
2.4
6.1
3.7
4.3
6.7
12.0
4.4
-6.2
4.1
---
5.4
1998
1999
9.7
10.4
6.2
4.8
7.6
4.8
3.6
7.9
6.2
4.6
7.4
6.9
5.8
12.6
4.5
7.2
7.4
14.1
5.3
7.6
0.9
4.8
7.2
-28.0
-----
6.6
7.4
2000
2001
6.6
6.9
6.0
18.6
6.0
6.4
6.8
11.2
8.0
9.0
10.2
7.1
9.5
7.7
6.0
9.4
10.8
14.4
9.1
9.4
13.8
16.0
-6.5
15.1
18.1
9.4
9.1
8.8
2002
2003
6.7
7.0
6.2
7.0
9.8
8.8
6.0
6.6
5.9
6.3
8.7
9.2
5.2
7.1
4.8
6.6
7.6
7.0
6.7
4.6
9.1
0.2
10.7
-0.9
16.6
36.1
7.4
7.5
2004
3.7
-0.5
3.6
6.9
5.4
7.5
6.1
6.7
9.7
4.5
6.9
8.0
5.3
6.6
2005
2006
4.6
5.0
7.1
7.9
8.3
11.8
10.6
8.7
6.3
6.2
6.2
6.3
7.4
6.4
7.2
7.7
9.7
12.0
5.7
7.5
12.0
15.6
12.1
8.0
-1.2
10.1
6.8
7.3
2007
2008
2009 f
9.2
6.6
5.5
5.2
8.0
12.7
6.9
5.4
6.1
4.0
6.4
5.6
5.7
6.9
7.1
6.6
5.7
5.7
5.2
7.6
6.1
7.1
7.2
7.4
8.8
10.4
7.4
4.3
9.7
3.5
6.5
4.5
12.3
11.9
5.6
4.2
5.6
3.8
4.5
6.3
7.1
6.0
2010 f
7.7
5.5
6.1
4.8
5.2
4.3
7.8
4.6
7.1
5.6
0.4
-4.1
5.0
5.2
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2010.
139 i
National Health Expenditure Trends, 1975 to 2010
Table B.1.2
Total Health Expenditure, by Province/Territory and Canada, 1975 to 2010—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
1975
1976
475.29
555.99
502.62
529.82
462.74
529.45
409.87
466.84
533.75
605.80
531.61
599.11
533.03
610.01
1977
1978
1979
641.93
726.96
830.23
572.56
653.05
785.24
558.65
606.81
674.68
515.80
578.47
668.42
653.12
724.60
796.36
649.52
706.71
776.66
1980
1981
922.34
1,080.88
988.59
1,102.17
770.61
923.01
796.61
964.41
904.64
1,051.94
1982
1983
1984
1,220.41
1,334.99
1,295.66
1,230.17
1,311.30
1,350.90
1,068.72
1,156.14
1,282.96
1,156.84
1,250.58
1,352.42
1985
1986
1,356.50
1,409.34
1,419.40
1,460.70
1,392.54
1,548.24
1987
1988
1989
1,532.79
1,618.95
1,720.39
1,578.34
1,698.12
1,840.01
1990
1991
1,896.84
1,989.99
1992
1993
1994
Sask.
Nun.
Canada
Average
Alta.
B.C.
Y.T.
N.W.T.
480.92
558.53
548.65
619.96
553.44
642.64
726.48
804.44
818.67
880.95
-----
527.13
599.14
680.14
719.36
793.65
621.68
653.82
733.15
653.15
724.79
849.06
712.85
782.10
859.40
810.18
899.00
998.00
1,103.96
1,248.03
1,289.33
-------
651.19
713.87
792.08
872.94
1,010.40
938.89
1,112.70
843.21
972.49
982.07
1,143.63
1,049.86
1,214.75
1,073.08
1,177.79
1,319.09
1,552.38
-----
909.54
1,058.67
1,199.29
1,313.98
1,404.53
1,170.69
1,310.60
1,426.75
1,272.56
1,393.48
1,485.30
1,144.53
1,255.25
1,350.41
1,415.24
1,515.28
1,574.92
1,347.15
1,430.31
1,503.55
1,517.96
1,611.11
1,585.31
2,228.99
2,420.07
2,392.39
-------
1,224.61
1,341.85
1,434.85
1,418.05
1,504.71
1,505.01
1,570.76
1,553.40
1,705.55
1,595.25
1,731.01
1,490.78
1,655.19
1,693.92
1,829.95
1,559.13
1,658.82
1,630.07
1,739.80
2,546.73
3,052.14
-----
1,541.70
1,660.36
1,746.68
1,766.48
1,938.19
1,640.40
1,768.26
1,904.32
1,661.41
1,795.46
1,918.16
1,852.54
2,013.75
2,173.70
1,803.40
1,878.01
2,045.59
1,711.73
1,787.57
2,014.15
1,847.76
1,968.11
2,143.98
1,750.82
1,874.03
2,035.41
1,741.02
1,720.95
1,826.71
3,293.37
3,792.49
4,084.51
-------
1,769.01
1,901.79
2,056.15
1,962.74
2,153.50
2,052.39
2,152.81
2,071.96
2,185.39
2,043.36
2,213.09
2,311.07
2,511.89
2,246.92
2,321.53
2,236.27
2,313.60
2,257.18
2,338.38
2,240.37
2,409.00
1,928.76
2,164.74
4,190.00
4,586.61
-----
2,203.18
2,364.82
2,064.37
2,084.83
2,174.65
2,255.45
2,358.94
2,351.09
2,209.26
2,191.52
2,182.78
2,272.21
2,322.46
2,389.97
2,303.89
2,362.48
2,409.37
2,608.87
2,626.67
2,657.43
2,428.27
2,459.81
2,497.17
2,316.20
2,286.26
2,362.72
2,442.42
2,444.45
2,337.72
2,528.24
2,606.03
2,658.18
2,242.01
2,622.42
3,140.06
4,480.52
4,517.40
4,394.37
-------
2,458.83
2,492.83
2,521.10
1995
1996
2,237.14
2,238.91
2,436.16
2,497.61
2,220.76
2,242.84
2,422.62
2,410.86
2,406.35
2,343.43
2,674.56
2,679.17
2,582.01
2,620.42
2,408.26
2,443.36
2,227.99
2,277.57
2,677.43
2,678.72
3,117.96
3,489.34
4,430.96
4,109.41
-----
2,528.45
2,523.36
1997
1998
1999
2,368.54
2,652.03
2,964.36
2,500.34
2,660.92
2,778.63
2,534.96
2,730.06
2,854.15
2,467.36
2,563.77
2,766.37
2,476.32
2,621.83
2,732.82
2,742.61
2,910.50
3,074.66
2,728.98
2,885.12
3,233.84
2,609.05
2,729.07
2,932.30
2,502.48
2,622.93
2,939.15
2,743.29
2,863.94
3,058.63
3,230.64
3,329.10
3,530.29
4,266.11
4,611.62
5,487.01
----5,317.71
2,632.72
2,784.05
2,966.29
2000
2001
3,191.26
3,450.70
2,940.60
3,482.35
3,024.29
3,222.38
2,956.07
3,290.91
2,937.47
3,184.20
3,335.87
3,508.45
3,526.10
3,784.95
3,130.79
3,450.65
3,199.99
3,599.64
3,313.13
3,588.60
4,064.50
4,759.73
5,149.07
5,878.03
6,125.90
6,554.35
3,207.04
3,451.20
2002
2003
2004
3,701.15
3,969.07
4,124.84
3,690.64
3,939.53
3,903.75
3,530.81
3,833.80
3,964.55
3,485.93
3,711.97
3,962.27
3,350.67
3,539.09
3,705.09
3,748.09
4,040.44
4,287.28
3,967.61
4,225.66
4,452.06
3,633.21
3,878.91
4,139.95
3,800.01
4,008.17
4,330.91
3,794.26
3,929.83
4,060.40
5,191.35
5,126.95
5,425.75
6,400.27
6,230.33
6,632.95
7,477.11
10,028.33
10,390.94
3,663.96
3,899.79
4,114.44
2005
2006
2007
2008
2009 f
4,340.74
4,590.11
5,048.26
5,380.14
5,646.43
4,169.63
4,509.36
4,738.92
5,067.96
5,647.84
4,301.19
4,797.81
5,138.40
5,414.39
5,735.84
4,385.76
4,804.73
4,995.84
5,303.59
5,582.21
3,912.59
4,136.92
4,342.46
4,602.76
4,880.99
4,501.91
4,745.82
5,007.86
5,235.65
5,477.13
4,768.86
5,029.38
5,245.62
5,586.18
5,851.33
4,460.05
4,792.25
5,090.38
5,381.81
5,688.31
4,646.06
4,989.71
5,285.43
5,699.79
5,970.73
4,236.56
4,571.46
4,694.49
5,062.07
5,154.72
6,044.70
6,719.76
7,088.71
7,273.90
8,054.10
7,453.05
7,958.40
8,835.77
9,294.68
9,744.21
10,139.88
10,875.91
11,311.11
11,611.30
11,917.43
4,349.52
4,629.21
4,868.30
5,154.23
5,397.18
2010 f
6,098.81
5,936.70
6,084.82
5,844.72
5,096.11
5,640.91
6,249.20
5,887.56
6,266.32
5,355.28
7,977.33
9,265.05
12,355.49
5,613.63
($’ per Capita)
Year
(Annual Percentage Change)*
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
4.7
3.9
8.8
5.1
2.9
8.1
8.5
11.2
12.8
4.9
6.1
9.0
7.2
4.4
5.8
8.9
9.8
8.6
7.4
8.5
4.2
10.4
11.0
3.4
7.6
8.0
1.0
3.7
6.4
5.5
2.8
6.7
0.1
6.5
19.8
7.9
-------
7.4
7.7
6.5
1988
1989
5.6
6.3
7.6
8.4
1.1
9.7
7.8
7.7
8.1
6.8
8.7
7.9
4.1
8.9
4.4
12.7
6.5
8.9
7.0
8.6
-1.2
6.1
15.2
7.7
-----
7.5
8.1
1990
1991
10.3
4.9
6.7
9.7
5.9
4.9
8.8
5.5
6.5
8.3
6.3
8.7
9.8
3.3
11.0
3.5
5.3
3.6
10.1
7.5
5.6
12.2
2.6
9.5
-----
7.2
7.3
1992
3.7
4.7
2.6
4.0
4.1
3.9
4.6
0.1
4.4
4.9
3.6
-2.3
---
4.0
1993
1994
1.0
4.3
4.6
-0.3
-0.8
-0.4
2.2
2.9
2.5
2.0
0.7
1.2
1.3
1.5
-1.3
3.3
0.1
-4.4
3.1
2.0
17.0
19.7
0.8
-2.7
-----
1.4
1.1
1995
1996
2.9
0.1
3.6
2.5
1.7
1.0
1.4
-0.5
-0.1
-2.6
0.6
0.2
3.4
1.5
1.9
1.5
-4.7
2.2
0.7
0.0
-0.7
11.9
0.8
-7.3
-----
0.3
-0.2
1997
1998
1999
5.8
12.0
11.8
0.1
6.4
4.4
13.0
7.7
4.5
2.3
3.9
7.9
5.7
5.9
4.2
2.4
6.1
5.6
4.1
5.7
12.1
6.8
4.6
7.4
9.9
4.8
12.1
2.4
4.4
6.8
-7.4
3.0
6.0
3.8
8.1
19.0
-------
4.3
5.7
6.5
2000
2001
2002
7.7
8.1
7.3
5.8
18.4
6.0
6.0
6.5
9.6
6.9
11.3
5.9
7.5
8.4
5.2
8.5
5.2
6.8
9.0
7.3
4.8
6.8
10.2
5.3
8.9
12.5
5.6
8.3
8.3
5.7
15.1
17.1
9.1
-6.2
14.2
8.9
15.2
7.0
14.1
8.1
7.6
6.2
2003
2004
7.2
3.9
6.7
-0.9
8.6
3.4
6.5
6.7
5.6
4.7
7.8
6.1
6.5
5.4
6.8
6.7
5.5
8.1
3.6
3.3
-1.2
5.8
-2.7
6.5
34.1
3.6
6.4
5.5
2005
2006
2007
2008
2009 f
5.2
5.7
10.0
6.6
4.9
6.8
8.1
5.1
6.9
11.4
8.5
11.5
7.1
5.4
5.9
10.7
9.6
4.0
6.2
5.3
5.6
5.7
5.0
6.0
6.0
5.0
5.4
5.5
4.5
4.6
7.1
5.5
4.3
6.5
4.7
7.7
7.4
6.2
5.7
5.7
7.3
7.4
5.9
7.8
4.8
4.3
7.9
2.7
7.8
1.8
11.4
11.2
5.5
2.6
10.7
12.4
6.8
11.0
5.2
4.8
-2.4
7.3
4.0
2.7
2.6
5.7
6.4
5.2
5.9
4.7
2010 f
8.0
5.1
6.1
4.7
4.4
3.0
6.8
3.5
5.0
3.9
-1.0
-4.9
3.7
4.0
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
8140
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table B.1.3
Total Health Expenditure as a Percentage of Provincial/Territorial GDP,
by Province/Territory and Canada, 1975 to 2010—Current Dollars
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
Average
-----
-----
-----
-----
-----
-----
7.0
7.0
-------
-------
-------
-------
-------
-------
-------
7.0
7.0
6.8
--6.8
--8.5
--6.4
--4.9
--7.6
--5.9
--7.4
-----
7.1
7.3
9.3
9.4
9.3
7.5
7.7
7.6
9.5
9.8
9.4
7.5
7.9
8.1
5.9
6.2
6.0
8.6
8.8
8.9
7.9
8.6
8.3
8.6
8.6
8.5
-------
8.1
8.3
8.2
10.9
10.4
9.3
9.0
7.6
7.7
9.3
9.8
8.5
9.6
6.1
7.7
8.7
8.8
8.2
6.8
8.4
10.8
-----
8.2
8.5
10.8
10.4
10.7
10.3
10.4
10.7
8.8
8.7
9.0
7.7
7.7
7.9
9.7
9.4
9.7
9.7
9.7
10.3
7.5
7.6
7.9
8.5
8.4
8.6
5.1
4.8
4.9
10.8
10.6
10.9
-------
8.4
8.3
8.5
11.8
12.4
11.0
11.2
11.4
11.9
9.3
10.1
8.4
9.3
10.3
10.7
10.6
10.8
7.8
8.3
9.3
9.9
5.1
6.6
11.3
12.8
-----
9.0
9.7
12.5
12.4
12.2
12.6
12.6
12.4
11.2
11.0
10.8
12.1
11.8
11.7
10.3
10.4
10.2
9.6
9.6
9.2
11.1
11.2
10.8
11.0
10.0
9.7
8.6
8.0
7.2
10.1
9.9
9.7
6.2
9.0
10.2
12.9
12.7
12.0
-------
10.0
9.8
9.5
1995
1996
11.9
12.0
12.3
12.0
10.7
10.7
11.1
10.9
9.8
9.4
8.9
8.8
10.8
10.5
9.2
8.6
6.6
6.4
9.6
9.5
9.1
9.7
12.3
11.0
-----
9.1
8.9
1997
1998
1999
12.4
12.8
13.0
12.2
12.1
12.0
11.6
11.9
11.6
11.0
10.9
10.9
9.6
9.7
9.5
8.6
8.8
8.6
10.4
10.6
11.6
9.1
9.4
9.7
6.6
7.1
7.4
9.5
9.9
10.1
9.3
9.5
10.0
10.7
11.7
9.7
----19.1
8.9
9.2
9.2
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
11.5
11.6
12.2
12.4
12.5
11.0
11.9
12.4
12.5
12.6
9.6
10.2
10.3
10.6
10.6
8.8
9.2
9.5
10.0
10.3
11.9
12.4
12.5
13.1
13.1
9.3
10.4
10.5
10.5
10.1
6.6
7.3
7.9
7.4
7.3
10.2
11.0
11.3
11.2
10.8
10.4
11.4
12.5
12.1
12.0
8.3
8.1
8.8
7.1
6.6
20.2
21.0
22.6
29.5
28.7
9.1
9.7
10.0
10.2
10.2
2005
2006
2007
2008
2009 f
10.2
9.0
8.7
8.7
10.6
14.1
14.6
14.6
15.3
17.2
12.9
14.2
14.6
14.8
16.2
13.3
13.8
13.8
14.5
16.0
10.9
11.2
11.2
11.8
12.8
10.5
10.7
10.9
11.5
12.6
13.4
13.2
12.9
13.3
14.4
10.0
10.4
10.0
8.6
10.3
6.9
7.2
7.2
7.0
8.3
10.6
10.6
10.6
11.2
12.3
12.5
13.3
13.3
12.7
15.0
7.5
8.0
8.4
8.0
8.7
26.8
27.3
24.7
22.9
25.1
10.2
10.4
10.5
10.7
11.9
2010 f
10.5
17.4
16.1
15.9
12.6
12.2
15.0
10.3
8.2
11.9
13.8
7.7
24.2
11.7
-----
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
1975
1976
-----
-----
-----
-----
-----
-----
-----
1977
1978
1979
-------
-------
-------
-------
-------
-------
1980
1981
--12.1
--12.8
--9.9
--10.7
--8.6
1982
1983
1984
12.5
12.9
11.8
13.2
12.1
12.3
10.0
9.7
9.8
11.6
11.1
11.1
1985
1986
11.8
11.2
12.5
11.5
9.9
10.3
1987
1988
1989
11.4
11.0
11.0
11.7
11.5
11.6
1990
1991
11.9
12.0
1992
1993
1994
Year
Man.
Sask.
(Percentage)
(Annual Percentage Change)*
1976*
1980*
-----
-----
-----
-----
-----
-----
-----
-----
-----
-----
-----
-----
0.0
3.4
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
-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
1990
1991
1992
7.9
1.1
4.2
1.6
5.3
1.1
2.3
1.6
0.6
6.8
4.8
1.4
4.2
8.0
2.6
6.8
10.0
4.0
6.3
4.4
3.1
3.2
2.2
1.1
-1.2
6.0
3.2
7.9
6.9
1.2
4.6
29.2
-5.1
3.8
13.1
0.6
-------
5.2
7.8
2.9
1993
1994
-1.3
-1.6
0.3
-1.4
-1.7
-1.8
-2.3
-0.9
0.8
-2.5
-0.6
-3.4
1.1
-3.3
-8.4
-3.0
-6.4
-10.7
-1.7
-1.6
45.2
13.5
-1.6
-5.3
-----
-1.3
-3.5
1995
1996
-2.1
1.0
-1.1
-2.4
-1.4
0.2
-5.3
-1.8
-3.6
-4.0
-3.8
-1.3
0.1
-3.3
-5.1
-6.9
-7.7
-3.2
-1.6
-0.4
-11.5
7.1
2.5
-10.5
-----
-3.6
-2.3
1997
3.0
1.2
8.4
1.0
1.6
-2.4
-0.3
5.9
3.2
-0.7
-4.4
-2.4
---
-0.1
1998
1999
3.4
1.3
-0.3
-1.1
2.4
-2.8
-1.0
-0.1
1.9
-2.6
2.2
-1.2
1.7
9.1
3.2
2.9
7.0
4.7
4.2
2.9
2.8
5.0
8.8
-16.7
-----
2.9
0.0
2000
-6.7
-0.5
-0.9
1.3
1.2
2.2
2.8
-3.5
-10.4
0.4
3.8
-14.8
5.8
-0.4
2001
5.0
16.3
1.2
8.0
5.8
4.0
4.3
11.7
9.5
7.6
9.6
-2.6
4.2
5.7
2002
2003
-8.0
-2.8
-1.6
4.3
5.1
2.1
3.6
0.9
1.6
2.4
3.2
5.8
1.2
4.5
1.1
-0.1
8.1
-5.3
3.1
-0.8
9.5
-2.8
8.4
-18.6
7.4
30.6
3.2
2.1
2004
-3.2
-5.1
0.1
1.0
0.6
2.7
0.0
-4.1
-1.7
-3.5
-0.9
-7.7
-2.9
0.2
2005
-7.6
4.1
3.6
5.9
2.7
2.0
2.5
-0.6
-5.3
-1.7
4.3
13.5
-6.6
0.3
2006
2007
2008
2009 f
-11.5
-2.7
-0.4
21.9
4.1
-0.4
4.8
12.7
9.9
3.0
1.6
9.0
3.8
-0.3
4.9
10.2
2.4
0.3
5.2
8.0
1.9
2.0
5.3
9.2
-1.6
-2.8
3.1
8.6
4.1
-4.1
-14.3
20.0
3.3
0.9
-2.6
17.4
0.0
-0.8
6.2
9.8
6.2
0.0
-4.8
17.9
7.6
4.7
-5.2
9.4
2.1
-9.5
-7.3
9.7
1.7
0.5
2.6
11.0
2010 f
-1.4
1.1
-0.2
0.0
-0.8
-2.7
3.9
0.2
-0.9
-3.2
-8.0
-12.1
-3.7
-1.8
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2010.
141 i
National Health Expenditure Trends, 1975 to 2010
Table B.2.1
Private-Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2010—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
1975
1976
Alta.
B.C.
Y.T.
N.W.T.
59.4
86.9
16.0
15.6
81.1
100.8
62.7
67.5
715.5
755.0
1,094.3
1,205.4
122.0
129.7
112.6
126.5
234.6
260.4
388.8
471.2
3.5
4.3
8.7
9.3
-----
2,899.2
3,232.6
1977
1978
1979
121.8
146.3
164.4
16.1
20.9
31.8
99.6
109.5
127.8
74.5
91.1
118.7
772.8
843.2
901.6
1,360.0
1,596.7
1,874.6
151.9
160.0
189.0
143.7
144.6
159.2
293.3
337.7
389.1
556.8
599.9
643.4
4.5
4.8
5.5
10.5
11.7
12.4
-------
3,605.4
4,066.3
4,617.4
1980
1981
178.6
210.8
47.1
49.3
147.8
166.8
147.2
177.7
1,089.0
1,397.1
2,126.9
2,377.6
232.3
287.6
167.2
185.9
493.1
581.5
807.9
879.1
6.1
6.2
13.2
14.6
-----
5,456.5
6,334.1
1982
1983
1984
218.4
234.7
191.8
50.4
51.1
49.9
199.2
215.9
248.5
210.1
232.6
265.6
1,528.6
1,643.1
1,827.6
2,834.2
3,253.5
3,624.8
315.1
337.6
367.8
204.1
219.1
258.6
786.9
720.5
767.5
943.1
1,026.9
1,159.2
6.8
6.7
6.9
15.4
16.9
18.1
-------
7,312.3
7,958.6
8,786.3
1985
1986
197.1
169.6
52.9
49.6
285.3
353.7
274.1
285.9
2,104.4
2,486.1
3,999.5
4,367.1
415.6
463.9
333.2
377.7
831.3
910.6
1,227.1
1,317.2
6.8
5.6
19.6
21.7
-----
9,746.9
10,808.7
1987
1988
1989
188.0
197.1
203.9
53.3
56.5
64.9
395.0
420.3
470.3
305.1
330.5
352.4
2,632.2
2,850.8
3,181.7
4,854.5
5,321.9
5,876.9
449.9
435.4
484.2
395.5
369.3
423.7
985.5
1,184.9
1,318.8
1,444.9
1,597.1
1,773.0
5.6
5.2
5.3
23.9
27.3
29.3
-------
11,733.5
12,796.4
14,184.3
1990
1991
220.6
247.5
70.0
76.8
490.4
518.8
397.4
442.4
3,497.4
3,819.3
6,466.2
7,038.2
533.2
570.0
460.1
490.9
1,422.5
1,505.1
1,986.0
2,159.5
5.0
6.1
28.4
32.3
-----
15,577.1
16,906.9
1992
1993
1994
269.1
284.2
301.1
85.8
93.5
96.7
554.5
579.5
610.2
466.7
503.0
520.8
4,141.5
4,444.6
4,653.5
7,573.7
8,253.2
8,740.7
602.6
660.2
689.2
505.8
574.1
606.4
1,584.2
1,719.9
1,785.7
2,291.2
2,427.0
2,533.2
6.9
10.6
9.9
29.7
28.3
26.8
-------
18,112.0
19,578.1
20,574.2
1995
1996
296.4
279.0
104.6
106.1
621.3
650.8
496.4
488.4
4,663.6
4,727.9
9,411.7
9,655.3
736.1
786.8
621.5
627.7
1,809.0
1,854.2
2,574.3
2,689.4
10.5
18.2
24.7
26.7
-----
21,370.1
21,910.5
1997
1998
1999
284.2
324.1
330.4
110.4
115.9
119.7
694.5
757.3
765.6
551.1
553.6
607.0
4,976.0
5,000.5
5,551.0
10,314.0
11,054.0
12,033.6
848.6
893.3
979.7
680.1
673.3
725.0
2,140.1
2,251.1
2,539.9
2,889.4
3,102.8
3,299.8
17.3
16.3
16.9
26.4
26.0
21.1
----9.1
23,532.1
24,768.3
26,998.8
2000
2001
2002
366.4
385.7
415.0
123.7
147.5
139.8
856.0
921.8
1,035.3
638.6
727.8
786.5
5,905.4
6,561.5
7,079.2
13,023.2
14,136.1
15,796.5
1,040.4
1,173.0
1,224.8
773.9
869.6
899.0
2,822.9
3,258.1
3,385.4
3,556.5
3,815.4
4,162.6
24.8
27.5
33.2
19.6
26.3
28.7
9.3
10.6
11.2
29,160.7
32,061.0
34,997.1
2003
2004
469.3
507.4
161.3
162.3
1,106.3
1,131.0
840.9
864.5
7,606.9
7,833.0
16,404.9
17,667.2
1,264.5
1,322.0
971.2
1,021.4
3,563.2
3,928.7
4,405.2
4,840.2
32.3
35.5
29.9
30.3
13.3
13.9
36,869.3
39,357.4
2005
548.7
163.2
1,202.5
984.2
8,513.5
18,698.5
1,408.5
1,049.8
4,177.2
5,043.0
36.6
50.4
16.7
41,892.7
2006
2007
2008
2009 f
560.4
631.5
636.2
651.0
187.7
188.4
196.2
207.4
1,328.5
1,408.9
1,488.4
1,613.7
1,054.7
1,075.5
1,143.8
1,256.8
9,051.4
9,506.9
10,220.1
10,912.3
19,924.5
20,980.4
21,815.6
23,054.1
1,523.7
1,578.0
1,707.7
1,789.3
1,159.5
1,213.1
1,235.5
1,325.2
4,889.3
5,177.9
5,603.9
5,859.8
5,850.7
5,857.8
6,543.9
6,710.9
39.4
51.9
50.3
53.8
58.2
68.9
62.1
65.2
17.6
21.0
21.0
24.3
45,645.7
47,760.1
50,724.7
53,523.9
2010 f
683.6
210.3
1,698.9
1,323.4
11,486.7
24,360.2
1,888.5
1,391.4
6,298.7
7,077.5
57.1
68.6
24.8
56,569.7
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
2.7
-13.9
10.9
6.1
-6.3
7.4
14.8
24.0
11.7
3.2
4.3
6.7
15.1
18.1
5.9
10.3
9.2
11.2
13.0
11.6
-3.0
28.8
13.4
4.7
8.3
9.5
8.2
5.9
7.3
9.7
-1.2
-17.3
0.4
8.3
10.5
10.0
-------
10.9
10.9
8.6
1988
1989
4.8
3.4
6.2
14.8
6.4
11.9
8.3
6.6
8.3
11.6
9.6
10.4
-3.2
11.2
-6.6
14.7
20.2
11.3
10.5
11.0
-7.5
1.2
14.4
7.5
-----
9.1
10.8
1990
1991
8.2
12.2
7.7
9.8
4.3
5.8
12.8
11.3
9.9
9.2
10.0
8.8
10.1
6.9
8.6
6.7
7.9
5.8
12.0
8.7
-4.8
20.9
-3.3
13.7
-----
9.8
8.5
1992
8.7
11.6
6.9
5.5
8.4
7.6
5.7
3.0
5.3
6.1
14.1
-7.9
---
7.1
1993
1994
5.6
6.0
9.0
3.4
4.5
5.3
7.8
3.5
7.3
4.7
9.0
5.9
9.6
4.4
13.5
5.6
8.6
3.8
5.9
4.4
52.5
-6.0
-4.7
-5.5
-----
8.1
5.1
1995
1996
-1.6
-5.9
8.2
1.4
1.8
4.7
-4.7
-1.6
0.2
1.4
7.7
2.6
6.8
6.9
2.5
1.0
1.3
2.5
1.6
4.5
6.1
73.0
-7.8
8.3
-----
3.9
2.5
1997
1998
1999
1.9
14.0
1.9
4.1
5.0
3.3
6.7
9.0
1.1
12.8
0.5
9.6
5.2
0.5
11.0
6.8
7.2
8.9
7.9
5.3
9.7
8.3
-1.0
7.7
15.4
5.2
12.8
7.4
7.4
6.3
-5.2
-5.4
3.3
-1.4
-1.3
-18.8
-------
7.4
5.3
9.0
2000
2001
10.9
5.2
3.3
19.3
11.8
7.7
5.2
14.0
6.4
11.1
8.2
8.5
6.2
12.7
6.7
12.4
11.1
15.4
7.8
7.3
46.7
10.9
-7.0
34.1
2.5
14.4
8.0
9.9
2002
2003
2004
7.6
13.1
8.1
-5.2
15.4
0.6
12.3
6.9
2.2
8.1
6.9
2.8
7.9
7.5
3.0
11.7
3.9
7.7
4.4
3.2
4.5
3.4
8.0
5.2
3.9
5.3
10.3
9.1
5.8
9.9
20.8
-2.6
10.0
9.0
4.1
1.4
4.9
19.1
4.5
9.2
5.3
6.7
2005
2006
2007
2008
2009 f
8.1
2.1
12.7
0.8
2.3
0.6
15.0
0.3
4.2
5.7
6.3
10.5
6.0
5.6
8.4
13.8
7.2
2.0
6.4
9.9
8.7
6.3
5.0
7.5
6.8
5.8
6.6
5.3
4.0
5.7
6.5
8.2
3.6
8.2
4.8
2.8
10.4
4.6
1.8
7.3
6.3
17.0
5.9
8.2
4.6
4.2
16.0
0.1
11.7
2.6
2.8
7.8
31.7
-3.1
6.9
66.2
15.4
18.5
-10.0
5.1
20.0
5.7
18.9
0.3
15.7
6.4
9.0
4.6
6.2
5.5
2010 f
5.0
1.4
5.3
5.3
5.3
5.7
5.5
5.0
7.5
5.5
6.1
5.1
2.1
5.7
Year
Sask.
Nun.
Canada
($’000,000)
(Annual Percentage Change)*
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
8142
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table B.2.2
Private-Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2010—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
1975
1976
106.65
154.40
135.81
131.42
98.13
120.69
92.57
97.96
113.03
118.03
131.53
143.27
118.99
125.66
1977
1978
1979
215.42
257.68
288.40
134.19
171.57
258.31
118.59
129.63
150.52
107.02
130.17
168.79
120.15
130.92
139.42
159.90
185.85
216.40
1980
1981
311.79
366.78
380.69
398.78
173.28
195.17
208.52
251.61
167.36
213.37
1982
1983
1984
380.15
405.01
330.61
407.15
407.23
394.19
231.63
248.37
283.28
296.65
325.09
368.32
1985
1986
340.16
294.15
414.66
386.13
322.36
397.71
1987
1988
1989
326.89
342.81
353.75
414.24
437.42
499.18
1990
1991
381.55
427.13
1992
1993
1994
Sask.
Nun.
Canada
Average
Alta.
B.C.
Y.T.
N.W.T.
122.75
135.75
129.69
139.32
155.56
185.95
160.46
192.59
202.70
209.75
-----
125.27
137.85
146.30
153.65
182.19
152.08
151.90
165.93
150.57
167.03
185.49
216.69
229.50
241.59
197.19
200.49
229.00
236.08
258.67
271.21
-------
151.96
169.69
190.79
243.21
269.83
224.54
277.48
172.83
190.48
224.89
253.47
294.53
311.30
251.86
257.98
284.92
306.50
-----
222.57
255.20
232.33
248.87
275.61
317.65
359.84
395.21
301.03
318.16
343.13
206.74
218.66
254.68
332.28
301.41
321.10
328.28
353.45
393.53
276.32
282.66
287.69
311.09
331.49
344.96
-------
291.12
313.74
343.11
378.68
394.24
315.70
370.59
430.17
462.71
383.98
424.97
324.93
366.97
345.94
374.58
412.58
438.48
278.89
229.51
361.05
396.69
-----
377.16
414.11
442.14
468.32
520.32
419.14
452.46
479.28
388.08
416.85
459.21
503.36
540.72
581.43
409.78
395.06
438.77
383.01
359.28
415.71
404.68
482.78
528.50
473.72
512.66
554.42
219.52
196.03
194.61
433.59
490.09
514.33
-------
443.63
477.56
519.92
535.91
589.69
539.08
566.94
536.96
593.38
499.35
540.63
627.92
674.92
482.25
513.71
456.84
489.59
558.47
580.52
603.48
640.15
180.81
210.04
481.64
529.44
-----
562.40
603.14
463.99
489.99
524.20
655.88
707.51
724.66
603.05
627.19
658.31
623.91
671.67
694.18
582.66
621.16
647.05
716.54
772.16
807.95
541.56
590.76
613.62
503.84
570.20
600.67
601.71
644.78
661.19
660.58
680.33
689.18
230.03
347.90
334.47
476.22
445.89
410.95
-------
638.49
682.59
709.48
1995
1996
522.27
498.31
778.40
781.25
669.35
698.71
660.95
649.20
645.98
652.41
859.52
871.18
651.90
693.69
612.84
615.97
661.54
668.13
681.57
694.17
346.09
580.94
370.96
395.82
-----
729.30
739.95
1997
1998
1999
515.86
600.30
619.49
811.16
853.14
878.29
744.81
812.66
819.86
732.28
737.64
808.66
684.03
685.38
757.99
918.57
972.46
1,045.82
746.91
785.30
857.55
668.05
661.74
714.53
756.21
776.39
860.03
731.75
779.00
822.61
543.38
524.56
548.37
389.36
387.25
519.57
----338.43
786.83
821.31
888.01
2000
2001
2002
2003
2004
693.97
738.88
798.83
905.28
980.77
905.97
1,078.93
1,020.75
1,174.86
1,176.96
916.57
988.65
1,107.86
1,181.34
1,205.78
850.90
970.56
1,048.19
1,119.37
1,149.59
802.69
887.04
950.78
1,014.97
1,037.62
1,114.49
1,188.14
1,305.28
1,337.80
1,422.45
906.78
1,018.88
1,059.91
1,088.33
1,129.39
767.94
869.48
902.69
976.39
1,026.59
939.41
1,065.89
1,086.35
1,127.09
1,224.59
880.50
935.51
1,011.46
1,060.12
1,151.39
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
950.20
1,033.52
1,115.53
1,163.95
1,230.10
2005
2006
2007
2008
2009 f
1,067.14
1,098.17
1,246.62
1,256.31
1,279.24
1,180.97
1,361.24
1,363.81
1,407.20
1,471.27
1,284.70
1,416.33
1,505.39
1,589.16
1,720.03
1,309.94
1,414.38
1,442.49
1,530.94
1,676.95
1,120.48
1,186.05
1,236.73
1,318.13
1,393.85
1,488.09
1,573.15
1,639.77
1,686.39
1,764.00
1,199.58
1,286.90
1,321.70
1,415.90
1,464.30
1,060.37
1,168.72
1,212.98
1,218.86
1,286.45
1,273.26
1,429.10
1,473.87
1,558.42
1,589.04
1,183.73
1,378.71
1,359.29
1,492.72
1,506.31
1,177.12
1,220.89
1,592.96
1,516.39
1,597.63
1,179.97
1,346.79
1,582.85
1,419.50
1,501.64
556.13
572.83
670.48
665.23
756.35
1,296.50
1,401.20
1,450.27
1,522.01
1,586.37
2010 f
1,346.97
1,486.21
1,810.00
1,763.83
1,455.54
1,841.29
1,531.14
1,336.25
1,673.63
1,562.39
1,673.45
1,565.51
762.16
1,657.08
Year
Man.
($’ per Capita)
(Annual Percentage Change)*
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
2.9
-13.5
11.1
4.9
5.2
-6.9
7.3
5.6
13.8
23.4
11.2
5.9
2.8
4.1
6.3
7.9
14.5
17.4
4.7
7.4
8.8
7.6
8.8
7.4
11.9
10.7
-3.6
-3.6
27.6
12.9
4.4
-6.2
7.7
8.3
8.0
19.3
4.8
6.3
8.0
8.2
-3.1
-17.7
-4.4
-10.7
4.7
9.9
9.3
13.0
---------
9.9
9.8
7.1
7.6
1989
3.2
14.1
11.1
5.9
10.2
7.5
11.1
15.7
9.5
8.1
-0.7
4.9
---
8.9
1990
7.9
7.4
3.6
12.0
8.7
8.0
9.9
9.9
5.7
8.8
-7.1
-6.4
---
8.2
1991
1992
1993
11.9
8.6
5.6
10.0
11.2
7.9
5.2
6.4
4.0
10.5
5.1
7.7
8.3
7.8
6.6
7.5
6.2
7.8
6.5
5.4
9.1
7.2
2.9
13.2
3.9
3.7
7.2
6.1
3.2
3.0
16.2
9.5
51.2
9.9
-10.1
-6.4
-------
7.2
5.9
6.9
1994
7.0
2.4
5.0
3.4
4.2
4.6
3.9
5.3
2.5
1.3
-3.9
-7.8
---
3.9
1995
-0.4
7.4
1.7
-4.8
-0.2
6.4
6.2
2.0
0.1
-1.1
3.5
-9.7
---
2.8
1996
1997
1998
-4.6
3.5
16.4
0.4
3.8
5.2
4.4
6.6
9.1
-1.8
12.8
0.7
1.0
4.8
0.2
1.4
5.4
5.9
6.4
7.7
5.1
0.5
8.5
-0.9
1.0
13.2
2.7
1.8
5.4
6.5
67.9
-6.5
-3.5
6.7
-1.6
-0.5
-------
1.5
6.3
4.4
1999
3.2
2.9
0.9
9.6
10.6
7.5
9.2
8.0
10.8
5.6
4.5
34.2
---
8.1
2000
2001
2002
12.0
6.5
8.1
3.2
19.1
-5.4
11.8
7.9
12.1
5.2
14.1
8.0
5.9
10.5
7.2
6.6
6.6
9.9
5.7
12.4
4.0
7.5
13.2
3.8
9.2
13.5
1.9
7.0
6.2
8.1
48.4
12.0
20.8
-6.7
33.1
7.3
0.0
11.9
2.7
7.0
8.8
7.9
2003
2004
13.3
8.3
15.1
0.2
6.6
2.1
6.8
2.7
6.8
2.2
2.5
6.3
2.7
3.8
8.2
5.1
3.8
8.7
4.8
8.6
-4.0
8.9
2.3
0.0
17.4
2.9
4.3
5.7
2005
2006
2007
2008
2009 f
8.8
2.9
13.5
0.8
1.8
0.3
15.3
0.2
3.2
4.6
6.5
10.2
6.3
5.6
8.2
13.9
8.0
2.0
6.1
9.5
8.0
5.9
4.3
6.6
5.7
4.6
5.7
4.2
2.8
4.6
6.2
7.3
2.7
7.1
3.4
3.3
10.2
3.8
0.5
5.5
4.0
12.2
3.1
5.7
2.0
2.8
16.5
-1.4
9.8
0.9
2.3
3.7
30.5
-4.8
5.4
66.6
14.1
17.5
-10.3
5.8
18.5
3.0
17.0
-0.8
13.7
5.4
8.1
3.5
4.9
4.2
2010 f
5.3
1.0
5.2
5.2
4.4
4.4
4.6
3.9
5.3
3.7
4.7
4.3
0.8
4.5
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2010.
143 i
National Health Expenditure Trends, 1975 to 2010
Table B.2.3
Private-Sector Health Expenditure as a Proportion of Total Health Expenditure,
by Province/Territory and Canada, 1975 to 2010—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
1975
1976
22.4
27.8
27.0
24.8
21.2
22.8
22.6
21.0
21.2
19.5
24.7
23.9
22.3
20.6
1977
1978
1979
33.6
35.4
34.7
23.4
26.3
32.9
21.2
21.4
22.3
20.7
22.5
25.3
18.4
18.1
17.5
24.6
26.3
27.9
1980
1981
33.8
33.9
38.5
36.2
22.5
21.1
26.2
26.1
18.5
20.3
1982
1983
1984
31.1
30.3
25.5
33.1
31.1
29.2
21.7
21.5
22.1
25.6
26.0
27.2
1985
1986
25.1
20.9
29.2
26.4
23.1
25.7
1987
1988
1989
21.3
21.2
20.6
26.2
25.8
27.1
1990
1991
20.1
21.5
1992
1993
1994
Sask.
Nun.
Canada
Average
Alta.
B.C.
Y.T.
N.W.T.
25.5
24.3
23.6
22.5
28.1
28.9
22.1
23.9
24.8
23.8
-----
23.8
23.0
21.5
21.4
23.0
24.5
23.2
22.6
23.1
23.0
21.8
30.4
29.3
28.1
24.3
22.3
22.9
21.4
20.7
21.0
-------
23.3
23.8
24.1
27.9
26.7
23.9
24.9
20.5
19.6
22.9
22.2
28.1
25.6
23.5
21.9
21.6
19.7
-----
24.5
24.1
19.4
18.9
19.6
27.1
27.5
27.7
23.7
22.8
23.1
18.1
17.4
18.9
23.5
19.9
20.4
24.4
24.7
26.2
18.2
17.5
18.1
14.0
13.7
14.4
-------
23.8
23.4
23.9
26.7
26.2
21.0
23.6
27.7
27.1
24.1
24.6
21.8
22.2
20.4
20.5
26.5
26.4
17.1
13.2
14.2
13.0
-----
24.5
24.9
25.3
26.5
26.8
25.6
25.6
25.2
23.4
23.2
23.9
27.2
26.9
26.7
22.7
21.0
21.4
22.4
20.1
20.6
21.9
24.5
24.7
27.1
27.4
27.2
12.6
11.4
10.7
13.2
12.9
12.6
-------
25.1
25.1
25.3
27.3
27.4
26.3
26.3
25.9
27.2
24.4
24.4
27.2
26.9
21.5
22.1
20.4
21.2
24.7
24.8
26.9
26.6
9.4
9.7
11.5
11.5
-----
25.5
25.5
22.5
23.5
24.1
29.1
30.0
30.8
27.3
28.6
30.2
27.5
28.9
29.0
25.3
26.3
26.9
27.5
29.4
30.4
22.3
24.0
24.6
21.8
24.9
25.4
24.6
26.4
28.3
26.1
26.1
25.9
10.3
13.3
10.7
10.6
9.9
9.4
-------
26.0
27.4
28.1
1995
1996
23.3
22.3
32.0
31.3
30.1
31.2
27.3
26.9
26.8
27.8
32.1
32.5
25.2
26.5
25.4
25.2
29.7
29.3
25.5
25.9
11.1
16.6
8.4
9.6
-----
28.8
29.3
1997
1998
1999
21.8
22.6
20.9
32.4
32.1
31.6
29.4
29.8
28.7
29.7
28.8
29.2
27.6
26.1
27.7
33.5
33.4
34.0
27.4
27.2
26.5
25.6
24.2
24.4
30.2
29.6
29.3
26.7
27.2
26.9
16.8
15.8
15.5
9.1
8.4
9.5
----6.4
29.9
29.5
29.9
2000
2001
2002
2003
2004
21.7
21.4
21.6
22.8
23.8
30.8
31.0
27.7
29.8
30.1
30.3
30.7
31.4
30.8
30.4
28.8
29.5
30.1
30.2
29.0
27.3
27.9
28.4
28.7
28.0
33.4
33.9
34.8
33.1
33.2
25.7
26.9
26.7
25.8
25.4
24.5
25.2
24.8
25.2
24.8
29.4
29.6
28.6
28.1
28.3
26.6
26.1
26.7
27.0
28.4
20.0
19.1
21.2
20.6
21.2
9.4
11.0
10.8
11.4
10.7
5.5
5.8
5.2
4.5
4.5
29.6
29.9
30.4
29.8
29.9
2005
2006
2007
2008
2009 f
24.6
23.9
24.7
23.4
22.7
28.3
30.2
28.8
27.8
26.1
29.9
29.5
29.3
29.4
30.0
29.9
29.4
28.9
28.9
30.0
28.6
28.7
28.5
28.6
28.6
33.1
33.1
32.7
32.2
32.2
25.2
25.6
25.2
25.3
25.0
23.8
24.4
23.8
22.6
22.6
27.4
28.6
27.9
27.3
26.6
27.9
30.2
29.0
29.5
29.2
19.5
18.2
22.5
20.8
19.8
15.8
16.9
17.9
15.3
15.4
5.5
5.3
5.9
5.7
6.3
29.8
30.3
29.8
29.5
29.4
2010 f
22.1
25.0
29.7
30.2
28.6
32.6
24.5
22.7
26.7
29.2
21.0
16.9
6.2
29.5
Year
Man.
(Percentage)
(Annual Percentage Change)*
8144
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
-1.7
-16.8
0.1
-9.5
4.8
11.0
-1.9
-1.9
6.9
12.5
0.0
-2.0
4.2
2.0
15.6
1.7
0.2
0.2
1.1
-0.1
-5.7
-22.9
-1.7
-8.3
-----
2.3
1.9
1987
1988
2.2
-0.7
-0.7
-1.9
-1.5
4.7
-2.5
0.1
-1.0
-0.6
0.2
-1.2
-7.4
-7.4
0.9
-10.2
7.0
12.0
2.4
1.1
-4.4
-9.7
1.3
-1.8
-----
0.5
0.1
1989
-2.9
5.3
1.3
-1.6
3.1
-0.4
2.0
2.7
0.5
-0.4
-6.5
-2.6
---
0.7
1990
-2.2
0.6
-2.2
3.0
2.1
1.6
0.1
-1.0
0.4
-1.1
-12.0
-8.7
---
1.0
1991
1992
1993
6.7
4.7
4.6
0.3
6.2
3.1
0.3
3.6
4.8
4.8
1.1
5.3
0.0
3.5
4.0
-1.1
2.2
7.0
3.1
0.8
7.7
3.6
2.8
14.7
0.3
-0.8
7.1
-1.3
-1.7
-0.1
3.5
5.7
29.3
0.4
-7.9
-7.1
-------
-0.1
1.8
5.4
1994
2.6
2.8
5.4
0.4
2.1
3.4
2.3
1.9
7.2
-0.7
-19.7
-5.3
---
2.8
1995
-3.2
3.7
-0.1
-6.1
0.0
5.7
2.7
0.1
5.0
-1.8
4.2
-10.5
---
2.5
1996
1997
1998
-4.7
-2.1
3.9
-2.1
3.7
-1.2
3.4
-5.7
1.3
-1.3
10.2
-3.1
3.7
-0.8
-5.4
1.2
3.0
-0.2
4.9
3.4
-0.5
-0.9
1.6
-5.3
-1.2
3.0
-2.0
1.8
2.9
2.0
50.0
1.0
-6.3
15.1
-5.2
-8.0
-------
1.7
1.9
-1.3
1999
-7.7
-1.4
-3.5
1.6
6.1
1.8
-2.6
0.5
-1.1
-1.1
-1.4
12.8
---
1.5
2000
4.1
-2.5
5.5
-1.5
-1.5
-1.8
-3.0
0.7
0.3
-1.2
28.9
-0.6
-13.2
-1.0
2001
2002
2003
-1.5
0.8
5.7
0.6
-10.7
7.8
1.2
2.3
-1.8
2.5
2.0
0.3
1.9
1.9
1.1
1.4
2.8
-4.9
4.7
-0.8
-3.6
2.7
-1.4
1.3
0.9
-3.5
-1.6
-1.9
2.3
1.2
-4.4
10.7
-2.8
16.6
-1.5
5.1
4.5
-10.0
-12.5
1.1
1.7
-2.0
2004
4.2
1.1
-1.3
-3.8
-2.3
0.2
-1.5
-1.5
0.6
5.1
2.9
-6.0
-0.7
0.2
2005
2006
2007
2008
2009 f
3.4
-2.7
3.2
-5.4
-3.0
-6.1
6.6
-4.7
-3.5
-6.2
-1.8
-1.2
-0.8
0.2
2.2
2.9
-1.4
-1.9
0.0
4.1
2.3
0.1
-0.7
0.6
-0.3
-0.4
0.3
-1.2
-1.6
0.0
-0.8
1.7
-1.5
0.6
-1.3
-4.1
2.6
-2.3
-5.0
-0.1
-3.1
4.5
-2.6
-2.0
-2.7
-1.5
7.9
-4.0
1.8
-0.9
-8.2
-6.7
23.7
-7.2
-4.8
48.3
6.9
5.9
-14.7
0.9
21.5
-4.0
12.5
-3.3
10.8
-0.3
1.5
-1.6
-0.9
-0.5
2010 f
-2.5
-3.9
-0.8
0.5
0.0
1.4
-2.1
0.4
0.4
-0.2
5.8
9.6
-2.8
0.4
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table B.3.1
Public-Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2010—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
205.1
225.9
43.2
47.3
301.4
341.4
214.8
254.3
2,663.2
3,120.1
3,328.5
3,835.4
424.4
499.7
328.6
393.9
757.8
898.5
994.5
1,157.2
12.4
13.7
26.4
29.7
-----
9,300.3
10,817.2
1977
1978
1979
241.1
266.4
308.9
52.6
58.6
64.8
369.5
403.0
445.1
284.4
313.6
351.3
3,427.9
3,823.4
4,248.1
4,164.6
4,475.1
4,853.4
554.1
589.0
634.3
443.7
477.8
544.3
978.9
1,127.7
1,391.9
1,275.0
1,444.5
1,645.2
14.0
16.6
18.4
38.8
44.8
46.6
-------
11,844.6
13,040.5
14,552.3
1980
1981
349.8
410.4
75.2
87.0
509.4
622.0
415.2
503.5
4,797.5
5,490.7
5,507.2
6,525.4
739.1
865.6
648.5
763.1
1,660.1
2,042.2
2,072.0
2,551.3
20.0
22.0
47.9
59.2
-----
16,841.8
19,942.6
1982
1983
1984
482.8
539.0
559.9
101.9
113.4
121.1
719.9
789.0
876.9
609.2
662.1
709.6
6,361.9
7,032.2
7,486.1
7,611.1
8,596.5
9,461.2
1,017.0
1,141.0
1,224.3
925.9
1,038.5
1,112.7
2,564.7
2,901.6
2,996.8
2,927.1
3,128.8
3,269.7
30.4
31.4
31.0
95.0
106.6
107.6
-------
23,446.8
26,080.0
27,956.9
1985
1986
588.8
642.9
128.3
138.0
947.2
1,023.2
752.2
805.3
7,927.6
8,051.3
10,443.3
11,730.2
1,310.9
1,425.8
1,195.5
1,325.9
3,239.1
3,537.9
3,410.1
3,666.0
32.9
37.0
118.9
145.2
-----
30,094.9
32,528.6
1987
1988
1989
693.6
733.8
787.7
149.7
163.0
174.4
1,165.5
1,165.0
1,281.5
888.9
961.0
1,047.7
8,636.4
9,428.4
10,108.6
13,011.9
14,497.9
16,093.9
1,530.2
1,634.3
1,773.2
1,372.2
1,468.3
1,629.2
3,514.4
3,645.6
4,031.0
3,895.3
4,241.2
4,736.0
39.1
40.6
44.2
157.4
183.9
203.6
-------
35,054.7
38,162.8
41,911.1
1990
1991
875.9
905.7
186.3
203.8
1,376.6
1,451.2
1,136.1
1,186.9
10,814.1
11,815.3
17,332.8
19,156.1
1,951.1
2,006.0
1,792.1
1,828.9
4,326.9
4,557.5
5,386.7
5,967.2
48.5
56.5
218.5
247.2
-----
45,445.5
49,382.2
1992
1993
1994
928.3
924.9
948.1
209.2
218.2
217.0
1,477.0
1,445.5
1,413.1
1,233.1
1,236.1
1,272.2
12,234.5
12,459.6
12,674.4
20,001.5
19,821.7
20,008.0
2,099.3
2,088.9
2,115.7
1,819.5
1,727.8
1,778.8
4,846.4
4,800.5
4,527.8
6,477.9
6,869.8
7,237.5
60.6
69.0
83.3
249.9
258.7
259.5
-------
51,637.3
51,920.8
52,535.5
1995
1996
973.1
974.4
222.8
233.0
1,440.0
1,438.2
1,323.0
1,325.3
12,708.9
12,254.7
19,874.7
20,038.0
2,179.4
2,185.3
1,820.8
1,862.3
4,283.5
4,466.5
7,538.4
7,688.7
84.4
91.3
270.3
250.9
-----
52,719.1
52,808.6
1997
1998
1999
1,020.8
1,107.8
1,250.8
229.9
245.5
259.0
1,669.3
1,786.8
1,899.7
1,305.7
1,370.6
1,469.5
13,038.3
14,128.3
14,462.3
20,480.8
22,029.7
23,344.6
2,251.9
2,388.6
2,714.9
1,976.1
2,103.5
2,250.4
4,942.0
5,354.0
6,140.2
7,942.6
8,304.5
8,969.4
85.4
87.3
91.8
262.6
283.8
201.9
----133.6
55,205.6
59,190.5
63,188.0
2000
2001
2002
1,318.7
1,415.5
1,507.6
277.7
328.5
365.6
1,968.4
2,082.7
2,264.3
1,580.0
1,740.0
1,829.1
15,705.7
16,992.0
17,869.0
25,957.7
27,606.2
29,563.0
3,005.3
3,184.5
3,360.1
2,381.2
2,581.5
2,719.3
6,792.9
7,745.0
8,456.7
9,825.9
10,820.5
11,452.4
98.9
115.9
123.3
188.9
213.6
236.8
159.2
173.7
203.7
69,260.4
74,999.7
79,950.9
2003
2004
1,588.4
1,626.4
379.7
375.9
2,484.1
2,587.6
1,947.6
2,115.2
18,917.5
20,136.6
33,141.2
35,582.1
3,645.2
3,889.4
2,887.2
3,097.5
9,108.2
9,965.6
11,924.7
12,229.0
124.4
132.0
233.2
253.7
279.2
294.0
86,660.7
92,285.0
2005
1,683.1
413.0
2,823.4
2,310.9
21,214.5
37,870.0
4,190.9
3,365.8
11,065.3
13,005.8
151.1
268.0
287.6
98,649.5
2006
2007
2008
2009 f
1,782.0
1,925.6
2,088.5
2,222.6
434.2
466.2
510.5
588.8
3,171.9
3,400.1
3,582.7
3,767.6
2,528.1
2,649.2
2,818.7
2,926.9
22,519.7
23,874.1
25,467.3
27,300.4
40,183.0
43,093.6
45,914.3
48,527.5
4,431.2
4,684.9
5,029.8
5,360.8
3,595.0
3,877.9
4,219.6
4,534.5
12,181.7
13,390.4
14,891.8
16,158.2
13,548.7
14,372.9
15,647.5
16,254.4
177.5
179.1
191.0
217.3
285.6
315.8
344.3
358.0
317.3
332.8
346.1
359.2
105,155.9
112,562.7
121,052.1
128,576.2
2010 f
2,411.6
629.7
4,012.3
3,061.9
28,730.3
50,269.0
5,819.3
4,739.3
17,284.6
17,181.4
215.0
337.2
377.9
135,069.4
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
19.9
19.2
18.6
19.3
16.4
25.9
10.9
8.3
12.7
2.9
-----
16.3
15.7
1985
1986
1987
1988
5.2
9.2
7.9
5.8
5.9
7.6
8.5
8.9
8.0
8.0
13.9
-0.1
6.0
7.1
10.4
8.1
5.9
1.6
7.3
9.2
10.4
12.3
10.9
11.4
7.1
8.8
7.3
6.8
7.4
10.9
3.5
7.0
8.1
9.2
-0.7
3.7
4.3
7.5
6.3
8.9
6.1
12.3
5.8
3.8
10.5
22.2
8.4
16.8
---------
7.6
8.1
7.8
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
13.7
9.7
7.3
---
8.4
1991
1992
1993
3.4
2.5
-0.4
9.4
2.7
4.3
5.4
1.8
-2.1
4.5
3.9
0.2
9.3
3.5
1.8
10.5
4.4
-0.9
2.8
4.7
-0.5
2.1
-0.5
-5.0
5.3
6.3
-0.9
10.8
8.6
6.0
16.4
7.2
14.0
13.2
1.1
3.5
-------
8.7
4.6
0.5
1994
2.5
-0.6
-2.2
2.9
1.7
0.9
1.3
3.0
-5.7
5.4
20.7
0.3
---
1.2
1995
2.6
2.7
1.9
4.0
0.3
-0.7
3.0
2.4
-5.4
4.2
1.3
4.1
---
0.3
1996
1997
1998
0.1
4.8
8.5
4.6
-1.3
6.8
-0.1
16.1
7.0
0.2
-1.5
5.0
-3.6
6.4
8.4
0.8
2.2
7.6
0.3
3.0
6.1
2.3
6.1
6.4
4.3
10.6
8.3
2.0
3.3
4.6
8.2
-6.4
2.2
-7.2
4.6
8.1
-------
0.2
4.5
7.2
1999
12.9
5.5
6.3
7.2
2.4
6.0
13.7
7.0
14.7
8.0
5.1
-28.9
---
6.8
2000
2001
2002
5.4
7.3
6.5
7.2
18.3
11.3
3.6
5.8
8.7
7.5
10.1
5.1
8.6
8.2
5.2
11.2
6.4
7.1
10.7
6.0
5.5
5.8
8.4
5.3
10.6
14.0
9.2
9.5
10.1
5.8
7.7
17.3
6.3
-6.5
13.1
10.9
19.2
9.1
17.3
9.6
8.3
6.6
2003
2004
5.4
2.4
3.8
-1.0
9.7
4.2
6.5
8.6
5.9
6.4
12.1
7.4
8.5
6.7
6.2
7.3
7.7
9.4
4.1
2.6
0.9
6.1
-1.5
8.8
37.0
5.3
8.4
6.5
2005
2006
2007
2008
2009 f
3.5
5.9
8.1
8.5
6.4
9.9
5.1
7.4
9.5
15.3
9.1
12.3
7.2
5.4
5.2
9.3
9.4
4.8
6.4
3.8
5.4
6.2
6.0
6.7
7.2
6.4
6.1
7.2
6.5
5.7
7.8
5.7
5.7
7.4
6.6
8.7
6.8
7.9
8.8
7.5
11.0
10.1
9.9
11.2
8.5
6.4
4.2
6.1
8.9
3.9
14.5
17.4
0.9
6.6
13.8
5.6
6.6
10.6
9.0
4.0
-2.2
10.3
4.9
4.0
3.8
6.9
6.6
7.0
7.5
6.2
2010 f
8.5
6.9
6.5
4.6
5.2
3.6
8.6
4.5
7.0
5.7
-1.1
-5.8
5.2
5.1
(Annual Percentage Change)*
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2010.
145 i
National Health Expenditure Trends, 1975 to 2010
Table B.3.2
Public-Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2010—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
1975
1976
368.63
401.59
366.81
398.40
364.61
408.76
317.30
368.89
420.71
487.77
400.07
455.84
414.03
484.35
1977
1978
1979
426.51
469.28
541.83
438.37
481.48
526.92
440.06
477.18
524.16
408.78
448.30
499.63
532.97
593.68
656.94
489.62
520.87
560.26
1980
1981
610.55
714.10
607.90
703.39
597.33
727.84
588.09
712.80
737.28
838.57
1982
1983
1984
840.26
929.97
965.06
823.02
904.07
956.70
837.09
907.77
999.68
860.19
925.49
984.09
1985
1986
1,016.34
1,115.18
1,004.74
1,074.57
1,070.18
1,150.53
1987
1988
1989
1,205.91
1,276.14
1,366.63
1,164.10
1,260.71
1,340.84
1990
1991
1,515.29
1,562.86
1992
1993
1994
Sask.
Nun.
Canada
Average
Alta.
B.C.
Y.T.
N.W.T.
358.17
422.78
418.96
480.64
397.88
456.69
566.03
611.85
615.97
671.20
-----
401.86
461.29
533.84
565.70
611.46
469.60
501.92
567.22
502.58
557.76
663.57
496.16
552.61
617.81
612.99
698.51
769.00
867.88
989.36
1,018.11
-------
499.22
544.19
601.29
629.73
740.57
714.35
835.22
670.38
782.01
757.18
890.16
755.33
903.45
821.22
919.81
1,034.17
1,245.88
-----
686.97
803.48
966.96
1,065.11
1,128.93
853.04
950.77
1,031.54
971.54
1,075.33
1,142.17
937.79
1,036.59
1,095.73
1,082.96
1,213.87
1,253.83
1,018.87
1,076.86
1,110.02
1,241.64
1,328.45
1,297.62
1,917.90
2,088.58
2,047.42
-------
933.49
1,028.11
1,091.74
1,039.37
1,110.46
1,189.31
1,200.16
1,123.23
1,242.85
1,211.28
1,306.04
1,165.85
1,288.21
1,347.98
1,455.36
1,146.55
1,220.34
1,351.18
1,510.29
2,185.68
2,655.45
-----
1,164.54
1,246.25
1,304.53
1,298.16
1,417.87
1,221.26
1,315.80
1,425.04
1,273.33
1,378.61
1,458.95
1,349.18
1,473.03
1,592.27
1,393.62
1,482.95
1,606.82
1,328.72
1,428.29
1,598.43
1,443.08
1,485.33
1,615.48
1,277.10
1,361.37
1,480.99
1,521.49
1,524.93
1,632.10
2,859.77
3,302.40
3,570.18
-------
1,325.38
1,424.23
1,536.23
1,426.83
1,563.81
1,513.31
1,585.86
1,535.00
1,592.01
1,544.02
1,672.46
1,683.15
1,836.97
1,764.67
1,807.82
1,779.42
1,824.01
1,698.71
1,757.86
1,636.89
1,768.85
1,747.95
1,954.71
3,708.35
4,057.16
-----
1,640.78
1,761.68
1,600.38
1,594.84
1,650.45
1,599.57
1,651.43
1,626.43
1,606.22
1,564.33
1,524.47
1,648.30
1,650.79
1,695.79
1,721.23
1,741.32
1,762.32
1,892.32
1,854.51
1,849.47
1,886.70
1,869.05
1,883.55
1,812.37
1,716.06
1,762.05
1,840.71
1,799.67
1,676.53
1,867.66
1,925.71
1,969.00
2,011.98
2,274.52
2,805.59
4,004.30
4,071.51
3,983.42
-------
1,820.34
1,810.23
1,811.62
1995
1996
1,714.87
1,740.60
1,657.77
1,716.36
1,551.41
1,544.13
1,761.67
1,761.66
1,760.37
1,691.02
1,815.04
1,807.99
1,930.11
1,926.73
1,795.42
1,827.39
1,566.45
1,609.44
1,995.86
1,984.56
2,771.86
2,908.40
4,060.01
3,713.59
-----
1,799.15
1,783.42
1997
1998
1999
1,852.68
2,051.73
2,344.87
1,689.18
1,807.78
1,900.33
1,790.15
1,917.40
2,034.29
1,735.08
1,826.14
1,957.71
1,792.30
1,936.45
1,974.83
1,824.04
1,938.04
2,028.84
1,982.07
2,099.82
2,376.29
1,941.01
2,067.33
2,217.77
1,746.27
1,846.54
2,079.12
2,011.53
2,084.95
2,236.02
2,687.26
2,804.53
2,981.92
3,876.75
4,224.37
4,967.45
----4,979.28
1,845.88
1,962.74
2,078.29
2000
2001
2002
2003
2004
2,497.29
2,711.82
2,902.32
3,063.80
3,144.07
2,034.63
2,403.43
2,669.89
2,764.67
2,726.79
2,107.72
2,233.74
2,422.95
2,652.46
2,758.77
2,105.17
2,320.35
2,437.73
2,592.60
2,812.68
2,134.79
2,297.15
2,399.89
2,524.13
2,667.46
2,221.39
2,320.31
2,442.81
2,702.64
2,864.84
2,619.32
2,766.07
2,907.70
3,137.33
3,322.66
2,362.85
2,581.17
2,730.52
2,902.53
3,113.36
2,260.58
2,533.75
2,713.67
2,881.08
3,106.31
2,432.62
2,653.08
2,782.80
2,869.72
2,909.02
3,250.61
3,848.40
4,090.57
4,069.99
4,274.69
4,664.19
5,232.80
5,708.20
5,522.20
5,924.66
5,787.57
6,175.93
7,088.56
9,572.26
9,921.71
2,256.84
2,417.69
2,548.43
2,735.84
2,884.34
2005
2006
2007
2008
2009 f
3,273.60
3,491.94
3,801.63
4,123.83
4,367.18
2,988.66
3,148.12
3,375.10
3,660.76
4,176.57
3,016.49
3,381.48
3,633.01
3,825.23
4,015.81
3,075.82
3,390.35
3,553.35
3,772.65
3,905.26
2,792.11
2,950.87
3,105.72
3,284.64
3,487.14
3,013.82
3,172.68
3,368.09
3,549.26
3,713.12
3,569.28
3,742.48
3,923.92
4,170.28
4,387.03
3,399.68
3,623.53
3,877.41
4,162.95
4,401.86
3,372.80
3,560.60
3,811.55
4,141.37
4,381.69
3,052.83
3,192.76
3,335.20
3,569.35
3,648.41
4,867.57
5,498.87
5,495.75
5,757.51
6,456.47
6,273.08
6,611.61
7,252.92
7,875.18
8,242.56
9,583.75
10,303.08
10,640.62
10,946.08
11,161.09
3,053.02
3,228.01
3,418.04
3,632.22
3,810.81
2010 f
4,751.85
4,450.49
4,274.81
4,080.89
3,640.57
3,799.62
4,718.06
4,551.31
4,592.69
3,792.88
6,303.87
7,699.54
11,593.33
3,956.55
Year
Man.
($’ per Capita)
(Annual Percentage Change)*
8146
1976*
1980*
8.9
12.7
8.6
15.4
12.1
14.0
16.3
17.7
15.9
12.2
13.9
12.4
17.0
16.8
18.0
18.2
14.7
14.1
14.8
22.3
8.1
6.8
9.0
1.6
-----
14.8
14.2
1985
1986
1987
5.3
9.7
8.1
5.0
7.0
8.3
7.1
7.5
13.4
5.6
6.8
10.0
5.3
0.9
6.1
8.9
10.6
8.6
6.1
7.8
6.7
6.4
10.5
3.1
7.5
8.0
-0.8
3.3
6.4
4.7
4.1
11.8
0.7
6.8
21.5
7.7
-------
6.7
7.0
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
6.4
6.7
7.7
5.8
5.7
9.8
11.3
5.2
10.5
7.1
3.9
---
6.8
1991
3.1
9.6
4.8
3.7
8.3
9.1
2.4
2.5
3.5
8.1
11.8
9.4
---
7.4
1992
1993
1994
2.4
-0.3
3.5
2.3
3.2
-1.5
1.3
-2.6
-2.5
3.5
0.2
2.7
2.9
1.2
1.2
3.0
-2.0
-0.3
4.4
-0.9
0.8
-0.6
-5.3
2.7
4.7
-2.2
-6.8
5.6
3.1
2.2
2.9
13.0
23.3
-1.3
1.7
-2.2
-------
3.3
-0.6
0.1
1995
1996
1997
3.9
1.5
6.4
1.9
3.5
-1.6
1.8
-0.5
15.9
3.9
0.0
-1.5
-0.1
-3.9
6.0
-1.9
-0.4
0.9
2.5
-0.2
2.9
1.9
1.8
6.2
-6.6
2.7
8.5
1.4
-0.6
1.4
-1.2
4.9
-7.6
1.9
-8.5
4.4
-------
-0.7
-0.9
3.5
1998
1999
10.7
14.3
7.0
5.1
7.1
6.1
5.2
7.2
8.0
2.0
6.2
4.7
5.9
13.2
6.5
7.3
5.7
12.6
3.6
7.2
4.4
6.3
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
9.0
-6.1
16.2
8.6
2001
2002
8.6
7.0
18.1
11.1
6.0
8.5
10.2
5.1
7.6
4.5
4.5
5.3
5.6
5.1
9.2
5.8
12.1
7.1
9.1
4.9
18.4
6.3
12.2
9.1
6.7
14.8
7.1
5.4
2003
2004
5.6
2.6
3.5
-1.4
9.5
4.0
6.4
8.5
5.2
5.7
10.6
6.0
7.9
5.9
6.3
7.3
6.2
7.8
3.1
1.4
-0.5
5.0
-3.3
7.3
35.0
3.7
7.4
5.4
2005
2006
2007
2008
2009 f
4.1
6.7
8.9
8.5
5.9
9.6
5.3
7.2
8.5
14.1
9.3
12.1
7.4
5.3
5.0
9.4
10.2
4.8
6.2
3.5
4.7
5.7
5.2
5.8
6.2
5.2
5.3
6.2
5.4
4.6
7.4
4.9
4.8
6.3
5.2
9.2
6.6
7.0
7.4
5.7
8.6
5.6
7.0
8.7
5.8
4.9
4.6
4.5
7.0
2.2
13.9
13.0
-0.1
4.8
12.1
5.9
5.4
9.7
8.6
4.7
-3.4
7.5
3.3
2.9
2.0
5.8
5.7
5.9
6.3
4.9
2010 f
8.8
6.6
6.4
4.5
4.4
2.3
7.5
3.4
4.8
4.0
-2.4
-6.6
3.9
3.8
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table B.3.3
Public-Sector Health Expenditure as a Proportion of Total Health Expenditure,
by Province/Territory and Canada, 1975 to 2010—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
1975
1976
77.6
72.2
73.0
75.2
78.8
77.2
77.4
79.0
78.8
80.5
75.3
76.1
77.7
79.4
1977
1978
1979
66.4
64.6
65.3
76.6
73.7
67.1
78.8
78.6
77.7
79.3
77.5
74.7
81.6
81.9
82.5
75.4
73.7
72.1
1980
1981
66.2
66.1
61.5
63.8
77.5
78.9
73.8
73.9
81.5
79.7
1982
1983
68.9
69.7
66.9
68.9
78.3
78.5
74.4
74.0
1984
1985
74.5
74.9
70.8
70.8
77.9
76.9
1986
1987
1988
1989
79.1
78.7
78.8
79.4
73.6
73.8
74.2
72.9
1990
1991
1992
1993
1994
79.9
78.5
77.5
76.5
75.9
1995
1996
1997
1998
1999
Sask.
Nun.
Canada
Average
Alta.
B.C.
Y.T.
N.W.T.
74.5
75.7
76.4
77.5
71.9
71.1
77.9
76.1
75.2
76.2
-----
76.2
77.0
78.5
78.6
77.0
75.5
76.8
77.4
76.9
77.0
78.2
69.6
70.7
71.9
75.7
77.7
77.1
78.6
79.3
79.0
-------
76.7
76.2
75.9
72.1
73.3
76.1
75.1
79.5
80.4
77.1
77.8
71.9
74.4
76.5
78.1
78.4
80.3
-----
75.5
75.9
80.6
81.1
72.9
72.5
76.3
77.2
81.9
82.6
76.5
80.1
75.6
75.3
81.8
82.5
86.0
86.3
-----
76.2
76.6
72.8
73.3
80.4
79.0
72.3
72.3
76.9
75.9
81.1
78.2
79.6
79.6
73.8
73.5
81.9
82.9
85.6
85.8
-----
76.1
75.5
74.3
74.7
73.5
73.2
73.8
74.4
74.4
74.8
76.4
76.6
76.8
76.1
72.9
72.8
73.1
73.3
75.4
77.3
79.0
78.6
77.8
77.6
79.9
79.4
79.5
78.1
75.5
75.3
73.6
72.9
72.6
72.8
86.8
87.4
88.6
89.3
87.0
86.8
87.1
87.4
---------
75.1
74.9
74.9
74.7
72.7
72.6
70.9
70.0
69.2
73.7
73.7
72.7
71.4
69.8
74.1
72.8
72.5
71.1
71.0
75.6
75.6
74.7
73.7
73.1
72.8
73.1
72.5
70.6
69.6
78.5
77.9
77.7
76.0
75.4
79.6
78.8
78.2
75.1
74.6
75.3
75.2
75.4
73.6
71.7
73.1
73.4
73.9
73.9
74.1
90.6
90.3
89.7
86.7
89.3
88.5
88.5
89.4
90.1
90.6
-----------
74.5
74.5
74.0
72.6
71.9
76.7
77.7
78.2
77.4
79.1
68.0
68.7
67.6
67.9
68.4
69.9
68.8
70.6
70.2
71.3
72.7
73.1
70.3
71.2
70.8
73.2
72.2
72.4
73.9
72.3
67.9
67.5
66.5
66.6
66.0
74.8
73.5
72.6
72.8
73.5
74.6
74.8
74.4
75.8
75.6
70.3
70.7
69.8
70.4
70.7
74.5
74.1
73.3
72.8
73.1
88.9
83.4
83.2
84.2
84.5
91.6
90.4
90.9
91.6
90.5
--------93.6
71.2
70.7
70.1
70.5
70.1
2000
2001
2002
2003
2004
78.3
78.6
78.4
77.2
76.2
69.2
69.0
72.3
70.2
69.9
69.7
69.3
68.6
69.2
69.6
71.2
70.5
69.9
69.8
71.0
72.7
72.1
71.6
71.3
72.0
66.6
66.1
65.2
66.9
66.8
74.3
73.1
73.3
74.2
74.6
75.5
74.8
75.2
74.8
75.2
70.6
70.4
71.4
71.9
71.7
73.4
73.9
73.3
73.0
71.6
80.0
80.9
78.8
79.4
78.8
90.6
89.0
89.2
88.6
89.3
94.5
94.2
94.8
95.5
95.5
70.4
70.1
69.6
70.2
70.1
2005
2006
2007
2008
2009 f
75.4
76.1
75.3
76.6
77.3
71.7
69.8
71.2
72.2
73.9
70.1
70.5
70.7
70.6
70.0
70.1
70.6
71.1
71.1
70.0
71.4
71.3
71.5
71.4
71.4
66.9
66.9
67.3
67.8
67.8
74.8
74.4
74.8
74.7
75.0
76.2
75.6
76.2
77.4
77.4
72.6
71.4
72.1
72.7
73.4
72.1
69.8
71.0
70.5
70.8
80.5
81.8
77.5
79.2
80.2
84.2
83.1
82.1
84.7
84.6
94.5
94.7
94.1
94.3
93.7
70.2
69.7
70.2
70.5
70.6
2010 f
77.9
75.0
70.3
69.8
71.4
67.4
75.5
77.3
73.3
70.8
79.0
83.1
93.8
70.5
Year
Man.
(Percentage)
(Annual Percentage Change)*
1976*
1980*
-6.9
1.4
3.0
-8.4
-2.0
-0.2
2.1
-1.2
2.1
-1.2
1.1
0.0
2.2
-1.2
1.6
2.8
1.5
-1.3
-1.1
0.1
-2.4
-0.7
1.3
-0.7
-----
1.0
-0.5
1985
1986
0.6
5.6
0.0
3.9
-1.4
-3.3
0.7
0.7
-1.7
-3.3
0.0
0.8
-1.3
-0.6
-3.6
-0.5
0.0
-0.1
-0.4
0.0
1.3
4.7
0.3
1.4
-----
-0.7
-0.6
1987
1988
1989
-0.6
0.2
0.8
0.3
0.7
-1.8
0.5
-1.6
-0.5
0.9
0.0
0.6
0.3
0.2
-0.9
-0.1
0.4
0.1
2.4
2.2
-0.5
-0.3
2.9
-0.7
-1.8
-3.4
-0.2
-0.8
-0.4
0.2
0.7
1.4
0.8
-0.2
0.3
0.4
-------
-0.2
0.0
-0.2
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
---
-0.3
1991
1992
1993
1994
-1.7
-1.3
-1.3
-0.8
-0.1
-2.3
-1.3
-1.2
-0.1
-1.3
-1.8
-2.2
-1.7
-0.4
-2.0
-0.2
0.0
-1.1
-1.3
-0.8
0.4
-0.8
-2.7
-1.4
-0.8
-0.2
-2.2
-0.7
-0.9
-0.7
-4.1
-0.6
-0.1
0.3
-2.3
-2.6
0.5
0.6
0.0
0.2
-0.4
-0.6
-3.4
3.0
-0.1
1.0
0.8
0.6
---------
0.0
-0.6
-1.9
-1.0
1995
1996
1997
1.0
1.4
0.6
-1.6
1.0
-1.7
0.0
-1.4
2.6
2.5
0.5
-3.8
0.0
-1.4
0.3
-2.5
-0.6
-1.4
-0.9
-1.6
-1.2
0.0
0.3
-0.5
-2.0
0.5
-1.2
0.6
-0.6
-1.0
-0.5
-6.2
-0.2
1.1
-1.4
0.6
-------
-1.0
-0.7
-0.8
1998
1999
-1.1
2.2
0.6
0.7
-0.5
1.5
1.3
-0.6
2.0
-2.2
0.1
-0.9
0.2
1.0
1.8
-0.2
0.9
0.5
-0.7
0.4
1.3
0.3
0.8
-1.2
-----
0.6
-0.6
2000
-1.1
1.2
-2.2
0.6
0.6
0.9
1.1
-0.2
-0.1
0.4
-5.3
0.1
0.9
0.4
2001
2002
2003
2004
0.4
-0.2
-1.6
-1.3
-0.3
4.8
-3.0
-0.5
-0.5
-1.0
0.8
0.6
-1.0
-0.8
-0.1
1.6
-0.7
-0.7
-0.4
0.9
-0.7
-1.5
2.6
-0.1
-1.6
0.3
1.3
0.5
-0.9
0.5
-0.4
0.5
-0.4
1.5
0.7
-0.2
0.7
-0.8
-0.4
-1.9
1.1
-2.5
0.7
-0.8
-1.7
0.2
-0.6
0.8
-0.3
0.6
0.7
0.0
-0.5
-0.7
0.9
-0.1
2005
2006
2007
-1.1
0.9
-1.0
2.6
-2.6
2.0
0.8
0.5
0.3
-1.2
0.6
0.8
-0.9
0.0
0.3
0.2
-0.1
0.6
0.3
-0.6
0.5
1.4
-0.8
0.7
1.2
-1.7
1.1
0.6
-3.1
1.7
2.2
1.6
-5.3
-5.8
-1.3
-1.2
-1.0
0.2
-0.7
0.1
-0.7
0.7
2008
2009 f
1.8
0.9
1.4
2.4
-0.1
-0.9
0.0
-1.7
-0.2
0.1
0.8
0.0
-0.2
0.4
1.6
0.0
0.8
1.0
-0.8
0.4
2.1
1.3
3.2
-0.2
0.2
-0.7
0.4
0.2
2010 f
0.7
1.4
0.3
-0.2
0.0
-0.6
0.7
-0.1
-0.1
0.1
-1.4
-1.8
0.2
-0.2
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2010.
147 i
National Health Expenditure Trends, 1975 to 2010
Table B.4.1
Provincial/Territorial Government–Sector Health Expenditure,
by Province/Territory and Canada, 1975 to 2010—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
1975
1976
Alta.
B.C.
Y.T.
N.W.T.
199.2
219.0
41.5
45.4
266.9
302.7
203.7
242.4
2,531.2
2,972.5
3,143.5
3,612.5
376.7
449.3
302.1
364.1
694.9
811.6
928.2
1,082.7
6.2
8.8
15.2
19.0
-----
8,709.3
10,129.9
1977
1978
1979
233.5
258.3
297.3
50.3
56.4
62.5
334.6
370.0
413.1
271.7
299.1
336.7
3,269.2
3,661.8
4,088.1
3,929.1
4,229.4
4,565.8
497.3
524.9
569.7
410.8
445.8
508.5
879.1
1,020.5
1,258.2
1,193.1
1,363.8
1,556.5
10.0
11.4
12.4
23.4
28.1
27.9
-------
11,102.0
12,269.4
13,696.6
1980
1981
336.8
393.4
72.6
84.1
474.5
572.4
395.1
478.2
4,607.8
5,268.2
5,164.6
6,069.9
652.8
782.9
604.5
709.8
1,510.2
1,871.3
1,932.3
2,374.8
13.6
15.0
29.3
35.5
-----
15,794.1
18,655.5
1982
1983
1984
461.9
515.7
534.6
98.5
109.5
116.5
662.7
728.7
800.3
579.6
627.2
671.5
6,101.1
6,740.9
7,165.5
7,104.3
8,019.2
8,826.6
915.1
1,021.3
1,102.1
859.0
965.6
1,022.9
2,426.3
2,769.4
2,843.5
2,720.3
2,932.2
3,074.8
22.4
22.8
23.5
51.0
57.8
62.0
-------
22,002.1
24,510.2
26,244.0
1985
1986
561.4
611.2
123.0
131.7
867.5
917.0
710.7
759.2
7,577.2
7,715.3
9,746.8
10,995.1
1,182.6
1,269.6
1,101.3
1,223.4
3,035.1
3,316.8
3,200.6
3,443.3
24.9
27.6
71.9
91.2
-----
28,202.8
30,501.5
1987
1988
1989
660.0
699.4
751.1
142.5
153.7
163.1
987.4
1,071.6
1,178.9
837.9
900.8
981.2
8,257.9
8,996.9
9,631.6
12,203.4
13,583.0
15,079.3
1,364.8
1,464.7
1,587.0
1,264.5
1,349.3
1,500.2
3,308.1
3,427.8
3,792.9
3,660.8
3,978.3
4,455.9
29.4
33.4
36.3
105.4
147.1
174.6
-------
32,821.9
35,806.2
39,332.1
1990
1991
836.0
861.0
173.7
189.6
1,263.6
1,333.8
1,057.2
1,102.1
10,250.4
11,213.3
16,195.9
17,951.3
1,742.8
1,788.7
1,636.4
1,658.2
4,043.8
4,241.0
5,043.6
5,578.3
38.6
45.6
187.9
213.9
-----
42,469.7
46,176.8
1992
1993
1994
881.0
880.9
902.6
196.2
205.2
200.4
1,356.8
1,322.9
1,280.1
1,142.4
1,154.7
1,189.3
11,617.6
11,841.5
12,007.4
18,810.3
18,618.2
18,753.5
1,867.8
1,856.8
1,861.9
1,635.9
1,539.4
1,560.5
4,506.3
4,452.2
4,103.5
6,060.7
6,424.1
6,740.9
49.1
58.1
71.5
213.6
218.4
214.0
-------
48,337.8
48,572.6
48,885.6
1995
1996
925.5
926.0
203.2
213.2
1,302.6
1,317.7
1,235.2
1,234.4
12,020.3
11,587.3
18,549.6
18,696.5
1,903.4
1,922.8
1,595.6
1,637.4
3,904.8
4,091.3
7,007.1
7,186.1
68.7
67.6
220.6
200.8
-----
48,936.4
49,081.2
1997
1998
1999
968.2
1,050.3
1,190.4
213.9
228.8
240.8
1,552.0
1,656.5
1,749.7
1,213.9
1,269.5
1,369.8
12,159.3
13,145.9
13,403.0
19,065.6
20,121.8
21,592.8
1,976.6
2,102.8
2,395.3
1,749.2
1,855.2
1,995.4
4,527.6
4,896.0
5,641.1
7,434.9
7,758.4
8,390.8
69.6
74.2
78.4
212.8
232.3
166.8
----115.4
51,143.6
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
1,952.3
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 f
1,589.7
1,690.2
1,831.3
1,988.9
2,124.3
371.3
385.7
414.2
453.7
528.0
2,580.3
2,898.5
3,120.8
3,299.3
3,474.7
2,131.6
2,345.6
2,463.4
2,626.0
2,720.7
19,421.9
20,587.7
21,830.3
23,278.6
25,026.5
35,010.6
37,163.5
40,005.6
42,804.5
45,296.0
3,698.2
3,906.6
4,115.1
4,427.9
4,721.3
2,986.5
3,192.7
3,434.7
3,744.5
4,078.4
10,197.5
11,258.7
12,377.8
13,816.8
15,061.2
12,168.9
12,690.0
13,421.9
14,612.5
15,187.1
125.0
142.8
145.3
158.1
183.8
217.3
226.9
252.5
278.5
289.3
224.2
254.9
263.8
268.7
283.7
90,723.1
96,743.7
103,676.9
111,758.0
118,974.9
2010 f
2,316.2
564.4
3,701.7
2,843.2
26,365.9
46,939.3
5,125.2
4,245.9
16,164.3
16,051.8
178.5
260.8
288.9
125,045.9
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
5.0
8.9
8.0
6.0
5.5
7.1
8.2
7.9
8.4
5.7
7.7
8.5
5.8
6.8
10.4
7.5
5.7
1.8
7.0
8.9
10.4
12.8
11.0
11.3
7.3
7.4
7.5
7.3
7.7
11.1
3.4
6.7
6.7
9.3
-0.3
3.6
4.1
7.6
6.3
8.7
5.7
10.9
6.6
13.8
16.0
26.9
15.7
39.5
---------
7.5
8.2
7.6
9.1
1989
7.4
6.1
10.0
8.9
7.1
11.0
8.3
11.2
10.7
12.0
8.5
18.7
---
9.8
1990
11.3
6.5
7.2
7.7
6.4
7.4
9.8
9.1
6.6
13.2
6.6
7.6
---
8.0
1991
1992
1993
3.0
2.3
0.0
9.2
3.5
4.6
5.6
1.7
-2.5
4.2
3.7
1.1
9.4
3.6
1.9
10.8
4.8
-1.0
2.6
4.4
-0.6
1.3
-1.3
-5.9
4.9
6.3
-1.2
10.6
8.6
6.0
18.1
7.6
18.3
13.8
-0.1
2.2
-------
8.7
4.7
0.5
1994
2.5
-2.3
-3.2
3.0
1.4
0.7
0.3
1.4
-7.8
4.9
23.0
-2.0
---
0.6
1995
2.5
1.4
1.8
3.9
0.1
-1.1
2.2
2.2
-4.8
3.9
-3.8
3.1
---
0.1
1996
1997
1998
0.1
4.6
8.5
4.9
0.3
7.0
1.2
17.8
6.7
-0.1
-1.7
4.6
-3.6
4.9
8.1
0.8
2.0
5.5
1.0
2.8
6.4
2.6
6.8
6.1
4.8
10.7
8.1
2.6
3.5
4.3
-1.7
2.9
6.6
-9.0
6.0
9.1
-------
0.3
4.2
6.4
1999
13.3
5.2
5.6
7.9
2.0
7.3
13.9
7.6
15.2
8.2
5.8
-28.2
---
7.2
2000
4.7
7.2
2.2
7.1
7.9
10.9
9.8
4.9
10.2
9.2
6.9
-8.8
18.1
9.1
2001
2002
7.0
6.7
18.2
12.9
5.4
9.4
8.8
5.2
7.5
5.6
5.5
7.9
6.2
6.1
8.3
5.5
13.2
9.9
10.4
6.4
15.6
5.4
12.2
12.0
7.1
16.6
7.7
7.2
2003
2004
5.3
2.7
2.9
-1.9
10.2
4.1
6.8
8.9
5.2
6.5
11.5
7.7
8.6
6.7
5.9
7.9
7.2
9.9
3.9
2.2
1.7
9.1
0.0
10.4
38.5
3.5
7.9
6.7
2005
2006
2007
3.3
6.3
8.4
6.8
3.9
7.4
9.1
12.3
7.7
9.2
10.0
5.0
5.6
6.0
6.0
7.0
6.1
7.6
7.6
5.6
5.3
9.3
6.9
7.6
11.9
10.4
9.9
6.4
4.3
5.8
10.4
14.2
1.8
2.9
4.4
11.3
-8.1
13.7
3.5
7.2
6.6
7.2
2008
2009 f
8.6
6.8
9.5
16.4
5.7
5.3
6.6
3.6
6.6
7.5
7.0
5.8
7.6
6.6
9.0
8.9
11.6
9.0
8.9
3.9
8.8
16.3
10.3
3.9
1.9
5.6
7.8
6.5
2010 f
9.0
6.9
6.5
4.5
5.4
3.6
8.6
4.1
7.3
5.7
-2.9
-9.9
1.8
5.1
Year
Sask.
Nun.
Canada
($’000,000)
(Annual Percentage Change)*
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
8148
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table B.4.2
Provincial/Territorial Government–Sector Health Expenditure,
by Province/Territory and Canada, 1975 to 2010—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
1975
1976
357.93
389.23
352.59
382.69
322.89
362.38
300.87
351.60
399.86
464.68
377.83
429.35
367.52
435.49
1977
1978
1979
413.02
454.97
521.39
419.05
463.11
508.31
398.43
438.08
486.44
390.52
427.54
478.79
508.29
568.59
632.20
461.94
492.26
527.07
1980
1981
587.97
684.49
586.87
679.49
556.32
669.77
559.50
677.01
708.13
804.58
1982
1983
1984
803.88
889.85
921.49
795.18
872.94
920.16
770.56
838.34
912.44
818.37
876.77
931.38
1985
1986
969.11
1,060.19
963.16
1,025.64
980.11
1,031.12
1987
1988
1989
1,147.48
1,216.34
1,303.10
1,108.04
1,189.24
1,254.08
1990
1991
1,446.22
1,485.76
1992
1993
1994
Sask.
Nun.
Canada
Average
Alta.
B.C.
Y.T.
N.W.T.
329.31
390.81
384.21
434.15
371.34
427.31
281.70
392.62
355.89
427.62
-----
376.32
431.98
479.07
504.13
549.20
434.77
468.37
529.91
451.35
504.73
599.83
464.30
521.74
584.48
437.49
480.31
515.50
523.77
619.68
610.55
-------
467.93
512.01
565.93
590.56
688.88
630.94
755.38
624.90
727.33
688.82
815.66
704.40
840.95
559.22
628.28
632.58
746.47
-----
644.23
751.62
927.32
1,020.99
1,080.57
796.24
886.91
962.36
874.17
962.48
1,028.22
870.10
963.78
1,007.33
1,024.50
1,158.55
1,189.68
946.88
1,009.21
1,043.87
915.40
965.33
983.04
1,030.57
1,132.08
1,178.74
-------
875.97
966.22
1,024.85
982.04
1,046.94
1,136.74
1,150.09
1,048.32
1,164.97
1,092.73
1,163.01
1,073.93
1,188.64
1,263.05
1,364.43
1,076.10
1,146.18
1,020.22
1,125.67
1,320.82
1,666.65
-----
1,091.32
1,168.59
1,105.10
1,194.19
1,304.30
1,151.22
1,233.44
1,334.56
1,217.52
1,315.53
1,390.10
1,265.35
1,380.08
1,491.89
1,242.92
1,329.10
1,438.04
1,224.38
1,312.55
1,471.92
1,358.38
1,396.57
1,520.06
1,200.20
1,276.99
1,393.40
1,142.60
1,255.80
1,337.46
1,915.62
2,641.91
3,061.59
-------
1,240.96
1,336.28
1,441.70
1,330.38
1,455.09
1,389.08
1,457.56
1,428.37
1,478.27
1,463.53
1,587.25
1,572.74
1,721.43
1,576.21
1,612.05
1,624.80
1,653.75
1,587.56
1,635.78
1,532.63
1,653.57
1,391.27
1,578.60
3,189.46
3,510.43
-----
1,533.34
1,647.32
1,518.94
1,518.87
1,571.25
1,500.45
1,553.24
1,502.41
1,475.44
1,431.70
1,381.01
1,527.08
1,542.11
1,585.29
1,634.44
1,654.93
1,669.57
1,779.63
1,741.91
1,733.51
1,678.64
1,661.38
1,657.61
1,629.49
1,528.88
1,545.80
1,711.51
1,669.10
1,519.44
1,747.40
1,800.79
1,833.90
1,630.67
1,913.85
2,406.47
3,423.11
3,437.35
3,284.08
-------
1,704.03
1,693.50
1,685.76
1995
1996
1,630.96
1,654.16
1,511.50
1,570.44
1,403.36
1,414.75
1,644.78
1,640.82
1,664.98
1,598.94
1,694.03
1,686.95
1,685.66
1,695.29
1,573.35
1,606.75
1,427.96
1,474.25
1,855.19
1,854.82
2,257.88
2,154.16
3,313.42
2,972.33
-----
1,670.06
1,657.54
1997
1998
1999
1,757.15
1,945.16
2,231.77
1,571.56
1,684.76
1,766.59
1,664.36
1,777.59
1,873.69
1,613.06
1,691.40
1,824.87
1,671.46
1,801.80
1,830.19
1,698.00
1,770.20
1,876.60
1,739.72
1,848.60
2,096.54
1,718.15
1,823.25
1,966.46
1,599.84
1,688.58
1,910.13
1,882.96
1,947.83
2,091.76
2,187.86
2,381.31
2,548.64
3,141.80
3,456.79
4,103.00
----4,303.32
1,710.06
1,803.61
1,918.50
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
1,914.73
2,021.76
2,205.82
2,424.96
2,520.53
1,954.06
2,127.56
2,237.56
2,386.72
2,596.05
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
2005
2006
2007
2008
2009 f
3,091.99
3,312.09
3,615.48
3,927.16
4,174.07
2,686.79
2,796.23
2,998.90
3,253.76
3,744.96
2,756.79
3,090.10
3,334.54
3,522.66
3,703.60
2,837.15
3,145.56
3,304.13
3,514.64
3,630.19
2,556.17
2,697.70
2,839.85
3,002.34
3,196.69
2,786.26
2,934.27
3,126.74
3,308.87
3,465.86
3,149.72
3,299.37
3,446.70
3,671.22
3,863.68
3,016.57
3,218.02
3,434.25
3,694.18
3,959.08
3,108.31
3,290.81
3,523.32
3,842.42
4,084.22
2,856.38
2,990.40
3,114.53
3,333.26
3,408.85
4,026.97
4,424.38
4,459.77
4,765.65
5,462.25
5,085.46
5,252.20
5,797.95
6,370.35
6,660.51
7,468.92
8,277.65
8,435.83
8,497.95
8,814.21
2,807.72
2,969.78
3,148.22
3,353.34
3,526.24
2010 f
4,563.86
3,988.48
3,943.90
3,789.36
3,340.97
3,547.95
4,155.30
4,077.48
4,295.02
3,543.51
5,234.46
5,953.65
8,862.05
3,662.93
Year
Man.
($’ per Capita)
(Annual Percentage Change)*
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
5.2
9.4
4.7
6.5
7.4
5.2
5.4
6.6
5.2
1.2
8.9
11.1
6.3
6.4
6.6
10.7
6.2
8.0
3.1
6.5
3.8
10.3
12.1
26.2
-----
6.5
7.1
1987
1988
8.2
6.0
8.0
7.3
7.2
8.1
10.0
7.1
5.9
8.0
8.6
9.1
6.9
6.9
3.0
7.2
-0.4
2.8
4.7
6.4
1.5
9.9
14.9
37.9
-----
6.2
7.7
1989
7.1
5.5
9.2
8.2
5.7
8.1
8.2
12.1
8.8
9.1
6.5
15.9
---
7.9
1990
11.0
6.1
6.5
7.0
5.3
5.4
9.6
10.4
4.4
10.0
4.0
4.2
---
6.4
1991
1992
1993
2.7
2.2
0.0
9.4
3.1
3.5
4.9
1.2
-3.0
3.5
3.3
1.0
8.5
3.0
1.3
9.5
3.4
-2.1
2.3
4.1
-1.0
1.8
-1.5
-6.2
3.0
4.6
-2.5
7.9
5.7
3.1
13.5
3.3
17.4
10.1
-2.5
0.4
-------
7.4
3.4
-0.6
-0.5
1994
3.4
-3.3
-3.5
2.8
0.9
-0.5
-0.2
1.1
-9.0
1.8
25.7
-4.5
---
1995
3.8
0.6
1.6
3.8
-0.3
-2.3
1.7
1.8
-6.0
1.2
-6.2
0.9
---
-0.9
1996
1997
1998
1.4
6.2
10.7
3.9
0.1
7.2
0.8
17.6
6.8
-0.2
-1.7
4.9
-4.0
4.5
7.8
-0.4
0.7
4.3
0.6
2.6
6.3
2.1
6.9
6.1
3.2
8.5
5.5
0.0
1.5
3.4
-4.6
1.6
8.8
-10.3
5.7
10.0
-------
-0.7
3.2
5.5
1999
14.7
4.9
5.4
7.9
1.6
6.0
13.4
7.9
13.1
7.4
7.0
18.7
---
6.4
2000
5.8
7.1
2.2
7.1
7.4
9.2
9.4
5.6
8.3
8.5
8.1
-8.4
15.2
8.1
2001
2002
8.2
7.2
18.0
12.7
5.6
9.1
8.9
5.2
6.9
4.9
3.6
6.1
5.8
5.7
9.1
6.0
11.3
7.8
9.3
5.4
16.7
5.4
11.4
10.2
4.8
14.1
6.6
6.0
2003
2004
5.5
2.9
2.6
-2.3
9.9
3.9
6.7
8.8
4.5
5.7
10.0
6.4
8.0
5.9
6.0
7.9
5.7
8.3
2.9
1.0
0.2
8.0
-1.7
8.8
36.4
1.8
6.9
5.6
2005
2006
4.0
7.1
6.5
4.1
9.4
12.1
9.3
10.9
4.9
5.5
5.7
5.3
7.3
4.8
9.8
6.7
9.5
5.9
5.0
4.7
9.8
9.9
3.2
3.3
-9.3
10.8
6.2
5.8
2007
2008
2009 f
9.2
8.6
6.3
7.2
8.5
15.1
7.9
5.6
5.1
5.0
6.4
3.3
5.3
5.7
6.5
6.6
5.8
4.7
4.5
6.5
5.2
6.7
7.6
7.2
7.1
9.1
6.3
4.2
7.0
2.3
0.8
6.9
14.6
10.4
9.9
4.6
1.9
0.7
3.7
6.0
6.5
5.2
2010 f
9.3
6.5
6.5
4.4
4.5
2.4
7.5
3.0
5.2
4.0
-4.2
-10.6
0.5
3.9
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2010.
149 i
National Health Expenditure Trends, 1975 to 2010
Table B.4.3
Provincial/Territorial Government–Sector Health Expenditure as a Proportion of
Total Health Expenditure by Province/Territory and Canada, 1975 to 2010—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
1975
1976
75.3
70.0
70.2
72.2
69.8
68.4
73.4
75.3
74.9
76.7
71.1
71.7
69.0
71.4
1977
1978
1979
64.3
62.6
62.8
73.2
70.9
64.7
71.3
72.2
72.1
75.7
73.9
71.6
77.8
78.5
79.4
71.1
69.7
67.9
1980
1981
63.7
63.3
59.4
61.7
72.2
72.6
70.2
70.2
78.3
76.5
1982
1983
65.9
66.7
64.6
66.6
72.1
72.5
70.7
70.1
1984
71.1
68.1
71.1
68.9
Sask.
Nun.
Canada
Average
Alta.
B.C.
Y.T.
N.W.T.
68.5
70.0
70.0
70.0
67.1
66.5
38.8
48.8
43.5
48.5
-----
71.4
72.1
70.4
70.1
69.2
69.9
71.6
72.3
69.1
69.6
70.6
65.1
66.7
68.0
54.0
53.4
51.7
47.4
49.7
47.4
-------
71.9
71.7
71.4
77.3
77.7
67.7
68.2
68.0
67.7
67.2
67.9
68.7
69.1
74.1
74.8
76.0
76.8
70.1
71.3
72.4
76.5
67.1
69.2
70.3
70.6
52.1
53.3
60.3
59.9
48.0
48.1
46.2
46.8
---------
70.8
71.0
71.5
72.0
76.9
67.5
69.2
74.6
75.5
69.4
62.0
49.3
---
71.4
Year
Man.
(Percentage)
1985
71.4
67.9
70.4
69.3
75.5
67.5
68.5
72.0
74.6
69.0
62.6
51.9
---
70.8
1986
1987
1988
75.2
74.9
75.1
70.2
70.2
70.0
66.6
63.3
67.6
69.6
70.2
69.8
73.2
73.3
73.3
68.3
68.3
68.5
67.2
68.9
70.8
71.8
71.5
73.4
1989
75.7
68.2
67.3
70.1
72.5
68.6
70.3
73.1
74.6
73.5
71.0
70.9
69.1
68.6
68.1
68.5
64.7
65.6
73.0
73.2
54.6
58.2
69.7
75.0
---------
70.4
70.1
70.3
70.1
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
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
73.0
76.6
76.1
76.5
76.4
76.1
74.7
-----------
69.6
69.7
69.3
67.9
66.9
1995
1996
1997
1998
1999
72.9
73.9
74.2
73.3
75.3
62.0
62.9
62.9
63.3
63.6
63.2
63.1
65.7
65.1
65.6
67.9
68.1
65.4
66.0
66.0
69.2
68.2
67.5
68.7
67.0
63.3
63.0
61.9
60.8
61.0
65.3
64.7
63.7
64.1
64.8
65.3
65.8
65.9
66.8
67.1
64.1
64.7
63.9
64.4
65.0
69.3
69.2
68.6
68.0
68.4
72.4
61.7
67.7
71.5
72.2
74.8
72.3
73.6
75.0
74.8
-----------
66.1
65.7
65.0
64.8
64.7
2000
2001
2002
2003
2004
74.0
74.0
74.0
72.8
72.1
64.3
64.1
68.1
65.5
64.6
63.3
62.7
62.5
63.3
63.6
66.1
64.6
64.2
64.3
65.5
66.9
66.0
65.8
65.1
65.8
61.4
60.5
60.1
61.3
61.5
65.0
64.1
64.7
65.6
65.9
66.3
65.7
66.1
65.7
66.4
64.6
63.9
65.3
65.4
65.6
68.5
69.1
68.9
68.5
67.0
67.8
67.6
65.3
66.2
67.6
73.0
71.2
72.0
72.7
74.3
80.9
79.2
79.2
80.6
79.2
64.7
64.0
63.9
64.2
64.3
2005
2006
2007
2008
2009 f
71.2
72.2
71.6
73.0
73.9
64.4
62.0
63.3
64.2
66.3
64.1
64.4
64.9
65.1
64.6
64.7
65.5
66.1
66.3
65.0
65.3
65.2
65.4
65.2
65.5
61.9
61.8
62.4
63.2
63.3
66.0
65.6
65.7
65.7
66.0
67.6
67.2
67.5
68.6
69.6
66.9
66.0
66.7
67.4
68.4
67.4
65.4
66.3
65.8
66.1
66.6
65.8
62.9
65.5
67.8
68.2
66.0
65.6
68.5
68.4
73.7
76.1
74.6
73.2
74.0
64.6
64.2
64.7
65.1
65.3
2010 f
74.8
67.2
64.8
64.8
65.6
62.9
66.5
69.3
68.5
66.2
65.6
64.3
71.7
65.3
(Annual Percentage Change)*
8150
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
0.5
5.3
-0.5
0.4
-0.4
3.5
0.0
-0.2
-1.0
-5.4
-5.0
6.8
0.6
0.5
0.9
-0.6
-1.8
-3.1
0.1
0.0
0.1
1.2
0.0
0.3
-1.1
-1.9
2.6
2.7
-3.4
-0.3
-0.4
2.7
-1.3
0.0
-1.4
-3.5
-0.6
0.1
-0.8
-0.6
0.9
3.4
1.4
11.2
5.3
5.3
6.5
19.8
---------
-0.9
-0.6
-0.3
0.2
1989
0.8
-2.7
-0.5
0.5
-1.1
0.1
-0.7
-0.5
-0.1
0.5
0.3
7.6
---
-0.2
1990
0.7
-0.5
0.6
-1.6
-1.2
-0.8
-0.2
-0.6
-0.8
-0.1
-1.5
1.6
---
-0.7
1991
1992
1993
-2.1
-1.5
-1.0
-0.3
-1.5
-1.0
0.0
-1.4
-2.2
-1.9
-0.6
-1.2
0.1
-1.1
-1.3
0.7
-0.5
-2.8
-1.0
-0.4
-2.3
-1.6
-1.6
-4.9
-0.5
0.2
-2.6
0.3
0.7
0.0
1.1
-0.3
0.3
0.5
-0.2
-0.4
-------
0.1
-0.5
-2.0
1994
-0.8
-2.9
-3.2
-0.1
-1.1
-1.6
-1.7
-2.2
-4.8
-0.2
5.0
-1.8
---
-1.6
1995
0.9
-2.9
-0.1
2.4
-0.1
-2.9
-1.6
-0.1
-1.4
0.4
-5.5
0.1
---
-1.2
1996
1997
1998
1.3
0.4
-1.1
1.3
0.0
0.7
-0.2
4.1
-0.8
0.2
-3.9
0.9
-1.4
-1.1
1.8
-0.6
-1.7
-1.8
-0.9
-1.5
0.5
0.7
0.1
1.4
1.0
-1.2
0.7
-0.1
-0.9
-0.9
-14.7
9.7
5.6
-3.3
1.8
1.8
-------
-0.5
-1.1
-0.3
-0.2
1999
2.6
0.4
0.8
0.0
-2.5
0.4
1.2
0.4
0.9
0.6
0.9
-0.2
---
2000
-1.7
1.2
-3.6
0.2
-0.1
0.6
0.3
-1.1
-0.5
0.1
-6.1
-2.4
---
2001
2002
2003
0.1
0.0
-1.7
-0.4
6.3
-3.9
-0.9
-0.4
1.2
-2.2
-0.7
0.2
-1.4
-0.3
-1.0
-1.5
-0.7
2.1
-1.4
0.8
1.5
-1.0
0.7
-0.7
-1.1
2.1
0.2
0.9
-0.3
-0.6
-0.3
-3.4
1.5
-2.5
1.2
1.0
-2.1
0.0
1.7
-1.0
-0.1
0.4
2004
-1.0
-1.4
0.5
1.9
1.0
0.2
0.5
1.1
0.3
-2.2
2.1
2.2
-1.7
0.1
2005
-1.2
-0.3
0.8
-1.3
-0.7
0.7
0.2
1.9
2.0
0.6
-1.5
-8.2
-7.0
0.4
2006
2007
2008
2009 f
1.3
-0.7
1.9
1.3
-3.8
2.1
1.5
3.3
0.5
0.8
0.3
-0.8
1.2
1.0
0.2
-1.9
-0.2
0.3
-0.3
0.4
-0.1
1.0
1.2
0.1
-0.7
0.2
0.0
0.5
-0.7
0.5
1.7
1.4
-1.4
1.1
1.1
1.5
-3.0
1.4
-0.7
0.4
-1.2
-4.4
4.1
3.5
-3.3
-0.6
4.4
-0.3
3.3
-2.0
-1.9
1.1
-0.6
0.8
0.6
0.4
2010 f
1.2
1.3
0.4
-0.3
0.1
-0.6
0.7
-0.5
0.2
0.1
-3.2
-6.0
-3.0
-0.1
Notes
* Refer to the electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
0.0
Canadian Institute for Health Information, 2010.
Series E—Provincial/Territorial Government
Health Expenditure, by Age and Sex, by
Province/Territory and Canada (Selected Tables)
National Health Expenditure Trends, 1975 to 2010
Table E.1.1
Estimate of Total Provincial and Territorial Government Health Expenditures, by Age and Sex,
by Province/Territory and Canada, 2008—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
($’000,000)
Both Sexes
Age
Groups
<1
40.3
8.7
84.6
61.5
499.0
1,319.9
124.1
108.8
565.9
409.9
3.1
12.7
20.3
3,258.6
1–4
24.6
9.2
46.4
39.0
337.4
783.1
77.3
84.5
344.2
242.0
5.2
12.2
18.6
2,023.7
2,175.2
5–9
28.9
11.9
50.0
49.7
388.2
798.7
92.6
82.0
364.6
282.8
4.9
8.1
12.9
10–14
30.7
19.4
53.8
44.9
388.3
911.3
95.3
90.6
404.6
336.7
4.7
8.6
12.9
2,401.7
15–19
44.6
12.7
91.6
63.6
522.0
1,195.3
135.2
132.6
531.2
471.6
8.4
15.5
19.5
3,243.9
20–24
50.4
13.8
92.2
73.6
642.0
1,331.6
159.0
148.0
651.0
549.9
13.7
18.3
21.1
3,764.6
25–29
56.1
13.9
108.0
82.7
764.2
1,592.7
167.9
157.3
759.2
629.4
14.2
21.2
21.5
4,388.3
30–34
64.7
15.0
104.8
89.1
697.9
1,796.9
174.4
142.4
735.6
651.8
11.9
18.1
17.7
4,520.3
35–39
66.1
15.0
113.7
86.9
773.4
1,844.9
165.9
142.9
693.2
682.8
11.1
18.3
17.1
4,631.6
40–44
79.0
17.5
126.3
103.9
951.6
2,042.8
192.3
152.9
722.9
734.1
11.6
17.4
15.5
5,167.8
45–49
98.6
22.6
166.5
133.8
1,157.5
2,424.1
238.0
197.8
861.5
872.7
11.3
19.5
17.4
6,221.4
50–54
120.4
25.0
193.1
161.6
1,342.1
2,557.0
258.8
215.7
888.9
941.1
10.7
16.0
14.4
6,744.8
7,021.6
55–59
138.0
27.9
205.2
179.0
1,481.0
2,640.7
273.6
214.5
849.6
971.2
10.3
16.2
14.3
60–64
157.4
32.3
221.6
194.7
1,507.6
2,760.2
292.2
223.6
816.0
1,003.4
9.2
14.4
12.9
7,245.4
65–69
155.6
31.9
256.2
201.1
1,736.4
3,140.4
271.3
231.7
804.5
977.1
7.6
10.8
8.8
7,833.2
70–74
168.1
36.4
273.8
220.1
2,050.6
3,377.8
293.9
250.8
840.5
1,011.3
7.1
14.6
8.9
8,553.7
75–79
183.9
39.9
310.9
243.7
2,528.0
3,759.3
363.3
301.0
929.3
1,148.8
6.1
12.0
6.4
9,832.7
9,540.7
80–84
189.9
40.9
309.9
241.6
2,263.3
3,771.3
392.7
318.3
861.0
1,132.6
3.8
11.6
3.8
85–89
191.3
36.8
296.9
217.4
2,201.1
3,111.5
404.1
333.2
746.3
977.0
2.1
10.1
2.4
8,530.2
90+
100.1
23.2
193.7
138.1
1,047.1
1,645.0
255.9
216.0
446.7
586.2
1.1
3.1
2.4
4,658.5
Total
1,988.9
453.7
3,299.3
2,626.0
23,278.6
42,804.5
4,427.9
3,744.5
13,816.8
14,612.5
158.1
278.5
268.7
111,758.0
1,492.6
Female
<1
19.9
4.5
39.0
28.2
226.0
599.3
57.4
49.8
263.3
188.4
1.4
5.9
9.4
1–4
10.7
3.0
22.3
16.6
159.0
362.1
36.9
39.8
160.9
113.0
3.2
7.4
11.1
945.9
5–9
13.8
3.6
24.5
18.3
179.6
373.6
49.8
39.7
171.6
132.9
2.5
4.3
6.4
1,020.5
10–14
15.2
4.3
26.1
21.5
188.4
438.6
47.6
43.9
193.5
161.1
2.4
4.3
6.6
1,153.5
15–19
23.4
6.7
45.4
34.1
276.6
630.2
75.7
70.5
277.3
242.2
4.4
9.1
11.3
1,706.8
20–24
30.7
8.7
57.1
45.0
369.9
779.1
94.0
88.3
368.4
299.8
7.0
11.5
13.3
2,172.7
25–29
36.3
9.2
66.8
54.4
473.2
1,045.7
107.6
100.4
467.5
374.7
7.3
14.5
14.5
2,771.9
30–34
43.6
9.8
71.2
59.6
445.1
1,211.9
109.4
88.0
453.2
398.2
7.0
11.7
11.4
2,920.1
35–39
40.7
8.9
66.8
51.3
422.8
1,125.6
94.8
75.0
391.6
391.4
6.9
10.4
9.7
2,695.9
40–44
40 44
45.7
10.2
68.3
56.5
478.2
1,108.3
104.1
80.9
379.6
388.9
6.7
9.2
8.0
2,744.5
45–49
50.6
12.4
90.1
71.9
585.8
1,273.0
119.2
103.0
442.1
450.2
5.7
9.8
8.0
3,221.9
50–54
60.3
13.1
100.0
81.7
663.5
1,289.7
132.6
109.6
436.4
467.6
5.2
7.9
6.5
3,374.1
55–59
64.5
14.5
99.9
86.2
707.3
1,294.4
134.0
103.0
408.6
467.4
4.8
7.5
6.1
3,398.3
60–64
73.2
14.9
107.5
91.8
722.7
1,321.9
142.7
104.7
395.4
475.8
4.4
6.6
5.6
3,467.3
65–69
70.1
16.2
121.4
91.9
848.1
1,512.7
133.0
110.8
386.5
464.4
3.7
5.6
4.5
3,768.9
4,242.6
70–74
79.2
18.1
134.5
108.4
1,052.0
1,669.1
147.8
124.1
408.7
486.1
3.4
7.0
3.9
75–79
98.3
21.2
171.7
130.1
1,396.4
1,956.4
194.5
155.4
470.0
580.0
2.7
6.1
3.1
5,185.9
80–84
113.9
25.5
195.5
145.5
1,403.1
2,204.5
236.5
184.2
490.4
639.4
2.1
6.8
2.1
5,649.4
85–89
133.0
25.8
216.8
150.3
1,583.1
2,085.4
280.2
227.5
491.1
646.0
1.0
6.7
1.4
5,848.5
90+
78.6
17.8
152.7
103.8
795.8
1,230.9
190.6
162.6
326.3
414.8
0.7
2.2
1.6
3,478.5
Total
1,101.9
248.2
1,877.6
1,447.2
12,976.6
23,512.5
2,488.3
2,061.3
7,382.3
7,782.3
82.6
154.4
144.4
61,259.7
Male
<1
20.3
4.2
45.6
33.3
273.0
720.6
66.7
59.0
302.6
221.5
1.6
6.8
10.9
1,766.1
1–4
13.9
6.3
24.1
22.4
178.4
421.0
40.4
44.7
183.3
129.0
2.1
4.8
7.4
1,077.9
5–9
15.1
8.3
25.5
31.5
208.6
425.1
42.8
42.3
193.0
149.9
2.4
3.8
6.5
1,154.7
10–14
15.5
15.1
27.7
23.3
199.9
472.7
47.7
46.7
211.2
175.6
2.3
4.2
6.3
1,248.2
1,537.0
15–19
21.2
6.0
46.2
29.5
245.4
565.2
59.6
62.0
253.9
229.5
4.0
6.4
8.2
20–24
19.7
5.1
35.2
28.6
272.1
552.6
65.0
59.7
282.6
250.1
6.7
6.8
7.8
1,591.9
25–29
19.9
4.6
41.2
28.3
291.1
547.0
60.3
56.9
291.7
254.7
7.0
6.8
7.0
1,616.3
30–34
21.1
5.2
33.6
29.5
252.8
584.9
65.0
54.4
282.5
253.7
4.9
6.4
6.4
1,600.3
35–39
25.5
6.1
46.8
35.6
350.6
719.3
71.2
67.9
301.7
291.4
4.2
8.0
7.4
1,935.6
40–44
33.3
7.3
58.0
47.4
473.5
934.5
88.3
72.0
343.4
345.2
4.9
8.2
7.5
2,423.3
45–49
48.0
10.2
76.4
61.9
571.7
1,151.1
118.9
94.8
419.4
422.5
5.5
9.7
9.4
2,999.5
3,370.8
50–54
60.1
11.9
93.1
79.9
678.6
1,267.3
126.2
106.1
452.6
473.5
5.6
8.0
7.9
55–59
73.6
13.4
105.3
92.8
773.7
1,346.3
139.6
111.5
441.1
503.8
5.5
8.7
8.2
3,623.3
60–64
84.2
17.3
114.2
102.9
784.9
1,438.2
149.5
118.8
420.6
527.6
4.8
7.8
7.3
3,778.1
65–69
85.5
15.6
134.8
109.2
888.3
1,627.7
138.3
120.9
418.0
512.7
3.8
5.2
4.2
4,064.2
70–74
88.9
18.2
139.2
111.6
998.6
1,708.8
146.0
126.6
431.8
525.2
3.8
7.5
5.0
4,311.1
75–79
85.6
18.7
139.2
113.7
1,131.6
1,802.9
168.8
145.6
459.3
568.8
3.4
5.9
3.3
4,646.8
80–84
76.0
15.4
114.4
96.2
860.2
1,566.8
156.3
134.2
370.6
493.2
1.8
4.8
1.7
3,891.3
85–89
58.3
11.0
80.1
67.1
618.0
1,026.0
123.9
105.7
255.2
331.0
1.0
3.4
1.1
2,681.7
90+
21.5
5.4
41.0
34.3
251.3
414.1
65.3
53.4
120.4
171.3
0.3
0.9
0.8
1,180.0
Total
887.0
205.5
1,421.7
1,178.7
10,302.0
19,292.0
1,939.6
1,683.2
6,434.5
6,830.2
75.5
124.1
124.3
50,498.2
Note
See methodology for age–sex distribution in the Methodological Notes section of this report.
8152
Canadian Institute for Health Information, 2010.
National Health Expenditure Trends, 1975 to 2010
Table E.1.1 (cont’d)
Estimate of Total Provincial and Territorial Government Health Expenditures, by Age and Sex,
by Province/Territory and Canada, 2008—Current Dollars (cont’d)
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
($’ per Capita)
Both Sexes
Age
Groups
<1
8,846.73
6,268.21
9,560.86
8,625.84
5,842.20
9,514.65
8,085.39
8,074.58
11,477.09
9,282.93
8,671.14
17,920.93
26,202.69
8,803.24
1–4
1,337.59
1,685.61
1,341.04
1,381.69
1,070.28
1,387.83
1,333.33
1,701.22
1,923.10
1,414.30
3,508.53
4,558.90
6,659.20
1,414.31
5–9
1,154.99
1,565.07
1,084.09
1,320.23
1,007.84
1,111.95
1,248.89
1,329.73
1,735.64
1,286.16
2,544.10
2,642.77
3,827.67
1,212.52
10–14
1,099.97
2,189.19
1,008.87
1,052.09
868.41
1,135.71
1,164.49
1,341.06
1,814.69
1,342.20
2,324.62
2,644.90
3,835.04
1,192.46
15–19
1,361.47
1,230.62
1,460.92
1,307.50
1,037.93
1,346.84
1,520.36
1,726.05
2,130.79
1,638.46
3,593.69
4,100.20
6,045.97
1,437.19
20–24
1,610.76
1,502.87
1,500.16
1,562.94
1,322.62
1,486.53
1,866.20
1,997.81
2,276.01
1,814.68
5,970.52
5,214.64
7,331.20
1,645.93
25–29
1,963.29
1,757.20
1,954.15
1,826.56
1,432.90
1,834.25
2,086.32
2,296.89
2,578.71
2,116.41
6,699.55
5,494.68
8,098.50
1,917.92
30–34
2,137.54
1,875.95
1,895.34
1,933.18
1,351.57
2,080.60
2,277.57
2,323.83
2,692.20
2,328.88
5,393.44
5,197.86
7,524.30
2,037.40
35–39
1,889.79
1,715.78
1,829.71
1,748.76
1,534.72
1,982.54
2,130.04
2,410.63
2,590.86
2,226.28
4,395.30
5,329.69
7,476.99
2,005.12
40–44
1,942.83
1,690.87
1,779.14
1,835.41
1,620.89
1,977.59
2,281.46
2,284.91
2,657.66
2,197.35
4,219.78
5,105.53
7,313.54
2,015.34
45–49
2,318.37
1,990.78
2,093.94
2,164.89
1,780.54
2,257.34
2,531.82
2,547.66
2,956.25
2,413.90
3,409.23
5,423.08
10,098.59
2,260.34
50–54
2,838.22
2,342.32
2,554.65
2,656.09
2,180.41
2,705.24
2,961.22
2,886.01
3,373.03
2,761.66
3,555.98
5,368.73
10,129.35
2,672.14
55–59
3,451.58
2,821.53
3,057.78
3,244.50
2,778.52
3,300.03
3,672.56
3,478.94
4,153.23
3,229.23
4,117.62
6,881.92
13,547.85
3,261.66
60–64
4,632.19
3,680.25
3,733.28
4,152.76
3,269.79
4,097.99
4,738.77
4,520.36
5,161.10
4,012.75
5,043.37
9,585.67
18,553.24
4,009.84
65–69
6,553.69
5,130.10
5,867.07
5,858.43
4,999.43
6,224.53
5,997.05
5,990.37
7,169.73
5,252.64
7,663.68
12,872.32
20,399.74
5,827.50
70–74
9,361.26
7,156.63
8,121.18
8,470.00
7,797.36
8,289.73
8,115.78
7,538.22
9,600.31
6,867.24
10,752.79
28,045.91
37,939.36
8,078.01
75–79
13,345.84
10,033.22
11,436.23
11,473.14
11,193.64
10,803.90
11,212.37
9,995.35
12,506.33
9,234.15
13,194.31
30,951.37
44,220.89
10,898.41
80–84
20,239.83
14,357.30
15,672.96
14,864.08
14,020.58
14,464.54
15,137.56
13,160.71
16,347.27
12,258.70
17,926.42
49,801.13
64,267.00
14,323.10
85–89
33,911.97
19,492.80
22,976.01
21,166.85
24,620.62
20,728.50
23,884.48
21,556.70
23,659.70
17,062.20
18,629.14
80,308.78
93,057.18
21,778.86
90+
40,255.67
22,956.77
27,799.92
25,982.98
23,362.92
23,443.95
27,904.85
23,333.56
27,806.14
20,619.29
17,172.15
60,174.92
124,866.47
24,035.15
Total
3,927.16
3,253.76
3,522.66
3,514.64
3,002.34
3,308.87
3,671.22
3,694.18
3,842.42
3,333.26
4,765.65
6,370.35
8,497.95
3,353.34
8,276.83
Female
<1
9,147.73
6,424.57
9,142.79
8,078.94
5,447.10
8,838.89
7,593.35
7,608.33
10,936.90
8,824.62
8,297.21
17,127.55
26,379.67
1–4
1,204.59
1,105.76
1,308.38
1,209.60
1,034.32
1,319.78
1,307.11
1,647.27
1,857.12
1,367.55
4,500.14
5,703.84
8,212.35
1,360.16
5–9
1,126.25
958.39
1,087.98
1,001.23
958.13
1,068.26
1,388.81
1,323.23
1,689.68
1,249.56
2,645.73
2,690.02
3,988.06
1,170.51
10–14
1,126.44
989.91
996.81
1,042.71
863.36
1,118.07
1,194.03
1,329.15
1,779.46
1,326.25
2,340.46
2,741.02
3,894.78
1,174.01
15–19
1,477.50
1,314.97
1,467.68
1,443.64
1,126.88
1,452.02
1,731.86
1,890.86
2,292.08
1,745.17
4,148.34
5,027.89
7,350.45
1,551.55
20–24
1,972.92
1,897.07
1,845.03
1,963.34
1,557.34
1,775.52
2,270.91
2,451.44
2,722.03
2,044.68
6,234.75
6,981.58
9,422.33
1,950.62
25–29
2,520.89
2,245.26
2,300.56
2,411.86
1,810.57
2,389.96
2,739.70
2,946.02
3,364.69
2,511.07
7,062.55
7,252.01
10,707.64
2,442.57
30–34
2,789.83
2,346.10
2,485.85
2,529.16
1,764.23
2,756.41
2,899.52
2,877.71
3,502.48
2,817.01
5,930.85
7,148.21
10,403.44
2,637.93
35–39
2,251.34
2,043.40
2,122.01
2,046.62
1,722.43
2,417.20
2,465.87
2,542.85
3,069.87
2,535.58
5,207.22
6,455.41
8,438.47
2,356.39
40–44
40 44
2,179.45
1,964.15
1,895.28
1,973.44
1,663.05
2,153.44
2,497.41
2,420.47
2,886.87
2,316.07
4,744.52
5,477.89
7,867.76
2,158.31
45–49
2,351.30
2,130.54
2,228.23
2,281.12
1,811.88
2,385.91
2,587.62
2,650.97
3,100.14
2,464.63
3,486.61
5,685.03
9,931.95
2,350.81
50–54
2,773.92
2,383.06
2,589.30
2,639.35
2,138.58
2,706.98
3,075.39
2,930.13
3,402.12
2,698.45
3,683.28
5,472.79
10,322.27
2,658.71
55–59
3,191.49
2,891.99
2,936.92
3,069.40
2,608.17
3,173.51
3,569.14
3,375.72
4,061.98
3,062.63
4,069.56
7,131.11
12,992.88
3,116.65
60–64
4,280.19
3,374.27
3,558.30
3,886.89
3,053.88
3,836.90
4,577.17
4,223.97
5,017.45
3,768.40
5,359.45
11,062.04
16,887.70
3,771.60
65–69
5,813.66
5,112.78
5,372.96
5,285.06
4,715.58
5,752.24
5,664.16
5,580.31
6,772.96
4,910.90
8,512.20
14,094.55
21,647.75
5,430.40
70–74
8,564.29
6,818.47
7,569.63
7,890.87
7,451.09
7,643.37
7,622.95
7,036.88
8,899.68
6,414.08
10,663.49
28,400.80
40,090.54
7,543.73
75–79
13,074.74
9,752.75
11,323.93
10,936.42
10,935.75
10,156.82
10,747.80
9,446.47
11,693.83
8,830.02
11,934.00
31,919.19
47,938.56
10,414.03
80–84
20,677.93
14,868.10
16,270.14
14,770.85
14,182.79
14,113.24
15,101.47
13,041.99
15,908.03
11,998.65
17,943.68
50,894.69
69,391.09
14,180.38
85–89
35,572.65
20,102.97
25,000.71
21,813.55
26,221.26
21,219.25
25,031.19
22,648.37
24,111.80
17,919.89
15,267.01
92,946.80
104,186.68
22,751.93
90+
41,400.23
23,211.06
29,415.59
26,497.26
23,247.61
24,149.78
28,702.17
24,384.58
27,895.82
20,646.63
18,734.60
71,462.75
133,292.14
24,469.55
Total
4,272.47
3,477.70
3,897.13
3,804.28
3,315.30
3,586.23
4,105.96
4,034.11
4,192.10
3,520.90
5,086.76
7,329.34
9,483.01
3,645.80
Male
<1
8,570.46
6,108.19
9,949.49
9,150.78
6,215.43
10,160.76
8,563.21
8,514.85
11,992.65
9,711.94
9,026.57
18,668.78
26,052.38
9,303.30
1–4
1,461.92
2,243.63
1,372.69
1,544.84
1,104.51
1,452.23
1,358.21
1,752.23
1,985.00
1,457.96
2,627.23
3,494.86
5,191.67
1,465.50
5–9
1,182.65
2,143.96
1,080.38
1,620.06
1,054.98
1,153.40
1,117.84
1,335.89
1,778.64
1,320.45
2,448.14
2,591.54
3,680.87
1,252.25
10–14
1,075.13
3,319.58
1,020.51
1,060.91
873.22
1,152.57
1,136.48
1,352.46
1,848.22
1,357.18
2,308.13
2,552.96
3,775.01
1,210.03
15–19
1,252.73
1,148.91
1,454.33
1,178.78
953.14
1,246.19
1,316.17
1,570.46
1,978.71
1,539.14
3,130.61
3,247.93
4,860.42
1,328.45
20–24
1,251.65
1,109.86
1,150.98
1,183.26
1,097.73
1,209.07
1,483.62
1,568.78
1,875.38
1,599.12
5,716.88
3,650.16
5,330.99
1,356.71
25–29
1,398.27
1,226.67
1,570.85
1,245.69
1,070.05
1,269.77
1,463.12
1,654.12
1,876.33
1,718.92
6,358.78
3,621.89
5,387.16
1,401.62
30–34
1,441.34
1,364.70
1,260.26
1,309.35
957.27
1,379.74
1,673.44
1,771.60
1,963.49
1,830.91
4,778.66
3,460.92
5,032.69
1,439.45
35–39
1,504.14
1,391.80
1,529.22
1,445.33
1,356.45
1,547.17
1,803.16
2,279.58
2,154.53
1,912.86
3,505.70
4,343.30
6,498.54
1,660.39
40–44
1,690.48
1,414.39
1,659.36
1,694.18
1,580.42
1,802.98
2,070.34
2,149.76
2,443.25
2,077.39
3,661.17
4,743.11
6,799.56
1,874.70
45–49
2,284.65
1,844.05
1,954.92
2,043.83
1,749.53
2,130.38
2,478.24
2,444.16
2,818.35
2,362.09
3,332.61
5,183.35
10,244.73
2,170.61
50–54
2,905.74
2,299.08
2,518.47
2,673.45
2,222.93
2,703.47
2,850.09
2,841.80
3,345.44
2,827.06
3,445.02
5,269.46
9,977.30
2,685.72
55–59
3,717.15
2,748.97
3,181.94
3,426.08
2,954.96
3,431.57
3,777.68
3,580.09
4,241.49
3,400.85
4,160.98
6,680.50
13,994.86
3,410.49
60–64
4,988.90
3,991.09
3,914.44
4,422.86
3,497.47
4,371.41
4,904.05
4,818.35
5,303.84
4,261.92
4,784.59
8,606.87
20,076.54
4,256.60
65–69
7,317.59
5,148.19
6,396.78
6,447.34
5,304.26
6,738.71
6,356.33
6,422.70
7,580.31
5,605.98
6,982.39
11,777.58
19,203.02
6,251.43
70–74
10,208.23
7,528.32
8,736.13
9,120.11
8,198.76
9,036.12
8,684.13
8,104.22
10,373.44
7,347.81
10,834.36
27,723.65
36,400.55
8,683.21
75–79
13,671.31
10,372.66
11,577.83
12,155.63
11,529.13
11,606.27
11,800.12
10,656.47
13,463.68
9,686.23
14,443.75
30,022.65
41,283.47
11,495.11
80–84
19,616.40
13,586.13
14,747.53
15,007.33
13,763.81
14,989.51
15,192.51
13,327.23
16,967.21
12,613.15
17,906.37
48,320.95
58,966.21
14,535.50
85–89
30,644.77
18,200.97
18,843.22
19,848.77
21,291.19
19,797.83
21,641.36
19,530.29
22,835.66
15,604.59
23,945.99
63,458.10
81,927.68
19,920.80
90+
36,561.14
22,161.72
23,082.86
24,541.01
23,735.82
21,570.01
25,813.11
20,625.82
27,565.84
20,553.39
14,454.86
42,678.78
110,422.45
22,839.87
Total
3,568.83
3,018.94
3,125.96
3,214.18
2,683.29
3,023.84
3,232.18
3,348.63
3,506.81
3,142.44
4,457.84
5,478.66
7,582.89
3,055.96
Note
See methodology for age–sex distribution in the Methodological Notes section of this report.
Canadian Institute for Health Information, 2010.
153 i
National Health Expenditure Trends, 1975 to 2010
References
1. Canadian Institute for Health Information, Public Health and Administration in
National Health Expenditures Feasibility Study (Ottawa, Ont.: CIHI, 2002).
2. Statistics Canada, Population Projections: Medium Growth Estimate (CANSIM II
Table 052-0001) (Ottawa, Ont.: Statistics Canada).
3. Organisation for Economic Co-operation and Development, OECD Health Data 2010
(June edition) (Paris, France: OECD, 2010).
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.
155
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