National Health Expenditure Trends 1975–2007

National Health Expenditure Trends 1975–2007
National Health
Expenditure Trends
1975–2007
N a t i o n a l
H e a l t h
E x p e n d i t u r e
D a t a b a s e
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ISBN 978-1-55465-167-2 (PDF)
© 2007 Canadian Institute for Health Information
How to cite this document:
Canadian Institute for Health Information, National Health Expenditure Trends, 1975–2007
(Ottawa: CIHI, 2007).
Cette publication est aussi disponible en français sous le titre Tendances des dépenses
nationales de santé, 1975 à 2007.
ISBN 978-1-55465-169-6 (PDF)
National Health Expenditure Trends, 1975–2007
Table of Contents
Acknowledgments ...................................................................................................ix
Highlights ............................................................................................................. xiii
Introduction ............................................................................................................ 1
Overview................................................................................................................ 3
Total Health Expenditure........................................................................................ 3
Total Health Expenditure per Capita ........................................................................ 5
Total Health Expenditure and Economic Growth........................................................ 7
Total Health Expenditure by Source of Finance ......................................................... 9
Total Health Expenditure by Use of Funds.............................................................. 15
Health Expenditure in the Provinces and Territories ................................................. 25
Provincial and Territorial Government Health Expenditure Standardized for
Age and Sex ...................................................................................................... 31
Provincial and Territorial Government Health Expenditure by Age and Sex .................. 32
Provincial and Territorial Government Health Expenditures and Fiscal Capacity............ 38
International Comparisons.................................................................................... 44
Methodological Notes............................................................................................. 61
Concepts and Definitions ..................................................................................... 61
Major Data Limitations ........................................................................................ 68
Collection and Non-Response ............................................................................... 68
Sources of Data ................................................................................................. 88
Data Tables .......................................................................................................... 91
Series A—Summary Data, Canada ...................................................................... 93
Series B—Total Health Expenditure by Source of Finance, by Province/
Territory and Canada (Selected Tables) ............................................................... 119
Series E—Provincial/Territorial Government Health Expenditure, by Age and Sex,
by Province/Territory and Canada (Selected Tables).............................................. 133
Comprehensive versions of data tables series A–F are available on the CD-ROM at the
back of this report.
List of Figures
Figure 1.
Total Health Expenditure, Canada, 1975 to 2007..................................... 3
Figure 2.
Total Health Expenditure, Annual Growth Rates in Constant 1997
Dollars, Canada, 1976 to 2007 ............................................................. 4
Figure 3.
Total Health Expenditure per Capita, Canada, 1975 to 2007 ..................... 5
Figure 4.
Total Health Expenditure per Capita, Annual Growth Rates in
Constant 1997 Dollars, Canada, 1976 to 2007 ....................................... 6
Figure 5.
Total Health Expenditure as a Percentage of Gross Domestic Product,
Canada, 1975 to 2007 ......................................................................... 7
Figure 6.
Health Expenditure and GDP Trends, Constant Dollar Indices
(1975 = 100), Canada, 1975 to 2007................................................... 8
Figure 7.
Health Expenditure by Source of Finance, Canada, 1975 to 2007 .............. 9
Figure 8.
Public—and Private—Sector Shares of Total Health Expenditure............... 10
Figure 9.
Private Sector Health Expenditure, Selected Sources of Finance,
Canada, 1988 to 2005 ....................................................................... 14
Figure 10.
Total Health Expenditure by Use of Funds, Canada, 2005 ($’ billions)....... 15
Figure 11.
Total Health Expenditure, Selected Uses of Funds, Canada,
1975 to 2007 ................................................................................... 16
Figure 12.
Public and Private Shares of Total Health Expenditure, by Use of Funds,
Canada, 2005 ................................................................................... 17
Figure 13.
Hospitals’ Share of Total Provincial/Territorial Government Health
Expenditure and Total Health Expenditure, Canada, 1975 to 2007 ........... 18
Figure 14.
Drugs by Source of Finance and Type, Canada, 2005 ($’ billions) ............ 20
Figure 15.
Prescribed Drug Expenditure, Private Sector Share, Canada,
1975 to 2007 ................................................................................... 21
Figure 16.
Other Professionals Expenditure by Source of Finance and Type,
Canada, 2005 ($’ billions) ................................................................... 22
Figure 17.
Public Health Spending as a Percentage of Total Health Expenditure,
Canada, 1975 to 2007 ....................................................................... 25
Figure 18.
Public and Private Sector Health Expenditure per Capita, 1988 to 2007,
by Province and Territory—Constant (1997) Dollars ............................... 28
Figure 19.
Age Distribution, Canada, 1998 and 2005 ............................................ 32
Figure 20.
Provincial/Terrritorial Government Hospital Expenditure, by Age and Sex,
Canada, 2005 ................................................................................... 34
Figure 21.
Provincial/Territorial Government Hospital Expenditure per Capita,
by Age and Sex, Canada, 2005 ........................................................... 35
Figure 22.
Provincial/Territorial Government Physician Expenditure, by Age and Sex,
Canada, 2005 ................................................................................... 35
Figure 23.
Provincial/Territorial Government Physician Expenditure per Capita,
by Age and Sex, Canada, 2005 ........................................................... 36
Figure 24.
Total Provincial/Territorial Government Health Expenditure,
by Age and Sex, Canada, 2005 ........................................................... 37
Figure 25.
Total Provincial/Territorial Government Health Expenditure per Capita,
by Age and Sex, Canada, 2005 ........................................................... 37
Figure 26.
Provincial/Territorial Government Health Expenditure per Capita in Constant
1997 Dollars, Canada, 1975 to 2007 ................................................... 38
Figure 27.
Provincial/Territorial Government Revenue and Expenditure, Canada,
1993 to 2006 ................................................................................... 40
Figure 28.
Provincial/Territorial Debt Charges as a Proportion of Total Provincial/
Territorial Expenditure and Revenue, Canada, 1993 to 2006 ................... 41
Figure 29.
Provincial/Territorial Government Revenue and Health Expenditure,
Constant Dollar Indices (1993 = 100), Canada, 1993 to 2007 ............... 42
Figure 30.
Provincial/Territorial Government Revenues, Constant Dollar Indices
(1993 = 100), Canada, 1993 to 2006................................................. 43
Figure 31.
Provincial/Territorial Government Health Expenditure as a Proportion of
Total Provincial/Territorial Government Expenditure and Programs,
Canada, 1993 to 2006 ....................................................................... 44
Figure 32.
Total Health Expenditure as a Percent of GDP, Twenty-Three Selected
Countries, 2005 ................................................................................ 47
Figure 33.
Public Sector Health Expenditure as a Percent of GDP, Twenty-Three
Selected Countries, 2005 ................................................................... 48
Figure 34.
Private Sector Health Expenditure as a Percent of GDP, Twenty-Three
Selected Countries, 2005 ................................................................... 49
Figure 35.
Total Health Expenditure per Capita in US Dollars, Twenty-Three
Selected Countries, 2005 ................................................................... 50
Figure 36.
Public Sector Health Expenditure per Capita in US Dollars,
Twenty-Three Selected Countries, 2005 ............................................... 51
Figure 37.
Private Sector Health Expenditure per Capita in US Dollars,
Twenty-Three Selected Countries, 2005 ............................................... 52
Figure 38.
Expenditure on Personal Health Care as a Percent of Total Health
Expenditure, Twenty-Two Selected Countries, 2005 .............................. 54
Figure 39.
Public Share of Total Health Expenditure, Twenty-Three Selected
Countries, 2005 ................................................................................ 55
Figure 40.
Public Share of Expenditure on Medical Services, Twenty-Two Selected
Countries, 2005 ................................................................................ 56
Figure 41.
Public Share of Expenditure on Medical Goods, Twenty-Two Selected
Countries, 2005 ................................................................................ 57
Figure 42.
Percent of Total Health Expenditure Financed by the Public Sector,
by Source of Finance, Twenty-Three Selected Countries, 2005................ 58
Figure 43.
Percent of Total Health Expenditure Financed by the Private Sector,
by Source of Finance, Twenty-Three Selected Countries, 2005................ 59
Figure 44.
Composition of Total Health Expenditures, by Source of Finance* ............ 61
List of Text Tables
Table 1.
Distribution of Public Sector Health Expenditure by Source of Finance,
Canada, 1975 and 2005..................................................................... 11
Table 2.
Quebec Drug Insurance Fund, $’000,000 1997 to 2007......................... 12
Table 3.
Distribution of Private Sector Health Expenditure by Source of Finance,
Canada, 1988 and 2005..................................................................... 13
Table 4.
Hospital Expenditure Summary by Sector of Finance, Canada, 2005......... 18
Table 5.
Private Sector Health Expenditure, by Source of Finance and Use
of Funds, Canada, 2005 ($’ millions) .................................................... 19
Table 6.
Health Expenditure Summary, by Province/Territory and Canada, 2007..... 26
Table 7.
Total Provincial/Territorial Government Health Expenditure per Capita
Standardized for Age and Sex, by Province/Territory and Canada,
2002 to 2005 ................................................................................... 31
Table 8.
Differences From Previously Reported Provincial Government Sector
Data by Province/Territory and Canada, 1997 to 2004 ($ millions) ........... 87
Table 9.
Differences From Previously Reported Private Sector Data by Province/
Territory and Canada, 2003 to 2004 ($ millions).................................... 87
Table 10.
Differences From Previously Reported Federal Direct Sector Data by
Province/Territory and Canada, 2002 to 2004 ($ millions) ....................... 87
Table 11.
Differences From Previously Reported Municipal Government Sector
Data by Province/Territory and Canada, 2003 to 2004 ($ millions) ........... 87
Table 12.
Differences From Previously Reported Social Security Fund Data by
Province/Territory and Canada, 1992 to 2004 ($ millions) ....................... 88
List of Data Tables
Series A—Summary Data, Canada
1
Total Health Expenditure, Canada, 1975 to 2007—Summary..................... 94
2.1–.3
Total Health Expenditure by Source of Finance, Canada, 1975 to 2007—
Current Dollars..................................................................................... 95
2.4–.5
Total Health Expenditure by Source of Finance, Canada, 1975 to 2007—
Constant Dollars .................................................................................. 98
3.1.1–.3
Total Health Expenditure by Use of Funds, Canada, 1975 to 2007—
Current Dollars................................................................................... 100
3.2.1–.3
Private Sector Health Expenditure by Use of Funds, Canada,
1975 to 2007—Current Dollars............................................................ 106
3.3.1–.3
Public Sector Health Expenditure by Use of Funds, Canada,
1975 to 2007—Current Dollars............................................................ 112
Series B—Total Health Expenditure by Source of Finance, by Province/Territory and Canada
(Selected Tables)
1.1–.2
Total Health Expenditure, by Province/Territory and Canada,
1975 to 2007—Current Dollars............................................................ 121
1.3
Total Health Expenditure as a Percent of (Provincial/Territorial) G.D.P.,
by Province/Territory and Canada, 1975 to 2007—Current Dollars ........... 123
2.1–.2
Private Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2007—Current Dollars............................................................ 124
2.3
Private Sector Health Expenditure as a Proportion of Total Health
Expenditure, by Province/Territory and Canada, 1975 to 2007—
Current Dollars................................................................................... 126
3.1–.2
Public Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2007—Current Dollars............................................................ 127
3.3
Public Sector Health Expenditure as a Proportion of Total Health
Expenditure, by Province/Territory and Canada, 1975 to 2007—
Current Dollars................................................................................... 129
4.1–.2
Provincial/Territorial Government Sector Health Expenditure, by
Province/Territory and Canada, 1975 to 2007—Current Dollars................ 130
4.3
Provincial/Territorial Government Sector Health Expenditure as a
Proportion of Total Health Expenditure, by Province/Territory and Canada,
1975 to 2007—Current Dollars............................................................ 132
List of Data Tables
Series E—Provincial Government Health Expenditure by Selected Uses of Funds,
by Age and Sex, by Province/Territory and Canada (Selected Tables)
1.1-.2
Estimate of Total Provincial and Territorial Government Health
Expenditures, By Age and Sex, by Province/Territory and Canada,
2005—Current Dollars ........................................................................ 135
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 Selected Uses of Funds,
by Age and Sex, by Province/Territory and Canada
Series F—Provincial/Territorial Government Health Expenditure, by Province/Territory
and Canada
Appendices A–D
National Health Expenditure Trends, 1975–2007
Acknowledgments
The Canadian Institute for Health Information (CIHI) wishes to acknowledge the following
individuals for their contribution to National Health Expenditure Trends, 1975–2007:
•
Mr. Greg Zinck, Manager, Health Expenditures, CIHI
•
Mr. Gilles Fortin, Program Consultant, CIHI
•
Mr. Ruolz Ariste, Program Consultant, CIHI
•
Mr. Christopher Kuchciak, Program Lead, CIHI
•
Mr. Adam Rondeau, Senior Analyst, CIHI
•
Ms. Melissa Aggerwal, Senior Analyst, CIHI
•
Ms. Daniela Panait, Senior Analyst, CIHI
•
Ms. Tianyu Zhang, Analyst, CIHI
•
Ms. Megan Maloney, Student, CIHI
It is only through the contribution of many individuals and organizations that the
production of National Health Expenditure Trends, 1975–2007, is possible. The Canadian
Institute for Health Information (CIHI) expresses its gratitude to:
The National Health Expenditure Expert Advisory Group for their advice and constructive
comments related to National Health Expenditures:
•
Mr. John Horne, PhD, University of Victoria
•
Mr. Richard Plain, PhD
•
Mr. Robert G. Evans, PhD, University of British Columbia
•
Mr. Hu Lu, Health Canada
•
Ms. Helen McBain, Health Canada
•
Mr. Michael Wolfson, PhD, Statistics Canada
•
Mr. Jeremiah Hurley, PhD, McMaster University
•
Mr. Stephen Law, PhD, Mount Allison University
•
Ms. Caroline Boucher, Ministère de la Santé et des Services sociaux, Québec
•
Ms. Francine Anne Roy, Director, Health Resources Information, CIHI
•
Mr. Jean-Marie Berthelot, Vice-President, Programs, CIHI
CIHI 2007
ix
National Health Expenditure Trends, 1975–2007
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
•
A.C. Nielsen Canada
•
The insurance industry, whose participation has enhanced our understanding of
expenditures in the private sector:
•
−
The Canadian Life and Health Insurance Association Inc.
−
Atlantic Blue Cross Care/Medavie
−
Croix Bleue du Québec
−
CUMBA
−
Greenshield Canada
−
Liberty Health
−
Manitoba Blue Cross (United Health Services Corporation)
−
Saskatchewan Blue Cross Medical Services Incorporated
−
Saskatchewan Group Medical Services
−
Alberta Blue Cross
−
Pacific Blue Cross
Association of Canadian Medical Colleges
Provincial and territorial health ministries for providing age and sex distributions for their
respective drug subsidy and additional health benefit programs:
x
−
Newfoundland and Labrador Medical Services Commission
−
Maritime Medical Care facilitated by the Nova Scotia Department of Health, Insured
Programs Management and Clinical Rationalization
−
Atlantic Blue Cross Care facilitated by the New Brunswick Department of Health
and Community Services, Medicare/Prescription Drug Program
−
Régie de l’assurance-maladie du Québec facilitated by the Quebec Ministry of
Health and Social Services
−
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
CIHI 2007
National Health Expenditure Trends, 1975–2007
−
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.
CIHI 2007
xi
National Health Expenditure Trends, 1975–2007
Highlights
•
Total health expenditure in Canada, in current dollars,i was estimated at $141.2 billion
in 2005, and is forecast to have reached $150.3 billion in 2006 and $160.1 billion
in 2007.
•
After adjusting for inflation, health care spending grew at an average annual rate of
3.8% between 1975 and 1991. From 1991 to 1996 total spending on health care
edged up by the rate of 0.8% per year. It increased by 5.0% from 1996 to 2005.
Real growth in health care spending in Canada is expected to be 4.0% in 2006 and
4.1% in 2007.
•
Total health care spending as a percentage of Gross Domestic Product in Canada fell
each year between 1993 and 1997 to reach 8.9% in 1997. Health expenditure has
grown faster than GDP since 1998, with the result that the health to GDP ratio reached
10.3% in 2005. The ratio is forecast to be 10.4% in 2006 and 10.6% in 2007.
•
Since 1997, the public sector share of total health expenditure has remained relatively
stable at around 70%. It accounted for 70.1% of total expenditure in 2005 and is
forecast to account for 70.3% in 2006 and 70.6% in 2007.
•
Hospitals have traditionally occupied a prominent place in health care provision. In the
mid-1970s hospitals accounted for approximately 45% of total health expenditure.
During the past 30 years, the share of hospitals in total health expenditure has fallen.
In 2007, hospitals make up the largest component of health care spending, accounting
for 28.4% of total health expenditures. Since 1997, drugs have accounted for the
second largest share. In 2007, drugs accounted for 16.8% of total health expenditure,
while physicians are expected to make up the third-largest share, with 13.4%.
•
Total health expenditure per capita in Canada was estimated at $4,373 in 2005 and is
forecast to be $4,606 in 2006 and $4,867 in 2007.
•
Total health expenditure per capita varies among the provinces. In 2007, Alberta
and Manitoba are forecast to spend more per person on health care than any other
province, at $5,390 and $5,250, respectively. Quebec and Prince Edward Island are
forecast to have the lowest expenditure per capita at $4,371 and $4,686, respectively.
•
Provincial and territorial government health expenditures account for almost 65%
of total health expenditures in Canada and over 90% of expenditures by all levels
of government. Provincial and territorial government health expenditures during the
current year, 2007, are forecast to reach $103.8 billion.
•
Provincial and territorial governments’ health expenditure per capita averaged $3,156
in 2007. The highest per capita spending among the provinces is projected to be in
Alberta ($3,695) and Newfoundland and Labrador ($3,637), while the lowest is
forecast to be in Quebec ($2,853) and Prince Edward Island ($3,010).
i. All figures are in current dollars (unadjusted for inflation) unless otherwise stated.
CIHI 2007
xiii
National Health Expenditure Trends, 1975–2007
•
Provincial and territorial governments’ health expenditure as a percent of
provincial/territorial GDP ranges from a low of 7.3% in Alberta to highs of 26.8%
and 14.4% in Nunavut and Prince Edward Island, respectively, in 2007.
•
In 1993, health expenditures were equivalent to 32.7% of total provincial and territorial
government program expenditures (total expenditure less debt charges). Health
expenditures decreased as a percent of government expenditures during the next two
years. In 2006, following strong growth of health expenditures combined with more
modest rates of growth in total program expenditures, the share of program
expenditures allocated to health increased to 39.2%.
•
In 2005, the latest available year for data broken down by age group, health care
spending by provincial and territorial governments was highest for infants and seniors.
Canadians under the age of 1 cost an estimated $7,437 per person. From youths
age 1, to adults age 64, spending averages less than $3,500 per person. There is
a pronounced increase in per capita spending in the senior age groups.
•
Health expenditure varies considerably among different age and sex groups. After
adjusting for differences in provincial/territorial age and sex distributions, in 2005
provincial/territorial government per capita spending in Alberta and the Territories rises.
This is due to the percentage of their populations over 65 being lower than the Canada
average. Conversely, spending in the other jurisdictions show lower expenditure per
capita when standardized, reflecting populations with a percentage of seniors that is
higher than the Canada average.
•
Canada continues to rank among the world’s top ten health spenders when compared
to other countries in the Organisation for Economic Co-operation and Development
(OECD). Among 23 countries with similar accounting systems, the U.S. maintained its
rank as the highest per capita spender on health care (U.S. $6,401) in 2005, the latest
year for which data are available. Canada ranked eighth in per capita spending
(U.S. $3,326).
xiv
CIHI 2007
National Health Expenditure Trends, 1975–2007
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 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. The
Canadian Institute for Health Information assumed responsibility from Health Canada for
the national health accounts, including the National Health Expenditure database, in 1995.
National Health Expenditure Trends, 1975–2007 is CIHI’s eleventh 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 2007; 2005 figures
which are now considered to be an estimate rather than a forecast; an outlook for
2006 and 2007;
•
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 2007; and
•
International comparisons.
Summary level data tables appear at the end of the publication. Over 300 detailed data
tables in calendar and fiscal year are available in Microsoft® Excel® in the CD-ROM affixed
to the inside of the back cover of this document or on CIHI’s website.
In order to improve the quality of the data in the National Health Expenditure database,
the historical information appearing in earlier publications has been revised. In particular,
a methodological review undertaken by CIHI and the Ministère de la Santé et des Services
Sociaux (MSSS) resulted in historical revisions over the period from 1997 to 2004. In
1997 the budgetary structure of the Quebec public accounts was modified and the Quebec
health care system saw numerous changes, such as decentralization, the redefinition of the
roles and mandates of health institutions, and the creation of Health and Social Service
Centres. To ensure the reliability of the time series and to improve inter-provincial
comparisons, CIHI, in collaboration with the MSSS, developed a new methodology
to determine estimates of provincial government health spending in Quebec.
A detailed explanation of all revisions can be found in the Methodological Notes section
under Major Changes from Previous Years.
CIHI 2007
1
National Health Expenditure Trends, 1975–2007
Overview
Total Health Expenditure
2005 and Outlook for 2006 and 2007
Total health expenditures in Canada were $141.2 billion in 2005. Expenditures are forecast
to be $150.3 billion in 2006 and $160.1 billion in 2007, an annual increase of 6.4% and
6.6%, respectively. Real rates of increase at constant (1997) prices are 4.0% in 2006 and
4.1% in 2007.
Figure 1.
Total Health Expenditure, Canada, 1975 to 2007
160.0
($’ billions)
140.0
120.0
100.0
80.0
60.0
40.0
20.0
0.0
1975
78
81
Current
84
87
90
Year
93
Constant ($1997)
96
99
02
05 2007
Forecast
Source: National Health Expenditure Database, CIHI.
Trends—1975 to 2005
Health expenditure in 2005 continued the trend of relatively strong growth that has been
observed since 1997, following six years when annual growth rates averaged 0.8% in real
terms (Figure 1). The modest rates of growth during the early to mid-1990s reflected a
flattening of the historic growth curve. From 1975 to 1991 the annual average rate of
growth was 3.8% (Figure 2). From 1991 to 1996 total spending on health care edged up
by the rate of 0.8% per year. It increased by 5.0% from 1996 to 2005. The trend since
1997 appears to be largely due to reinvestment by federal, provincial and territorial
governments after a period of fiscal restraint during the early and mid-1990s.
CIHI 2007
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National Health Expenditure Trends, 1975–2007
Figure 2.
Total Health Expenditure, Annual Growth Rates in Constant 1997 Dollars,
Canada, 1976 to 2007
7.0%
6.0%
5.0%
4.0%
3.0%
2.0%
1.0%
0.0%
1976
80
84
88
92
96
00
04
2007
Year
Actual
Forecast
Source: National Health Expenditure Database, CIHI.
4
CIHI 2007
National Health Expenditure Trends, 1975–2007
Total Health Expenditure per Capita
2005 and Outlook for 2006 and 2007
Total health expenditure per capita in Canada was $4,373 in 2005. Forecasts for 2006 and
2007 are expected to be $4,606 and $4,867 (Figure 3). After adjusting for inflation, real
rates of increase in 2006 and 2007 are expected to be 3.0% and 3.2%, respectively.
Figure 3.
Total Health Expenditure per Capita, Canada, 1975 to 2007
$5,000
$4,500
$4,000
$3,500
$3,000
$2,500
$2,000
$1,500
$1,000
$500
$0
1975
78
81
84
87
90
93
96
99
02
05
2007
Year
Current
Constant ($1997)
Forecast
Source: National Health Expenditure Database, CIHI.
CIHI 2007
5
National Health Expenditure Trends, 1975–2007
Trends—1975 to 2005
Total health expenditure per capita in Canada in constant (1997) dollars increased by 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 three-tenths of one percent per year
(Figure 4). During subsequent years, the average increase rebounded.
Figure 4.
Total Health Expenditure per Capita, Annual Growth Rates in Constant 1997
Dollars, Canada, 1976 to 2007
6.0%
5.0%
4.0%
3.0%
2.0%
1.0%
0.0%
-1.0%
1976
80
84
88
92
Year
Actual
96
00
04
2007
Forecast
Source: National Health Expenditure Database, CIHI.
6
CIHI 2007
National Health Expenditure Trends, 1975–2007
Total Health Expenditure and Economic Growth
2005 and Outlook for 2006 and 2007
Total health expenditure in Canada was 10.3% of Gross Domestic Product (GDP) in 2005.
It is forecast to be 10.6% in 2007, reflecting relatively higher growth in total health
expenditure than GDP (Figure 5).
Figure 5.
Total Health Expenditure as a Percentage of Gross Domestic Product,
Canada, 1975 to 2007
11.0%
10.0%
9.0%
8.0%
7.0%
6.0%
1975
78
81
84
87
90
93
96
99
02
05
2007
Year
Actual
Forecast
Sources: National Health Expenditure Database, CIHI; GDP, Statistics Canada.
CIHI 2007
7
National Health Expenditure Trends, 1975–2007
Trends—1975 to 2005
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. Real
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.
Health Expenditure and GDP Trends, Constant Dollar Indices (1975 = 100),
Canada, 1975 to 2007
325
300
275
250
225
200
175
150
125
100
1975
78
81
84
87
90
93
96
99
02
05
2007
Year
Health Care
GDP
Forecast
Sources: National Health Expenditure Database, CIHI; GDP, 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.
Real health expenditures then grew more slowly than GDP between 1993 and 1997;
consequently, the health to GDP ratio fell each year in that period until it reached 8.9% in
1997. Real health expenditure has grown faster than GDP between 1998 and 2005, with
the result that the health to GDP ratio reached 10.3% in 2005.
See Data Tables A.1 and B.1.3.
8
CIHI 2007
National Health Expenditure Trends, 1975–2007
Total Health Expenditure by Source of Finance
2005 and Outlook for 2006 and 2007
In 2005, governments and government agencies in Canada (the public sector) spent
$99.1 billion. Public sector expenditure is forecast to be $105.7 billion in 2006 and
$113.0 billion in 2007. The growth rates associated with these increases are 6.7% and
6.9%, respectively. In 2005, private health insurers and households (the private sector)
spent $42.2 billion. Private sector expenditure is forecast to reach $44.6 billion in 2006
and $47.1 billion in 2007, assuming growth rates of 5.7% in 2006 and 2007.
Since 1997, the public sector share of total health expenditure has remained relatively
stable at around 70%. It accounted for 70.1% of total expenditure in 2005 and is forecast
to account for 70.3% in 2006 and 70.6% in 2007.
Trends—1975 to 2005
The average annual rate of growth in public sector health expenditure between 1975
and 1991 was 11.0%. There was a pronounced change in public expenditure trends
following the 1990–1992 recession (Figure 7).
Figure 7.
Health Expenditure by Source of Finance, Canada, 1975 to 2007
120.0
($’ billions)
100.0
80.0
60.0
40.0
20.0
0.0
1975
78
81
84
87
90
93
96
99
02
05
2007
Year
Public Sector
Private Sector
Forecast
Source: National Health Expenditure Database, CIHI.
CIHI 2007
9
National Health Expenditure Trends, 1975–2007
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 29.8% by 1997. The private sector share
is estimated to be 29.4% in 2007 (Figure 8).
Figure 8.
Public—and Private—Sector Shares of Total Health Expenditure
90.0%
Share
70.0%
50.0%
30.0%
10.0%
1975
79
83
87
91
95
99
03
2007
Year
Public Share
Private Share
Source: National Health Expenditure Database, CIHI.
See Data Tables A.2.1, A.2.2, A.2.4, and A.2.5.
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; municipal government and, by Workers’
Compensation Boards and other social security schemes. 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
2005, provincial/territorial government expenditure was $90.7 billion, accounting for
91.6% of public sector expenditure.
10
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table 1.
Distribution of Public Sector Health Expenditure by Source of Finance,
Canada, 1975 and 2005
Provincial/Territorial Governments
Federal Direct
Social Security Funds
Municipal Governments
Total Expense
1975
($’ 000,000)
8,709.3
398.3
121.1
71.6
9,300.3
2005
(%)
($’ 000,000)
93.6
90,745.7
4.3
5,288.6
1.3
1,965.1
0.8
1,074.0
(%)
91.6
5.3
2.0
1.1
100.0
100.0
99,073.3
Source: National Health Expenditure Database, CIHI.
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,
Health Reform Transfer, Equalization, and Territorial Formula Financing.
In September 2004, first ministers’ signed a 10-year plan to strengthen health care.
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 will be reflected primarily in increased expenditures by
the provincial and territorial governments during the next several years.
Direct Federal Health Expenditure
In 2005, nearly 30 federal government departments and agencies provided direct health
care services to Canadians worth $5.3 billion and accounting for 3.7% of total health
expenditure. Forecasts indicate that the share of federal direct spending will fall to 3.6%
of total spending in 2007.
Federal departments that had the largest shares of total federal direct health expenditure in
2005 were Health Canada, which funded 67%, the Department of Veterans Affairs (15%),
the Solicitor General of Canada (4%) and the Department of National Defense (3%). The
Canadian Institutes of Health Research, which is included under Health Canada, accounted
for 15% of total federal direct health expenditure.
Social Security Funds
Workers’ Compensation Boards are included under Social Security Funds together 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
CIHI 2007
11
National Health Expenditure Trends, 1975–2007
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 Quebec Ministry of Health and Social Services, through the
Régie de l’assurance-maladie du Québec (RAMQ) introduced a universal drug program
that covered residents of the province who were not otherwise covered by the
provincial program or by private health insurance generally offered through employment.
Drug claims for these participants are paid from the Drug Insurance Fund. This fund is
self-financed through the compulsory payment of premiums generally by the self-employed
and employees of organizations that do not offer private drug insurance as a benefit
of employment.
This 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 Quebec Ministry of
Health and Social Services is included as a provincial government expenditure.
Table 2 presents estimates from 1997 to 2007 of the Quebec Drug Insurance Fund.
Table 2.
Year
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006 f
2007 f
Quebec Drug Insurance Fund, $’000,000, 1997 to 2007
Financed
Through
Premiums
172.0
218.2
264.0
332.3
379.9
450.4
595.0
642.2
659.2
710.9
775.7
Financed by Ministère de la
Santé et des Services
Sociaux
697.3
775.0
917.0
1,113.9
1,296.9
1,422.3
1,521.7
1,651.4
1,758.3
1,913.7
2,065.6
Total
869.4
993.2
1,181.0
1,446.2
1,676.8
1,872.7
2,116.7
2,293.6
2,417.5
2,624.5
2,841.2
Note: f = forecast
Source: National Health Expenditure Database, CIHI.
12
CIHI 2007
National Health Expenditure Trends, 1975–2007
Private Sector Health Expenditure by Source of Finance
Private sector expenditure in the National Health Accounts has three distinct components:
household out-of-pocket expenditure, commercial and not-for-profit insurance expenditure
and non-consumption expenditure.ii The distribution of private expenditure between these
three sources of finance is shown in Table 3.
In 1988, the first year for which data at this level of detail was available, out-of-pocket
expenditure accounted for 58.1% of private sector expenditure. By 2005, the proportion
dropped to 48.2% as expenditure by insurance firms grew more rapidly. The share of nonconsumption expenditure dropped from 12.7% to 10.9% during the same period (Table 3).
Table 3.
Distribution of Private Sector Health Expenditure by Source of Finance,
Canada, 1988iii and 2005
Source of Finance
Household (out-of-pocket)
Private Health Insurance
Non-Consumption
Total Expense
1988
($’ 000,000)
7,434.8
3,735.7
1,625.9
12,796.4
2005
(%)
($’ 000,000)
58.1
20,305.9
29.2
17,245.1
12.7
4,616.9
100.0
42,167.9
(%)
48.2
40.9
10.9
100.0
Source: National Health Expenditure Database, CIHI.
Insurance expenditure has grown more rapidly than the other sources (Figure 9).
Consequently, insurance firms increased their share of private sector expenditure from
29.2% in 1988 to 40.9% in 2005. By 2005, growth in health expenditure from
households and health insurance firms were 7.3% and 6.1%, respectively.
ii.
Non-consumption expenditure includes a number of heterogeneous components, such as hospital
non-patient revenue, capital expenditures for privately owned facilities and health research.
iii.
Private sector data were revised following a methodology review in the early 1990s. The revised
private sector data incorporated information estimated directly from insurance, out-of-pocket and
non-consumption sources for 1988 and subsequent years. See Methodological Notes for further details.
CIHI 2007
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National Health Expenditure Trends, 1975–2007
Figure 9.
Private Sector Health Expenditure, Selected Sources of Finance, Canada,
1988 to 2005
24,000
20,000
($’ Millions)
16,000
12,000
8,000
4,000
0
1988
1991
1994
1997
Year
2000
2003
2005
Household (out-of-pocket)
Private Health Insurance
Non-Consumption
Source: National Health Expenditure Database, CIHI.
14
CIHI 2007
National Health Expenditure Trends, 1975–2007
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 and 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 report national estimates for thirteen categories. Hospitals make up the largest
component of health care spending, accounting for 28.6% of total health expenditures in
2005. Drugs represent the second largest share (16.5%), while physicians make up the
third largest share (13.1%) (Figure 10).
Figure 10.
Total Health Expenditure by Use of Funds, Canada, 2005 ($’ billions)
Hospitals
$40.4; 28.6%
Drugs
$23.3; 16.5%
Capital
$6.6; 4.7%
Administration
$5.4; 3.8%
Public Health
$8.5; 6.0%
Other HealthSpending
$8.6; 6.1%
Physicians
$18.5; 13.1%
Other
Institutions
$14.8; 10.4%
Other Professionals
$15.2; 10.8%
Source: National Health Expenditure Database, CIHI.
CIHI 2007
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National Health Expenditure Trends, 1975–2007
Figure 11 shows national expenditures for the three major uses of funds from 1975 to
2007 in billions of current dollars. Since 1997, drugs have accounted for the second
largest share, after hospitals.
See Data Tables A.3.1 to A.3.3 and C.1.1. to C.4.4.
Figure 11.
Total Health Expenditure, Selected Uses of Funds, Canada, 1975 to 2007
45.0
40.0
($’ billions)
35.0
30.0
25.0
20.0
15.0
10.0
5.0
0.0
1975
78
81
84
87
90
93
96
99
02
05
2007
Year
Hospitals
Drugs
Physicians
Forecast
Source: National Health Expenditure Database, CIHI.
16
CIHI 2007
National Health Expenditure Trends, 1975–2007
Figure 12 presents the public and private shares at the national level of the nine major uses
of funds in 2005. 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 12.
100.0%
Public and Private Shares of Total Health Expenditure, by Use of Funds,
Canada, 2005
100.0%
98.6%
92.6%
90.3%
80.8%
77.6%
75.1%
80.0%
70.1%
61.0%
60.0%
53.5%
46.5%
39.0%
40.0%
29.9%
24.9%
22.4%
19.2%
20.0%
9.7%
0.0%
7.4%
1.4%
Hospitals Other Physicians Other
Institutions
Professionals
0.0%
Drugs
Public Sector Share
Capital
Public
Health
Admin.
Other Average
Health
Spending
Private Sector Share
Source: National Health Expenditure Database, CIHI.
See Data Tables A.3.1 to A.3.3 and C.1.1. to C.4.4
CIHI 2007
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National Health Expenditure Trends, 1975–2007
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 13).iv In 2005, Canadians spent
$40.4 billion on hospitals, accounting for 28.6% of total expenditure.
Figure 13.
Hospitals’ Share of Total Provincial/Territorial Government Health
Expenditure and Total Health Expenditure, Canada, 1975 to 2007
60.0%
55.0%
50.0%
45.0%
40.0%
35.0%
30.0%
25.0%
1975
78
81
84
87
90
93
Year
96
99
02
05
2007
Share of Provincial/Territorial Government Health Expenditure
Share of Total Health Expenditure
Forecast
Source: National Health Expenditure Database, CIHI.
Provincial and territorial government expenditure accounts for 88.7% of hospital income
(Table 4). The private sector is the next largest source of income.
Table 4.
Hospital Expenditure Summary by Sector of Finance, Canada, 2005
Provincial/
Territorial
Total Expenditure ($’000,000)
Expenditure per Capita
Share of Total
$35,820.3
$1,109.0
88.7%
Other Public
$643.3
$19.9
1.6%
Private
$3,898.9
$120.7
9.7%
Total
$40,362.6
$1,249.6
100.0%
Source: National Health Expenditure Database, CIHI.
iv.
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.
18
CIHI 2007
National Health Expenditure Trends, 1975–2007
Of the $3.9 billion spent on hospital services by the private sector in 2005, households
and insurance firms together spent about $1.7 billion providing income to hospitals for
patient services.v Non-patient revenue earned from investments, food services, real estate,
parking, rentals, donations and other sources provided the remaining $2.2 billion of the
private sector. The distribution of expenditure financed by insurance, households
(out-of-pocket expenditure) and non-consumption in 2005 is shown in Table 5.
Table 5.
Private Sector Health Expenditure, by Source of Finance and Use of Funds,
Canada, 2005 ($’ millions)
Hospital Accommodation
Other Institutions*
Physicians Care
Other Professionals
Dental Care
Vision Care
Other—Other Professionals
Drugs
Prescribed Drugs
Over-the-Counter Drugs
Personal Health Supplies
Capital
Administration
Other Health Spending
Health Research*
Other Health Care Goods
Other Health Care Services
Total Expense
Households
NonInsurance
(Out-of-Pocket)
Consumption
725.4
994.8
2,178.7
3,681.7
249.3
6.8
Total
3,898.9
3,681.7
256.1
4,190.3
2,370.9
1,081.0
5,207.7
593.6
637.5
9,398.0
2,964.5
1,718.5
3,484.1
2,149.8
1,838.6
6,768.6
0.0
0.0
10,252.7
2,149.8
1,838.6
1,480.1
2,876.3
1,480.1
2,876.3
272.0
263.0
958.0
958.0
367.4
327.3
4,616.9
42,167.9
95.4
64.3
20,305.9 17,245.1
Note: * Forecast for 2005.
Source: National Health Expenditure Database, CIHI.
v.
Income to hospitals for patient services includes charges for preferred accommodation, care of
non-residents, chronic care co-payments, uninsured services and other patient services.
CIHI 2007
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National Health Expenditure Trends, 1975–2007
Drugs
Retail salesvi of prescribed and non-prescribed drugs together constituted the second
largest category of health expenditure in 2005 at $23.3 billion. Spending on drugs is
forecast to have increased by another 7.5% in 2006 to $25.1 billion and by 7.2% in
2007 to $26.9 billion.
Prescribed drugs (public sector, 39.0%, and private sector, 43.9%) amounted to 82.9% of
total expenditure on drugs in 2005 (Figure 14).
Figure 14.
Drugs by Source of Finance and Type, Canada, 2005 ($’ billions)
Prescribed
$10.3,
43.9%
Public Sector
(Prescribed
Drugs)
$9.1,
39.0%
Private Sector
(Prescribed &
Non-Prescribed
Drugs)
$14.2,
61.0%
OTC $2.1,
9.2%
PX $1.8,
7.9%
Note: Non-prescribed Drugs include Over the Counter Drugs (OTC) and Personal Health Supplies (PX).
Source: National Health Expenditure Database, CIHI.
vi. 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.
20
CIHI 2007
National Health Expenditure Trends, 1975–2007
As shown in Figure 15, the private sector accounted for over 79.5% of expenditure for
prescribed drugs in 1975. This share decreased to 52.3% by 1992. In 2007, it is expected
to have decreased to 52.1%.
Figure 15.
Prescribed Drug Expenditure, Private Sector Share, Canada, 1975 to 2007
90.0%
80.0%
Share
70.0%
60.0%
50.0%
40.0%
30.0%
20.0%
1975
78
81
84
87
90
93
96
99
02
05
2007
Year
Private Sector
Forecast
Source: National Health Expenditure Database, CIHI.
Physicians
Physician services constituted the third largest category of total health expenditure in
2005 at $18.5 billion, representing 13.1% of total health expenditure. In 2007, this
category is forecast to have grown by 8.5% to reach $21.5 billion and reflecting 13.4%
of total expenditure.
Public sector expenditure on physicians has remained above 98% of total physician
expenditure since 1975.
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.
CIHI 2007
21
National Health Expenditure Trends, 1975–2007
Other Professionals
The broad category of other professionals includes primarily care provided by dentists and
denturists, optometrists and opticians, chiropractors, physiotherapists and, private duty
nurses. The category of other professionals accounted for $15.2 billion or 10.8% of total
expenditures in 2005 and has maintained the highest percentage of private spending of all
the major categories (92.6%).
Figure 16.
Other Professionals Expenditure by Source of Finance and Type, Canada,
2005 ($’ billions)
and Type, Canada, 2005
($’ billions)
Dentists
Dentists
$0.4;
3.0%
$0.4; 2.9%
Private Sector
$14.1; 92.6%
VisionCare
Care
Vision
$0.2; 1.5%
1.5%
$0.2;
Public Sector
7.4%
Dentists
$9.4; 61.8%
Public Sector
$1.1;
$1.1; 7.4%
Other
Other
$0.5; 3.0%
3.0%
$0.5;
Vision Care
$3.0; 19.5%
Other
$1.7; 11.3%
Source: National Health Expenditure Database, CIHI.
Dental care and vision care are the major discrete categories of expenditure in the private
sector for other professional services (Figure 16).
Other Institutions
In 2005, the category of other institutions, which includes nursing homes and residential
care facilities, accounted for 10.4% of total expenditures, or $14.8 billion. Other
institutions’ share of total health expenditure is forecast to be 10.4% of total expenditure
in 2006 and in 2007.
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 both by health and social services departments. In 2005 the public share of other
institutions was 75.1%.
22
CIHI 2007
National Health Expenditure Trends, 1975–2007
Other Health Spending
The sub-category with the greatest impact on the current category of other health
spending is health research, which accounted for 1.7% of total health expenditure in
Canada.vii The remaining categories include medical transportation, hearing aids and
appliances, voluntary health associations and explicitly identified home care.viii In 2005,
other health expenditures accounted for $8.6 billion or 6.1% of total health expenditure.
In 2006 and 2007 it is expected that other health spending will have grown by 6.4% and
7.6%, respectively.
Public sector sources accounted for 80.8% of other health expenditures in 2005, most of
which was for health research, ambulance services and home care.
Administration
The National Health Expenditure Database had included a category of Public Health and
Administration in public sector expenditure estimates. A study published in June 2002
examined the feasibility of breaking out the category into separate components for public
health and administrative expenditure.ix A complete review of provincial estimates was
carried out during the feasibility study in order to create separate sub-categories 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:
1) The degree of provincial/territorial detail for certain items in the public health
sub-category 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 inter-provincial/territorial comparisons.
Results of the review were presented in the 2004 edition of the National Health
Expenditure Trends report. Following consultation with the NHEX Expert Advisory group,
the original category of public health and administration has been redefined and separated
and is presented in the data tables of this report.
vii.
Research funded by pharmaceutical companies is funded from drug sales and included in the
drugs category.
viii. 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.
ix.
CIHI, Ottawa, Public Health and Administration in National Health Expenditures Feasibility Study
June 2002.
CIHI 2007
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National Health Expenditure Trends, 1975–2007
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).x
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 has gradually declined in the public sector to 2.5% in 2005, the private
sector share has risen to 6.8%.
Public Health
The NHEX database 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 Organisation for Economic Cooperation and Development (OECD) in its System
of Health Accounts (SHA). The SHA is the framework that Canada’s Health Accounts is
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 practiced 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
6.0% in 2005. The share is expected to decrease to 5.8% in 2007 (Figure 17).
x.
24
The administrative expense of “non-insured” services are 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, etc.
CIHI 2007
National Health Expenditure Trends, 1975–2007
Figure 17.
Public Health Spending as a Percentage of Total Health Expenditure, Canada,
1975 to 2007
7.0%
6.0%
5.0%
4.0%
3.0%
2.0%
1.0%
0.0%
1975
1979
1983
1987
1991
1995
1999
2003
2007
Year
Actual
Forecast
Source: National Health Expenditure Database, CIHI.
Health Expenditure in the Provinces and Territories
Health expenditure per capita varies among provinces/territories because of different
age distributions.xi 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 and the manner in which health care is delivered
(including the balance between institutional and ambulatory care). 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 6). In 2007, total health
expenditure per capita in Alberta is expected to reach $5,390, followed by Manitoba
($5,250). The lowest per person expenditures are forecast for Quebec ($4,371),
followed by Prince Edward Island ($4,686).
Health expenditure as a percent of provincial/territorial GDP ranges from a low of 7.3% in
Alberta to highs of 26.8% and 14.4% in Nunavut and Prince Edward Island, respectively.
xi.
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.
CIHI 2007
25
National Health Expenditure Trends, 1975–2007
In 2007, the public sector was responsible for 70.6% of Canadian health expenditure.
It exceeded 80% in the Territories, and was the lowest in Ontario (67%).
Provincial and territorial governments’ health expenditure per capita averaged $3,156 in
2007. The highest per capita spending among the provinces is projected to be in Alberta
($3,695) and Newfoundland and Labrador ($3,637), while the lowest is forecast to be in
Quebec ($2,853) and Prince Edward Island ($3,010).
Private sector expenditure averaged $1,432 per capita in 2007. Ontario had the highest
spending ($1,631), while Saskatchewan had the lowest ($1,148).
Table 6.
Health Expenditure Summary, by Province/Territory and Canada, 2007f
Total
Total
Health
Expenditure Expenditure Exp. as
per Capita
Percent
of GDP
($’ billions)
($)
(%)
10.0
N.L.
2.6
5,011
14.4
P.E.I.
0.7
4,686
13.6
N.S.
4.5
4,850
14.3
N.B.
3.8
5,070
11.3
Que.
33.6
4,371
10.9
Ont.
63.8
4,975
13.0
Man.
6.2
5,250
10.6
Sask.
5.1
5,179
7.3
Alta.
18.4
5,390
10.9
B.C.
20.5
4,713
13.3
Y.T.
0.2
7,047
7.9
N.W.T.
0.3
7,892
26.8
Nun.
0.3
10,903
Canada
160.1
4,867
10.6
Other
Prov/Terr
Public
Government
Sector
Sector Exp.
Exp. per
per Capita
Capita
($)
($)
3,637
201
3,010
340
3,144
291
3,274
270
2,853
282
3,082
261
3,499
458
3,580
451
3,695
292
3,154
215
4,830
875
5,728
1,203
8,229
2,126
3,156
280
Total
Public
Sector
Exp. per
Capita
($)
3,838
3,351
3,436
3,544
3,135
3,344
3,957
4,031
3,987
3,369
5,705
6,931
10,355
3,436
Private
Sector
Exp. per
Capita
Public
Sector as
Percent of
Total
($)
1,173
1,336
1,414
1,526
1,236
1,631
1,293
1,148
1,403
1,345
1,342
962
548
1,432
(%)
76.6
71.5
70.8
69.9
71.7
67.2
75.4
77.8
74.0
71.5
81.0
87.8
95.0
70.6
Note: f = forecast
Source: National Health Expenditure Database, CIHI.
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.xii
xii. The indexes 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. Both indexes track
prices separately in each province and territory (see Calculation Methods in the Methodological Notes
section of this report).
26
CIHI 2007
National Health Expenditure Trends, 1975–2007
The 1990s witnessed policies of health system reform and public expenditure restraint in
virtually all jurisdictions. Public sector expenditure per capita declined in all jurisdictions 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 reinvestment in
health care near the end of the 1990s contributed to significant increases in growth rates
of public health expenditure across Canada. Meanwhile, steady private sector growth was
experienced in all provinces.
CIHI 2007
27
National Health Expenditure Trends, 1975–2007
Figure 18.
Public and Private Sector Health Expenditure per Capita, 1988 to 2007,
by Province and Territory—Constant (1997) Dollars
Newfoundland & Labrador
Prince Edward Island
$3,500
$3,500
$3,000
$3,000
$2,500
$2,500
$2,000
$2,000
$1,500
$1,500
$1,000
$1,000
$500
$500
$0
$0
1988
93
Public
98
Year
Private
03
2007
1988
93
Public
Forecast
Nova Scotia
$3,500
$3,000
$3,000
$2,500
$2,500
$2,000
$2,000
$1,500
$1,500
$1,000
$1,000
$500
$500
$0
93
98
Private
03
2007
Private
2007
Forecast
$0
1988
93
98
Year
Public
Private
Year
Public
03
New Brunswick
$3,500
1988
98
Year
Forecast
Quebec
03
2007
Forecast
Ontario
$3,500
$3,500
$3,000
$3,000
$2,500
$2,500
$2,000
$2,000
$1,500
$1,500
$1,000
$1,000
$500
$500
$0
$0
1988
93
98
03
2007
1988
93
Year
Public
Private
98
03
2007
Year
Forecast
Public
Private
Forecast
Sources: National Health Expenditure Database, CIHI; Population, Price Indexes, Statistics Canada.
28
CIHI 2007
National Health Expenditure Trends, 1975–2007
Figure 18.
Public and Private Sector Health Expenditure per Capita, 1988 to
2007, by Province and Territory—Constant (1997) Dollars (cont’d)
Manitoba
Saskatchewan
$3,500
$3,500
$3,000
$3,000
$2,500
$2,500
$2,000
$2,000
$1,500
$1,500
$1,000
$1,000
$500
$500
$0
$0
1988
93
98
03
2007
1988
93
Public
Private
Public
Forecast
Alberta
03
2007
Private
Forecast
British Columbia
$3,500
$3,500
$3,000
$3,000
$2,500
$2,500
$2,000
$2,000
$1,500
$1,500
$1,000
$1,000
$500
$500
$0
$0
1988
98
Year
Year
93
98
03
2007
1988
93
Public
Private
98
03
2007
Year
Year
Forecast
Public
Private
Forecast
Sources: National Health Expenditure Database, CIHI; Population, Price Indexes, Statistics Canada.
CIHI 2007
29
National Health Expenditure Trends, 1975–2007
Figure 18.
Public and Private Sector Health Expenditure per Capita, 1988 to
2007, by Province and Territory—Constant (1997) Dollars (cont’d)
Yukon
Northwest Territories
$6,000
$6,000
$5,000
$5,000
$4,000
$4,000
$3,000
$3,000
$2,000
$2,000
$1,000
$1,000
$0
1988
$0
93
98
03
1988
2007
93
Public
98
2007
03
Year
Year
Private
Public
Forecast
Private
Forecast
Nunavut
$10,000
$9,000
$8,000
$7,000
$6,000
$5,000
$4,000
$3,000
$2,000
$1,000
$0
1988
93
98
03
2007
Year
Public
Private
Forecast
Sources: National Health Expenditure Database, CIHI; Population, Price Indexes, Statistics Canada.
30
CIHI 2007
National Health Expenditure Trends, 1975–2007
Provincial and Territorial Government Health Expenditure
Standardized for Age and Sex
Similarities in provincial and territorial government per capita health expenditures arise
because of universal coverage for medically necessary hospital and physicians 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 to measure
differences that result from utilization and prices.
Total provincial/territorial government expenditure per capita, standardized for age and
sex, is compared in Table 7. The data show both actual and standardized expenditures
from 2002 to 2005 (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, Saskatchewan, and the Territories. Alberta and the Territories have
lower than average percentages of their populations over 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 are standardized.
Table 7.
Total Provincial/Territorial Government Health Expenditure per Capita
Standardized for Age and Sex, by Province/Territory and Canada,
2002 to 2005
2002
2003
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Actual Standardized Percent
($)
($)
Change
2,740
2,774
1.2%
2,518
2,421
-3.9%
2,206
2,098
-4.9%
2,238
2,157
-3.6%
2,204
2,182
-1.0%
2,252
2,277
1.1%
2,565
2,468
-3.8%
2,402
2,240
-6.7%
2,481
2,686
8.3%
2,615
2,544
-2.7%
3,389
4,534
33.8%
4,808
6,979
45.2%
5,924
8,815
48.8%
Actual
($)
2,889
2,585
2,426
2,387
2,305
2,478
2,772
2,547
2,623
2,691
3,396
4,775
8,083
Canada
2,343
2,505
2,343
---
2004
Standardized Percent
($)
Change
2,913
0.8%
2,490
-3.7%
2,307
-4.9%
2,298
-3.7%
2,272
-1.5%
2,509
1.2%
2,687
-3.1%
2,390
-6.2%
2,839
8.2%
2,615
-2.8%
4,607
35.7%
7,312
53.1%
11,306
39.9%
2,505
---
Actual
($)
2,975
2,527
2,522
2,596
2,438
2,638
2,936
2,749
2,843
2,721
3,671
5,271
8,221
2,647
2005
Standardized Percent
($)
Change
2,986
0.4%
2,431
-3.8%
2,395
-5.0%
2,498
-3.8%
2,395
-1.7%
2,674
1.4%
2,832
-3.6%
2,579
-6.2%
3,078
8.3%
2,641
-2.9%
4,954
34.9%
8,045
52.6%
11,705
42.4%
2,647
---
Actual
($)
3,093
2,692
2,756
2,838
2,557
2,772
3,151
3,017
3,109
2,905
4,018
5,455
7,462
2,810
Standardized Percent
($)
Change
3,091
-0.1%
2,584
-4.0%
2,610
-5.3%
2,732
-3.7%
2,504
-2.0%
2,812
1.4%
3,057
-3.0%
2,838
-5.9%
3,367
8.3%
2,825
-2.7%
5,418
34.9%
8,551
56.8%
11,955
60.2%
2,810
---
Source: National Health Expenditure Database, CIHI; Population, Statistics Canada.
CIHI 2007
31
National Health Expenditure Trends, 1975–2007
Provincial and Territorial Government Health Expenditure by
Age and Sexxiii
The population of Canada is aging rapidly by historical standards. The largest concentration
of population is in the middle age groups and moving upward.xiv The baby-boom cohort will
affect the size of the elderly population, which was estimated at about 13% in 2005, and is
projected to grow. Even over the relatively short period from 1998 to 2005, the increase in
older age groups is evident (Figure 19). Future health care costs for an aging population
have been a topical issue for a number of years.
Figure 19.
Age Distribution, Canada, 1998 and 2005
10.0%
9.0%
8.0%
7.0%
6.0%
5.0%
4.0%
3.0%
2.0%
1.0%
90+
85–89
80–84
75–79
70–74
65–69
60–64
55–59
50–54
45–49
40–44
35–39
30–34
25–29
20–24
15–19
10–14
5–9
1–4
<1
0.0%
Age Group
1998
2005
Source: Population, Statistics Canada.
The 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.
xiii. 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.
xiv. Statistics Canada Population Projections. Medium growth estimate. CANSIM II table 052-0001.
32
CIHI 2007
National Health Expenditure Trends, 1975–2007
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 2005. A brief discussion is provided focusing
on the age and sex distributions in 2005 (for 19 age groupings), of the hospital and
physician categories.
The complete set of estimates for five major categories including hospitals, physicians,
drugs, other institutions and other professionals, from 1996 to 2005 are presented in
the Series E Data Tables of this report.
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 89% of total expenditure
for hospitals and 97% for physicians services. These two categories accounted for
approximately 59% of provincial and territorial government health expenditure in 2005.
Hospital expenditure for children under one year of age was approximately $2.0 billion
in 2005, more than total expenditure for all children and teenagers from ages 1 to 19
($1.7 billion) (Figure 20). Hospital expenditure begins to increase steeply for females in
the 15–19 age group, and continues to increase until it peaks in the 30–34 age group.
Expenditure for males increases slightly in the last five years of the teens, and then stays
relatively stable until the 30s. Male expenditure is greater than female expenditure in the
45–49 age group, and in each subsequent five-year age group until age 79. Expenditure
for males declines sharply after age 79, with expenditure for females higher than
expenditure for males in each age group. Higher total expenditure for females after
age 79 is due to higher female populations.
Persons 65 and over accounted for approximately 49% of provincial/territorial government
hospital expenditure in Canada during 2005. Within this age group most was spent by
70 to 89 years old (37% of total). Children under one year old accounted for 6%.
CIHI 2007
33
National Health Expenditure Trends, 1975–2007
Figure 20.
Provincial/Terrritorial Government Hospital Expenditure, by Age and Sex,
Canada, 2005
2,400
($’000,000)
2,000
1,600
1,200
800
400
90+
85–89
80–84
75–79
70–74
65–69
60–64
55–59
50–54
45–49
40–44
35–39
30–34
25–29
20–24
15–19
10–14
5–9
1–4
<1
0
Age Group
Male
Female
Source: National Health Expenditure Database, CIHI.
Hospital expenditure per capita exhibits a more striking age pattern than total expenditure.
Expenditure per capita exceeds $5,700 for both male and female infants under one year
of age, a level not reached again until the 80–84 age group for males and the 85–89 age
group for females (Figure 21). The temporary increase in the female expenditure curve
during the 20s and 30s is also noticeable in per capita expenditure, peaking in the age
groups from 25 to 35.
Hospital expenditure per capita is higher for males than for females throughout the senior
age groups.
34
CIHI 2007
National Health Expenditure Trends, 1975–2007
Figure 21.
Provincial/Territorial Government Hospital Expenditure per Capita,
by Age and Sex, Canada, 2005
$9,000
$8,000
$7,000
$6,000
$5,000
$4,000
$3,000
$2,000
$1,000
90+
85–89
80–84
75–79
70–74
65–69
60–64
55–59
50–54
45–49
40–44
35–39
30–34
25–29
20–24
15–19
10–14
5–9
1–4
<1
$0
Age Group
Male
Female
Sources: National Health Expenditure Database, CIHI; Population, Statistics Canada.
Physician services expenditure for females is slightly less than for males until age 14, and
consistently higher thereafter (Figure 22). Expenditure for females is highest between the
ages of 25 to 59, accounting for 51% of total expenditure for females. Expenditure for
males for the same group accounts for 43% of total expenditure for males.
Figure 22.
Provincial/Territorial Government Physician Expenditure, by Age and Sex,
Canada, 2005
900
($’000,000)
800
700
600
500
400
300
200
100
90+
85–89
80–84
75–79
70–74
65–69
60–64
55–59
50–54
45–49
40–44
35–39
30–34
25–29
20–24
15–19
10–14
5–9
1–4
<1
0
Age Group
Male
Female
Source: National Health Expenditure Database, CIHI.
CIHI 2007
35
National Health Expenditure Trends, 1975–2007
Expenditure per capita for females has a bimodal distribution, peaking at ages 30 to 34
and again at ages 80 to 84, then falling off in the oldest age group (Figure 23).
Figure 23.
Provincial/Territorial Government Physician Expenditure per Capita, by Age
and Sex, Canada, 2005
$1,600
$1,400
$1,200
$1,000
$800
$600
$400
$200
90+
85–89
80–84
75–79
70–74
65–69
60–64
55–59
50–54
45–49
40–44
35–39
30–34
25–29
20–24
15–19
10–14
5–9
1–4
<1
$0
Age Group
Male
Female
Sources: National Health Expenditure Database, CIHI; Population, Statistics Canada.
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 24 and 25. The influence of
hospital and physician expenditure is obvious in the shape of the curves.
Seniors, ages 65 and older, consumed more than 44% of all provincial/territorial government
health spending in 2005, while only comprising 13.1% of the population. Females accounted
for an estimated 56% of all provincial government spending in 2005, with female seniors
consuming the most at over 26%. Senior males accounted for approximately 18% of total
expenditure. 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 $7,000 per person for both sexes.
From youths age 1, to adults age 49, spending per person slowly increases but does not
exceed $2,000 per person. There is a pronounced increase in per capita spending in the
senior age groups.
xv.
36
Missing data were estimated for this analysis. Refer to Age/Sex Distribution Methods in the
Methodological Notes section of this report for more details.
CIHI 2007
National Health Expenditure Trends, 1975–2007
Figure 24.
Total Provincial/Territorial Government Health Expenditure, by Age and Sex,
Canada, 2005
6,000
($’000,000)
4,500
3,000
1,500
90+
85–89
80–84
75–79
70–74
65–69
60–64
55–59
50–54
45–49
40–44
35–39
30–34
25–29
20–24
15–19
10–14
5–9
1–4
<1
0
Age Group
Males
Females
Source: National Health Expenditure Database, CIHI.
Figure 25.
Total Provincial/Territorial Government Health Expenditure per Capita,
by Age and Sex, Canada, 2005
$24,000
$20,000
$16,000
$12,000
$8,000
$4,000
90+
85–89
80–84
75–79
70–74
65–69
60–64
55–59
50–54
45–49
40–44
35–39
30–34
25–29
20–24
15–19
10–14
5–9
1–4
<1
$0
Age Group
Males
Females
Sources: National Health Expenditure Database, CIHI; Population, Statistics Canada.
CIHI 2007
37
National Health Expenditure Trends, 1975–2007
Provincial and Territorial Government Health Expenditures
and Fiscal Capacity
Provincial and territorial government health expenditures account for almost 65% of total
health expenditures in Canada and over 90% of expenditures by all levels of government.
Provincial and territorial government health expenditures during the current year, 2007, are
forecast to reach $103.8 billion.
Provincial and territorial government health expenditure per capita in constant 1997 dollars
decreased during each of the four years from 1993 to 1996 (Figure 26). Expenditure per
capita in constant dollars grew more rapidly from 1998 to 2005 than it had at any other
time since 1975. This growth is expected to continue for 2006 and 2007. The 2005
estimate is approximately $16 per capita less than the amount that would have been
realized if the trend before 1993 had continued.
Figure 26.
Provincial/Territorial Government Health Expenditure per Capita in Constant
1997 Dollars, Canada, 1975 to 2007
$2,600
$2,400
$2,200
$2,000
$1,800
$1,600
$1,400
$1,200
19
75
19
77
19
79
19
81
19
83
19
85
19
87
19
89
19
91
19
93
19
95
19
97
19
99
20
01
20
03
20
05
20
07
$1,000
Year
Actual
Forecast
Linear (1993–1994 Trend)
Sources: National Health Expenditure Database, CIHI; Population, Statistics Canada.
38
CIHI 2007
National Health Expenditure Trends, 1975–2007
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 capacity, as expressed by levels of
expenditure relative to revenues. The FMS system provides a breakdown of all publicsector expenditure by type of organization and type of expenditure.xvi The data used
here consist 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 National Health Expenditures Database (NHEX) series.
Revenue and Expenditure
Provincial and territorial government expenditures of $172 billion exceeded revenues
by approximately $21 billion in 1993 (Figure 27). 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 the
return of a deficit. Provincial and territorial governments returned to a surplus in 2004,
which increased to $8.4 billion in 2006.
xvi. Financial Management System (FMS), Public Institutions Division, Statistics Canada, Ottawa.
xvii. Provincial and territorial general government revenue and expenditure was the largest component
(in fiscal 2006–2007) of the series for total revenue and expenditure, which also includes institutional
units controlled or mainly financed by government, such as universities and health service organizations.
For this analysis, fiscal year data have been converted to calendar year.
CIHI 2007
39
National Health Expenditure Trends, 1975–2007
Figure 27.
Provincial/Territorial Government Revenue and Expenditure, Canada,
1993 to 2006
300,000
280,000
($’Millions)
260,000
240,000
220,000
200,000
180,000
160,000
140,000
120,000
20
06
20
05
20
04
20
03
20
02
20
01
20
00
19
99
19
98
19
97
19
96
19
95
19
94
19
93
100,000
Year
Revenue
Expenditure
Source: Financial Management System (FMS), Statistics Canada.
40
CIHI 2007
National Health Expenditure Trends, 1975–2007
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 28). During the following ten years, the improving fiscal
balance, combined with lower interest rates, led to lower debt charges reaching 9.8% of
expenditures and 9.6% of revenues in 2006.
Figure 28.
Provincial/Territorial Debt Charges as a Proportion of Total Provincial/
Territorial Expenditure and Revenue, Canada, 1993 to 2006
20.0%
16.0%
12.0%
8.0%
4.0%
20
06
20
05
20
04
20
03
20
02
20
01
20
00
19
99
19
98
19
97
19
96
19
95
19
94
19
93
0.0%
Year
Debt as a Proportion of Total Expenditure
Debt as a Proportion of Revenue
Source: Financial Management System (FMS), Statistics Canada.
CIHI 2007
41
National Health Expenditure Trends, 1975–2007
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 15 years. Rates of
change in revenue were mixed throughout the period. Prior to 2002, 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 2006, revenue, at 1997 price levels,
was 45% higher than revenue in 1993, similar to the cumulative increase in health
expenditures (54%) during that period (Figure 29).
Figure 29.
Provincial/Territorial Government Revenue and Health Expenditure,
Constant Dollar Indices (1993 = 100), Canada, 1993 to 2007
170
160
150
140
130
120
110
100
20
07
20
06
20
05
20
04
20
03
20
02
20
01
20
00
19
99
19
98
19
97
19
96
19
95
19
94
19
93
90
Year
Revenue
Health Expenditure
Forecast
Sources: National Health Expenditure Database, CIHI; Financial Management System (FMS), Statistics Canada.
42
CIHI 2007
National Health Expenditure Trends, 1975–2007
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 and they include statutory subsidies,
equalization payments, the Canada Health and Social Transfer (CHST) and the Canada
Health Transfer (CHT). Own source revenues at constant 1997 price levels increased in all
years from 1993 to 2000, then decreased in 2001 and 2002, before rising again over the
next four years (Figure 30). Transfers decreased in constant dollars during the first half of
this period and increased in subsequent years.
Figure 30.
Provincial/Territorial Government Revenues, Constant Dollar Indices
(1993 = 100), Canada, 1993 to 2006
150
140
130
120
110
100
90
80
20
06
20
05
20
04
20
03
20
02
20
01
20
00
19
99
19
98
19
97
19
96
19
95
19
94
19
93
70
Year
Total
Own Source
Transfers
Source: Financial Management System (FMS), Statistics Canada.
In interpreting these 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 (EPF) and Canada Assistance Plan (CAP). The CHST replaced the latter two
transfer mechanisms in fiscal 1996–1997, which in turn was replaced by the Canada
Health Transfer (CHT) and the Canada Social Transfer (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.
CIHI 2007
43
National Health Expenditure Trends, 1975–2007
Health Expenditure and Total Program Expenditure
Health expenditures were equivalent to 28.2% of total provincial and territorial government
expenditures in 1993 and 32.7% of program expenditures (total expenditure less debt
charges). Health expenditures decreased as a percent of government expenditures during
the next two years (Figure 31). Following strong growth of health expenditures over the
next eight years, combined with more modest rates of growth in total expenditures, the
shares of total and program expenditures allocated to health increased to 35.3% and
39.2%, respectively, in 2006.
Figure 31.
Provincial/Territorial Government Health Expenditure as a Proportion of
Total Provincial/Territorial Government Expenditure and Programs, Canada,
1993 to 2006
40.0%
35.0%
30.0%
25.0%
20
06
f
Year
20
05
20
04
20
03
20
02
20
01
20
00
19
99
19
98
19
97
19
96
19
95
19
94
19
93
20.0%
Health as a Proportion of Total Expenditure
Health as a Proportion of Provincial Programs (Total Expenditure Less Debt Charges)
Note: f = forecast
Sources: National Health Expenditure Database, CIHI; Financial Management System (FMS), Statistics Canada.
International Comparisons
Comparability of Health Expenditure Across Countries
For the last seven annual updates of the health database maintained by the Organisation
for Economic Cooperation and Development (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 2007 are at varying
levels of comparability.xviii This section shows health expenditure information for the
xviii. See OECD Health Data 2007, July Edition for more information on country methodologies and
data limitations.
44
CIHI 2007
National Health Expenditure Trends, 1975–2007
twenty-three countries that most closely follow the health care boundary proposed in the
OECD manual. The OECD states that the data for those countries are believed to be fairly
comparable, although some deviations from SHA definitions may still exist among the
sub-aggregate variables of total health expenditure.xix The twenty-three countries are
Australia, Austria, Belgium, Canada, Czech Republic, Denmark, France, Germany,
Hungary, Japan, Korea, Luxembourg, Mexico, the Netherlands, New Zealand, Norway,
Poland, Portugal, Slovak Republic, Spain, Switzerland, Turkey and the United States.
Comparability of Health Expenditure Over Time
In the last few years, 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 to late 1990s.
The data presented in OECD Health Data 2007 are based on the SHA starting in the
following years:
•
Australia: 1998
•
Austria: 1995
•
Belgium: 2003
•
Canada: 1975
•
Czech Republic: 2003
•
Denmark: 1971
•
France: 1960
•
Germany: 1992
•
Hungary: 1998
•
Japan: 1995
•
Korea: 1983
•
Luxembourg: 2003
•
Mexico: 1999
•
Netherlands: 1998
•
New Zealand: 2004
•
Norway: 1997
•
Poland: 2002
•
Portugal: 2000
•
Slovak Republic: 2004
•
Spain: 1999
•
Switzerland: 1995
•
Turkey: 1999
•
United States: 1999
xix.
See Data Comprehensiveness and Boundaries of Health Care in the Methodological Notes.
CIHI 2007
45
National Health Expenditure Trends, 1975–2007
Due to the change in reporting standards, this section on international comparisons
focuses on data for the most recent year for which data are 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—has 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;
•
Providing and administering health programmes, 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.
Total Health Expenditure as a Percent of GDP—2005
Canada is among eight countries with the highest ratio of total health expenditure to
GDP.xx In 2005, the United States had the highest ratio of total health expenditure to
GDP at 15.3%, while Canada was at 9.8% (Figure 32).
xx.
46
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 their publication in OECD reports.
CIHI 2007
National Health Expenditure Trends, 1975–2007
Figure 32.
Total Health Expenditure as a Percent of GDP, Twenty-Three Selected
Countries, 2005
15.3%
United States
11.6%
Switzerland
11.1%
France
10.7%
10.3%
Germany
Belgium
10.2%
Portugal
10.2%
Austria
9.8%
CANADA
9.5%
Australia (a)
9.2%
9.1%
Netherlands (a)
Norway
9.1%
Denmark
9.0%
New Zealand
8.3%
Luxembourg (a)
8.2%
8.1%
Spain
Hungary (a)
Japan (a)
8.0%
7.6%
Turkey
Czech Republic
7.2%
Slovak Republic
7.1%
6.4%
Mexico
6.2%
6.0%
Poland
Korea
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
Note: (a) Data for 2004.
Source: OECD Health Data 2007, July Edition.
CIHI 2007
47
National Health Expenditure Trends, 1975–2007
Public Sector Health Expenditure as a Percent of GDP—2005
With regard to public sector spending on health as a percentage of GDP in 2005, Canada
falls within the middle of the countries. Public sector health expenditure accounted for
8.9% of France’s GDP, the highest proportion among the countries. The ratios of public
sector spending to GDP were similar for New Zealand, the United States, Switzerland and
Canada (Figure 33).
Figure 33.
Public Sector Health Expenditure as a Percent of GDP, Twenty-Three
Selected Countries, 2005
8.9%
France
8.2%
Germany
7.7%
Denmark
7.7%
Austria
7.6%
7.5%
Norway
Luxembourg (a)
7.4%
Portugal
7.4%
Belgium
7.0%
New Zealand
United States
6.9%
Switzerland
CANADA
6.9%
6.9%
6.6%
Japan (a)
Czech Republic
6.4%
Australia (a)
Spain
6.4%
5.9%
5.7%
Hungary (a)
5.5%
Netherlands ( c )
5.4%
Turkey
5.3%
Slovak Republic
4.3%
Poland
Korea
3.2%
2.9%
Mexico
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
7.0%
8.0%
9.0%
Notes: (a) Data for 2004. (c) Data for 2002.
Source: OECD Health Data 2007, July Edition.
48
CIHI 2007
National Health Expenditure Trends, 1975–2007
Private Sector Health Expenditure as a Percent of GDP—2005
Private sector health expenditure represented 8.4% of GDP in the United States in 2005,
by far the highest percentage among the countries. Canada is within a group of six
countries with very similar private sector health expenditure to GDP ratios ranging between
2.8% and 3.3%; other countries in this group are the Netherlands, Australia, Portugal,
Korea and Belgium (Figure 34).
Figure 34.
Private Sector Health Expenditure as a Percent of GDP, Twenty-Three
Selected Countries, 2005
United States
Switzerland
Mexico
Netherlands (c)
Australia (a)
CANADA
Portugal
Korea
Belgium
Germany
Austria
Spain
Hungary (a)
Turkey
France
New Zealand
Poland
Slovak Republic
Norway
Japan (a)
Denmark
Luxembourg (a)
Czech Republic
0.0%
8.4%
4.7%
3.5%
3.3%
3.1%
2.9%
2.8%
2.8%
2.8%
2.5%
2.5%
2.4%
2.4%
2.2%
2.2%
2.0%
1.9%
1.8%
1.5%
1.5%
1.4%
0.8%
0.8%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
7.0%
8.0%
9.0%
Notes: (a) Data for 2004. (c) Data for 2002.
Source: OECD Health Data 2007, July Edition.
CIHI 2007
49
National Health Expenditure Trends, 1975–2007
Health Expenditure per Capitaxxi
Total Health Expenditure per Capita—2005
Canada, with a per capita spending of $3,326, is among the eight countries with
the highest spending on health per capita. The United States had the highest health
expenditure per capita ($6,401) in 2005. Health expenditure per capita was rather
similar in Austria, Belgium, France, Canada and Germany (Figure 35).
Figure 35.
Total Health Expenditure per Capita in US Dollars, Twenty-Three Selected
Countries, 2005
$6,401
United States
Luxembourg (a)
Norway
Switzerland
Austria
Belgium
France
CANADA
Germany
Australia (a)
Denmark
Netherlands (a)
Japan (a)
New Zealand
Spain
Portugal
Czech Republic
Hungary (a)
Korea
Slovak Republic
Poland
Mexico
Turkey
$5,352
$4,364
$4,177
$3,519
$3,389
$3,374
$3,326
$3,287
$3,128
$3,108
$3,094
$2,358
$2,343
$2,255
$2,033
$1,479
$1,337
$1,318
$1,137
$867
$675
$586
$0
$800
$1,600
$2,400
$3,200
$4,000
$4,800
$5,600
$6,400
Note: (a) Data for 2004.
Source: OECD Health Data 2007, July Edition.
xxi. Health expenditure per capita were converted to US dollars using purchasing power parities (PPPs) for
GDP, which are designed to eliminate differences in price levels between countries—i.e. PPPs equalize
the purchasing power of different currencies. OECD Health Data.
50
CIHI 2007
National Health Expenditure Trends, 1975–2007
Public Sector Health Expenditure per Capita—2005
Luxembourg has the highest public sector health expenditure per capita at $4,851 followed
by Norway with $3,647. Canada was within the top ten countries for the level of health
spending by the public sector per capita at $2,337 (Figure 36).
Figure 36.
Public Sector Health Expenditure per Capita in US Dollars, Twenty-Three
Selected Countries, 2005
Luxembourg (a)
$4,851
Norway
$3,647
United States
$2,884
France
$2,693
Austria
$2,665
Denmark
$2,614
Germany
$2,527
Switzerland
$2,493
Belgium
$2,451
CANADA
$2,337
Australia (a)
$2,110
Japan (a)
$1,927
New Zealand
$1,829
Netherlands (c)
$1,733
Spain
$1,609
$1,478
Portugal
Czech Republic
$1,310
Hungary (a)
$942
Slovak Republic
$846
Korea
$698
Poland
$601
Turkey
$418
Mexico
$307
$0
$500
$1,000 $1,500 $2,000 $2,500 $3,000 $3,500 $4,000 $4,500 $5,000 $5,500
Notes: (a) Data for 2004. (c) Data for 2002.
Source: OECD Health Data 2007, July Edition.
CIHI 2007
51
National Health Expenditure Trends, 1975–2007
Private Sector Health Expenditure per Capita—2005
Canada, with private sector spending per capita of $989, is among the five countries
with the highest health expenditure per capita funded by the private sector. Private sector
spending per capita was considerably higher in the United States ($3,517) and Switzerland
($1,684). Private sector health expenditure per capita in the Netherlands ($1,042), in
Australia ($1,018), in Belgium ($914) and in Austria ($854) was close to Canada’s
level (Figure 37).
Figure 37.
Private Sector Health Expenditure per Capita in US Dollars, Twenty-Three
Selected Countries, 2005
$3,517
United States
Switzerland
$1,684
Netherlands (c)
Australia (a)
$1,042
$1,018
CANADA
$989
Belgium
Austria
$914
$854
$760
Germany
Norway
France
$717
$680
$646
Spain
Korea
$620
Portugal
$556
New Zealand
Luxembourg (a)
$514
$501
Denmark
$494
Japan (a)
Hungary (a)
$431
$394
$368
Mexico
Slovak Republic
Poland
$291
$265
$168
Turkey
Czech Republic
$168
$0
$500
$1,000 $1,500 $2,000 $2,500 $3,000 $3,500 $4,000
Notes: (a) Data for 2004. (c) Data for 2002.
Source: OECD Health Data 2007, July Edition.
52
CIHI 2007
National Health Expenditure Trends, 1975–2007
Total Health Expenditure by Use of Funds—2005
Expenditure on medical services and expenditure on medical goods are two major
expenditure categories. Taken together, they represent expenditure on personal health
care and account for more than 80% of total health expenditure in each of the twenty-two
countries for which the breakdown of total health expenditure is available (the breakdown
is not available for Turkey) (Figure 38).
Expenditure on medical services is composed of expenditure on inpatient care and
expenditure on other medical services.xxii 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, wheelchairs, etc.
Expenditure on medical goods ranged between 17% and 20% of total health expenditure
for a middle group of six countries: Japan, Canada, Germany, Belgium, Australia and the
Netherlands (Figure 38).
xxii. 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.
CIHI 2007
53
National Health Expenditure Trends, 1975–2007
Figure 38.
Expenditure on Personal Health Care as a Percent of Total Health
Expenditure, Twenty-Two Selected Countries, 2005
Switzerland
80.5%
78.9%
Denmark
Norway
12.6%
13.1%
77.4%
77.1%
New Zealand
13.5%
13.1%
77.0%
Luxembourg (a)
Austria
11.4%
74.7%
Australia (a)
United States
Japan(a)
15.1%
73.7%
17.5%
73.4%
73.4%
13.6%
20.1%
Portugal
69.2%
Belgium
69.2%
18.4%
69.1%
17.1%
67.9%
67.1%
19.4%
20.9%
Netherlands (a)
Germany
France
67.0%
Spain
CANADA
Korea
Poland
Hungary (a)
0.0%
25.2%
20.0%
65.1%
62.5%
Czech Republic
Mexico
Slovak Republic
23.8%
28.6%
60.8%
60.0%
21.3%
29.2%
59.8%
30.6%
33.5%
56.0%
39.5%
50.0%
20.0%
40.0%
Medical Services
60.0%
80.0%
100.0%
Medical Goods
Note: (a) Data for 2004.
Source: OECD Health Data 2007, July Edition.
54
CIHI 2007
National Health Expenditure Trends, 1975–2007
Public Share of Health Expenditure—2005
Public Share of Total Health Expenditure—2005
Expenditure by the public sector represented more than 80% of total health expenditure
in Luxembourg, Czech Republic, Denmark, Norway and Japan. The share funded by the
public sector was 70% in Canada. The country with the lowest public sector share was
the United States at 45% (Figure 39).
Figure 39.
Public Share of Total Health Expenditure, Twenty-Three Selected
Countries, 2005
90.6%
88.6%
84.1%
83.6%
81.7%
79.8%
78.1%
76.9%
75.7%
74.4%
72.7%
72.3%
71.4%
71.4%
70.5%
70.3%
69.3%
67.5%
62.5%
59.7%
53.0%
45.5%
45.1%
Luxembourg (a)
Czech Republic
Denmark
Norway
Japan (a)
France
New Zealand
Germany
Austria
Slovak
Portugal
Belgium
Turkey
Spain
Hungary (a)
CANADA
Poland
Australia (a)
Netherlands (c)
Switzerland
Korea
Mexico
United States
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
Notes: (a) Data for 2004. (c) Data for 2002.
Source: OECD Health Data 2007, July Edition.
CIHI 2007
55
National Health Expenditure Trends, 1975–2007
Public Share of Expenditure on Medical Services—2005
In Canada, 78% of expenditures on medical services were financed by the public sector.
The public sector share ranged between 70% and 80% for a group of ten countries that
includes Canada, Germany, Austria, Portugal, New Zealand, Hungary, Spain, Belgium,
Australia and the Netherlands. The public sector share was 49% in the United States
and 43% in Mexico (Figure 40).
Figure 40.
Public Share of Expenditure on Medical Services, Twenty-Two Selected
Countries, 2005
Czech Republic
95.4%
Luxembourg (a)
92.9%
Denmark
87.9%
Norway
86.9%
France
86.1%
Japan (a)
85.5%
83.2%
Poland
Slovak Republic
82.9%
Germany
79.3%
Austria
78.8%
CANADA
78.3%
Portugal
78.1%
New Zealand
77.7%
Hungary (a)
76.4%
Spain
73.7%
Belgium
73.4%
Australia (a)
72.8%
71.2%
Netherlands
Switzerland
58.6%
Korea
55.1%
48.7%
United States
Mexico
0.0%
42.5%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0% 100.0%
Note: (a) Data for 2004.
Source: OECD Health Data 2007, July Edition.
56
CIHI 2007
National Health Expenditure Trends, 1975–2007
Public Share of Expenditure on Medical Goods—2005
Luxembourg (77.4%) had the highest share of expenditure on medical goods (dispensed
to outpatients) financed by the public sector among the countries for which data were
available (data were not available for Turkey). The public sector funded the lowest shares
of expenditure on medical goods in Canada (37%), the United States (25%) and Mexico
(11%) (Figure 41).
Figure 41.
Public Share of Expenditure on Medical Goods, Twenty-Two Selected
Countries, 2005
Luxembourg
77.4%
Czech Republic
71.4%
Germany
70.5%
Austria
68.1%
Spain
66.9%
Japan (a)
66.7%
New Zealand
65.9%
Switzerland
65.1%
64.3%
Slovak Republic
France
63.2%
Hungary (a)
62.3%
Norway
59.5%
Portugal
56.5%
Belgium
52.5%
Denmark
52.3%
Netherlands
51.3%
Korea
47.0%
Australia (a)
45.9%
Poland
38.6%
37.0%
CANADA
United States
Mexico
0.0%
24.8%
11.1%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
Note: (a) Data for 2004.
Source: OECD Health Data 2007, July Edition.
Total Health Expenditure by Source of Finance—2005
Public Sector Sources of Finance—2005
Figure 42 shows the countries in descending order according to the share of total health
expenditure financed by the public sector, general government.
CIHI 2007
57
National Health Expenditure Trends, 1975–2007
The public sector includes two sub-sectors: 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
sub-sectors through which the countries provide funding. Expenditures by the public sector
represented more than 80% of total health expenditure in Luxembourg, Czech Republic,
Denmark, Norway and Japan. In Denmark, New Zealand and in 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 eight of these countries (France, Belgium, Germany, Hungary, Austria,
Poland, Turkey and Slovak Republic), social security funds were the principal source of
finance, in contrast to Canada where about 2% 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 drug insurance fund components of the Quebec
Ministry of Health and Social Services drug subsidy program.
Figure 42.
Percent of Total Health Expenditure Financed by the Public Sector, by Source
of Finance, Twenty-Three Selected Countries, 2005
Denmark
84.1%
New Zealand
78.1%
Portugal
Norway
CANADA
Australia (a)
14.8%
68.8%
1.5%
67.5%
Spain
4.9%
66.5%
Turkey
United States
33.7%
37.7%
32.1%
Austria
12.9%
29.7%
Luxembourg (a)
Mexico
46.0%
17.4%
73.3%
17.3%
Switzerland
28.2%
17.2%
Japan (a)
Korea
Poland
Hungary (a)
0.8%
71.9%
68.8%
42.5%
15.9%
65.9%
11.9%
41.1%
11.4%
57.9%
10.6%
59.9%
Germany
9.5%
Slovak Republic
Czech Republic
9.2%
67.4%
65.2%
79.9%
8.7%
France 4.9%
74.9%
Belgium
Netherlands (a)
0.0%
4.2%
63.3%
2.8%
10.0%
59.5%
20.0%
30.0%
40.0%
Public General Government
50.0%
60.0%
70.0%
80.0%
90.0%
Social Security Schemes
Note: (a) Data for 2004.
Source: OECD Health Data 2007, July Edition.
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National Health Expenditure Trends, 1975–2007
Private Sector Sources of Finance—2005
Figure 43 shows countries in descending order according to the share of total health
expenditure financed by private insurance. In twenty countries, private sector funding
is broken down between private insurance and all other private funds. However, this
breakdown is not available for Turkey, Norway and Slovak Republic. Approximately half of
total health expenditure was financed by the private sector in the United States (54.9%)
and Mexico (54.5%). Private insurance in the United States accounted for more than one
third of total health expenditure (36.6%), by far the largest proportion of any country.
Canada is included in a group of nine countries (with Australia, Poland, Hungary, Spain,
Turkey, Portugal, Belgium and Slovak Republic) where the private sector funded between
25% and 33% of total health expenditure. In Canada, private insurance accounts for
12.9% of total health expenditure.
Figure 43.
Percent of Total Health Expenditure Financed by the Private Sector,
by Source of Finance, Twenty-Three Selected Countries, 2005
United States
36.6%
18.5%
Netherlands (a)
19.0%
CANADA
16.8%
12.9%
7.7%
France
12.5%
13.9%
Germany
9.2%
31.5%
Switzerland
8.8%
25.8%
Australia (a)
6.7%
Spain 5.5%
23.1%
Austria 5.2%
19.1%
21.9%
Belgium
5.1%
New Zealand 4.5%
17.4%
23.5%
Portugal 3.8%
3.4%
Korea
43.6%
3.3%
Mexico
51.2%
1.5%
Denmark
14.4%
28.4%
1.1%
Hungary(a)
0.8%
Luxembourg (a)
8.6%
30.0%
0.6%
Poland
18.0%
0.3%
Japan (a)
0.2%
11.2%
Czech Republic
28.6%
Turkey
Slovak Republic
25.6%
16.4%
Norway
0.0%
10.0%
Private Insurance
20.0%
30.0%
Priv. Funds All Other
18.3%
40.0%
50.0%
60.0%
All Private Sources of Finance
Note: (a) data for 2004.
Source: OECD Health Data 2007, July Edition.
CIHI 2007
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National Health Expenditure Trends, 1975–2007
Methodological Notes
Concepts and Definitions
Mandate of the National Health Expenditure (NHEX) Database
The mandate of the National Health Expenditure database 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 44.
Composition of Total Health Expenditures, by Source of Finance*
Provincial Government Sector
PUBLIC SECTOR
Federal Direct Sector
Other Public Sector
TOTAL
Health
Expenditures
Municipal Government Sector
Social Security
Funds
Non-Consumption
PRIVATE SECTOR
Workers’ Compensation
Boards
Premiums to Quebec
Drug Insurance Fund
Out-of-Pocket
Commercial Insurance Firms
Private Health Insurance
Not-for-Profit Insurance Firms
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).
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National Health Expenditure Trends, 1975–2007
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.xxiii
It is sub-divided 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 Armed 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 aged 65 or greater
insured by this plan.
Health spending by Workers’ Compensation Boards (WCB) 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.
xxiii. Statistics Canada (Public Institutions 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.
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On January 1, 1997 the government of Quebec created a basic drug insurance plan
with the objective of assuring the population of Quebec with 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 is the chosen
mechanism to pay all drug and pharmaceutical service costs provided to subscribers
insured by the RAMQ, as well as their children. Since July 1, 2002, the public plan
has been financed both by the expenditure allocated to this program by the Quebec
government (provincial government sector) and by the amounts collected by the
Drug Insurance Fund as premiums and proceeds (social security funds sector).
Private Sector—includes out-of-pocket expenditures made by individuals for health care
goods and services; the health insurance claims paid to individuals by commercial and
not-for-profit insurance firms, as well as the cost of administering those claims; non-patient
revenues received by health care institutions such as donations and investment income;
private spending on health-related capital construction and equipment; and, health research
funded by private sources.
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, 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, e.g. 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.
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Other Professionals—services, at the aggregate level represent expenditures for the
services of privately practicing dentists, denturists, chiropractors, massage therapists,
osteopaths, physiotherapists, podiatrists, psychologists, private duty nurses, and
naturopaths. Discrete identification of many of the professions included under other
professional services 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 sub-categories:
•
Dental Services—expenditures for professional fees of dentists (includes dental
assistants and hygienists) and denturists, as well as the cost of dental prostheses,
including false teeth and laboratory charges for crowns and other dental appliances.
•
Vision Care Services—expenditures for the professional services of optometrists and
dispensing opticians, as well as expenditures for eyeglasses and contact lenses.
•
Other—expenditures for chiropractors, massage therapists, osteopaths,
physiotherapists, podiatrists, psychologists, private duty nurses, and naturopaths.
Drugs—at the aggregate level, include expenditures on prescribed drugs and non-prescribed
products purchased in retail stores. Estimates represent the final costs to consumers
including dispensing fees, mark-ups and appropriate taxes. This category has been
disaggregated at the Canada level in the Data Tables to provide information on the
following sub-categories:
•
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 sub-components: 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,
e.g. 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.
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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 is not included
under the category of Administration but rather is included under the category of service,
e.g. hospitals, other institutions, drugs, etc.
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 sub-categories 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 either with the hospital
or drug categories.
•
Other—expenditures for items such as home care, medical transportation (ambulances),
hearing aids, other appliances, training of health workers, voluntary health associations.
The definition of home care that is currently in use in the National Health Expenditure
Database is based on the definition used by the Organisation for Economic Co-operation
and Development (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 underway 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 and 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, Public Health and Immunization Fund,
and the Wait Times Reduction Fund.
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National Health Expenditure Trends, 1975–2007
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 (CHST) was restructured to enhance the transparency and accountability of
federal support for health. The CHST 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.
•
Equilization—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, eight provinces receive equalization: Newfoundland and Labrador,
Prince Edward Island, Nova Scotia, New Brunswick, Quebec, Manitoba,
Saskatchewan and British Columbia.
•
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 support 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 the public health capacities of the
Government of Canada, provides provinces and territories with targeted funding to
support immunization programs.
•
Canada Health and Social Transfer (CHST)—on April 1, 1996 the CHST replaced
federal transfers for social assistance under the Canada Assistance Plan (CAP), and
for health and post secondary education under Established Program Financing (EPF).
The CHST was a block fund provided in the form of both cash transfers and tax point
transfers to all provinces/territories in support of health, post-secondary education,
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CIHI 2007
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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.xxiv
•
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 at 1994–1995 levels.xxv
•
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)xxvi—is the unduplicated value of production 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)xxvii—Purchasing Power Parities (PPPs) 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 PPPs rates, will
buy the same basket of goods and services in all countries. Thus PPPs are the rates of
currency conversion, which eliminate differences in price levels between countries.
xxiv. Health Canada, Canada Health Act Annual Report.
xxv. Human Resources Development Canada, Cost Shared Programs, Provincial Entitlements under the Canada
Assistance Plan, February, 1996, (unpublished).
xxvi. Statistics Canada, Guide to the Income and Expenditure Accounts, catalogue 13-603E, 1996,
pp. 137 and 139.
xxvii.OECD Health Data, Organisation for Economic Cooperation and Development, Paris.
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National Health Expenditure Trends, 1975–2007
Major Data Limitations
Data contained in the National Health Expenditure database are estimates. The data
are collected from diverse sources and include varying classes of financial information.
The data are 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, in order to provide the most complete and objective
estimates possible. A series of feasibility studies (e.g. Home Care, Public Health and
Administration) were conducted to determine the advisability and possibility of expanding
estimates in the NHEX database for a number of priority issues. The research papers for
these feasibility studies are available at CIHI’s website (www.cihi.ca). Notwithstanding,
national health expenditure data are estimates and should be used accordingly.
Most private sector expenditures are estimated from survey data. Prior to 1996, the Family
Expenditure Survey by Statistics Canada,xxviii an important source of private sector data,
was not carried out annually; therefore, trend data have been imputed for years between
surveys. Private sector data were 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.
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 613-241-7860, by fax
613-241-8120, or by email [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 Organisation for Economic
Co-operation and Development (OECD) for reporting of 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 health expenses 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.
xxviii.
68
Family Expenditure in Canada, Statistics Canada Catalogue Number 65-555. Statistics Canada,
Periodical, Ottawa.
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National Health Expenditure Trends, 1975–2007
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:
•
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 optometrists
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, ministère de la Santé et des Services sociaux du Québec, the Canadian
Medical Association and the Canadian Healthcare Association.
International Comparisons: Data Comprehensiveness and Boundaries of
Health Care
The OECD 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
2007, 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, 1975–2007
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
•
No departures from OECD/SHA boundaries reported.
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 (e.g. facilities for mental retardation,
emotionally disturbed children).
•
Such items as oral hygiene (e.g. 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.).
•
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 service of
physiotherapists, chiropractors, etc.
•
Expenditure on the systematic evaluation of the 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.”
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Czech Republic
Problems with determinations of boundaries for health care, health-related care and nonhealth care.
Includes:
•
Some health-related function (e.g. training of health workers and health research).
Excludes:
•
Health care provided in social services institutions (e.g. 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.
France
•
Data on health expenditure are 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.
Hungary
Excludes:
•
Private services provided abroad and financed by (voluntary) insurance enterprises.
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;
− voluntary dental care.
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National Health Expenditure Trends, 1975–2007
•
Expenditures made by private insurance companies to supplement co-payments on
health services covered by the national medical insurance schemes.
•
Expenditure made on health insurance to cover medical expenses for residents of Japan
while traveling 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.
Mexico
Includes:
•
Figures for total expenditure also include health related expenditure, consequently for
international comparison these items have to be deducted from total expenditure.
Netherlands
•
Data provided to the OECD Health Data are regrouped according to the SHA-ICHA.
New Zealand
Excludes:
•
New Zealand has not yet incorporated expenditures for capital items in the
OECD reporting.
Norway
•
No departures from OECD/SHA boundaries reported.
Poland
•
No information available on departures from OECD/SHA boundaries and classifications.
Portugal
Exclude:
•
72
No departures from the OECD/SHA boundaries reported.
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National Health Expenditure Trends, 1975–2007
Spain
Excludes:
•
Health care incurred in nursing homes and residential care facilities.
•
Health care incurred by industries in their production process (occupational health care).
•
Private investment in medical facilities only includes hospital capital expenditure.
•
Prevention and public health expenditure includes only public expenditure.
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.
Excludes:
•
Data for private investment in medical facilities is not available.
Turkey
Within OECD Health Data, Turkish health expenditures are reported in an OECD
compatible 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 are 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.
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 613-241-7860, by fax
613-241-8120, or by email [email protected]
Provincial/Territorial Government
Data are 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 are supplemented with information from
provincial/territorial government department annual reports and annual statistical reports
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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 the National Health Expenditure Database 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.
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 are not comparable
before and after calendar year 1999.
Private Sector
Private sector data were 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-for-profit
insurance companies and the Canadian Life and Health Insurance Association, which
survey their 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
are used; the SHS categories of “Other Medicines, Drugs and Pharmaceuticals” (i.e. 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.
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The SHS is an annual survey, which 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 are available for the ten 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 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, other health goods and services are
estimated by CIHI. The SHS category of “Other Medicines, Drugs and Pharmaceuticals”
i.e. not prescribed by a doctor, is replaced with information purchased from the research
company A.C. Nielsen which tracks consumer sales of non-prescribed drugs sold in Canada
at retail. Each year, A.C. Nielsen reports retail sales data for two consistent years for 48 plus
non-prescribed drug categories. Data are reported by sales channel,xxix total dollar sales
volume; and, by regional sales distribution for five regions that includes nine provinces.
Newfoundland and Labrador and the territories are not included. The data is processed by
classifying the non-prescribed drug categories as either over-the-counter drugs or personal
health supplies. Regional sales amounts are separated into nine provinces and estimates for
Newfoundland and Labrador and the territories are calculated, using provincial distributions
of Direct Costs for Health Care from the SHS. Lastly, appropriate provincial and federal sales
taxes are incorporated into the estimates.
The SHS category of Hospital Care is not used; instead the out-of-pocket component
of hospital care is estimated based on revenues from patient services from Statistics
Canada’s Annual Return of Health Care Facilities (HS-2) prior to 1994–1995 and the
Canadian MIS Database (CMDB) thereafter.
Private sector estimates of other institutions are derived from data from Statistics
Canada’s Residential Care Facilities Survey (RCF). Data used from the survey include
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 CIHI’s CMDB thereafter.
xxix. 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 Merchandiser and
Warehouse Clubs, which are estimated from A.C. Nielsen’s household panel data.
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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 Canadian Medical Colleges.
Included are amounts for research funded by national and provincial not-for-profit
foundations such as the Heart and Stroke Foundation of Canada, the National Cancer
Institute of Canada, the Canadian Cancer Society, to name only a few. In addition, funding
from local sources, internal university sources, university and unaffiliated hospitals, and
foreign sources are also included. The sum of these amounts is provincially distributed
according to the reported distribution of total amounts spent on research by the various
faculties of medicine across the country.
Capital expenditure in the private sector is also included as a non-consumption
component category. Additional information on the calculation of capital can be found
in the Calculation Methods section under Capital Expenditure and in the Forecasting
Method section.
Federal Direct
Data on Federal Direct health care spending is estimated from information provided
by federal government organizations supplemented with information from the National
Public Accounts. Federal government health care spending is generally provided
according to the province in which the expenditure was made. Some data, however,
is provided only at the national level, in these cases it is distributed by the appropriate
provincial/territorial population.
Historically, public health and administration in the Federal Direct sector have been
reported as one combined category. In an attempt to break out the category into separate
components for public health and administration, an analysis of more detailed data
available from 1988 to 2003 was undertaken. The estimated distribution between the
categories during this period was applied to the historical data from 1975 to 1987 to
produce separate estimates for public health and administration for the entire time-series.
Municipal Government
Municipal Government health care spending is based on information provided by the Public
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 Quebec Ministry of Health and Social
Services drug subsidy program. The Workers’ Compensation Board data are derived from
special tabulations from each provincial and territorial Workers’ Compensation Board of their
medical aid expenditures. Income replacement and occupational rehabilitation is 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.
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The Workers’ Compensation Boards data is supplemented after 1996 with the portion of
the Régie de l’assurance-maladie du Québec’s drug program that is not funded by the
ministry of health and social services. See the definition of Social Security Funds in the
Concepts and Definitions section of this report for additional information.
Calculation Methods
Calculation of Average Annual Rate of Growth
The Average Annual Rate of Growth is the constant annual rate necessary for a value at
the beginning of a period to grow to a value at the end of a period over the number of
compounding years in the period. The formula used to calculate the average annual rate
of growth is:
=e
(ln(value at end of period)—ln(value at beginning of period))/T
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 were calculated
by adding ¾ of one fiscal year to ¼ 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
(IPI) for government current expenditure, which are used to deflate public sector health
care spending, and the health component of the Consumer Price Index (CPI), which are
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.xxx
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 the
National Health Expenditure database.
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.
xxx.
For example, Guide to the Income and Expenditure Accounts, Statistics Canada catalogue number
13-603E, Statistics Canada, Ottawa.
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The CPI (health) index was forecast to December of the latest year in this report based on
the average of the monthly index up to April of the same year, which was the latest
information available prior to the publication of this report.
Calculation of TOTAL Health Expenditure as a Percentage of Gross
Domestic Product
The Gross Domestic Product (GDP) at market pricesxxxi 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
their 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 the private sectors. Canada
refers to the sum of the ten provinces and three 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.
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 as
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, 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
xxxi. Source: National Accounts and Environment Division, Statistics Canada.
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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 2006 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 2007 capital figures
are based on “intentions.”
Forecasts for the remaining categories in the Federal Direct, Workers’ Compensation
Boards, Municipal Government and the 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 its use. A LOESS smoothing technique was used as well to help in
generating better forecasts in some cases by capturing recent information in the series.
Forecasts of health expenditures are identified in the figures by special symbols and in the
Data Tables by the letter “f.”
Gross Domestic Product figures at both the national and provincial/territorial levels were
forecast for the latest year 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.
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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 are 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)xxxii and Hospital Morbidity
Database (HMDB). The CIHI Case Mix grouping methodology (CMG) 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 fiscal 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 methodology was used from fiscal 2003–2004 to
2005–2006.
In the CMG methodology, patients are assigned to a group according to diagnosis and
surgical procedures. Within each group patients are further classified into a complexity
levelxxxiii based on the number and type of co-morbid diagnoses and the age of the patient.
Once the patient is grouped, a Resource Intensity Weight (RIW)xxxiv is assigned. The
assigned resource intensity weights were then aggregated to generate total weighted
cases by age and sex.
The provincial government hospital expenditure estimate for each province is allocated to a
given age group based on the weighted cases in that age group relative to total weighted
cases. Weighted case information from the DAD and Morbidity Database is for acute
inpatient care only. Weighted cases for the majority of hospital-based ambulatory care
(i.e. day surgery, emergency departments and clinics) are currently only available in one
province. Nevertheless, acute inpatient weighted cases is used as a proxy to distribute
the National Health Expenditure estimate of hospital expenditure financed by provincial
governments, which includes inpatient and ambulatory care.
xxxii. 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.
xxxiii. Following extensive consultation with experts in the field, it is believed that these data have not been
substantially effected by recent concerns regarding complexity.
xxxiv. RIWs are resource allocation algorithms, developed by CIHI for estimating the relative hospital resources
used for a typical case. See <http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=casemix_riw_e>
for more information.
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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, 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%
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 Hospital Morbidity Database. Data for fiscal years 2002–2003 to
2005–2006 in Quebec, as well as for 2003–2004 in Manitoba were unavailable and have
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 the National Health Expenditure database (NHEX). NHEX includes primarily
professional fees, paid by provincial medical care insurance plans to physicians in private
practice but also includes alternative payment methods such as salaries, sessional and
capitation payments.
Fiscal year 1996–1997 data was unavailable from the NPDB for Nova Scotia, and was
estimated using growth rates in the population by age and sex applied to the 1995–1996
fee-for-service data from the NPDB. Data for 1995–1996 was also unavailable from 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-services data from the NPDB.
Yukon fee-for-service data from 1995–1996 onward was used to estimate the Northwest
Territories by applying the 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 the 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 are preliminary estimates.
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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 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 was 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, 11–17, 18–44,
45–64, 65–69, 70–74, 75–79, 80–84, 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 was used as a proxy for Quebec’s
distribution of other institutions expenditure.
Drugs
Provincial government prescribed drug expenditure primarily includes drugs that are
dispensed through provincial drug subsidy programs. The level of coverage under these
programs varies across the country. Universal drug plans with first dollar coverage to
all residents are currently not available in any province. Most provincial government
plans provide prescribed drugs to seniors, and welfare recipients. British Columbia,
Saskatchewan and Manitoba provide some coverage to all residents with an assortment of
substantial individual deductibles and co-payments. 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 are currently
unavailable from Newfoundland and Labrador, Prince Edward Island and Nunavut. Some
data for fiscal year 2005–2006 were obtained from CIHI’s National Prescription Drug
Utilization Information System (NPDUIS).
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.
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Data collected from the New Brunswick Prescription Drug Program consists of ten different
drug plans. Age-sex data were 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 of 1997 this was expanded to
include plans E and F. Minor plans for which age-sex data were not available were
distributed using the overall distribution of plans for which data were available.
The Quebec Ministry of Health and Social Services 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.xxxv
The Ontario Drug Benefits program (ODB) supplied age-sex data, which included combined
prescription drug claims paid by the Ministry of Health 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 fiscal year 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 fiscal year
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 in
calendar year.
Alberta Health and Wellness provided expenditure data by age and sex on their 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 their 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.
xxxv.
See the definition of Social Security Funds in the variables and concepts section of this report for
more information.
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British Columbia Ministry of Health of Health Services supplied claims paid by age and
sex of the client in calendar year from 1996 onward for each plan administered by their
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. Northwest Territories
Department of Health and Social Services supplied data by age and sex for prescription
drug claims paid for Extended Health Benefits (EHB).
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 were 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
that includes 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, co-payments and deductibles also vary from provinces
to province. CIHI requested from each province data for claims that were paid for by
provincial/territorial governments in a given year, by age and sex, and type of service
provided by other health care professionals. Details of data availability and estimation
methods are described below.
Data were unavailable from Prince Edward Island, Manitoba, 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 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-sexdistributed programs were combined to represent a total estimate for the provinces’
other professionals expenditure. Most data were collected in fiscal year and converted
to calendar year (see Calculation Methods).
84
CIHI 2007
National Health Expenditure Trends, 1975–2007
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 co-payment plans. Newfoundland and Labrador age-sex distribution
was based on New Brunswick’s seniors and 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 is based on the 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 co-payment
plans. Dental expenditure by age and sex in Prince Edward Island was based on the
Newfoundland and Labrador Dental Health Plan clients from 3 to 16 years of age. Similarly,
New Brunswick’s dental expenditure for the youth income assistance plan was based on
clients up to 17 years of age 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 professional’s category expenditure was
based on the age-sex distribution for the Northwest Territories. Quebec’s physiotherapy
expenditure is 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 by using the general
provincial/territorial populations by age and sex. This method was used based on two
criteria: (i) 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 (ii) given the uncertainty of illness the availability of facilities has a value for all who
potentially would use them if the need arises.
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.
CIHI 2007
85
National Health Expenditure Trends, 1975–2007
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.
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 are revised to incorporate these enhancements.
Revision History
Provincial Government Sector
Revisions to capital expenditure data are largely responsible for differences in Alberta and
Saskatchewan from previously reported figures.
A methodological review undertaken by CIHI and the Ministère de la Santé et des Services
Sociaux (MSSS) resulted in historical revisions over the period from 1997 to 2004.
Beginning in fiscal 1997–1998, with the reform of Quebec government accounting, the
budgetary structure of the Quebec public accounts was modified resulting in a break in the
time series. With the exception of drug and physician expenditures, the new structure of
the public accounts rendered the task of classifying expenditures by use of funds more
difficult. To ensure the reliability of the time series, CIHI analysts, together with MSSS
officials, devised a cross-walk between the old budgetary structure and the new,
based on estimates provided by the MSSS, as well as historical distributions.
During this period, the Quebec health care system saw numerous changes, such as
decentralization, the redefinition of the roles and mandates of health and social services
institutions, and the creation of Health and Social Service Centres. This both reduced the
precision of estimates based on historical distributions and increased the challenge of
precisely identifying spending by use of funds. For these reasons, and to improve
inter-provincial comparisons, CIHI, in collaboration with the MSSS, developed a new
methodology to determine estimates of provincial government health spending in
Quebec. Estimates were enhanced by using more detailed Departmental data.
While expenditure amounts in most use of funds categories show a relatively smooth
transition to the post-1997 methodology, there exists a break between 1996 and 1997
in other institutions and, to a lesser extent, in hospitals. Under the new methodology,
analysts are able to identify spending in these categories much more precisely, but it is
currently not feasible to extend this prior to 1997, resulting in a break in the time series.
An examination of the pre-1997 period will be the focus of future work.
86
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table 8.
Year
1997
1998
1999
2000
2001
2002
2003
2004
Differences From Previously Reported Provincial Government Sector Data by
Province/Territory and Canada, 1997 to 2004 ($ millions)
N.L. P.E.I.
---------------------------------
N.S.
-----------------
N.B.
-----------------
Que.
-28.7
-129.0
-1.1
158.2
151.7
271.4
472.6
513.9
Ont. Man. Sask.
----------------------------------------------0.1
Alta.
--------------18.5
B.C.
-----------------
Y.T. N.W.T.
---------------------------------
Nun. Canada
---28.7
--- -129.0
---1.1
--158.2
--151.7
--271.4
--472.6
--532.5
Private Sector
New data from not-for profit insurance companies generated revisions in Quebec.
Forecasted health research expenditure for all jurisdictions in 2004 presented in the last
report were replaced by the actual data.
Table 9.
Year
2003
2004
Differences From Previously Reported Private Sector Data by
Province/Territory and Canada, 2003 to 2004 ($ millions)
N.L. P.E.I.
----0.3 ---
N.S.
---3.3
N.B.
-----
Que. Ont. Man. Sask.
87.7 ------7.6 -55.7
3.4
0.1
Alta.
--8.5
B.C.
--11.4
Y.T. N.W.T.
---------
Nun. Canada
--87.7
---27.7
Federal Direct Sector
Updated historical information on health expenditure by the First Nations and Inuit Health
Branch of Health Canada is responsible for changes in this sector.
Table 10.
Year
2002
2003
2004
Differences From Previously Reported Federal Direct Sector Data by
Province/Territory and Canada, 2002 to 2004 ($ millions)
N.L. P.E.I.
---------0.4 -0.1
N.S.
-----0.6
N.B.
-----0.5
Que.
-----5.1
Ont. Man. Sask.
-------------8.4 -0.8 -0.7
Alta.
-----2.2
B.C. Y.T. N.W.T. Nun. Canada
--0.3
----0.3
--0.1
----0.1
-2.8 -------21.6
Municipal Government Sector
Municipal government data is from Statistics Canada’s Financial Management System.
The revisions presented in Table 12 below are due to revised revenue and expenditure
estimates by Statistics Canada.
Table 11.
Differences From Previously Reported Municipal Government Sector Data by
Province/Territory and Canada, 2003 to 2004 ($ millions)
Year N.L. P.E.I. N.S. N.B. Que.
2003 --0.2 0.1 -1.0 1.7
2004 --0.2 ---1.2 ---
CIHI 2007
Ont. Man. Sask. Alta. B.C. Y.T. N.W.T. Nun. Canada
-0.1 -0.1 -1.1 0.1 -2.6 -------2.7
5.6
0.1 -3.2 ---7.4 --0.1
-1.1
-7.0
87
National Health Expenditure Trends, 1975–2007
Social Security Fund Sector
Changes in Social Security data from 1992 to 2004 are the result of updated historical
information. The Ontario revisions from 1992 to 2004 are summarized in Table 12 below.
Table 12.
Year
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
N.L.
---------------------------
Differences From Previously Reported Social Security Fund Data by
Province/Territory and Canada, 1992 to 2004 ($ millions)
P.E.I.
---------------------------
N.S.
---------------------------
N.B.
---------------------------
Que.
---------------------------
Ont.
-56.5
-58.9
-63.2
-71.5
-54.0
-33.1
-36.6
-33.6
-43.3
-46.6
-45.1
-52.5
-44.1
Man. Sask. Alta.
-------------------------------------------------------------------------------
B.C.
---------------------------
Y.T. N.W.T. Nun. Canada
-------56.5
-------58.9
-------63.2
-------71.5
-------54.0
-------33.1
-------36.6
-------33.6
-------43.3
-------46.6
-------45.1
-------52.5
-------44.1
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, 613-241-7860 or by
email [email protected]
Economic and Demographic Data
Statistics Canada recently revised their population estimates. The estimates in this report
are now based on the latest released data of July 2007.
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.
88
CIHI 2007
National Health Expenditure Trends, 1975–2007
•
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 and Yukon Territories—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 Defense
−
Solicitor General of Canada
−
Statistics Canada
−
Citizenship and Immigration Canada
−
Several organizations that are responsible for administering research funds from
federal government such as Canada Foundation for Innovation, Canadian Health
Services Research Foundation and the Canadian Institute for Advanced Research
Municipal Government Sector
•
Special tabulation purchased from the Public Institutions Division of Statistics Canada.
Social Security Funds Sector
•
Special tabulations on medical aid spending provided by the provincial/territorial
Workers’ Compensation Boards
•
Annual Reports of provincial/territorial Workers’ Compensation Boards
•
Annual Report of the Régie de l’assurance-maladie du Québec
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 (CLHIA).
Out-of-Pocket Component
−
Survey of Household Spending (SHS), (formerly the Family Expenditures Survey
(FAMEX)), Statistics Canada except for the following categories:
CIHI 2007
89
National Health Expenditure Trends, 1975–2007
•
−
Hospitals—(adjusted revenues from patient services) Annual Return of Health Care
Facilities, fielded by Statistics Canada to 1994–1995, and the Canadian MIS
Database (CMDB) administered by CIHI from 1995–1996 and 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
AC Nielsen Canada
Non-Consumption Component
−
Hospitals—(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 Canadian Medical Colleges, Canadian Medical
Education Statistics, Expenditure for Biomedical and Health Care Research of
Canadian Faculties of Medicine by Source of Funds
Age and Sex Data
•
CIHI’s Discharge Abstract Database (DAD) and Hospital Morbidity Database (HMDB)
•
CIHI’s National Physician Database (NPDB)
•
Special tabulations provided by provincial/territorial government departments
responsible for administering drug and other health benefit programs
•
Statistic Canada’s Residential Care Facility Survey (RCF)
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 Institutions Division of Statistics Canada
•
Price Indices
90
−
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
CIHI 2007
National Health Expenditure Trends, 1975–2007
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—Total 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, Source of Finance, by Province/Territory
E—Provincial/Territorial Government Health Expenditure, by Selected Uses of Funds, by
Age and Sex, by Province/Territory and Canada
F—Provincial/Territorial Government Health Expenditure, by Province/Territory and
Canada, in Fiscal Years
Each series generally follows the order below except as indicated. In addition, tables
in A.3, Series C, Series D, Series E, 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)
CIHI 2007
91
National Health Expenditure Trends, 1975–2007
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 sub-series also include a table of annual percentage changes.
In all tables, forecasts are denoted with the letter “f” and the symbol “---” denotes data
that is either unavailable or not applicable.
92
CIHI 2007
Series A
Summary Data, Canada
National Health Expenditure Trends, 1975–2007
Table A.1
Total Health Expenditure, Canada, 1975 to 2007—Summary
Year
Total Health Expenditure in Current Dollars
Total
Per Capita
($’ 000,000)
($)
Total Health Expenditure in Constant 1997 Dollars
Total
Per Capita
($’ 000,000)
($)
Total Health Expenditure as a % of GDP
(%)
1975
1976
12,199.4
14,049.8
527.1
599.1
39,691.4
40,773.8
1,715.0
1,738.8
7.0
7.0
1977
1978
1979
15,450.0
17,106.8
19,169.7
651.2
713.9
792.1
41,617.0
42,948.7
44,214.8
1,754.1
1,792.3
1,826.9
7.0
7.0
6.8
1980
1981
22,298.4
26,276.7
909.5
1,058.7
46,682.1
48,791.9
1,904.1
1,965.8
7.1
7.3
1982
1983
1984
30,759.1
34,038.6
36,743.1
1,224.6
1,341.8
1,434.8
51,101.7
53,092.6
55,050.2
2,034.5
2,093.0
2,149.8
8.1
8.3
8.2
1985
1986
39,841.7
43,337.3
1,541.7
1,660.4
57,472.9
60,277.0
2,223.9
2,309.4
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
61,937.8
64,637.3
67,577.8
2,341.8
2,412.3
2,477.0
8.4
8.3
8.5
1990
1991
61,022.6
66,289.1
2,203.2
2,364.8
69,789.6
72,607.7
2,519.7
2,590.2
9.0
9.7
1992
1993
1994
69,749.2
71,498.9
73,022.2
2,458.8
2,492.8
2,518.1
74,103.6
74,709.5
75,173.4
2,612.3
2,604.8
2,592.3
10.0
9.8
9.5
1995
1996
74,004.4
74,642.8
2,525.6
2,520.8
75,449.5
75,683.1
2,574.9
2,555.9
9.1
8.9
1997
1998
1999
78,673.7
83,953.0
90,127.1
2,630.6
2,783.9
2,964.3
78,673.7
82,742.5
87,268.4
2,630.6
2,743.7
2,870.3
8.9
9.2
9.2
2000
2001
2002
2003
2004
98,258.8
107,063.3
115,139.0
123,887.2
131,812.1
3,201.8
3,451.3
3,670.1
3,911.9
4,122.4
91,791.2
97,951.8
102,549.9
107,653.9
112,244.8
2,991.0
3,157.6
3,268.8
3,399.3
3,510.5
9.1
9.7
10.0
10.2
10.2
2005
2006 f
2007 f
141,241.2
150,269.2
160,133.5
4,372.9
4,606.2
4,867.4
117,210.0
121,932.7
126,914.2
3,628.8
3,737.6
3,857.7
10.3
10.4
10.6
1976 #
15.2
13.7
2.7
1.4
---
1980
1981
1982
1983
1984
16.3
17.8
17.1
10.7
7.9
14.8
16.4
15.7
9.6
6.9
5.6
4.5
4.7
3.9
3.7
4.2
3.2
3.5
2.9
2.7
-----------
1985
1986
8.4
8.8
7.4
7.7
4.4
4.9
3.5
3.8
-----
1987
1988
8.0
8.9
6.5
7.5
2.8
4.4
1.4
3.0
-----
1989
10.1
8.1
4.5
2.7
---
1990
8.8
7.2
3.3
1.7
---
1991
1992
1993
8.6
5.2
2.5
7.3
4.0
1.4
4.0
2.1
0.8
2.8
0.9
-0.3
-------
(annual percentage change) #
1994
2.1
1.0
0.6
-0.5
---
1995
1.3
0.3
0.4
-0.7
---
1996
1997
1998
0.9
5.4
6.7
-0.2
4.4
5.8
0.3
4.0
5.2
-0.7
2.9
4.3
-------
1999
7.4
6.5
5.5
4.6
---
2000
9.0
8.0
5.2
4.2
---
2001
2002
2003
9.0
7.5
7.6
7.8
6.3
6.6
6.7
4.7
5.0
5.6
3.5
4.0
-------
2004
6.4
5.4
4.3
3.3
---
2005
2006 f
7.2
6.4
6.1
5.3
4.4
4.0
3.4
3.0
-----
2007 f
6.6
5.7
4.1
3.2
---
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f–Forecast
94
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table A.2.1
Total Health Expenditure by Source of Finance, Canada, 1975 to 2007—Current Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
12,199.4
A
B
C
1975
8,709.3
398.3
71.6
121.1
9,300.3
2,899.2
1976
10,129.9
439.7
105.8
141.9
10,817.2
3,232.6
14,049.8
1977
11,102.0
475.2
114.2
153.1
11,844.6
3,605.4
15,450.0
Year
($’ 000,000)
1978
12,269.4
485.6
111.7
173.8
13,040.5
4,066.3
17,106.8
1979
13,696.6
512.8
156.0
186.8
14,552.3
4,617.4
19,169.7
1980
15,794.1
582.1
234.0
231.7
16,841.8
5,456.5
22,298.4
1981
18,655.5
692.7
275.4
319.0
19,942.6
6,334.1
26,276.7
1982
22,002.1
854.8
250.8
339.1
23,446.8
7,312.3
30,759.1
1983
24,510.1
994.9
222.2
352.7
26,080.0
7,958.6
34,038.6
1984
26,243.9
1,106.1
214.5
392.3
27,956.9
8,786.3
36,743.1
1985
28,202.8
1,157.7
273.1
461.3
30,094.9
9,746.9
39,841.7
1986
30,501.5
1,260.8
310.2
456.2
32,528.6
10,808.7
43,337.3
1987
32,821.9
1,349.7
404.6
478.5
35,054.7
11,733.5
46,788.2
1988
35,806.2
1,522.8
303.5
530.3
38,162.8
12,796.4
50,959.2
1989
39,332.1
1,686.6
326.4
566.0
41,911.1
14,184.3
56,095.5
1990
42,469.7
1,970.4
364.6
640.8
45,445.5
15,577.1
61,022.6
1991
46,176.8
2,110.0
374.7
720.8
49,382.2
16,906.9
66,289.1
1992
48,337.8
2,199.9
396.9
702.6
51,637.3
18,112.0
69,749.2
1993
48,572.6
2,280.9
383.7
683.6
51,920.8
19,578.1
71,498.9
1994
48,885.6
2,519.8
446.1
683.9
52,535.5
20,486.8
73,022.2
1995
48,936.4
2,667.0
394.9
720.9
52,719.1
21,285.3
74,004.4
1996
49,095.6
2,606.2
348.1
773.1
52,823.0
21,819.7
74,642.8
1997
51,174.9
2,828.0
318.7
918.3
55,239.9
23,433.8
78,673.7
1998
54,433.7
3,027.5
765.9
1,010.4
59,237.5
24,715.5
83,953.0
1999
58,349.2
3,152.9
565.4
1,141.2
63,208.7
26,918.4
90,127.1
2000
63,639.6
3,614.5
690.3
1,327.5
69,271.8
28,986.9
98,258.8
2001
68,546.1
4,263.1
775.8
1,433.9
75,018.9
32,044.4
107,063.3
2002
73,495.2
4,358.3
825.4
1,516.2
80,195.1
34,944.0
115,139.0
2003
79,333.3
4,990.6
921.5
1,743.0
86,988.5
36,898.7
123,887.2
2004
84,624.4
5,059.2
1,052.8
1,864.0
92,600.4
39,211.7
131,812.1
2005
90,745.7
5,288.6
1,074.0
1,965.1
99,073.3
42,167.9
141,241.2
2006 f
96,997.8
5,468.5
1,147.1
2,100.2
105,713.6
44,555.6
150,269.2
2007 f
103,827.5
5,748.6
1,214.6
2,244.5
113,035.2
47,098.3
160,133.5
(annual percentage change) #
1976 #
16.3
10.4
47.6
17.2
16.3
11.5
15.2
1980
15.3
13.5
50.0
24.0
15.7
18.2
16.3
1981
18.1
19.0
17.7
37.7
18.4
16.1
17.8
1982
17.9
23.4
-8.9
6.3
17.6
15.4
17.1
10.7
1983
11.4
16.4
-11.4
4.0
11.2
8.8
1984
7.1
11.2
-3.5
11.2
7.2
10.4
7.9
1985
7.5
4.7
27.3
17.6
7.6
10.9
8.4
1986
8.2
8.9
13.6
-1.1
8.1
10.9
8.8
1987
7.6
7.1
30.4
4.9
7.8
8.6
8.0
1988
9.1
12.8
-25.0
10.8
8.9
9.1
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
8.7
7.1
2.8
12.5
8.7
8.5
8.6
1992
4.7
4.3
6.0
-2.5
4.6
7.1
5.2
1993
0.5
3.7
-3.3
-2.7
0.5
8.1
2.5
1994
0.6
10.5
16.2
0.0
1.2
4.6
2.1
1995
0.1
5.8
-11.5
5.4
0.3
3.9
1.3
1996
0.3
-2.3
-11.9
7.2
0.2
2.5
0.9
1997
4.2
8.5
-8.4
18.8
4.6
7.4
5.4
1998
6.4
7.1
140.3
10.0
7.2
5.5
6.7
1999
7.2
4.1
-26.2
12.9
6.7
8.9
7.4
2000
9.1
14.6
22.1
16.3
9.6
7.7
9.0
2001
7.7
17.9
12.4
8.0
8.3
10.5
9.0
2002
2003
7.2
7.9
2.2
14.5
6.4
11.6
5.7
15.0
6.9
8.5
9.0
5.6
7.5
7.6
2004
6.7
1.4
14.2
6.9
6.5
6.3
6.4
2005
7.2
4.5
2.0
5.4
7.0
7.5
7.2
2006 f
6.9
3.4
6.8
6.9
6.7
5.7
6.4
2007 f
7.0
5.1
5.9
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
6.9
6.9
5.7
6.6
CIHI 2007
CIHI 2007
95
National Health Expenditure Trends, 1975–2007
Table A.2.2
Total Health Expenditure by Source of Finance, Canada, 1975 to 2007—Current Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
1975
71.4
3.3
0.6
1.0
76.2
23.8
100.0
1976
72.1
3.1
0.8
1.0
77.0
23.0
100.0
Year
1977
C
Social
Security Funds
(percentage distribution of $’ 000,000)
71.9
3.1
0.7
1.0
76.7
23.3
100.0
1978
71.7
2.8
0.7
1.0
76.2
23.8
100.0
1979
71.4
2.7
0.8
1.0
75.9
24.1
100.0
1980
70.8
2.6
1.0
1.0
75.5
24.5
100.0
1981
71.0
2.6
1.0
1.2
75.9
24.1
100.0
1982
71.5
2.8
0.8
1.1
76.2
23.8
100.0
1983
72.0
2.9
0.7
1.0
76.6
23.4
100.0
1984
71.4
3.0
0.6
1.1
76.1
23.9
100.0
1985
70.8
2.9
0.7
1.2
75.5
24.5
100.0
1986
70.4
2.9
0.7
1.1
75.1
24.9
100.0
1987
70.1
2.9
0.9
1.0
74.9
25.1
100.0
1988
70.3
3.0
0.6
1.0
74.9
25.1
100.0
1989
70.1
3.0
0.6
1.0
74.7
25.3
100.0
1990
69.6
3.2
0.6
1.1
74.5
25.5
100.0
1991
69.7
3.2
0.6
1.1
74.5
25.5
100.0
1992
69.3
3.2
0.6
1.0
74.0
26.0
100.0
1993
67.9
3.2
0.5
1.0
72.6
27.4
100.0
1994
66.9
3.5
0.6
0.9
71.9
28.1
100.0
1995
66.1
3.6
0.5
1.0
71.2
28.8
100.0
1996
65.8
3.5
0.5
1.0
70.8
29.2
100.0
1997
65.0
3.6
0.4
1.2
70.2
29.8
100.0
1998
64.8
3.6
0.9
1.2
70.6
29.4
100.0
1999
64.7
3.5
0.6
1.3
70.1
29.9
100.0
2000
64.8
3.7
0.7
1.4
70.5
29.5
100.0
2001
64.0
4.0
0.7
1.3
70.1
29.9
100.0
2002
63.8
3.8
0.7
1.3
69.7
30.3
100.0
2003
64.0
4.0
0.7
1.4
70.2
29.8
100.0
2004
64.2
3.8
0.8
1.4
70.3
29.7
100.0
2005
64.2
3.7
0.8
1.4
70.1
29.9
100.0
2006 f
2007 f
64.5
64.8
3.6
3.6
0.8
0.8
1.4
1.4
70.3
70.6
29.7
29.4
100.0
100.0
1976 #
1.0
-4.1
28.2
1.7
1.0
-3.2
---
1980
-0.9
-2.4
28.9
6.6
-0.5
1.6
---
1981
0.2
1.0
-0.1
16.8
0.5
-1.5
---
(annual percentage change) #
1982
0.8
5.4
-22.2
-9.2
0.4
-1.4
---
1983
0.7
5.2
-20.0
-6.0
0.5
-1.6
---
1984
-0.8
3.0
-10.6
3.0
-0.7
2.3
---
1985
-0.9
-3.5
17.4
8.5
-0.7
2.3
---
1986
-0.6
0.1
4.4
-9.1
-0.6
1.9
---
1987
-0.3
-0.8
20.8
-2.8
-0.2
0.5
---
1988
0.2
3.6
-31.1
1.8
0.0
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
0.1
-1.4
-5.4
3.6
0.0
-0.1
---
1992
-0.5
-0.9
0.7
-7.4
-0.6
1.8
---
1993
-2.0
1.1
-5.7
-5.1
-1.9
5.4
---
1994
-1.5
8.2
13.8
-2.0
-0.9
2.5
---
1995
-1.2
4.4
-12.7
4.0
-1.0
2.5
---
1996
-0.5
-3.1
-12.6
6.3
-0.7
1.6
---
1997
-1.1
2.9
-13.1
12.7
-0.8
1.9
---
1998
-0.3
0.3
125.2
3.1
0.5
-1.2
---
1999
-0.2
-3.0
-31.2
5.2
-0.6
1.5
---
2000
0.0
5.2
12.0
6.7
0.5
-1.2
---
2001
-1.1
8.2
3.1
-0.9
-0.6
1.5
---
2002
-0.3
-4.9
-1.1
-1.7
-0.6
1.4
---
2003
0.3
6.4
3.8
6.8
0.8
-1.9
---
2004
0.3
-4.7
7.4
0.5
0.1
-0.1
---
2005
0.1
-2.4
-4.8
-1.6
-0.2
0.4
---
2006 f
0.5
-2.8
0.4
0.5
0.3
-0.7
---
2007 f
0.4
-1.4
-0.6
0.3
0.3
-0.8
---
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
96
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table A.2.3
Total Health Expenditure by Source of Finance, Canada, 1975 to 2007—Current Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
376.32
17.21
3.10
5.23
401.86
125.27
527.13
1976
431.98
18.75
4.51
6.05
461.29
137.85
599.14
1977
467.93
20.03
4.81
6.45
499.22
151.96
651.19
1978
512.01
20.26
4.66
7.25
544.19
169.69
713.87
1979
565.93
21.19
6.45
7.72
601.29
190.79
792.08
1980
644.23
23.74
9.54
9.45
686.97
222.57
909.54
1981
751.62
27.91
11.10
12.85
803.48
255.20
1,058.67
1982
875.97
34.03
9.99
13.50
933.49
291.12
1,224.61
1983
966.22
39.22
8.76
13.90
1,028.11
313.74
1,341.85
Year
($’ per capita)
1984
1,024.85
43.20
8.38
15.32
1,091.74
343.11
1,434.85
1985
1,091.32
44.80
10.57
17.85
1,164.54
377.16
1,541.70
1986
1,168.59
48.30
11.88
17.48
1,246.25
414.11
1,660.36
1987
1,240.96
51.03
15.30
18.09
1,325.38
443.63
1,769.01
1988
1,336.28
56.83
11.33
19.79
1,424.23
477.56
1,901.79
1989
1,441.70
61.82
11.97
20.75
1,536.23
519.92
2,056.15
1990
1,533.34
71.14
13.16
23.13
1,640.78
562.40
2,203.18
1991
1,647.32
75.27
13.37
25.71
1,761.68
603.14
2,364.82
1992
1,704.03
77.55
13.99
24.77
1,820.34
638.49
2,458.83
1993
1,693.50
79.52
13.38
23.83
1,810.23
682.59
2,492.83
1994
1,685.76
86.89
15.38
23.59
1,811.62
706.46
2,518.08
1995
1,670.06
91.02
13.48
24.60
1,799.15
726.40
2,525.55
1996
1,658.03
88.02
11.75
26.11
1,783.90
736.88
2,520.79
1997
1,711.11
94.56
10.66
30.70
1,847.03
783.55
2,630.58
1998
1,805.01
100.39
25.40
33.51
1,964.30
819.56
2,783.86
1999
1,919.14
103.70
18.60
37.54
2,078.97
885.36
2,964.33
2000
2,073.69
117.78
22.49
43.26
2,257.22
944.54
3,201.75
2001
2,209.65
137.42
25.01
46.22
2,418.31
1,032.98
3,451.29
2002
2,342.66
138.92
26.31
48.33
2,556.21
1,113.84
3,670.05
2003
2,505.07
157.59
29.10
55.04
2,746.79
1,165.13
3,911.92
2004
2,646.63
158.23
32.93
58.30
2,896.08
1,226.35
4,122.43
2005
2,809.51
163.73
33.25
60.84
3,067.33
1,305.53
4,372.86
2006 f
2,973.25
167.62
35.16
64.38
3,240.41
1,365.75
4,606.17
2007 f
3,155.96
174.73
36.92
68.23
3,435.84
1,431.61
4,867.45
(annual percentage change) #
1976 #
14.8
9.0
45.7
15.6
14.8
10.0
13.7
1980
13.8
12.0
48.1
22.4
14.2
16.7
14.8
1981
16.7
17.5
16.2
36.0
17.0
14.7
16.4
1982
16.5
21.9
-10.0
5.0
16.2
14.1
15.7
1983
10.3
15.2
-12.3
3.0
10.1
7.8
9.6
1984
6.1
10.1
-4.4
10.2
6.2
9.4
6.9
1985
6.5
3.7
26.1
16.5
6.7
9.9
7.4
1986
7.1
7.8
12.5
-2.1
7.0
9.8
7.7
1987
6.2
5.6
28.7
3.5
6.3
7.1
6.5
1988
7.7
11.4
-26.0
9.4
7.5
7.6
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
7.4
5.8
1.5
11.1
7.4
7.2
7.3
1992
3.4
3.0
4.7
-3.7
3.3
5.9
4.0
1993
-0.6
2.5
-4.4
-3.8
-0.6
6.9
1.4
1994
-0.5
9.3
15.0
-1.0
0.1
3.5
1.0
1995
-0.9
4.7
-12.4
4.3
-0.7
2.8
0.3
1996
-0.7
-3.3
-12.8
6.1
-0.8
1.4
-0.2
1997
3.2
7.4
-9.4
17.6
3.5
6.3
4.4
1998
5.5
6.2
138.3
9.1
6.3
4.6
5.8
1999
6.3
3.3
-26.8
12.0
5.8
8.0
6.5
2000
8.1
13.6
21.0
15.2
8.6
6.7
8.0
2001
6.6
16.7
11.2
6.9
7.1
9.4
7.8
2002
6.0
1.1
5.2
4.6
5.7
7.8
6.3
2003
6.9
13.4
10.6
13.9
7.5
4.6
6.6
2004
5.7
0.4
13.2
5.9
5.4
5.3
5.4
2005
6.2
3.5
1.0
4.4
5.9
6.5
6.1
2006 f
5.8
2.4
5.7
5.8
5.6
4.6
5.3
2007 f
6.1
4.2
5.0
6.0
6.0
4.8
5.7
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
CIHI 2007
CIHI 2007
97
National Health Expenditure Trends, 1975–2007
Table A.2.4
Total Health Expenditure by Source of Finance, Canada, 1975 to 2007—Constant Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
27,834.3
1,272.1
230.4
389.4
29,726.3
9,965.1
39,691.4
1976
28,659.5
1,247.3
304.7
403.8
30,615.2
10,158.6
40,773.8
Year
(in 1997 $’ 000,000)
1977
28,970.1
1,243.4
304.7
402.6
30,920.8
10,696.2
41,617.0
1978
29,826.1
1,184.5
277.9
425.3
31,713.8
11,234.9
42,948.7
1979
30,367.9
1,140.9
354.1
417.5
32,280.4
11,934.4
44,214.8
1980
31,774.8
1,174.0
482.4
469.8
33,901.0
12,781.1
46,682.1
1981
33,201.3
1,236.2
501.6
572.2
35,511.3
13,280.7
48,791.9
1982
35,100.5
1,370.6
410.0
544.4
37,425.5
13,676.3
51,101.7
1983
37,028.7
1,503.6
342.1
537.8
39,412.2
13,680.3
53,092.6
1984
38,230.8
1,609.6
318.2
574.5
40,733.1
14,317.1
55,050.2
1985
39,681.7
1,629.3
389.1
650.0
42,350.0
15,122.9
57,472.9
1986
41,604.7
1,719.5
423.9
623.4
44,371.5
15,905.5
60,277.0
1987
42,868.1
1,764.7
526.9
625.8
45,785.5
16,152.3
61,937.8
1988
45,077.1
1,918.1
382.4
668.9
48,046.4
16,590.9
64,637.3
1989
47,023.6
2,017.2
389.3
676.5
50,106.7
17,471.1
67,577.8
1990
48,187.1
2,237.4
413.7
727.1
51,565.3
18,224.3
69,789.6
1991
50,300.9
2,304.4
409.0
784.7
53,799.0
18,808.8
72,607.7
1992
51,154.3
2,336.9
420.6
744.6
54,656.3
19,447.3
74,103.6
1993
50,743.2
2,393.3
401.3
715.3
54,253.2
20,456.3
74,709.5
1994
50,294.9
2,599.6
461.7
705.2
54,061.4
21,112.1
75,173.4
1995
49,791.4
2,718.3
403.6
734.5
53,647.7
21,801.8
75,449.5
1996
49,771.3
2,642.4
353.2
784.1
53,550.9
22,132.1
75,683.1
1997
51,174.9
2,828.0
318.7
918.3
55,239.9
23,433.8
78,673.7
1998
53,819.7
2,992.0
754.3
1,001.0
58,567.0
24,175.4
82,742.5
1999
56,811.1
3,065.2
551.7
1,111.4
61,539.4
25,729.0
87,268.4
2000
59,410.0
3,369.1
647.5
1,237.5
64,664.1
27,127.1
91,791.2
2001
62,842.4
3,901.8
716.5
1,312.7
68,773.4
29,178.3
97,951.8
2002
65,365.9
3,870.0
738.4
1,346.4
71,320.6
31,229.2
102,549.9
2003
68,646.4
4,314.9
799.3
1,507.1
75,267.6
32,386.3
107,653.9
2004
71,705.8
4,281.4
895.5
1,578.0
78,460.7
33,784.1
112,244.8
2005
74,973.0
4,362.1
891.4
1,623.3
81,849.7
35,360.3
117,210.0
2006 f
78,320.5
4,405.6
930.9
1,698.4
85,355.4
36,577.3
121,932.7
2007 f
81,663.2
4,511.9
958.9
1,771.4
88,905.3
38,008.9
126,914.2
(annual percentage change) #
1976 #
3.0
-2.0
32.2
3.7
3.0
1.9
2.7
1980
4.6
2.9
36.2
12.5
5.0
7.1
5.6
1981
4.5
5.3
4.0
21.8
4.7
3.9
4.5
1982
5.7
10.9
-18.3
-4.9
5.4
3.0
4.7
1983
5.5
9.7
-16.6
-1.2
5.3
0.0
3.9
1984
3.2
7.0
-7.0
6.8
3.4
4.7
3.7
1985
3.8
1.2
22.3
13.1
4.0
5.6
4.4
1986
4.8
5.5
8.9
-4.1
4.8
5.2
4.9
1987
3.0
2.6
24.3
0.4
3.2
1.6
2.8
1988
5.2
8.7
-27.4
6.9
4.9
2.7
4.4
1989
4.3
5.2
1.8
1.1
4.3
5.3
4.5
1990
2.5
10.9
6.3
7.5
2.9
4.3
3.3
1991
4.4
3.0
-1.1
7.9
4.3
3.2
4.0
1992
1.7
1.4
2.8
-5.1
1.6
3.4
2.1
1993
-0.8
2.4
-4.6
-3.9
-0.7
5.2
0.8
1994
-0.9
8.6
15.0
-1.4
-0.4
3.2
0.6
1995
-1.0
4.6
-12.6
4.1
-0.8
3.3
0.4
1996
0.0
-2.8
-12.5
6.8
-0.2
1.5
0.3
1997
2.8
7.0
-9.8
17.1
3.2
5.9
4.0
1998
5.2
5.8
136.7
9.0
6.0
3.2
5.2
1999
5.6
2.4
-26.9
11.0
5.1
6.4
5.5
2000
4.6
9.9
17.4
11.4
5.1
5.4
5.2
2001
5.8
15.8
10.7
6.1
6.4
7.6
6.7
2002
4.0
-0.8
3.0
2.6
3.7
7.0
4.7
2003
5.0
11.5
8.3
11.9
5.5
3.7
5.0
2004
4.5
-0.8
12.0
4.7
4.2
4.3
4.3
2005
4.6
1.9
-0.5
2.9
4.3
4.7
4.4
2006 f
4.5
1.0
4.4
4.6
4.3
3.4
4.0
2007f
4.3
2.4
3.0
4.3
4.2
3.9
4.1
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
98
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table A.2.5
Total Health Expenditure by Source of Finance, Canada, 1975 to 2007—Constant Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
1,202.70
54.97
9.96
16.82
1,284.45
430.59
1,715.04
1976
1,222.16
53.19
12.99
17.22
1,305.57
433.21
1,738.77
Year
(in 1997 $’ per capita)
1977
1,221.03
52.40
12.84
16.97
1,303.25
450.83
1,754.07
1978
1,244.65
49.43
11.60
17.75
1,323.43
468.84
1,792.27
1979
1,254.78
47.14
14.63
17.25
1,333.80
493.12
1,826.92
1980
1,296.08
47.89
19.68
19.16
1,382.81
521.34
1,904.14
1981
1,337.66
49.80
20.21
23.06
1,430.73
535.07
1,965.80
1982
1,397.45
54.57
16.32
21.67
1,490.02
544.49
2,034.51
1983
1,459.72
59.28
13.49
21.20
1,553.68
539.30
2,092.98
1984
1,492.94
62.86
12.42
22.44
1,590.66
559.10
2,149.76
1985
1,535.51
63.05
15.06
25.15
1,638.76
585.19
2,223.95
1986
1,593.98
65.88
16.24
23.88
1,699.98
609.38
2,309.36
1987
1,620.79
66.72
19.92
23.66
1,731.10
610.70
2,341.80
1988
1,682.27
71.58
14.27
24.96
1,793.09
619.17
2,412.26
1989
1,723.63
73.94
14.27
24.80
1,836.64
640.39
2,477.03
1990
1,739.76
80.78
14.94
26.25
1,861.73
657.98
2,519.70
1991
1,794.45
82.21
14.59
27.99
1,919.24
670.99
2,590.23
1992
1,803.31
82.38
14.83
26.25
1,926.77
685.57
2,612.33
1993
1,769.18
83.44
13.99
24.94
1,891.55
713.21
2,604.77
1994
1,734.36
89.64
15.92
24.32
1,864.24
728.02
2,592.26
1995
1,699.23
92.77
13.77
25.06
1,830.84
744.03
2,574.87
1996
1,680.84
89.24
11.93
26.48
1,808.49
747.43
2,555.92
1997
1,711.11
94.56
10.66
30.70
1,847.03
783.55
2,630.58
1998
1,784.65
99.21
25.01
33.19
1,942.07
801.65
2,743.72
1999
1,868.55
100.82
18.15
36.55
2,024.07
846.24
2,870.30
2000
1,935.87
109.78
21.10
40.33
2,107.08
883.93
2,991.01
2001
2,025.79
125.78
23.10
42.32
2,216.98
940.59
3,157.57
2002
2,083.54
123.36
23.54
42.92
2,273.34
995.43
3,268.77
2003
2,167.61
136.25
25.24
47.59
2,376.69
1,022.64
3,399.33
2004
2,242.60
133.90
28.01
49.35
2,453.86
1,056.60
3,510.46
2005
2,321.18
135.05
27.60
50.26
2,534.09
1,094.76
3,628.85
2006 f
2,400.74
135.04
28.53
52.06
2,616.38
1,121.19
3,737.57
2007 f
2,482.25
137.15
29.15
53.84
2,702.38
1,155.33
3,857.71
(annual percentage change) #
1976 #
1.6
-3.2
30.5
2.4
1.6
0.6
1.4
1980
3.3
1.6
34.5
11.1
3.7
5.7
4.2
1981
3.2
4.0
2.7
20.3
3.5
2.6
3.2
1982
4.5
9.6
-19.2
-6.0
4.1
1.8
3.5
1983
4.5
8.6
-17.4
-2.2
4.3
-1.0
2.9
1984
2.3
6.0
-7.9
5.8
2.4
3.7
2.7
1985
2.9
0.3
21.2
12.1
3.0
4.7
3.5
1986
3.8
4.5
7.9
-5.0
3.7
4.1
3.8
1987
1.7
1.3
22.7
-0.9
1.8
0.2
1.4
1988
3.8
7.3
-28.4
5.5
3.6
1.4
3.0
1989
2.5
3.3
0.0
-0.7
2.4
3.4
2.7
1990
0.9
9.2
4.7
5.9
1.4
2.7
1.7
1991
3.1
1.8
-2.3
6.6
3.1
2.0
2.8
1992
0.5
0.2
1.6
-6.2
0.4
2.2
0.9
1993
-1.9
1.3
-5.6
-5.0
-1.8
4.0
-0.3
1994
-2.0
7.4
13.8
-2.5
-1.4
2.1
-0.5
1995
-2.0
3.5
-13.5
3.1
-1.8
2.2
-0.7
1996
-1.1
-3.8
-13.4
5.6
-1.2
0.5
-0.7
1997
1.8
6.0
-10.7
16.0
2.1
4.8
2.9
1998
4.3
4.9
134.8
8.1
5.1
2.3
4.3
1999
4.7
1.6
-27.5
10.1
4.2
5.6
4.6
2000
3.6
8.9
16.3
10.3
4.1
4.5
4.2
2001
4.6
14.6
9.5
4.9
5.2
6.4
5.6
2002
2.9
-1.9
1.9
1.4
2.5
5.8
3.5
2003
4.0
10.5
7.2
10.9
4.5
2.7
4.0
2004
3.5
-1.7
11.0
3.7
3.2
3.3
3.3
2005
3.5
0.9
-1.5
1.8
3.3
3.6
3.4
2006 f
3.4
0.0
3.4
3.6
3.2
2.4
3.0
2007 f
3.4
1.6
2.1
3.4
3.3
3.0
3.2
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
CIHI 2007
CIHI 2007
99
National Health Expenditure Trends, 1975–2007
Table A.3.1.1—Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars
Year
Hospitals Other Institutions
Physicians
B
C
A
Dental Services
Other Professionals
Vision Care
Services
Other
Sub-Total
D
($’ 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
1992
1993
1994
23,866.4
25,716.3
26,670.3
26,744.3
26,172.3
5,748.2
6,345.2
6,788.4
6,797.2
6,922.9
9,245.1
10,205.5
10,448.5
10,498.9
10,731.6
4,139.0
4,467.5
4,690.2
4,926.9
5,217.1
1,402.7
1,484.8
1,535.0
1,587.0
1,683.0
956.6
1,082.7
1,171.6
1,220.4
1,253.7
6,498.3
7,035.0
7,396.8
7,734.3
8,153.8
1995
1996
1997
1998
1999
25,511.6
25,219.7
24,786.0
25,755.7
26,827.7
7,153.2
7,308.6
8,619.4
9,423.9
9,982.4
10,638.0
10,758.8
11,323.7
11,805.2
12,411.3
5,485.2
5,663.4
5,885.8
6,264.6
6,760.7
1,774.4
1,830.1
2,189.2
2,278.1
2,348.8
1,295.7
1,336.7
1,524.8
1,506.9
1,704.3
8,555.3
8,830.2
9,599.8
10,049.7
10,813.7
2000
29,091.6
10,730.5
13,206.8
7,179.5
2,576.4
1,785.7
11,541.6
2001
2002
2003
2004
30,940.2
33,302.6
35,560.8
38,224.2
11,568.5
12,273.2
13,007.9
13,889.2
14,128.6
15,175.9
16,256.6
17,296.9
7,764.5
8,248.1
8,438.8
8,971.6
2,761.1
2,800.0
2,686.1
3,066.9
2,000.3
2,015.9
2,052.5
2,142.2
12,525.9
13,064.0
13,177.3
14,180.6
2005
2006 f
2007 f
40,362.6
43,055.3
45,481.5
14,759.0
15,695.7
16,707.6
18,536.1
19,845.3
21,529.9
9,847.0
10,627.4
11,343.1
3,188.0
3,271.6
3,483.7
2,173.4
2,321.1
2,429.8
15,208.4
16,220.1
17,256.7
1976 #
16.5
21.7
12.6
17.2
15.0
13.3
16.3
1980
1981
1982
1983
1984
15.0
18.2
18.7
10.1
6.4
16.9
13.8
17.1
10.5
4.6
15.1
16.3
15.6
14.3
9.4
15.8
13.8
14.4
7.4
7.9
13.3
24.0
18.7
17.3
16.0
16.5
18.9
17.7
15.2
9.9
15.4
16.2
15.6
10.3
9.9
1985
1986
6.0
8.5
4.9
-0.5
9.4
10.4
12.9
9.2
11.6
8.2
9.8
13.2
12.2
9.4
1987
7.4
5.9
10.0
8.2
7.3
12.9
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
1993
1994
3.7
0.3
-2.1
7.0
0.1
1.8
2.4
0.5
2.2
5.0
5.0
5.9
3.4
3.4
6.1
8.2
4.2
2.7
5.1
4.6
5.4
1995
1996
1997
-2.5
-1.1
-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
3.9
4.2
9.3
5.9
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
7.6
6.8
7.5
7.5
7.8
6.1
6.0
6.8
6.4
7.0
7.4
7.1
6.4
6.2
8.1
6.2
2.3
6.3
9.7
7.2
1.4
-4.1
14.2
4.8
12.0
0.8
1.8
4.4
6.7
8.5
4.3
0.9
7.6
2005
2006 f
2007 f
5.6
6.7
5.6
6.3
6.3
6.4
7.2
7.1
8.5
9.8
7.9
6.7
4.0
2.6
6.5
1.5
6.8
4.7
7.2
6.7
6.4
(annual percentage change) #
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
100
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table A.3.1.1—Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
Capital Public Health Administration
E
F
G
($’ 000,000)
Other Health Spending
Health
Research
Other Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
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
39,841.7
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
6,100.7
6,603.5
6,760.9
2,058.7
2,236.6
2,418.1
2,576.0
2,676.6
6,930.5
7,705.3
8,518.8
9,179.6
9,437.5
2,123.7
2,027.5
2,058.0
2,016.9
2,272.8
2,138.5
2,316.5
2,539.6
2,761.5
3,059.8
1,657.3
1,780.5
1,873.5
2,071.0
2,298.4
667.7
698.6
806.5
793.5
804.2
2,146.9
2,458.9
2,648.7
2,901.7
3,168.8
2,814.6
3,157.5
3,455.2
3,695.2
3,973.0
61,022.6
66,289.1
69,749.2
71,498.9
73,022.2
7,399.0
7,602.1
8,543.7
9,474.1
10,268.8
2,703.6
2,756.0
2,877.5
3,067.0
3,252.3
10,102.6
10,358.1
11,421.2
12,541.0
13,521.1
2,263.1
2,160.0
2,122.0
2,301.5
3,508.9
3,245.0
3,371.5
3,524.7
4,427.1
4,776.8
2,429.9
2,489.8
2,515.7
2,455.2
2,759.9
808.2
819.9
1,089.7
1,165.4
1,142.6
3,297.5
3,326.3
3,671.6
4,028.3
4,382.7
4,105.6
4,146.1
4,761.2
5,193.6
5,525.3
74,004.4
74,642.8
78,673.7
83,953.0
90,127.1
11,769.0
3,322.7
15,091.7
3,965.5
5,427.5
3,101.4
1,405.0
4,697.2
6,102.1
98,258.8
13,230.5
14,857.4
16,547.7
18,032.6
3,446.3
3,601.4
3,656.6
3,819.1
16,676.8
18,458.8
20,204.3
21,851.7
4,508.7
4,936.4
5,609.0
5,518.0
6,235.4
6,524.7
7,637.8
7,739.4
3,731.1
4,215.7
4,785.0
5,083.6
1,918.5
1,908.1
2,151.8
2,296.6
4,829.7
5,279.8
5,496.5
5,731.8
6,748.2
7,187.9
7,648.3
8,028.4
107,063.3
115,139.0
123,887.2
131,812.1
19,352.1
20,913.8
22,473.0
3,988.3
4,187.2
4,422.8
23,340.4
25,101.0
26,895.8
6,605.2
6,790.7
7,343.5
8,462.9
8,962.0
9,362.9
5,374.0
5,456.7
5,719.5
2,390.7
2,395.7
2,550.8
6,202.0
6,746.7
7,285.2
8,592.7
9,142.3
9,836.0
141,241.2
150,269.2
160,133.5
14.5
3.4
11.3
1.5
25.5
5.3
12.5
13.6
13.2
15.2
11.7
29.2
14.7
9.5
7.0
18.3
11.7
9.2
18.3
25.2
13.6
23.7
13.2
11.9
12.2
36.6
12.2
25.5
3.0
4.7
19.6
19.0
14.3
8.0
10.9
13.4
23.3
9.8
10.2
17.5
16.6
14.1
11.6
15.2
13.3
25.1
34.3
16.2
14.0
7.8
22.3
27.9
14.9
14.4
9.3
16.3
17.8
17.1
10.7
7.9
13.8
17.6
16.7
13.2
14.7
16.2
9.8
9.1
10.1
3.6
7.6
6.7
13.1
18.8
16.1
16.6
15.3
17.2
8.4
8.8
(annual percentage change) #
9.1
15.9
11.3
3.9
5.8
2.9
-0.2
13.1
9.3
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
8.2
2.4
8.1
6.5
3.9
10.6
7.8
2.8
1.5
-2.0
12.7
9.6
8.7
10.8
5.2
10.5
11.0
15.4
-1.6
1.4
7.7
9.6
9.2
9.4
6.9
7.5
5.2
2.5
2.1
9.4
2.7
12.4
1.0
1.9
4.4
7.0
2.5
10.3
-0.4
-4.6
-1.8
6.1
3.9
4.5
5.7
2.5
1.0
0.5
1.4
32.9
4.1
0.9
10.4
3.3
1.0
14.8
1.3
0.9
5.4
10.9
8.4
6.6
6.0
9.8
7.8
8.5
52.5
25.6
7.9
-2.4
12.4
6.9
-2.0
9.7
8.8
9.1
6.4
6.7
7.4
14.6
12.4
12.3
11.4
9.0
2.2
3.7
4.5
1.5
4.4
11.6
10.5
10.7
9.5
8.2
13.0
13.7
9.5
13.6
-1.6
13.6
14.9
4.6
17.1
1.3
12.4
20.3
13.0
13.5
6.2
23.0
36.6
-0.5
12.8
6.7
7.2
2.8
9.3
4.1
4.3
10.4
10.6
6.5
6.4
5.0
9.0
9.0
7.5
7.6
6.4
7.3
8.1
7.5
4.4
5.0
5.6
6.8
7.5
7.2
19.7
2.8
8.1
9.3
5.9
4.5
5.7
1.5
4.8
4.1
0.2
6.5
8.2
8.8
8.0
7.0
6.4
7.6
7.2
6.4
6.6
CIHI 2007
CIHI 2007
101
National Health Expenditure Trends, 1975–2007
Table A.3.1.2—Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars
Hospitals Other Institutions
Physicians
Dental Services
Other Professionals
Vision Care
Services
Other
A
B
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
1992
1993
1994
39.1
38.8
38.2
37.4
35.8
9.4
9.6
9.7
9.5
9.5
15.2
15.4
15.0
14.7
14.7
6.8
6.7
6.7
6.9
7.1
2.3
2.2
2.2
2.2
2.3
1.6
1.6
1.7
1.7
1.7
10.6
10.6
10.6
10.8
11.2
1995
1996
1997
1998
1999
34.5
33.8
31.5
30.7
29.8
9.7
9.8
11.0
11.2
11.1
14.4
14.4
14.4
14.1
13.8
7.4
7.6
7.5
7.5
7.5
2.4
2.5
2.8
2.7
2.6
1.8
1.8
1.9
1.8
1.9
11.6
11.8
12.2
12.0
12.0
2000
2001
2002
2003
2004
29.6
28.9
28.9
28.7
29.0
10.9
10.8
10.7
10.5
10.5
13.4
13.2
13.2
13.1
13.1
7.3
7.3
7.2
6.8
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
11.3
10.6
10.8
2005
2006 f
2007 f
28.6
28.7
28.4
10.4
10.4
10.4
13.1
13.2
13.4
7.0
7.1
7.1
2.3
2.2
2.2
1.5
1.5
1.5
10.8
10.8
10.8
1976 #
1.2
5.6
-2.3
1.8
-0.1
-1.6
1.0
1980
1981
1982
1983
1984
-1.1
0.3
1.4
-0.5
-1.4
0.5
-3.4
0.1
-0.1
-3.1
-1.1
-1.3
-1.3
3.3
1.3
-0.4
-3.4
-2.3
-3.0
0.0
-2.6
5.2
1.4
6.0
7.5
0.2
0.9
0.5
4.1
1.8
-0.8
-1.4
-1.2
-0.3
1.8
1985
-2.3
-3.3
0.9
4.1
3.0
1.2
3.5
1986
1987
1988
-0.3
-0.5
-1.2
-8.5
-1.9
0.5
1.5
1.9
-0.7
0.4
0.3
0.1
-0.5
-0.6
1.1
4.1
4.6
3.6
0.6
0.6
0.8
1989
-0.8
-1.4
-2.7
-0.7
-0.1
5.8
0.3
1990
1991
1992
-1.5
-0.8
-1.4
2.8
1.6
1.7
-0.1
1.6
-2.7
-0.4
-0.6
-0.2
-1.0
-2.6
-1.7
5.5
4.2
2.8
0.3
-0.3
-0.1
1993
-2.2
-2.3
-2.0
2.5
0.9
1.6
2.0
1994
-4.2
-0.3
0.1
3.7
3.8
0.6
3.2
1995
-3.8
2.0
-2.2
3.7
4.0
2.0
3.5
1996
1997
1998
-2.0
-6.8
-2.6
1.3
11.9
2.5
0.3
-0.1
-2.3
2.4
-1.4
-0.3
2.3
13.5
-2.5
2.3
8.2
-7.4
2.3
3.1
-1.9
1999
-3.0
-1.3
-2.1
0.5
-4.0
5.3
0.2
2000
2001
2002
2003
2004
-0.5
-2.4
0.1
-0.8
1.0
-1.4
-1.1
-1.3
-1.5
0.4
-2.4
-1.8
-0.1
-0.4
0.0
-2.6
-0.7
-1.2
-4.9
-0.1
0.6
-1.6
-5.7
-10.8
7.3
-3.9
2.8
-6.3
-5.4
-1.9
-2.1
-0.4
-3.0
-6.3
1.1
2005
2006 f
2007 f
-1.5
0.3
-0.9
-0.8
0.0
-0.1
0.0
0.6
1.8
2.4
1.4
0.2
-3.0
-3.5
-0.1
-5.3
0.4
-1.8
0.1
0.2
-0.2
Year
C
(percentage distribution of $’ 000,000)
Sub-Total
D
(annual percentage change) #
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
102
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table A.3.1.2—Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
E
Capital Public Health Administration
Other Health Spending
Health
Research
Other Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
F
G
(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
7.0
3.1
3.2
3.5
9.5
10.2
10.5
4.1
4.2
4.0
3.8
3.6
3.5
2.4
2.4
2.3
1.0
1.0
1.0
2.5
2.6
2.8
3.4
3.7
3.7
100.0
100.0
100.0
7.3
7.6
3.5
3.5
10.8
11.1
3.7
3.7
3.5
3.5
2.4
2.7
1.0
1.0
3.0
3.2
4.0
4.3
100.0
100.0
8.0
8.2
8.7
9.2
9.3
3.4
3.4
3.5
3.6
3.7
11.4
11.6
12.2
12.8
12.9
3.5
3.1
3.0
2.8
3.1
3.5
3.5
3.6
3.9
4.2
2.7
2.7
2.7
2.9
3.1
1.1
1.1
1.2
1.1
1.1
3.5
3.7
3.8
4.1
4.3
4.6
4.8
5.0
5.2
5.4
100.0
100.0
100.0
100.0
100.0
10.0
10.2
10.9
11.3
11.4
3.7
3.7
3.7
3.7
3.6
13.7
13.9
14.5
14.9
15.0
3.1
2.9
2.7
2.7
3.9
4.4
4.5
4.5
5.3
5.3
3.3
3.3
3.2
2.9
3.1
1.1
1.1
1.4
1.4
1.3
4.5
4.5
4.7
4.8
4.9
5.5
5.6
6.1
6.2
6.1
100.0
100.0
100.0
100.0
100.0
12.0
12.4
12.9
13.4
13.7
3.4
3.2
3.1
3.0
2.9
15.4
15.6
16.0
16.3
16.6
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
3.9
3.9
1.4
1.8
1.7
1.7
1.7
4.8
4.5
4.6
4.4
4.3
6.2
6.3
6.2
6.2
6.1
100.0
100.0
100.0
100.0
100.0
13.7
13.9
14.0
2.8
2.8
2.8
16.5
16.7
16.8
4.7
4.5
4.6
6.0
6.0
5.8
3.8
3.6
3.6
1.7
1.6
1.6
4.4
4.5
4.5
6.1
6.1
6.1
100.0
100.0
100.0
-0.6
-10.2
-3.3
-11.9
9.0
-8.5
-2.3
-1.4
-1.7
---
-4.0
9.6
-2.0
-1.0
-0.8
1.7
-5.2
-6.7
6.9
15.9
-2.3
5.0
-3.3
1.1
4.0
17.5
-4.8
7.2
-6.9
-3.0
2.8
1.0
-2.4
-2.4
2.7
-2.5
4.6
-6.2
-0.5
8.9
0.3
-3.1
-4.7
4.1
5.0
7.6
13.9
-0.7
3.1
-0.1
5.2
8.6
-1.8
3.3
1.3
-----------
4.9
8.1
7.7
4.1
5.8
6.8
1.2
0.3
1.6
-4.8
-0.7
-1.9
4.3
9.2
7.1
7.2
6.3
7.7
-----
1.1
4.2
3.6
7.4
1.1
0.5
3.1
3.2
2.6
-3.8
-6.7
0.0
-2.0
-1.2
-0.7
-4.7
6.1
13.0
-7.6
3.0
5.4
4.8
9.6
7.4
1.3
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
5.6
0.2
2.8
3.9
1.7
5.1
5.1
0.7
-3.5
-4.4
10.3
4.2
6.1
8.5
0.0
7.8
8.7
9.7
-4.0
-0.8
2.4
6.9
6.9
4.0
4.3
5.3
-------
8.0
1.9
6.6
-0.3
1.1
-0.9
5.6
1.7
4.6
-1.7
-5.4
-6.8
4.6
3.0
-0.8
4.3
1.6
-4.1
-0.8
0.6
26.1
2.7
0.0
4.7
2.0
0.1
9.0
-------
3.9
1.0
-0.1
-1.2
2.9
0.4
1.6
42.0
17.7
0.5
-8.5
4.7
0.2
-8.7
2.8
1.3
2.2
-0.9
-----
5.1
3.2
4.4
3.5
2.4
-6.3
-4.8
-2.8
-5.6
-1.8
2.4
1.4
2.9
1.7
1.7
3.7
4.3
1.8
5.6
-7.5
4.2
5.4
-2.7
8.8
-4.8
3.1
10.4
5.1
5.5
-0.1
12.8
25.3
-7.5
4.8
0.3
-1.7
-5.6
1.7
-3.2
-2.0
1.3
1.5
-1.0
-1.1
-1.3
-----------
0.2
1.6
0.8
-2.5
-1.3
-0.9
-0.3
1.1
0.5
11.7
-3.4
1.5
2.0
-0.5
-2.0
-1.3
-4.6
-1.6
-2.9
-5.8
-0.1
1.0
2.2
1.3
-0.1
0.0
1.0
-------
(annual percentage change) #
CIHI 2007
CIHI 2007
103
National Health Expenditure Trends, 1975–2007
Table A.3.1.3—Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars
Year
Hospitals Other Institutions
Physicians
B
C
A
Dental Services
Other Professionals
Vision Care
Services
Other
Sub-Total
D
($’ 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
1989
716.52
761.34
816.30
163.68
176.85
188.45
277.62
296.40
311.81
121.12
130.40
140.04
40.67
44.19
47.74
23.98
26.71
30.56
185.77
201.30
218.34
1990
1991
1992
861.68
917.41
940.19
207.53
226.36
239.31
333.79
364.07
368.34
149.43
159.37
165.34
50.64
52.97
54.11
34.54
38.63
41.30
234.62
250.97
260.76
1993
1994
932.45
902.52
236.99
238.73
366.05
370.07
171.78
179.91
55.33
58.04
42.55
43.23
269.66
281.17
1995
1996
1997
1998
1999
870.64
851.70
828.76
854.05
882.38
244.12
246.82
288.20
312.49
328.33
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
320.98
333.24
355.67
2000
2001
2002
2003
2004
947.95
997.39
1061.52
1122.89
1195.46
349.65
372.92
391.21
410.74
434.38
430.34
455.45
483.73
513.32
540.96
233.94
250.30
262.91
266.47
280.59
83.95
89.01
89.25
84.82
95.92
58.19
64.48
64.26
64.81
67.00
376.08
403.78
416.41
416.09
443.50
2005
2006 f
2007 f
1249.63
1319.76
1382.47
456.94
481.12
507.85
573.88
608.31
654.43
304.86
325.76
344.79
98.70
100.28
105.89
67.29
71.15
73.86
470.86
497.19
524.54
1976 #
15.0
20.1
11.1
15.7
13.5
11.8
14.8
1980
1981
1982
1983
1984
13.6
16.7
17.3
9.0
5.4
15.4
12.4
15.7
9.5
3.7
13.6
14.9
14.2
13.2
8.3
14.3
12.4
13.0
6.3
6.9
11.8
22.4
17.3
16.1
14.9
15.0
17.5
16.3
14.1
8.8
13.9
14.8
14.3
9.2
8.9
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
1989
6.3
7.2
8.0
6.6
6.8
5.2
7.7
7.4
8.7
8.0
11.4
14.4
8.4
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
-3.5
-2.2
2.3
1.1
-1.9
0.1
4.1
2.2
4.3
2.1
2.3
2.1
3.8
2.1
1997
-2.7
16.8
4.2
2.9
18.4
12.9
7.6
1998
1999
3.1
3.3
8.4
5.1
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
6.5
6.7
5.4
5.8
5.2
7.0
8.7
6.0
3.8
10.8
5.7
7.4
2002
2003
2004
6.4
5.8
6.5
4.9
5.0
5.8
6.2
6.1
5.4
5.0
1.4
5.3
0.3
-5.0
13.1
-0.4
0.9
3.4
3.1
-0.1
6.6
2005
2006 f
4.5
5.6
5.2
5.3
6.1
6.0
8.7
6.9
2.9
1.6
0.4
5.7
6.2
5.6
2007 f
4.8
5.6
7.6
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
5.8
5.6
3.8
(annual percentage change) #
104
5.5
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table A.3.1.3—Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
Capital Public Health Administration
E
F
G
($’ per capita)
Other Health Spending
Health
Research
Other Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
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
124.51
47.82
53.60
61.32
147.13
169.23
185.82
63.90
69.02
70.77
58.65
60.16
62.80
37.38
39.48
40.08
14.75
17.35
17.09
37.91
43.76
48.85
52.66
61.11
65.93
1,541.70
1,660.36
1,769.01
139.46
156.25
66.61
72.42
206.07
228.67
70.97
76.71
66.67
71.61
45.74
55.90
18.93
21.57
57.54
66.80
76.46
88.37
1,901.79
2,056.15
175.89
195.09
215.07
74.33
79.79
85.24
250.22
274.88
300.31
76.67
72.33
72.55
77.21
82.64
89.53
59.84
63.52
66.05
24.11
24.92
28.43
77.51
87.72
93.37
101.62
112.64
121.80
2,203.18
2,364.82
2,458.83
230.23
233.14
89.81
92.30
320.05
325.44
70.32
78.38
96.28
105.51
72.20
79.26
27.66
27.73
101.17
109.27
128.83
137.00
2,492.83
2,518.08
252.51
256.73
285.67
314.16
337.75
92.26
93.07
96.21
101.70
106.97
344.77
349.81
381.89
415.86
444.72
77.23
72.95
70.95
76.32
115.41
110.74
113.86
117.85
146.80
157.11
82.93
84.08
84.11
81.41
90.77
27.58
27.69
36.43
38.64
37.58
112.53
112.33
122.76
133.58
144.15
140.11
140.02
159.20
172.22
181.73
2,525.55
2,520.79
2,630.58
2,783.86
2,964.33
383.49
426.50
473.58
522.52
563.97
108.27
111.09
114.79
115.46
119.44
491.76
537.59
588.37
637.98
683.41
129.22
145.34
157.35
177.11
172.58
176.85
201.01
207.97
241.18
242.05
101.06
120.28
134.37
151.09
158.99
45.78
61.84
60.82
67.95
71.83
153.06
155.69
168.29
173.56
179.26
198.84
217.53
229.11
241.51
251.09
3,201.75
3,451.29
3,670.05
3,911.92
4,122.43
599.14
641.07
683.09
123.48
128.35
134.44
722.62
769.42
817.53
204.50
208.15
223.21
262.01
274.71
284.60
166.38
167.26
173.85
74.02
73.43
77.53
192.01
206.80
221.44
266.03
280.24
298.98
4,372.86
4,606.17
4,867.45
13.0
2.1
9.9
0.2
23.9
4.0
11.0
12.1
11.8
13.7
10.2
27.6
13.4
8.4
6.0
16.8
10.3
7.9
17.1
24.0
12.2
22.2
11.8
10.8
11.2
34.9
10.8
24.0
2.0
3.7
18.0
17.6
12.9
6.9
9.8
11.9
21.8
8.5
9.1
16.4
15.1
12.7
10.3
14.1
12.3
23.5
32.6
14.9
12.9
6.8
20.7
26.4
13.6
13.2
8.3
14.8
16.4
15.7
9.6
6.9
12.7
16.4
15.7
12.1
13.7
15.0
8.8
8.0
9.1
2.6
6.6
5.6
12.1
17.6
15.1
15.4
14.2
16.0
7.4
7.7
7.7
12.0
14.4
8.6
9.8
10.9
2.5
0.3
4.4
6.2
1.5
14.1
-1.5
10.7
11.6
17.8
7.9
16.0
6.5
7.5
12.0
8.7
11.0
8.1
7.4
22.2
14.0
16.1
15.6
8.1
12.6
2.6
9.4
0.0
7.8
7.0
11.8
16.0
15.0
7.2
10.9
10.2
7.1
7.3
6.8
5.4
9.9
9.3
6.6
-5.7
0.3
-3.1
7.0
8.3
7.5
6.2
4.0
9.3
3.4
14.1
-2.7
13.2
6.4
8.4
10.8
8.1
5.8
7.3
4.0
1.4
(annual percentage change) #
1.3
2.8
1.7
11.5
9.6
9.8
0.2
8.0
6.3
1.0
8.3
0.0
5.9
-1.5
5.0
4.6
-0.5
3.0
2.3
0.3
1.7
11.3
10.0
0.9
3.4
5.7
1.5
9.2
8.9
-5.6
-2.7
7.6
2.8
3.5
24.6
1.4
0.0
-3.2
0.4
31.6
6.1
-0.2
9.3
8.8
-0.1
13.7
8.2
-0.2
4.4
5.8
7.5
5.2
6.9
51.2
7.0
11.5
-2.8
7.9
5.5
6.5
13.5
1.2
10.6
12.0
12.6
11.3
21.8
6.2
9.4
8.0
11.2
11.0
10.3
2.6
3.3
0.6
9.3
9.4
8.4
12.5
8.3
12.6
13.7
3.5
16.0
19.0
11.7
12.4
35.1
-1.7
11.7
1.7
8.1
3.1
9.4
5.3
5.4
7.8
6.3
6.6
7.9
3.4
7.1
-2.6
0.4
5.2
5.7
3.3
4.0
5.4
6.2
7.0
3.4
3.9
5.7
6.5
18.5
1.8
8.2
4.8
4.6
0.5
3.1
-0.8
7.1
7.7
6.0
5.3
6.1
5.3
6.6
4.7
6.3
7.2
3.6
3.9
5.6
7.1
6.7
5.7
CIHI 2007
CIHI 2007
105
National Health Expenditure Trends, 1975–2007
Table A.3.2.1—Part 1
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars
Year
Hospitals Other Institutions
Physicians
B
C
A
Dental Services
Other Professionals
Vision Care
Services
Other
Sub-Total
D
($’ 000,000)
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
1987
1,522.6
1,700.1
1,796.9
1,039.4
1,104.9
1,197.1
83.6
76.9
76.6
2,435.8
2,672.5
2,917.3
795.5
856.2
918.3
281.8
301.3
358.0
3,513.0
3,829.9
4,193.6
1988
1989
1,903.1
2,001.1
1,270.4
1,312.8
79.6
84.0
3,182.6
3,470.4
1,003.4
1,096.7
419.6
492.2
4,605.6
5,059.3
1990
1991
1992
1993
1994
2,240.3
2,421.4
2,537.8
2,670.0
2,660.6
1,581.4
1,768.3
1,889.9
2,012.9
2,092.0
87.9
90.9
93.8
97.3
102.2
3,756.8
4,061.8
4,272.8
4,500.9
4,781.2
1,177.3
1,237.1
1,295.4
1,376.0
1,479.0
562.1
619.7
679.0
732.6
797.4
5,496.2
5,918.6
6,247.2
6,609.5
7,057.6
1995
1996
1997
1998
1999
2,382.0
2,248.1
2,327.8
2,335.7
2,476.9
2,112.6
2,105.4
2,132.1
2,261.9
2,422.1
109.1
119.5
121.3
143.3
153.0
5,060.2
5,274.1
5,514.8
5,909.1
6,378.9
1,581.3
1,634.9
1,974.7
2,073.5
2,130.0
838.9
884.0
1,068.8
1,028.1
1,184.1
7,480.5
7,793.0
8,558.2
9,010.7
9,692.9
2000
2,664.6
2,574.0
175.3
6,783.6
2,346.1
1,217.2
10,346.9
2001
2002
2003
2004
2,925.6
3,279.4
3,327.5
3,629.0
2,793.5
2,973.4
3,156.4
3,410.7
148.5
259.8
197.4
233.4
7,361.2
7,830.0
8,033.0
8,550.0
2,513.3
2,559.9
2,441.8
2,816.3
1,450.8
1,506.1
1,539.5
1,633.4
11,325.2
11,896.0
12,014.4
12,999.7
2005
2006 f
2007 f
3,898.9
4,297.6
4,386.1
3,681.7
3,887.9
4,249.3
256.1
270.8
272.3
9,398.0
10,142.2
10,829.7
2,964.5
3,046.3
3,244.4
1,718.5
1,855.7
1,935.6
14,081.0
15,044.2
16,009.7
1976 #
1980
1981
1982
1983
1984
19.3
19.6
20.6
20.8
14.0
13.3
12.5
21.7
3.5
14.8
11.0
4.8
10.3
-2.0
-3.5
36.1
17.3
2.4
16.6
13.5
9.8
17.6
9.0
8.7
15.3
12.8
25.3
19.3
17.5
16.8
12.1
15.5
17.6
21.1
15.6
9.5
16.0
13.5
13.2
18.2
11.3
10.5
1985
1986
1987
8.1
11.7
5.7
4.8
6.3
8.3
2.9
-8.0
-0.4
14.1
9.7
9.2
11.8
7.6
7.3
3.9
6.9
18.8
12.7
9.0
9.5
1988
1989
5.9
5.2
6.1
3.3
3.9
5.5
9.1
9.0
9.3
9.3
17.2
17.3
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
(annual percentage change) #
1992
4.8
6.9
3.2
5.2
4.7
9.6
5.6
1993
1994
5.2
-0.4
6.5
3.9
3.7
5.1
5.3
6.2
6.2
7.5
7.9
8.8
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
6.1
7.1
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
6.3
8.5
6.4
6.2
8.1
14.6
-15.3
75.0
-24.0
18.3
6.3
8.5
6.4
2.6
6.4
10.1
7.1
1.9
-4.6
15.3
2.8
19.2
3.8
2.2
6.1
6.7
9.5
5.0
1.0
8.2
2005
2006 f
2007 f
7.4
10.2
2.1
7.9
5.6
9.3
9.7
5.8
0.6
9.9
7.9
6.8
5.3
2.8
6.5
5.2
8.0
4.3
8.3
6.8
6.4
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
106
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table A.3.2.1—Part 2
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
Capital Public Health Administration
E
F
G
($’ 000,000)
Other Health Spending
Health
Research
Other Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
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
1,800.4
1,235.9
1,399.0
1,621.7
2,683.6
3,097.9
3,422.2
414.4
449.9
480.7
-------
269.2
296.4
280.4
102.8
119.7
136.1
118.2
133.0
149.9
221.0
252.7
286.0
9,746.9
10,808.7
11,733.5
2,034.0
2,292.0
1,784.9
1,975.6
3,818.9
4,267.7
351.0
390.4
-----
426.3
660.2
164.1
196.1
177.4
212.9
341.5
408.9
12,796.4
14,184.3
2,593.9
2,861.9
3,192.3
3,558.7
3,673.3
2,058.7
2,236.6
2,418.1
2,576.0
2,676.6
4,652.5
5,098.5
5,610.4
6,134.7
6,349.9
383.4
341.7
363.1
366.7
329.6
-----------
665.4
746.8
805.0
1,060.0
1,226.4
226.2
249.8
265.5
275.6
293.2
243.8
270.9
299.3
351.4
375.3
470.0
520.7
564.8
627.0
668.4
15,577.1
16,906.9
18,112.0
19,578.1
20,486.8
4,033.8
4,273.3
4,933.2
5,443.5
5,689.0
2,703.6
2,756.0
2,877.5
3,067.0
3,252.3
6,737.3
7,029.3
7,810.7
8,510.5
8,941.3
439.1
474.0
364.3
427.5
882.1
-----------
1,274.1
1,309.1
1,291.4
1,110.3
1,333.2
319.4
332.1
358.9
427.8
449.2
431.2
409.4
469.0
487.8
567.6
750.6
741.5
827.9
915.6
1,016.8
21,285.3
21,819.7
23,433.8
24,715.5
26,918.4
6,429.3
3,322.7
9,752.0
830.6
---
1,514.4
532.0
597.0
1,129.0
28,986.9
7,102.5
7,943.9
8,859.8
9,623.2
3,446.3
3,601.4
3,656.6
3,819.1
10,548.8
11,545.3
12,516.5
13,442.3
1,088.8
1,232.5
1,423.5
1,099.2
---------
1,990.1
2,304.3
2,689.4
2,844.8
650.7
720.9
838.7
920.4
573.2
732.5
734.9
632.2
1,223.9
1,453.4
1,573.7
1,552.6
32,044.4
34,944.0
36,898.7
39,211.7
10,252.7
11,066.7
11,708.3
3,988.3
4,187.2
4,422.8
14,241.0
15,253.9
16,131.1
1,480.1
1,325.5
1,320.8
-----
2,876.3
2,805.1
2,878.0
958.0
1,027.7
1,100.0
694.7
642.9
751.0
1,652.8
1,670.6
1,850.9
42,167.9
44,555.6
47,098.3
8.9
7.3
33.2
11.7
4.0
1.8
3.4
18.3
11.7
9.2
18.3
25.2
7.1
11.6
24.3
10.8
9.2
11.0
11.0
100.4
6.7
29.0
-24.1
-1.9
-------------
-14.1
17.0
59.2
-21.4
17.8
44.9
26.0
25.4
5.4
11.1
11.4
11.1
-3.6
10.4
8.5
4.7
5.4
3.4
2.3
16.2
7.2
7.3
7.9
6.8
11.5
18.2
16.1
15.4
8.8
10.4
10.3
17.3
6.0
16.7
13.2
15.9
13.2
15.4
10.5
13.8
8.6
6.9
-------
7.6
10.1
-5.4
12.7
16.4
13.7
8.8
12.5
12.7
10.6
14.3
13.2
10.9
10.9
8.6
13.0
12.7
10.1
10.7
11.6
11.8
-27.0
11.2
-----
52.0
54.9
20.6
19.5
18.3
20.0
19.4
19.7
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
8.1
10.0
6.3
---
7.8
6.3
10.5
8.5
7.1
11.5
3.2
6.5
3.9
9.3
3.5
1.0
-10.1
-----
31.7
15.7
3.8
6.4
17.4
6.8
11.0
6.6
8.1
4.6
9.8
5.9
15.4
1.0
1.9
4.4
6.1
4.3
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
6.0
9.0
5.1
17.3
106.3
-----
-14.0
20.1
19.2
5.0
4.0
16.4
10.6
11.1
5.5
8.9
13.0
10.5
11.8
11.5
8.6
2.2
3.7
4.5
1.5
4.4
9.1
8.2
9.4
8.4
7.4
-5.8
31.1
13.2
15.5
-22.8
-----------
13.6
31.4
15.8
16.7
5.8
18.4
22.3
10.8
16.4
9.7
5.2
-4.0
27.8
0.3
-14.0
11.0
8.4
18.7
8.3
-1.3
7.7
10.5
9.0
5.6
6.3
6.5
7.9
5.8
4.4
5.0
5.6
5.9
7.1
5.8
34.7
-10.4
-0.4
-------
1.1
-2.5
2.6
4.1
7.3
7.0
9.9
-7.5
16.8
6.5
1.1
10.8
7.5
5.7
5.7
(annual percentage change) #
CIHI 2007
CIHI 2007
107
National Health Expenditure Trends, 1975–2007
Table A.3.2.2—Part 1
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars
Hospitals Other Institutions
Physicians
Dental Services
Other Professionals
Vision Care
Services
Other
C
(percentage distribution of $' 000,000)
Sub-Total
Year
A
B
D
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
1987
15.6
15.7
15.3
10.7
10.2
10.2
0.9
0.7
0.7
25.0
24.7
24.9
8.2
7.9
7.8
2.9
2.8
3.1
36.0
35.4
35.7
1988
1989
14.9
14.1
9.9
9.3
0.6
0.6
24.9
24.5
7.8
7.7
3.3
3.5
36.0
35.7
1990
1991
1992
1993
1994
14.4
14.3
14.0
13.6
13.0
10.2
10.5
10.4
10.3
10.2
0.6
0.5
0.5
0.5
0.5
24.1
24.0
23.6
23.0
23.3
7.6
7.3
7.2
7.0
7.2
3.6
3.7
3.7
3.7
3.9
35.3
35.0
34.5
33.8
34.4
1995
1996
1997
1998
1999
11.2
10.3
9.9
9.5
9.2
9.9
9.6
9.1
9.2
9.0
0.5
0.5
0.5
0.6
0.6
23.8
24.2
23.5
23.9
23.7
7.4
7.5
8.4
8.4
7.9
3.9
4.1
4.6
4.2
4.4
35.1
35.7
36.5
36.5
36.0
2000
2001
2002
2003
2004
9.2
9.1
9.4
9.0
9.3
8.9
8.7
8.5
8.6
8.7
0.6
0.5
0.7
0.5
0.6
23.4
23.0
22.4
21.8
21.8
8.1
7.8
7.3
6.6
7.2
4.2
4.5
4.3
4.2
4.2
35.7
35.3
34.0
32.6
33.2
2005
2006 f
2007 f
9.2
9.6
9.3
8.7
8.7
9.0
0.6
0.6
0.6
22.3
22.8
23.0
7.0
6.8
6.9
4.1
4.2
4.1
33.4
33.8
34.0
1976 #
7.0
0.9
-1.1
4.6
3.4
0.5
4.0
1980
1981
1982
1983
1984
1.2
3.9
4.6
4.7
2.6
2.9
-10.9
-0.5
2.0
-5.1
-17.0
-16.9
17.9
7.8
-7.3
-3.9
-5.4
1.8
0.2
-1.6
-4.6
7.9
3.3
7.9
5.8
-2.3
1.3
4.9
6.2
-0.8
-3.9
-2.5
2.4
2.3
0.1
1985
1986
1987
1988
-2.6
0.7
-2.6
-2.9
-5.6
-4.1
-0.2
-2.7
-7.3
-17.0
-8.2
-4.8
2.8
-1.1
0.6
0.0
0.8
-2.9
-1.2
0.2
-6.3
-3.6
9.4
7.5
1.6
-1.7
0.9
0.7
1989
-5.1
-6.8
-4.8
-1.6
-1.4
5.8
-0.9
1990
1.9
9.7
-4.7
-1.4
-2.2
4.0
-1.1
1991
1992
1993
-0.4
-2.2
-2.7
3.0
-0.2
-1.5
-4.7
-3.7
-4.1
-0.4
-1.8
-2.6
-3.2
-2.2
-1.7
1.6
2.3
-0.2
-0.8
-1.5
-2.1
1994
-4.8
-0.7
0.4
1.5
2.7
4.0
2.0
1995
1996
1997
-13.8
-7.9
-3.6
-2.8
-2.8
-5.7
2.7
6.8
-5.4
1.9
1.7
-2.6
2.9
0.9
12.5
1.3
2.8
12.6
2.0
1.6
2.3
1998
-4.9
0.6
12.0
1.6
-0.4
-8.8
-0.2
1999
-2.6
-1.7
-2.0
-0.9
-5.7
5.7
-1.2
2000
2001
2002
2003
2004
-0.1
-0.7
2.8
-3.9
2.6
-1.3
-1.8
-2.4
0.5
1.7
6.4
-23.4
60.4
-28.1
11.3
-1.2
-1.8
-2.5
-2.8
0.2
2.3
-3.1
-6.6
-9.7
8.5
-4.5
7.8
-4.8
-3.2
-0.2
-0.9
-1.0
-3.7
-4.4
1.8
2005
2006 f
2007 f
-0.1
4.3
-3.4
0.4
-0.1
3.4
2.0
0.1
-4.9
2.2
2.1
1.0
-2.1
-2.7
0.8
-2.2
2.2
-1.3
0.7
1.1
0.7
(annual percentage change) #
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f–Forecast
108
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table A.3.2.2—Part 2
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
E
Capital Public Health Administration
Other Health Spending
Health
Research
Other Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
F
G
(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
15.3
12.7
12.9
13.8
27.5
28.7
29.2
4.3
4.2
4.1
-------
2.8
2.7
2.4
1.1
1.1
1.2
1.2
1.2
1.3
2.3
2.3
2.4
100.0
100.0
100.0
15.9
16.2
13.9
13.9
29.8
30.1
2.7
2.8
-----
3.3
4.7
1.3
1.4
1.4
1.5
2.7
2.9
100.0
100.0
16.7
16.9
17.6
18.2
17.9
13.2
13.2
13.4
13.2
13.1
29.9
30.2
31.0
31.3
31.0
2.5
2.0
2.0
1.9
1.6
-----------
4.3
4.4
4.4
5.4
6.0
1.5
1.5
1.5
1.4
1.4
1.6
1.6
1.7
1.8
1.8
3.0
3.1
3.1
3.2
3.3
100.0
100.0
100.0
100.0
100.0
19.0
19.6
21.1
22.0
21.1
12.7
12.6
12.3
12.4
12.1
31.7
32.2
33.3
34.4
33.2
2.1
2.2
1.6
1.7
3.3
-----------
6.0
6.0
5.5
4.5
5.0
1.5
1.5
1.5
1.7
1.7
2.0
1.9
2.0
2.0
2.1
3.5
3.4
3.5
3.7
3.8
100.0
100.0
100.0
100.0
100.0
22.2
22.2
22.7
24.0
24.5
11.5
10.8
10.3
9.9
9.7
33.6
32.9
33.0
33.9
34.3
2.9
3.4
3.5
3.9
2.8
-----------
5.2
6.2
6.6
7.3
7.3
1.8
2.0
2.1
2.3
2.3
2.1
1.8
2.1
2.0
1.6
3.9
3.8
4.2
4.3
4.0
100.0
100.0
100.0
100.0
100.0
24.3
24.8
24.9
9.5
9.4
9.4
33.8
34.2
34.2
3.5
3.0
2.8
-------
6.8
6.3
6.1
2.3
2.3
2.3
1.6
1.4
1.6
3.9
3.7
3.9
100.0
100.0
100.0
-2.4
-7.3
-4.0
-0.5
---
-23.0
13.0
-13.5
-8.3
---
-9.2
14.8
-3.2
-4.5
-7.8
0.1
-3.8
-5.4
8.7
13.4
-5.6
7.1
-4.0
0.3
0.6
69.6
-8.1
11.7
-30.2
-11.2
-----------
-1.0
37.2
-31.9
8.2
31.3
6.1
-9.2
-3.8
2.3
0.6
-6.6
-6.5
-9.3
-3.2
-6.3
-1.7
-7.7
-7.1
-0.8
-3.3
-----------
-0.6
5.8
-2.4
3.6
5.2
2.1
6.8
0.9
2.0
4.1
1.8
2.3
2.5
-2.1
-1.6
-33.0
---------
-3.0
-0.7
-12.8
39.4
1.6
4.9
4.8
10.6
-1.9
1.5
3.8
8.5
-0.3
3.1
4.3
9.5
---------
1.7
-0.1
0.8
0.3
---
39.7
7.8
8.3
8.0
---
3.0
-5.1
-0.7
-10.6
---
-8.2
5.1
4.3
4.7
---
1.7
4.1
3.1
0.1
0.9
-1.4
1.0
2.7
1.2
-17.9
-0.8
-6.6
-------
3.4
0.6
21.8
1.7
-0.8
-4.0
2.4
3.2
8.6
2.1
1.3
2.7
-------
-1.4
-0.7
-1.1
-14.1
---
10.6
1.7
2.1
1.9
---
5.7
3.3
7.5
-2.8
-0.6
-2.8
2.1
1.8
3.5
28.2
5.3
-28.4
-------
0.0
0.2
-8.1
4.9
1.4
0.6
10.6
-7.4
6.7
8.1
-3.6
4.0
-------
(annual percentage change) #
4.6
1.1
3.3
11.3
---
-18.5
13.0
-1.4
4.9
---
-4.0
-2.6
-3.5
89.5
---
10.3
-3.6
6.8
2.0
---
4.9
-0.1
2.6
5.6
2.2
-5.1
-6.2
-4.2
-3.8
-1.7
1.3
-2.2
0.4
2.7
1.1
-12.6
18.6
3.8
9.4
-27.3
-----------
5.5
18.9
6.2
10.5
-0.5
10.0
10.6
1.6
10.2
3.3
-2.3
-13.1
17.2
-5.0
-19.1
3.1
-1.9
8.9
2.5
-7.2
-----------
-0.9
2.2
0.1
-2.9
-0.6
-0.1
-1.5
1.4
0.0
25.2
-15.2
-5.7
-------
-6.0
-7.7
-2.9
-3.2
1.5
1.3
2.2
-12.4
10.5
-1.0
-4.3
4.8
------CIHI 2007
CIHI 2007
109
National Health Expenditure Trends, 1975–2007
Table A.3.2.3—Part 1
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars
Hospitals Other Institutions
Physicians
B
C
A
Dental Services
Other Professionals
Vision Care
Services
Other
Sub-Total
D
($’ per capita)
Year
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
58.92
40.22
3.24
94.26
30.78
10.90
135.94
1986
1987
65.14
67.94
42.33
45.26
2.95
2.90
102.39
110.30
32.80
34.72
11.54
13.54
146.73
158.55
1988
1989
71.02
73.35
47.41
48.12
2.97
3.08
118.78
127.21
37.45
40.20
15.66
18.04
171.88
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
81.29
75.92
77.83
77.45
72.10
71.10
71.29
75.00
3.72
4.03
4.06
4.75
172.69
178.11
184.40
195.95
53.96
55.21
66.03
68.76
28.63
29.85
35.74
34.09
255.29
263.18
286.16
298.79
1999
81.47
79.66
5.03
209.80
70.06
38.95
318.81
2000
2001
2002
2003
2004
86.83
94.31
104.53
105.07
113.50
83.87
90.05
94.78
99.67
106.67
5.71
4.79
8.28
6.23
7.30
221.04
237.29
249.58
253.66
267.40
76.45
81.02
81.60
77.10
88.08
39.66
46.77
48.01
48.61
51.08
337.15
365.08
379.18
379.37
406.57
2005
2006 f
2007 f
120.71
131.73
133.32
113.98
119.17
129.16
7.93
8.30
8.28
290.96
310.89
329.18
91.78
93.38
98.62
53.20
56.88
58.83
435.95
461.15
486.63
(annual percentage change) #
1976 #
17.8
11.1
8.8
15.1
13.8
10.6
14.5
1980
1981
1982
1983
1984
18.0
19.1
19.3
12.8
12.2
20.1
2.2
13.5
9.9
3.8
-3.2
-4.7
34.5
16.2
1.4
12.1
8.4
16.2
7.9
7.7
11.3
23.7
17.9
16.3
15.7
14.0
16.2
19.6
14.4
8.5
12.1
11.8
16.8
10.2
9.5
1985
1986
1987
7.1
10.6
4.3
3.8
5.2
6.9
1.9
-8.9
-1.7
13.0
8.6
7.7
10.8
6.6
5.8
3.0
5.9
17.2
11.6
7.9
8.1
1988
1989
4.5
3.3
4.8
1.5
2.5
3.6
7.7
7.1
7.9
7.4
15.7
15.2
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
3.6
5.6
2.0
4.0
3.5
8.3
4.3
1993
1994
4.1
-1.4
5.3
2.8
2.5
3.9
4.2
5.1
5.1
6.3
6.7
7.7
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
5.2
6.2
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
5.8
2000
6.6
5.3
13.6
5.4
9.1
1.8
2001
8.6
7.4
-16.2
7.4
6.0
17.9
8.3
2002
2003
10.8
0.5
5.2
5.2
73.0
-24.7
5.2
1.6
0.7
-5.5
2.6
1.3
3.9
0.0
2004
8.0
7.0
17.1
5.4
14.2
5.1
7.2
2005
6.4
6.9
8.6
8.8
4.2
4.2
7.2
2006 f
2007 f
9.1
1.2
4.6
8.4
4.7
-0.3
6.8
5.9
1.7
5.6
6.9
3.4
5.8
5.5
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
110
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table A.3.2.3—Part 2
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
Capital Public Health Administration
E
F
G
($’ per capita)
Other Health Spending
Health
Research
Other Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
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
47.82
103.84
16.03
---
10.42
3.98
4.57
8.55
377.16
65.09
68.07
53.60
61.32
118.69
129.39
17.24
18.18
-----
11.36
10.60
4.58
5.15
5.10
5.67
9.68
10.81
414.11
443.63
75.91
84.01
66.61
72.42
142.52
156.43
13.10
14.31
-----
15.91
24.20
6.12
7.19
6.62
7.80
12.74
14.99
477.56
519.92
93.65
102.10
112.53
124.07
126.67
74.33
79.79
85.24
89.81
92.30
167.98
181.89
197.78
213.89
218.97
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
706.46
137.66
144.32
164.95
180.51
92.26
93.07
96.21
101.70
229.93
237.39
261.16
282.21
14.99
16.01
12.18
14.18
---------
43.48
44.21
43.18
36.82
10.90
11.22
12.00
14.19
14.72
13.82
15.68
16.17
25.62
25.04
27.68
30.36
726.40
736.88
783.55
819.56
187.12
106.97
294.08
29.01
---
43.85
14.78
18.67
33.44
885.36
209.50
228.96
253.21
279.76
300.97
108.27
111.09
114.79
115.46
119.44
317.77
340.05
368.00
395.23
420.41
27.07
35.10
39.29
44.95
34.38
-----------
49.35
64.15
73.45
84.92
88.97
17.34
20.98
22.98
26.48
28.79
19.45
18.48
23.35
23.21
19.77
36.79
39.45
46.33
49.69
48.56
944.54
1,032.98
1,113.84
1,165.13
1,226.35
317.43
339.23
355.89
123.48
128.35
134.44
440.90
467.57
490.32
45.82
40.63
40.15
-------
89.05
85.98
87.48
29.66
31.50
33.43
21.51
19.71
22.83
51.17
51.21
56.26
1,305.53
1,365.75
1,431.61
(annual percentage change) #
7.5
2.1
5.7
9.5
---
-15.2
24.3
-4.8
1.0
10.0
5.9
31.6
10.4
2.9
0.8
16.8
10.3
7.9
17.1
24.0
10.2
22.8
9.5
8.1
10.0
97.9
5.4
27.4
-24.8
-2.8
-----------
15.5
57.3
-22.3
16.6
43.5
23.7
4.1
9.8
10.3
10.0
9.0
7.2
3.4
4.4
2.5
14.7
5.9
6.0
6.9
5.8
16.7
14.7
14.1
7.8
9.4
9.3
15.7
12.1
12.7
---
6.6
11.7
7.8
9.6
9.9
16.2
4.6
12.1
14.4
14.3
9.0
7.5
5.4
-----
9.0
-6.6
15.2
12.2
11.4
11.2
13.2
11.7
9.8
7.1
11.5
8.6
10.2
-27.9
---
50.0
19.0
16.8
17.8
7.6
10.7
8.7
9.8
9.2
---
52.1
17.3
17.9
17.6
8.9
11.5
9.0
10.2
2.6
7.3
6.8
7.4
8.3
8.7
-3.3
-11.9
5.0
-------
-0.7
10.9
6.5
13.7
9.1
5.0
12.8
9.8
9.2
13.2
9.4
7.2
8.2
7.2
5.9
10.3
2.1
5.4
2.8
8.1
2.4
-0.1
-11.1
-----
30.2
14.4
2.7
5.2
16.1
5.6
9.8
5.4
6.9
3.5
8.7
4.8
14.3
0.0
0.9
3.4
5.0
3.2
10.0
31.8
6.8
-23.9
-------
2.8
1.7
-2.3
7.8
2.9
7.0
13.7
-6.1
13.4
11.1
-2.2
10.5
2.8
1.4
6.3
9.4
3.7
5.7
5.2
8.1
4.2
16.4
104.7
-----
-14.7
19.1
18.2
4.1
3.1
15.4
9.7
10.2
4.6
8.0
12.0
1.2
8.1
-6.7
---
12.5
17.3
4.2
10.0
6.7
9.3
2.6
7.0
29.7
---
30.0
21.0
-5.0
7.2
9.4
10.6
10.5
3.3
0.6
8.2
7.4
11.9
14.4
-----
14.5
15.6
9.5
15.3
26.4
-0.6
17.4
7.3
7.8
4.6
7.6
3.4
6.4
-23.5
---
4.8
8.7
-14.8
-2.3
5.3
5.5
3.4
4.9
33.3
---
0.1
3.0
8.8
5.4
6.5
6.9
4.9
3.9
4.7
6.0
4.9
-11.3
-1.2
-----
-3.4
1.7
6.2
6.1
-8.4
15.8
0.1
9.9
4.6
4.8
CIHI 2007
CIHI 2007
111
National Health Expenditure Trends, 1975–2007
Table A.3.3.1—Part 1
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars
Year
Hospitals Other Institutions
Physicians
B
C
A
Dental Services
Other Professionals
Vision Care
Services
Other
Sub-Total
D
($’ 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
2,252.1
83.7
44.9
60.5
189.1
1978
1979
6,861.9
7,487.6
1,367.5
1,581.4
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
14,737.7
3,066.5
5,962.1
275.5
130.4
214.6
620.5
1986
1987
1988
15,937.1
17,154.2
18,497.2
2,982.4
3,132.1
3,468.3
6,597.9
7,266.2
7,862.5
287.2
286.3
311.3
146.1
157.3
180.8
260.7
276.4
296.0
693.9
719.9
788.2
1989
20,269.0
3,828.5
8,422.7
350.3
205.6
341.5
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
22,971.6
22,458.2
23,420.0
24,350.7
5,040.7
5,203.2
6,487.2
7,162.0
7,560.3
10,528.9
10,639.3
11,202.4
11,661.9
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
1,038.9
1,120.8
2000
2001
2002
2003
2004
26,426.9
28,014.5
30,023.2
32,233.3
34,595.2
8,156.5
8,775.0
9,299.8
9,851.5
10,478.4
13,031.5
13,980.1
14,916.1
16,059.2
17,063.5
395.9
403.4
418.1
405.7
421.6
230.3
247.8
240.1
244.2
250.6
568.4
549.5
509.8
512.9
508.8
1,194.7
1,200.7
1,168.0
1,162.9
1,181.0
2005
2006 f
2007 f
36,463.7
38,757.8
41,095.4
11,077.4
11,807.8
12,458.3
18,280.0
19,574.5
21,257.6
449.0
485.2
513.4
223.5
225.4
239.3
454.9
465.3
494.3
1,127.4
1,175.9
1,247.0
1976 #
16.4
25.4
12.6
23.8
13.3
15.4
18.3
1980
1981
1982
1983
1984
14.7
18.0
18.5
9.8
5.8
15.2
17.9
17.9
10.4
4.6
15.4
16.7
15.3
14.2
9.5
35.5
42.8
-3.0
-3.5
2.3
15.9
17.1
15.7
16.0
11.3
18.0
20.8
12.9
14.7
10.4
26.3
31.8
4.2
5.2
6.6
1985
5.8
4.9
9.5
3.3
10.8
18.5
9.7
1986
1987
1988
8.1
7.6
7.8
-2.7
5.0
10.7
10.7
10.1
8.2
4.2
-0.3
8.8
12.0
7.7
14.9
21.5
6.0
7.1
11.8
3.8
9.5
(annual percentage change) #
1989
9.6
10.4
7.1
12.5
13.7
15.4
13.9
1990
6.7
8.8
8.7
9.1
9.6
15.5
11.7
1991
1992
1993
7.7
3.6
-0.2
9.8
7.0
-2.3
10.5
2.4
0.5
6.1
2.9
2.1
9.9
-3.3
-11.9
17.4
6.4
-1.0
11.4
3.0
-2.2
1994
-2.3
1.0
2.2
2.3
-3.3
-6.5
-2.5
1995
1996
1997
1998
-1.6
-0.7
-2.2
4.3
4.3
3.2
24.7
10.4
-0.9
1.0
5.3
4.1
-2.5
-8.4
-4.7
-4.2
-5.4
1.1
9.9
-4.6
0.1
-0.9
0.7
5.0
-1.9
-3.5
0.4
-0.3
1999
4.0
5.6
5.1
7.4
6.9
8.6
7.9
2000
2001
2002
2003
2004
8.5
6.0
7.2
7.4
7.3
7.9
7.6
6.0
5.9
6.4
6.3
7.3
6.7
7.7
6.3
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
-0.8
6.6
0.5
-2.7
-0.4
1.6
2005
2006 f
2007 f
5.4
6.3
6.0
5.7
6.6
5.5
7.1
7.1
8.6
6.5
8.1
5.8
-10.8
0.8
6.2
-10.6
2.3
6.2
-4.5
4.3
6.0
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
112
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table A.3.3.1—Part 2
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
Capital Public Health Administration
E
F
G
($’ 000,000)
Other Health Spending
Health
Research
Other Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
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
318.1
93.1
193.7
286.8
11,844.6
327.9
386.4
-----
327.9
386.4
454.8
547.8
615.4
707.0
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
1,139.8
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
---
1,118.7
1,236.9
1,515.7
696.8
278.4
861.6
1,140.0
30,094.9
1,319.2
1,492.7
1,702.8
-------
1,319.2
1,492.7
1,702.8
1,351.5
1,391.1
1,550.7
1,570.2
1,661.0
1,786.6
734.2
779.6
799.2
333.2
315.9
343.0
1,009.1
1,142.0
1,364.3
1,342.3
1,457.9
1,707.3
32,528.6
35,054.7
38,162.8
1,970.9
---
1,970.9
1,702.4
1,953.6
864.8
392.3
1,609.5
2,001.9
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
3,610.5
4,030.5
4,579.8
-----------
3,365.3
3,328.8
3,610.5
4,030.5
4,579.8
1,824.0
1,685.9
1,757.6
1,874.0
2,626.8
3,245.0
3,371.5
3,524.7
4,427.1
4,776.8
1,155.8
1,180.8
1,224.2
1,344.9
1,426.6
488.8
487.7
730.7
737.5
693.4
2,866.2
2,916.9
3,202.6
3,540.5
3,815.1
3,355.0
3,404.6
3,933.4
4,278.0
4,508.5
52,719.1
52,823.0
55,239.9
59,237.5
63,208.7
5,339.7
6,128.0
6,913.5
7,687.9
8,409.4
-----------
5,339.7
6,128.0
6,913.5
7,687.9
8,409.4
3,134.9
3,419.9
3,703.9
4,185.5
4,418.8
5,427.5
6,235.4
6,524.7
7,637.8
7,739.4
1,587.0
1,741.0
1,911.3
2,095.6
2,238.9
872.9
1,267.8
1,187.2
1,313.1
1,376.1
4,100.2
4,256.5
4,547.3
4,761.6
5,099.7
4,973.1
5,524.3
5,734.5
6,074.7
6,475.8
69,271.8
75,018.9
80,195.1
86,988.5
92,600.4
9,099.4
9,847.1
10,764.7
-------
9,099.4
9,847.1
10,764.7
5,125.1
5,465.2
6,022.7
8,462.9
8,962.0
9,362.9
2,497.7
2,651.6
2,841.6
1,432.7
1,368.0
1,450.8
5,507.2
6,103.7
6,534.3
6,939.9
7,471.7
7,985.1
99,073.3
105,713.6
113,035.2
36.1
---
36.1
-2.5
25.5
10.5
8.0
25.9
19.7
16.3
20.3
21.9
20.6
19.6
15.4
-----------
20.3
21.9
20.6
19.6
15.4
16.0
15.2
23.7
17.6
7.0
19.6
19.0
14.3
8.0
10.9
12.4
12.6
22.8
8.1
9.5
13.1
18.1
11.8
16.8
14.2
29.4
40.7
18.5
15.5
8.5
24.3
34.3
16.8
15.8
9.9
15.7
18.4
17.6
11.2
7.2
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
---
13.2
2.9
5.8
6.2
-5.2
13.2
8.6
7.8
14.1
15.7
-----
14.1
15.7
11.5
9.8
7.6
9.3
2.5
8.2
8.6
14.4
19.5
18.0
17.1
17.3
8.9
9.8
15.6
14.4
-----
15.6
14.4
2.2
-3.1
9.5
8.3
14.7
4.2
12.5
1.7
18.2
15.0
17.1
12.5
8.4
8.7
11.6
4.7
1.4
-------
11.6
4.7
1.4
0.5
-2.6
17.8
9.6
8.7
10.8
3.4
-5.4
6.0
20.5
-4.3
-1.3
7.4
8.6
9.5
9.6
6.2
7.7
4.6
0.5
1.2
9.0
-1.1
8.5
-------
9.0
-1.1
8.5
-6.1
-7.6
4.3
6.1
3.9
4.5
7.8
2.2
3.7
-4.4
-0.2
49.8
2.6
1.8
9.8
1.5
1.5
15.5
0.3
0.2
4.6
11.6
13.6
-----
11.6
13.6
6.6
40.2
25.6
7.9
9.9
6.1
0.9
-6.0
10.6
7.8
8.8
5.4
7.2
6.7
16.6
14.8
12.8
11.2
9.4
-----------
16.6
14.8
12.8
11.2
9.4
19.3
9.1
8.3
13.0
5.6
13.6
14.9
4.6
17.1
1.3
11.2
9.7
9.8
9.6
6.8
25.9
45.2
-6.4
10.6
4.8
7.5
3.8
6.8
4.7
7.1
10.3
11.1
3.8
5.9
6.6
9.6
8.3
6.9
8.5
6.5
8.2
8.2
9.3
-------
8.2
8.2
9.3
16.0
6.6
10.2
9.3
5.9
4.5
11.6
6.2
7.2
4.1
-4.5
6.1
8.0
10.8
7.1
7.2
7.7
6.9
7.0
6.7
6.9
(annual percentage change) #
CIHI 2007
CIHI 2007
113
National Health Expenditure Trends, 1975–2007
Table A.3.3.2—Part 1
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars
Hospitals Other Institutions
Physicians
Dental Services
Other Professionals
Vision Care
Services
Other
C
(percentage distribution of $’ 000,000)
Sub-Total
Year
A
B
D
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
1987
49.0
49.0
48.9
10.2
9.2
8.9
19.8
20.3
20.7
0.9
0.9
0.8
0.4
0.4
0.4
0.7
0.8
0.8
2.1
2.1
2.1
1988
1989
48.5
48.4
9.1
9.1
20.6
20.1
0.8
0.8
0.5
0.5
0.8
0.8
2.1
2.1
1990
1991
1992
1993
1994
47.6
47.2
46.7
46.4
44.8
9.2
9.3
9.5
9.2
9.2
20.1
20.5
20.1
20.0
20.2
0.8
0.8
0.8
0.8
0.8
0.5
0.5
0.5
0.4
0.4
0.9
0.9
1.0
0.9
0.9
2.2
2.3
2.2
2.2
2.1
1995
1996
1997
1998
1999
43.9
43.5
40.7
39.5
38.5
9.6
9.9
11.7
12.1
12.0
20.0
20.1
20.3
19.7
19.4
0.8
0.7
0.7
0.6
0.6
0.4
0.4
0.4
0.3
0.3
0.9
0.9
0.8
0.8
0.8
2.0
2.0
1.9
1.8
1.8
2000
2001
2002
2003
2004
38.1
37.3
37.4
37.1
37.4
11.8
11.7
11.6
11.3
11.3
18.8
18.6
18.6
18.5
18.4
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
0.5
1.7
1.6
1.5
1.3
1.3
2005
2006 f
2007 f
36.8
36.7
36.4
11.2
11.2
11.0
18.5
18.5
18.8
0.5
0.5
0.5
0.2
0.2
0.2
0.5
0.4
0.4
1.1
1.1
1.1
1976 #
0.1
7.8
-3.2
6.4
-2.5
-0.8
1.7
1980
1981
1982
1983
1984
-0.9
-0.4
0.8
-1.3
-1.3
-0.5
-0.5
0.3
-0.8
-2.4
-0.3
-1.5
-1.9
2.7
2.1
17.1
20.6
-17.5
-13.2
-4.5
0.2
-1.1
-1.6
4.3
3.9
2.0
2.0
-4.0
3.1
3.0
9.1
11.3
-11.4
-5.4
-0.5
1985
1986
1987
-1.8
0.0
-0.1
-2.6
-10.0
-2.6
1.7
2.4
2.2
-4.0
-3.6
-7.5
3.0
3.6
-0.1
10.1
12.4
-1.6
1.9
3.5
-3.7
1988
1989
-1.0
-0.2
1.7
0.5
-0.6
-2.5
-0.1
2.4
5.6
3.6
-1.6
5.1
0.6
3.7
1990
1991
1992
-1.6
-0.9
-0.9
0.4
1.1
2.4
0.3
1.6
-2.1
0.6
-2.3
-1.6
1.1
1.1
-7.5
6.5
8.0
1.7
3.0
2.5
-1.5
1993
1994
-0.8
-3.5
-2.9
-0.2
-0.1
1.0
1.5
1.1
-12.4
-4.4
-1.5
-7.6
-2.7
-3.7
1995
1996
-2.0
-0.9
4.0
3.0
-1.3
0.9
-2.8
-8.6
-5.7
0.9
-0.2
-1.1
-2.3
-3.7
1997
-6.5
19.2
0.7
-8.9
5.1
-3.7
-4.0
1998
1999
-2.8
-2.6
3.0
-1.1
-2.9
-1.5
-10.7
0.7
-11.0
0.2
-2.1
1.8
-7.0
1.1
2000
2001
2002
2003
2004
-1.0
-2.1
0.3
-1.0
0.8
-1.6
-0.7
-0.9
-2.3
-0.1
-3.0
-0.9
-0.2
-0.7
-0.2
-5.4
-5.9
-3.0
-10.5
-2.4
-4.0
-0.6
-9.4
-6.2
-3.6
-0.3
-10.7
-13.2
-7.2
-6.8
-2.7
-7.2
-9.0
-8.2
-4.6
0.1
0.4
1.6
-0.5
1.3
-1.0
-16.6
-5.5
-0.7
-16.4
-4.1
-0.7
-10.8
-2.3
-0.8
(annual percentage change) #
2005
2006 f
2007 f
#—Refer to electronic tables for annual
f—Forecast
114
-1.5
-0.4
-0.8
percentage change for
-1.2
-0.1
-1.3
the years 1977–1979.
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table A.3.3.2—Part 2
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
E
Capital Public Health Administration
Other Health Spending
Health
Research
Other Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
F
G
(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
5.6
5.9
5.9
-----------
5.0
5.3
5.6
5.9
5.9
3.8
3.4
3.3
3.2
3.7
4.7
4.7
4.9
5.3
5.8
2.2
2.1
2.1
1.9
2.0
1.0
0.9
1.0
1.0
1.0
4.2
4.4
4.5
4.9
5.3
5.2
5.3
5.6
5.9
6.3
100.0
100.0
100.0
100.0
100.0
6.4
6.3
6.5
6.8
7.2
-----------
6.4
6.3
6.5
6.8
7.2
3.5
3.2
3.2
3.2
4.2
6.2
6.4
6.4
7.5
7.6
2.2
2.2
2.2
2.3
2.3
0.9
0.9
1.3
1.2
1.1
5.4
5.5
5.8
6.0
6.0
6.4
6.4
7.1
7.2
7.1
100.0
100.0
100.0
100.0
100.0
7.7
8.2
8.6
8.8
9.1
-----------
7.7
8.2
8.6
8.8
9.1
4.5
4.6
4.6
4.8
4.8
7.8
8.3
8.1
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
5.7
5.5
5.5
7.2
7.4
7.2
7.0
7.0
100.0
100.0
100.0
100.0
100.0
9.2
9.3
9.5
-------
9.2
9.3
9.5
5.2
5.2
5.3
8.5
8.5
8.3
2.5
2.5
2.5
1.4
1.3
1.3
5.6
5.8
5.8
7.0
7.1
7.1
100.0
100.0
100.0
17.0
---
17.0
-16.2
7.9
-5.0
-7.2
8.3
2.9
---
4.0
2.9
2.6
7.5
7.6
-----------
4.0
2.9
2.6
7.5
7.6
0.2
-2.7
5.2
5.7
-0.2
3.3
0.5
-2.8
-2.9
3.4
-2.9
-4.9
4.5
-2.8
2.2
-2.3
-0.3
-4.9
5.0
6.5
11.8
18.8
0.8
3.8
1.2
7.4
13.4
-0.6
4.1
2.5
-----------
10.2
9.1
-----
10.2
9.1
0.8
1.1
2.3
-4.2
0.0
-2.5
5.3
10.7
8.9
8.4
8.0
8.9
-----
5.0
4.8
5.4
-------
5.0
4.8
5.4
-4.5
2.4
0.0
-1.8
-1.2
-0.4
-1.5
-5.8
-1.5
-12.0
-0.3
4.2
5.0
9.7
7.4
0.8
7.6
6.8
-------
(annual percentage change) #
6.6
---
6.6
-5.7
1.0
5.8
3.8
9.0
8.0
---
5.3
---
5.3
-10.9
-0.3
-4.1
-6.4
5.8
3.5
---
6.7
4.1
-----
6.7
4.1
-3.9
-3.2
4.8
8.1
-1.1
-5.9
15.3
-4.8
2.7
8.0
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
3.7
4.1
-------
-1.3
3.7
4.1
-7.7
-0.3
-0.6
3.7
0.0
17.1
2.0
-0.9
2.4
-0.4
43.3
-5.9
1.6
5.0
3.1
1.3
10.5
1.4
-------
6.5
---
6.5
31.4
1.1
-0.6
-11.9
1.0
-1.2
---
6.4
6.0
5.5
2.5
2.8
-----------
6.4
6.0
5.5
2.5
2.8
8.9
0.7
1.3
4.2
-0.8
3.7
6.1
-2.1
7.9
-4.8
1.5
1.3
2.7
1.1
0.4
14.9
34.1
-12.4
2.0
-1.6
-1.9
-4.1
-0.1
-3.5
0.6
0.7
2.6
-2.9
-2.3
0.1
-----------
1.1
1.4
2.2
-------
1.1
1.4
2.2
8.4
-0.1
3.1
2.2
-0.8
-2.3
4.3
-0.5
0.2
-2.7
-10.5
-0.8
0.9
3.9
0.1
0.2
0.9
-0.1
------CIHI 2007
CIHI 2007
115
National Health Expenditure Trends, 1975–2007
Table A.3.3.3—Part 1
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars
Year
Hospitals Other Institutions
Physicians
B
C
A
Dental Services
Other Professionals
Vision Care
Services
Other
Sub-Total
D
($’ 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
1987
570.29
610.59
648.58
118.66
114.26
118.42
230.71
252.78
274.73
10.66
11.00
10.82
5.05
5.60
5.95
8.30
9.99
10.45
24.01
26.58
27.22
1988
1989
690.31
742.95
129.44
140.33
293.43
308.73
11.62
12.84
6.75
7.54
11.05
12.52
29.41
32.89
1990
1991
1992
1993
780.79
831.03
850.73
839.36
150.44
163.28
172.68
166.81
330.62
360.83
365.03
362.65
13.80
14.47
14.71
14.85
8.14
8.84
8.45
7.36
14.24
16.52
17.37
17.01
36.18
39.83
40.53
39.22
1994
810.77
166.59
366.54
15.03
7.04
15.73
37.80
1995
1996
1997
1998
1999
789.34
775.78
750.93
776.60
800.91
172.02
175.72
216.91
237.49
248.66
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
861.12
903.08
956.99
1,017.82
1,081.97
265.78
282.87
296.43
311.08
327.71
424.63
450.66
475.45
507.09
533.66
12.90
13.00
13.33
12.81
13.19
7.50
7.99
7.65
7.71
7.84
18.52
17.71
16.25
16.20
15.91
38.93
38.70
37.23
36.72
36.94
2005
2006 f
2007 f
1,128.92
1,188.03
1,249.14
342.96
361.94
378.68
565.95
600.01
646.15
13.90
14.87
15.61
6.92
6.91
7.27
14.09
14.26
15.02
34.90
36.04
37.90
(annual percentage change) #
1976 #
14.8
23.8
11.1
22.2
11.9
13.9
16.7
1980
1981
1982
1983
1984
13.2
16.5
17.1
8.7
4.8
13.7
16.4
16.5
9.3
3.6
13.9
15.2
13.9
13.1
8.4
33.8
41.1
-4.2
-4.4
1.4
14.4
15.7
14.4
14.8
10.3
16.5
19.3
11.6
13.5
9.3
24.7
30.2
3.0
4.2
5.6
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
5.1
7.2
7.1
7.5
8.0
13.8
10.0
1991
6.4
8.5
9.1
4.9
8.6
16.0
10.1
1992
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
-2.6
3.3
-2.0
-3.5
-6.3
-0.9
-3.0
1996
-1.7
2.1
0.0
-9.4
0.0
-1.9
-4.5
1997
1998
-3.2
3.4
23.4
9.5
4.2
3.2
-5.6
-5.0
8.8
-5.4
-0.3
4.1
-0.6
-1.1
1999
3.1
4.7
4.3
6.5
6.0
7.7
7.0
2000
7.5
6.9
5.3
2.7
4.3
8.3
5.6
2001
2002
2003
4.9
6.0
6.4
6.4
4.8
4.9
6.1
5.5
6.7
0.8
2.5
-3.9
6.4
-4.2
0.8
-4.4
-8.3
-0.3
-0.6
-3.8
-1.4
2004
6.3
5.3
5.2
2.9
1.6
-1.8
0.6
2005
2006 f
4.3
5.2
4.7
5.5
6.1
6.0
5.4
7.0
-11.7
-0.2
-11.5
1.3
-5.5
3.3
2007 f
5.1
4.6
7.7
4.9
5.3
5.3
5.2
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
116
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table A.3.3.3—Part 2
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2007—Current Dollars (cont’d)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
Capital Public Health Administration
E
F
G
($’ per capita)
Other Health Spending
Health
Research
Other Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
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
---
43.29
47.86
58.65
26.96
10.77
33.34
44.11
1,164.54
50.54
56.44
63.55
-------
50.54
56.44
63.55
51.78
52.59
57.87
60.16
62.80
66.67
28.13
29.48
29.83
12.76
11.94
12.80
38.66
43.18
50.92
51.43
55.12
63.72
1,246.25
1,325.38
1,424.23
72.24
---
72.24
62.40
71.61
31.70
14.38
59.00
73.38
1,536.23
82.24
92.99
102.53
106.16
---------
82.24
92.99
102.53
106.16
62.83
60.14
59.75
57.54
77.21
82.64
89.53
96.28
35.81
36.87
37.67
35.25
15.94
16.01
19.07
18.06
68.71
78.05
82.82
88.92
84.65
94.07
101.89
106.97
1,640.78
1,761.68
1,820.34
1,810.23
106.47
---
106.47
67.01
105.51
36.97
17.62
96.33
113.95
1,811.62
114.85
112.42
120.72
133.65
150.63
-----------
114.85
112.42
120.72
133.65
150.63
62.25
56.94
58.77
62.14
86.40
110.74
113.86
117.85
146.80
157.11
39.44
39.88
40.93
44.60
46.92
16.68
16.47
24.43
24.46
22.81
97.82
98.51
107.08
117.40
125.48
114.50
114.98
131.52
141.86
148.29
1,799.15
1,783.90
1,847.03
1,964.30
2,078.97
173.99
197.54
220.37
242.76
263.00
-----------
173.99
197.54
220.37
242.76
263.00
102.15
110.24
118.06
132.16
138.20
176.85
201.01
207.97
241.18
242.05
51.71
56.12
60.92
66.17
70.02
28.44
40.87
37.84
41.46
43.04
133.60
137.21
144.94
150.35
159.49
162.05
178.08
182.79
191.82
202.53
2,257.22
2,418.31
2,556.21
2,746.79
2,896.08
281.72
301.84
327.20
-------
281.72
301.84
327.20
158.67
167.52
183.07
262.01
274.71
284.60
77.33
81.28
86.37
44.36
41.93
44.10
170.51
187.10
198.62
214.86
229.03
242.72
3,067.33
3,240.41
3,435.84
(annual percentage change) #
34.3
---
34.3
-3.8
23.9
9.1
6.6
24.3
18.1
14.8
18.8
20.4
19.2
18.4
14.3
-----------
18.8
20.4
19.2
18.4
14.3
14.5
13.8
22.3
16.5
6.0
18.0
17.6
12.9
6.9
9.8
10.9
11.2
21.4
7.0
8.5
11.6
16.6
10.5
15.6
13.1
27.8
39.0
17.1
14.4
7.5
22.7
32.6
15.4
14.7
8.9
14.2
17.0
16.2
10.1
6.2
17.6
---
17.6
7.5
9.1
6.7
12.3
16.1
15.2
6.7
16.8
11.7
-----
16.8
11.7
8.2
1.6
2.6
4.4
4.3
4.8
18.5
-6.4
16.0
11.7
16.6
7.2
7.0
6.3
12.6
---
12.6
10.0
6.2
1.2
7.2
17.9
15.6
7.5
13.7
---
13.7
7.8
7.4
6.3
12.3
15.9
15.2
7.9
13.8
13.1
10.3
-------
13.8
13.1
10.3
0.7
-4.3
-0.7
7.8
7.0
8.3
13.0
3.0
2.2
10.8
0.5
19.1
16.5
13.6
6.1
15.4
11.1
8.3
6.8
7.4
3.3
3.5
0.3
-----
3.5
0.3
-3.7
16.5
7.5
9.6
-6.4
4.9
-5.3
-2.4
7.4
8.3
5.0
6.5
-0.6
0.1
7.9
-2.1
7.4
-------
7.9
-2.1
7.4
-7.1
-8.5
3.2
5.0
2.8
3.5
6.7
1.1
2.7
-5.4
-1.3
48.3
1.5
0.7
8.7
0.5
0.4
14.4
-0.7
-0.8
3.5
10.7
12.7
-----
10.7
12.7
5.7
39.0
24.6
7.0
9.0
5.2
0.1
-6.7
9.6
6.9
7.9
4.5
6.3
5.8
15.5
13.5
-----
15.5
13.5
18.2
7.9
12.6
13.7
10.2
8.5
24.7
43.7
6.5
2.7
9.3
9.9
8.6
7.1
11.6
---
11.6
7.1
3.5
8.6
-7.4
5.6
2.6
5.7
10.2
8.3
-----
10.2
8.3
11.9
4.6
16.0
0.4
8.6
5.8
9.6
3.8
3.7
6.1
4.9
5.6
7.5
5.4
7.1
7.1
-----
7.1
7.1
14.8
5.6
8.2
4.8
10.4
5.1
3.1
-5.5
6.9
9.7
6.1
6.6
5.9
5.6
8.4
---
8.4
9.3
3.6
6.3
5.2
6.2
6.0
6.0
CIHI 2007
CIHI 2007
117
Series B
Total Health Expenditure by Source
of Finance, by Province/Territory
and Canada (Selected Tables)
National Health Expenditure Trends, 1975–2007
Table B.1.1
Total Health Expenditure, by Province/Territory and Canada, 1975 to 2007—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
1,004.8
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
-----
39,841.7
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
1,247.9
295.0
311.7
313.3
2,031.6
2,025.0
2,021.4
1,699.8
1,739.1
1,791.6
16,376.1
16,904.2
17,311.6
27,575.2
28,074.9
28,710.3
2,701.9
2,749.1
2,802.0
2,325.4
2,301.9
2,382.4
6,430.7
6,520.4
6,305.7
8,769.1
9,296.8
9,756.5
67.5
79.6
93.2
279.6
287.1
286.2
-------
69,749.2
71,498.9
73,022.2
1995
1996
1,268.2
1,251.9
327.1
338.8
2,059.4
2,086.9
1,818.0
1,812.4
17,356.7
16,966.5
29,249.1
29,651.7
2,912.7
2,968.9
2,439.5
2,487.3
6,085.0
6,312.9
10,099.0
10,364.2
94.8
109.4
294.8
291.9
-----
74,004.4
74,642.8
1997
1998
1999
1,303.8
1,432.3
1,574.8
340.0
358.6
378.0
2,361.6
2,541.9
2,663.7
1,854.8
1,917.9
2,074.1
18,015.1
19,142.2
20,008.6
30,747.3
33,065.1
35,350.8
3,097.4
3,288.6
3,689.1
2,653.1
2,773.3
2,968.5
7,073.1
7,607.7
8,678.3
10,817.8
11,394.2
12,259.1
102.6
103.6
108.5
307.1
327.5
230.9
----142.5
78,673.7
83,953.0
90,127.1
2000
2001
2002
2003
2004
1,684.5
1,803.2
1,929.3
2,059.1
2,123.8
401.6
474.7
511.9
541.0
536.1
2,811.8
2,996.6
3,301.9
3,603.2
3,721.7
2,218.6
2,469.5
2,616.8
2,785.2
2,982.2
21,601.0
23,553.0
25,044.3
26,657.4
28,108.2
38,885.4
41,758.5
45,393.7
49,675.9
53,195.4
4,052.7
4,325.9
4,586.2
4,924.3
5,228.2
3,147.7
3,452.9
3,626.7
3,868.3
4,117.5
9,602.5
11,010.2
11,843.9
12,650.6
13,857.2
13,345.6
14,644.9
15,638.6
16,399.5
17,166.5
123.5
143.3
156.5
156.7
168.6
215.4
246.3
274.4
273.5
298.7
168.4
184.2
214.9
292.4
307.8
98,258.8
107,063.3
115,139.0
123,887.2
131,812.1
2005
2006 f
2007 f
2,234.6
2,368.0
2,550.9
576.3
602.7
651.5
4,029.8
4,298.0
4,540.2
3,311.5
3,558.7
3,802.7
29,875.1
31,774.1
33,632.4
56,630.7
60,194.4
63,813.3
5,602.8
5,808.7
6,212.6
4,430.5
4,776.1
5,090.9
15,259.4
16,513.0
18,403.2
18,480.1
19,503.1
20,542.3
188.6
210.7
220.8
320.0
322.2
334.9
301.7 141,241.2
339.5 150,269.2
337.8 160,133.5
1976 #
18.3
6.2
15.6
16.0
14.7
14.0
15.2
17.9
16.8
17.7
13.6
11.3
---
15.2
1980
1981
1982
1983
1984
11.6
17.6
12.9
10.3
-2.8
26.6
11.5
11.7
8.0
4.0
14.7
20.0
16.5
9.3
12.0
19.7
21.1
20.3
9.2
9.0
14.3
17.0
14.6
9.9
7.4
13.5
16.6
17.3
13.4
10.4
18.0
18.7
15.5
11.0
7.7
16.0
16.3
19.1
11.3
9.0
20.9
21.9
27.7
8.1
3.9
25.8
19.1
12.8
7.4
6.6
9.0
7.9
31.9
2.4
-0.4
3.6
20.9
49.5
11.9
1.8
-----------
16.3
17.8
17.1
10.7
7.9
1985
1986
4.5
3.4
5.9
3.5
9.5
11.7
5.2
6.3
7.7
5.0
10.4
11.5
8.4
9.5
11.5
11.4
8.1
9.3
4.7
7.5
4.8
7.2
10.2
20.5
-----
8.4
8.8
1987
1988
8.5
5.6
8.2
8.2
13.3
1.6
9.4
8.2
6.9
9.0
11.0
10.9
4.8
4.5
3.8
4.0
1.2
7.3
7.2
9.3
5.1
2.3
8.6
16.5
-----
8.0
8.9
1989
6.5
9.0
10.5
8.4
8.2
10.9
9.1
11.7
10.7
11.5
8.2
10.3
---
10.1
1990
10.6
7.0
6.6
9.5
7.7
8.3
10.1
9.7
7.5
13.3
8.2
6.0
---
8.8
1991
1992
1993
5.2
3.8
1.0
9.5
5.1
5.7
5.5
3.1
-0.3
6.2
4.3
2.3
9.2
4.7
3.2
10.1
5.3
1.8
3.7
4.9
1.7
3.0
0.2
-1.0
5.4
6.1
1.4
10.2
7.9
6.0
16.8
7.9
17.9
13.2
0.1
2.7
-------
8.6
5.2
2.5
1994
3.2
0.5
-0.2
3.0
2.4
2.3
1.9
3.5
-3.3
4.9
17.0
-0.3
---
2.1
1995
1.6
4.4
1.9
1.5
0.3
1.9
3.9
2.4
-3.5
3.5
1.8
3.0
---
1.3
1996
1997
1998
-1.3
4.1
9.9
3.6
0.4
5.5
1.3
13.2
7.6
-0.3
2.3
3.4
-2.2
6.2
6.3
1.4
3.7
7.5
1.9
4.3
6.2
2.0
6.7
4.5
3.7
12.0
7.6
2.6
4.4
5.3
15.4
-6.2
0.9
-1.0
5.2
6.6
-------
0.9
5.4
6.7
1999
10.0
5.4
4.8
8.1
4.5
6.9
12.2
7.0
14.1
7.6
4.8
-29.5
---
7.4
2000
7.0
6.2
5.6
7.0
8.0
10.0
9.9
6.0
10.6
8.9
13.8
-6.7
18.1
9.0
2001
2002
2003
2004
7.0
7.0
6.7
3.1
18.2
7.8
5.7
-0.9
6.6
10.2
9.1
3.3
11.3
6.0
6.4
7.1
9.0
6.3
6.4
5.4
7.4
8.7
9.4
7.1
6.7
6.0
7.4
6.2
9.7
5.0
6.7
6.4
14.7
7.6
6.8
9.5
9.7
6.8
4.9
4.7
16.0
9.2
0.2
7.6
14.4
11.4
-0.3
9.2
9.4
16.6
36.1
5.2
9.0
7.5
7.6
6.4
2005
2006 f
5.2
6.0
7.5
4.6
8.3
6.7
11.0
7.5
6.3
6.4
6.5
6.3
7.2
3.7
7.6
7.8
10.1
8.2
7.7
5.5
11.9
11.7
7.1
0.7
-2.0
12.5
7.2
6.4
2007 f
7.7
8.1
5.6
6.9
5.8
6.0
7.0
6.6
11.4
5.3
4.8
3.9
-0.5
6.6
(annual percentage change) #
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
CIHI 2007
CIHI 2007
121
National Health Expenditure Trends, 1975–2007
Table B.1.2
Total Health Expenditure, by Province/Territory and Canada, 1975 to 2007—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
Average
($’ per capita)
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
480.92
558.53
548.65
619.96
553.44
642.64
726.48
804.44
818.67
880.95
-----
527.13
599.14
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
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
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
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
1982
1983
1984
1,220.41
1,334.99
1,295.66
1,230.17
1,311.30
1,350.90
1,068.71
1,156.08
1,282.93
1,156.84
1,250.58
1,352.42
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
1985
1986
1,356.50
1,409.34
1,419.40
1,460.70
1,392.54
1,548.24
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
1987
1988
1989
1,532.79
1,618.95
1,720.39
1,578.34
1,698.12
1,840.01
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
1990
1991
1,896.84
1,989.99
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
1992
1993
1994
2,064.37
2,084.83
2,172.27
2,255.45
2,358.94
2,348.55
2,209.26
2,191.52
2,180.72
2,272.21
2,322.46
2,388.13
2,303.89
2,362.48
2,407.10
2,608.87
2,626.67
2,653.88
2,428.27
2,459.81
2,494.62
2,316.20
2,286.26
2,359.92
2,442.42
2,444.45
2,334.87
2,528.24
2,606.03
2,654.34
2,242.01
2,622.42
3,137.33
4,480.52
4,517.40
4,391.79
-------
2,458.83
2,492.83
2,518.08
1995
1996
2,234.86
2,236.23
2,433.70
2,495.61
2,218.76
2,240.52
2,420.84
2,409.10
2,404.16
2,341.22
2,671.15
2,675.41
2,579.55
2,617.66
2,405.56
2,440.67
2,225.27
2,274.78
2,673.80
2,675.13
3,115.33
3,486.13
4,428.49
4,320.58
-----
2,525.55
2,520.79
1997
1998
1999
2,366.13
2,652.73
2,952.37
2,498.01
2,640.56
2,773.45
2,532.61
2,727.68
2,852.42
2,464.74
2,555.34
2,763.16
2,476.42
2,623.67
2,732.18
2,738.38
2,908.86
3,072.28
2,726.28
2,891.05
3,229.01
2,605.99
2,725.63
2,925.47
2,499.27
2,623.85
2,938.56
2,739.70
2,860.64
3,056.12
3,227.27
3,325.80
3,526.37
4,533.25
4,873.92
5,679.85
----5,314.50
2,630.58
2,783.86
2,964.33
2000
2001
3,190.16
3,454.45
2,942.62
3,473.35
3,010.88
3,213.88
2,956.15
3,293.21
2,936.10
3,184.14
3,327.70
3,509.81
3,532.15
3,757.46
3,123.41
3,452.40
3,195.56
3,601.93
3,304.02
3,590.81
4,061.19
4,756.58
5,318.24
6,033.94
6,122.86
6,551.84
3,201.75
3,451.29
2002
2003
2004
3,714.15
3,971.51
4,105.75
3,738.29
3,940.56
3,888.99
3,533.32
3,848.34
3,969.81
3,487.53
3,707.53
3,965.33
3,363.57
3,557.18
3,724.06
3,750.91
4,052.01
4,287.41
3,968.74
4,239.13
4,467.68
3,641.73
3,889.65
4,141.08
3,800.59
4,003.83
4,323.92
3,800.01
3,947.31
4,085.46
5,191.53
5,124.81
5,463.04
6,613.60 7,476.09
6,475.42 10,027.43
6,970.82 10,372.30
3,670.05
3,911.92
4,122.43
2005
2006 f
2007 f
4,347.79
4,646.06
5,010.77
4,170.66
4,350.83
4,686.33
4,304.73
4,599.72
4,850.11
4,406.68
4,750.15
5,069.84
3,932.10
4,152.64
4,371.32
4,509.29
4,744.59
4,975.07
4,771.81
4,931.93
5,249.63
4,475.42
4,846.97
5,179.45
4,655.69
4,891.65
5,389.73
4,340.26
4,524.60
4,713.11
6,060.39
6,748.17
7,047.41
7,506.08 10,044.45
7,697.12 11,030.33
7,892.30 10,903.10
4,372.86
4,606.17
4,867.45
1976 #
17.0
5.4
14.4
13.9
13.5
12.7
14.4
16.1
13.0
16.1
10.7
7.6
---
13.7
1980
1981
1982
1983
1984
11.1
17.2
12.9
9.4
-2.9
25.9
11.5
11.6
6.6
3.0
14.2
19.8
15.8
8.2
11.0
19.2
21.1
20.0
8.1
8.1
13.6
16.3
14.0
9.6
6.9
12.4
15.7
15.9
12.0
8.9
18.3
18.5
14.4
9.5
6.6
15.0
15.3
17.7
9.7
7.6
15.7
16.5
23.8
7.1
3.9
22.2
15.7
10.9
6.2
5.1
7.5
9.8
28.9
6.1
-1.6
2.3
17.7
43.6
8.6
-1.1
-----------
14.8
16.4
15.7
9.6
6.9
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
4.2
4.6
-0.4
-0.8
-0.5
2.2
2.8
2.5
1.9
0.7
1.0
1.3
1.4
-1.3
3.2
0.1
-4.5
3.1
1.9
17.0
19.6
0.8
-2.8
-----
1.4
1.0
1995
1996
2.9
0.1
3.6
2.5
1.7
1.0
1.4
-0.5
-0.1
-2.6
0.7
0.2
3.4
1.5
1.9
1.5
-4.7
2.2
0.7
0.0
-0.7
11.9
0.8
-2.4
-----
0.3
-0.2
1997
1998
1999
5.8
12.1
11.3
0.1
5.7
5.0
13.0
7.7
4.6
2.3
3.7
8.1
5.8
5.9
4.1
2.4
6.2
5.6
4.1
6.0
11.7
6.8
4.6
7.3
9.9
5.0
12.0
2.4
4.4
6.8
-7.4
3.1
6.0
4.9
7.5
16.5
-------
4.4
5.8
6.5
2000
2001
8.1
8.3
6.1
18.0
5.6
6.7
7.0
11.4
7.5
8.4
8.3
5.5
9.4
6.4
6.8
10.5
8.7
12.7
8.1
8.7
15.2
17.1
-6.4
13.5
15.2
7.0
8.0
7.8
2002
2003
2004
7.5
6.9
3.4
7.6
5.4
-1.3
9.9
8.9
3.2
5.9
6.3
7.0
5.6
5.8
4.7
6.9
8.0
5.8
5.6
6.8
5.4
5.5
6.8
6.5
5.5
5.3
8.0
5.8
3.9
3.5
9.1
-1.3
6.6
9.6
-2.1
7.7
14.1
34.1
3.4
6.3
6.6
5.4
2005
2006 f
2007 f
5.9
6.9
7.8
7.2
4.3
7.7
8.4
6.9
5.4
11.1
7.8
6.7
5.6
5.6
5.3
5.2
5.2
4.9
6.8
3.4
6.4
8.1
8.3
6.9
7.7
5.1
10.2
6.2
4.2
4.2
10.9
11.3
4.4
7.7
2.5
2.5
-3.2
9.8
-1.2
6.1
5.3
5.7
(annual percentage change) #
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
122
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table B.1.3
Total Health Expenditure as a Percent of (Provincial/Territorial) G.D.P., by Province/Territory and Canada,
1975 to 2007—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
10.4
9.2
8.6
6.6
6.4
9.6
9.5
9.1
9.7
12.3
11.6
-----
9.1
8.9
1997
1998
1999
12.4
12.8
12.9
12.1
12.0
12.0
11.6
11.9
11.6
11.0
10.9
10.9
9.6
9.8
9.5
8.6
8.7
8.6
10.4
10.6
11.5
9.1
9.4
9.6
6.6
7.1
7.4
9.5
9.9
10.1
9.3
9.5
10.0
11.4
12.3
10.1
----19.1
8.9
9.2
9.2
2000
2001
2002
2003
2004
12.1
12.7
11.7
11.3
10.9
11.9
13.8
13.8
14.2
13.3
11.4
11.6
12.2
12.5
12.5
11.0
11.9
12.4
12.5
12.7
9.6
10.2
10.4
10.6
10.7
8.8
9.2
9.5
10.1
10.3
11.9
12.3
12.5
13.2
13.1
9.3
10.4
10.6
10.6
10.3
6.6
7.3
7.9
7.4
7.3
10.2
11.0
11.3
11.3
10.9
10.4
11.4
12.5
12.0
12.0
8.6
8.3
9.0
7.4
7.0
20.2
21.0
22.6
29.5
28.7
9.1
9.7
10.0
10.2
10.2
2005
2006 f
2007 f
10.4
9.5
10.0
13.8
13.9
14.4
12.9
13.4
13.6
13.7
14.1
14.3
10.9
11.2
11.3
10.5
10.8
10.9
13.4
13.0
13.0
10.3
10.6
10.6
7.0
7.0
7.3
10.9
10.9
10.9
12.4
13.2
13.3
7.8
7.9
7.9
27.1
28.0
26.8
10.3
10.4
10.6
1976 #
---
---
---
---
---
---
---
---
---
---
---
---
---
0.0
1980
1981
1982
1983
1984
----3.7
3.4
-8.7
----3.4
-8.2
1.5
----1.1
-3.1
1.5
----8.2
-4.3
-0.5
----8.2
2.0
-1.7
----10.8
1.8
-1.2
----12.0
3.3
-4.3
----17.2
4.6
2.2
----20.1
5.1
-2.6
----12.4
1.8
1.5
----33.1
9.6
-3.7
----16.8
0.2
-1.7
-----------
3.4
3.1
11.1
2.2
-1.2
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) #
1985
0.2
1.8
1.1
-1.0
0.6
0.9
-0.6
5.9
0.8
-2.5
-1.3
-1.6
---
0.4
1986
1987
-5.1
1.3
-8.2
1.5
3.3
5.3
-4.7
-1.1
-3.7
-2.5
1.1
0.3
5.3
-1.0
12.4
1.4
25.9
-2.4
1.7
-3.1
-17.0
-25.4
28.8
0.6
-----
3.1
-1.0
1988
-3.2
-1.7
-4.1
0.6
-0.6
-0.2
-3.2
0.3
0.9
-1.5
-6.2
-1.7
---
-0.7
1989
0.3
1.2
3.7
2.7
2.7
2.0
2.8
5.4
5.1
2.4
1.6
2.5
---
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
-1.3
0.3
-1.7
-2.3
0.8
-0.6
1.1
-8.4
-6.4
-1.7
45.2
-1.6
---
-1.3
1994
-1.7
-1.5
-1.9
-1.0
-2.5
-3.6
-3.4
-3.1
-10.8
-1.8
13.4
-5.3
---
-3.7
1995
1996
1997
-2.1
0.9
3.0
-1.1
-2.3
1.2
-1.4
0.2
8.4
-5.3
-1.8
1.0
-3.6
-4.0
1.7
-3.8
-1.3
-2.4
0.1
-3.3
-0.3
-5.1
-6.9
5.9
-7.7
-3.2
3.2
-1.5
-0.4
-0.7
-11.5
7.1
-4.4
2.5
-5.9
-1.3
-------
-3.6
-2.3
-0.1
1998
1999
3.5
0.9
-0.9
-0.5
2.4
-2.7
-1.2
0.1
2.0
-2.7
2.3
-1.2
2.0
8.7
3.1
2.8
7.2
4.7
4.2
2.9
2.8
5.0
8.2
-18.4
-----
3.0
0.0
2000
2001
-6.4
5.1
-0.3
16.0
-1.3
1.4
1.4
8.1
1.2
5.9
2.1
4.3
3.1
3.4
-3.5
12.0
-10.5
9.7
0.2
7.9
3.8
9.6
-15.0
-3.2
2002
-7.8
0.0
5.4
3.5
2.0
3.2
2.0
1.3
8.1
3.2
9.6
9.2
7.4
3.4
2003
2004
-3.4
-3.7
2.8
-6.3
2.6
-0.4
0.8
1.9
2.5
0.5
6.0
2.0
4.9
-0.2
0.1
-2.7
-5.5
-1.2
-0.6
-3.1
-3.5
-0.2
-18.1
-5.0
30.5
-2.7
2.2
0.0
2005
-4.6
3.8
3.1
7.9
2.2
2.5
2.4
0.4
-4.8
0.4
3.3
10.3
-5.5
0.9
2006 f
-8.5
0.6
4.6
3.0
2.4
2.7
-3.5
2.6
0.3
-0.8
6.5
1.1
3.3
1.4
2007 f
5.5
3.5
0.9
1.3
0.7
1.0
0.4
0.3
4.5
0.1
0.9
0.1
-4.1
1.2
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
CIHI 2007
5.8
4.2
-0.5
5.9
CIHI 2007
123
National Health Expenditure Trends, 1975–2007
Table B.2.1
Private Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2007—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
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
197.1
52.9
285.3
274.1
2,104.4
3,999.5
415.6
333.2
831.3
1,227.1
6.8
19.6
---
9,746.9
1986
1987
1988
169.6
188.0
197.1
49.6
53.3
56.5
353.7
395.0
420.3
285.9
305.1
330.5
2,486.1
2,632.2
2,850.8
4,367.1
4,854.5
5,321.9
463.9
449.9
435.4
377.7
395.5
369.3
910.6
985.5
1,184.9
1,317.2
1,444.9
1,597.1
5.6
5.6
5.2
21.7
23.9
27.3
-------
10,808.7
11,733.5
12,796.4
1989
203.9
64.9
470.3
352.4
3,181.7
5,876.9
484.2
423.7
1,318.8
1,773.0
5.3
29.3
---
14,184.3
1990
1991
1992
1993
220.6
247.5
269.1
284.2
70.0
76.8
85.8
93.5
490.4
518.8
554.5
579.5
397.4
442.4
466.7
503.0
3,497.4
3,819.3
4,141.5
4,444.6
6,466.2
7,038.2
7,573.7
8,253.2
533.2
570.0
602.6
660.2
460.1
490.9
505.8
574.1
1,422.5
1,505.1
1,584.2
1,719.9
1,986.0
2,159.5
2,291.2
2,427.0
5.0
6.1
6.9
10.6
28.4
32.3
29.7
28.3
---------
15,577.1
16,906.9
18,112.0
19,578.1
1994
299.8
96.3
608.3
519.4
4,637.2
8,702.3
686.4
603.6
1,778.0
2,519.1
9.9
26.6
---
20,486.8
1995
1996
1997
1998
1999
295.1
277.5
282.9
324.5
324.0
104.3
105.8
110.1
113.1
119.0
619.4
648.6
692.3
755.1
764.0
495.0
487.1
549.1
547.3
604.6
4,647.8
4,711.9
4,960.8
4,984.4
5,534.9
9,374.4
9,613.7
10,266.5
11,035.4
12,006.2
733.3
783.6
845.5
900.0
974.2
618.8
625.0
677.0
669.8
718.1
1,801.6
1,846.4
2,131.0
2,253.8
2,538.1
2,560.6
2,675.5
2,875.2
3,089.7
3,289.7
10.5
18.1
17.2
16.2
16.8
24.5
26.6
26.2
26.2
19.8
--------9.0
21,285.3
21,819.7
23,433.8
24,715.5
26,918.4
2000
2001
2002
365.9
387.6
419.0
123.5
145.7
145.1
843.4
913.9
1,032.4
638.7
729.5
783.6
5,890.3
6,548.7
7,067.6
12,927.7
14,152.3
15,767.6
1,047.4
1,141.4
1,219.7
766.5
871.3
901.3
2,809.6
3,265.2
3,373.7
3,519.7
3,824.5
4,160.6
24.7
27.4
33.1
20.5
26.3
29.2
9.2
10.6
11.1
28,986.9
32,044.4
34,944.0
2003
2004
466.9
493.8
159.8
158.6
1,111.9
1,128.0
831.9
861.8
7,593.8
7,819.4
16,446.7
17,542.7
1,270.3
1,331.8
972.7
1,012.8
3,523.5
3,875.9
4,446.1
4,907.5
32.1
35.4
29.8
30.2
13.2
13.8
36,898.7
39,211.7
2005
547.6
161.5
1,202.9
994.4
8,491.7
18,807.3
1,402.4
1,055.7
4,173.5
5,242.9
36.5
36.7
14.7
42,167.9
2006 f
2007 f
568.7
597.2
174.5
185.7
1,272.6
1,323.8
1,060.7
1,144.5
8,982.3
9,513.0
19,743.0
20,925.7
1,448.8
1,529.7
1,097.2
1,128.5
4,530.6
4,790.0
5,583.4
5,860.2
38.4
42.1
39.9
40.8
15.7
17.0
44,555.6
47,098.3
1976 #
46.4
-2.5
24.3
7.8
5.5
10.2
6.3
12.3
11.0
21.2
23.1
7.0
---
11.5
1980
1981
1982
1983
1984
8.6
18.0
3.6
7.5
-18.3
48.2
4.8
2.2
1.3
-2.3
15.6
12.9
19.4
8.4
15.1
24.0
20.7
18.2
10.7
14.2
20.8
28.3
9.4
7.5
11.2
13.5
11.8
19.2
14.8
11.4
22.9
23.8
9.6
7.1
8.9
5.0
11.2
9.8
7.3
18.1
26.7
17.9
35.3
-8.4
6.5
25.6
8.8
7.3
8.9
12.9
11.5
0.7
9.7
-1.3
3.1
6.4
10.5
5.7
9.8
7.2
-----------
18.2
16.1
15.4
8.8
10.4
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
1993
1994
8.7
5.6
5.5
11.6
9.0
3.0
6.9
4.5
5.0
5.5
7.8
3.3
8.4
7.3
4.3
7.6
9.0
5.4
5.7
9.6
4.0
3.0
13.5
5.1
5.3
8.6
3.4
6.1
5.9
3.8
14.1
52.5
-6.7
-7.9
-4.7
-6.1
-------
7.1
8.1
4.6
1995
1996
1997
-1.6
-6.0
2.0
8.3
1.4
4.1
1.8
4.7
6.7
-4.7
-1.6
12.7
0.2
1.4
5.3
7.7
2.6
6.8
6.8
6.9
7.9
2.5
1.0
8.3
1.3
2.5
15.4
1.6
4.5
7.5
6.1
73.4
-5.3
-7.8
8.4
-1.5
-------
3.9
2.5
7.4
1998
1999
14.7
-0.1
2.7
5.2
9.1
1.2
-0.3
10.5
0.5
11.0
7.5
8.8
6.4
8.2
-1.1
7.2
5.8
12.6
7.5
6.5
-5.4
3.2
0.0
-24.6
-----
5.5
8.9
2000
2001
12.9
6.0
3.8
18.0
10.4
8.4
5.6
14.2
6.4
11.2
7.7
9.5
7.5
9.0
6.7
13.7
10.7
16.2
7.0
8.7
47.2
11.0
3.6
28.4
(annual percentage change) #
2.5
14.6
7.7
10.5
2002
8.1
-0.4
13.0
7.4
7.9
11.4
6.9
3.4
3.3
8.8
20.9
11.2
5.0
9.0
2003
2004
11.5
5.8
10.1
-0.8
7.7
1.5
6.2
3.6
7.4
3.0
4.3
6.7
4.1
4.8
7.9
4.1
4.4
10.0
6.9
10.4
-2.9
10.3
2.0
1.4
19.1
4.4
5.6
6.3
2005
2006 f
2007 f
10.9
3.9
5.0
1.9
8.0
6.4
6.6
5.8
4.0
15.4
6.7
7.9
8.6
5.8
5.9
7.2
5.0
6.0
5.3
3.3
5.6
4.2
3.9
2.9
7.7
8.6
5.7
6.8
6.5
5.0
3.0
5.1
9.6
21.3
8.9
2.3
6.4
6.8
8.3
7.5
5.7
5.7
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
124
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table B.2.2
Private Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2007—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
1987
340.16
294.15
326.89
414.66
386.13
414.24
322.36
397.71
442.14
1988
1989
342.81
353.75
437.42
499.18
1990
1991
1992
1993
1994
381.55
427.13
463.99
489.99
521.82
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
Sask.
Canada
Average
Alta.
B.C.
Y.T.
N.W.T
Nun.
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
419.14
315.70
370.59
388.08
430.17
462.71
503.36
383.98
424.97
409.78
324.93
366.97
383.01
345.94
374.58
404.68
412.58
438.48
473.72
278.89
229.51
219.52
361.05
396.69
433.59
-------
377.16
414.11
443.63
468.32
520.32
452.46
479.28
416.85
459.21
540.72
581.43
395.06
438.77
359.28
415.71
482.78
528.50
512.66
554.42
196.03
194.61
490.09
514.33
-----
477.56
519.92
535.91
589.69
655.88
707.51
722.12
539.08
566.94
603.05
627.19
656.25
536.96
593.38
623.91
671.67
692.35
499.35
540.63
582.66
621.16
644.78
627.92
674.92
716.54
772.16
804.41
482.25
513.71
541.56
590.76
611.07
456.84
489.59
503.84
570.20
597.86
558.47
580.52
601.71
644.78
658.34
603.48
640.15
660.58
680.33
685.34
180.81
210.04
230.03
347.90
331.74
481.64
529.44
476.22
445.89
408.36
-----------
562.40
603.14
638.49
682.59
706.46
519.99
495.64
513.46
601.01
607.50
775.94
779.25
808.82
832.78
873.12
667.35
696.40
742.46
810.28
818.13
659.17
647.44
729.66
729.20
805.45
643.79
650.19
681.93
683.17
755.79
856.11
867.42
914.34
970.82
1,043.44
649.44
690.93
744.21
791.23
852.73
610.14
613.28
664.98
658.30
707.70
658.82
665.33
753.00
777.31
859.44
677.94
690.57
728.17
775.70
820.10
343.47
577.74
540.01
521.26
544.45
368.48
393.42
386.49
389.81
485.82
--------335.22
726.40
736.88
783.55
819.56
885.36
692.87
742.63
806.55
900.60
954.68
904.73
1,066.30
1,059.89
1,164.09
1,150.26
903.16
980.14
1,104.76
1,187.50
1,203.17
850.98
972.86
1,044.36
1,107.35
1,145.84
800.64
885.32
949.21
1,013.33
1,035.99
1,106.31
1,189.51
1,302.89
1,341.54
1,413.90
912.83
991.39
1,055.51
1,093.58
1,138.08
760.56
871.23
905.03
978.03
1,018.58
934.98
1,068.18
1,082.58
1,115.16
1,209.40
871.40
937.73
1,010.98
1,070.15
1,167.93
810.58
908.18
1,097.93
1,050.93
1,148.61
505.35
643.78
704.08
705.25
705.05
335.29
375.90
386.25
453.34
465.36
944.54
1,032.98
1,113.84
1,165.13
1,226.35
2005
2006 f
2007 f
1,065.35
1,115.79
1,173.02
1,168.99
1,259.46
1,335.79
1,284.97
1,361.93
1,414.22
1,323.23
1,415.78
1,525.94
1,117.65
1,173.92
1,236.43
1,497.56
1,556.17
1,631.43
1,194.42
1,230.11
1,292.61
1,066.46
1,113.48
1,148.16
1,273.36
1,342.09
1,402.85
1,231.36
1,295.31
1,344.53
1,173.56
1,228.79
1,342.39
859.81
953.20
961.52
489.25
509.72
548.21
1,305.53
1,365.75
1,431.61
1976 #
44.8
-3.2
23.0
5.8
4.4
8.9
5.6
10.6
7.4
19.5
20.0
3.5
---
10.0
1980
1981
1982
1983
1984
8.1
17.6
3.6
6.5
-18.4
47.4
4.8
2.1
0.0
-3.2
15.1
12.6
18.7
7.2
14.1
23.5
20.7
17.9
9.6
13.3
20.0
27.5
8.9
7.1
10.7
12.4
10.9
17.7
13.3
9.8
23.2
23.6
8.5
5.7
7.8
4.2
10.2
8.5
5.8
16.5
21.2
12.7
31.1
-9.3
6.5
21.9
5.7
5.5
7.7
11.3
10.0
2.4
7.1
2.3
1.8
5.1
7.6
1.5
6.6
4.1
-----------
16.7
14.7
14.1
7.8
9.4
1985
1986
1987
1988
1989
2.9
-13.5
11.1
4.9
3.2
5.2
-6.9
7.3
5.6
14.1
13.8
23.4
11.2
5.9
11.1
2.8
4.1
6.3
7.9
5.9
14.5
17.4
4.7
7.4
10.2
8.8
7.6
8.8
7.4
7.5
11.9
10.7
-3.6
-3.6
11.1
27.6
12.9
4.4
-6.2
15.7
7.7
8.3
8.0
19.3
9.5
4.8
6.3
8.0
8.2
8.1
-3.1
-17.7
-4.4
-10.7
-0.7
4.7
9.9
9.3
13.0
4.9
-----------
9.9
9.8
7.1
7.6
8.9
1990
1991
7.9
11.9
7.4
10.0
3.6
5.2
12.0
10.5
8.7
8.3
8.0
7.5
9.9
6.5
9.9
7.2
5.7
3.9
8.8
6.1
-7.1
16.2
-6.4
9.9
-----
8.2
7.2
1992
1993
1994
8.6
5.6
6.5
11.2
7.9
2.1
6.4
4.0
4.6
5.1
7.7
3.1
7.8
6.6
3.8
6.2
7.8
4.2
5.4
9.1
3.4
2.9
13.2
4.9
3.7
7.2
2.1
3.2
3.0
0.7
9.5
51.2
-4.6
-10.1
-6.4
-8.4
-------
5.9
6.9
3.5
1995
1996
-0.4
-4.7
7.5
0.4
1.7
4.4
-4.8
-1.8
-0.2
1.0
6.4
1.3
6.3
6.4
2.1
0.5
0.1
1.0
-1.1
1.9
3.5
68.2
-9.8
6.8
-----
2.8
1.4
1997
1998
1999
3.6
17.1
1.1
3.8
3.0
4.8
6.6
9.1
1.0
12.7
-0.1
10.5
4.9
0.2
10.6
5.4
6.2
7.5
7.7
6.3
7.8
8.4
-1.0
7.5
13.2
3.2
10.6
5.4
6.5
5.7
-6.5
-3.5
4.4
-1.8
0.9
24.6
-------
6.3
4.6
8.0
2000
2001
14.1
7.2
3.6
17.9
10.4
8.5
5.7
14.3
5.9
10.6
6.0
7.5
7.0
8.6
7.5
14.6
8.8
14.2
6.3
7.6
48.9
12.0
4.0
27.4
0.0
12.1
6.7
9.4
2002
8.6
-0.6
12.7
7.3
7.2
9.5
6.5
3.9
1.3
7.8
20.9
9.4
2.8
7.8
2003
2004
11.7
6.0
9.8
-1.2
7.5
1.3
6.0
3.5
6.8
2.2
3.0
5.4
3.6
4.1
8.1
4.1
3.0
8.5
5.9
9.1
-4.3
9.3
0.2
0.0
17.4
2.7
4.6
5.3
2005
2006 f
2007 f
11.6
4.7
5.1
1.6
7.7
6.1
6.8
6.0
3.8
15.5
7.0
7.8
7.9
5.0
5.3
5.9
3.9
4.8
5.0
3.0
5.1
4.7
4.4
3.1
5.3
5.4
4.5
5.4
5.2
3.8
2.2
4.7
9.2
21.9
10.9
0.9
5.1
4.2
7.6
6.5
4.6
4.8
Year
Man.
($’ per capita )
(annual percentage change) #
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
CIHI 2007
CIHI 2007
125
National Health Expenditure Trends, 1975–2007
Table B.2.3
Private Sector Health Expenditure as a Proportion of Total Health Expenditure,
by Province/Territory and Canada, 1975 to 2007—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
(percentage)
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
25.5
24.3
23.6
22.5
28.1
28.9
22.1
23.9
24.8
23.8
-----
23.8
23.0
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
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
1980
1981
33.8
33.9
38.5
36.2
22.5
21.1
26.2
26.1
18.5
20.3
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
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
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
1985
25.1
29.2
23.1
26.7
21.0
27.7
24.1
21.8
20.4
26.5
17.1
14.2
---
24.5
1986
1987
1988
20.9
21.3
21.2
26.4
26.2
25.8
25.7
25.3
26.5
26.2
25.6
25.6
23.6
23.4
23.2
27.1
27.2
26.9
24.6
22.7
21.0
22.2
22.4
20.1
20.5
21.9
24.5
26.4
27.1
27.4
13.2
12.6
11.4
13.0
13.2
12.9
-------
24.9
25.1
25.1
1989
20.6
27.1
26.8
25.2
23.9
26.7
21.4
20.6
24.7
27.2
10.7
12.6
---
25.3
1990
20.1
27.3
26.3
25.9
24.4
27.2
21.5
20.4
24.7
26.9
9.4
11.5
---
25.5
1991
1992
1993
21.5
22.5
23.5
27.4
29.1
30.0
26.3
27.3
28.6
27.2
27.5
28.9
24.4
25.3
26.3
26.9
27.5
29.4
22.1
22.3
24.0
21.2
21.8
24.9
24.8
24.6
26.4
26.6
26.1
26.1
9.7
10.3
13.3
11.5
10.6
9.9
-------
25.5
26.0
27.4
1994
24.0
30.7
30.1
29.0
26.8
30.3
24.5
25.3
28.2
25.8
10.6
9.3
---
28.1
1995
1996
1997
1998
1999
23.3
22.2
21.7
22.7
20.6
31.9
31.2
32.4
31.5
31.5
30.1
31.1
29.3
29.7
28.7
27.2
26.9
29.6
28.5
29.1
26.8
27.8
27.5
26.0
27.7
32.1
32.4
33.4
33.4
34.0
25.2
26.4
27.3
27.4
26.4
25.4
25.1
25.5
24.2
24.2
29.6
29.2
30.1
29.6
29.2
25.4
25.8
26.6
27.1
26.8
11.0
16.6
16.7
15.7
15.4
8.3
9.1
8.5
8.0
8.6
--------6.3
28.8
29.2
29.8
29.4
29.9
2000
2001
2002
2003
2004
21.7
21.5
21.7
22.7
23.3
30.7
30.7
28.4
29.5
29.6
30.0
30.5
31.3
30.9
30.3
28.8
29.5
29.9
29.9
28.9
27.3
27.8
28.2
28.5
27.8
33.2
33.9
34.7
33.1
33.0
25.8
26.4
26.6
25.8
25.5
24.4
25.2
24.9
25.1
24.6
29.3
29.7
28.5
27.9
28.0
26.4
26.1
26.6
27.1
28.6
20.0
19.1
21.1
20.5
21.0
9.5
10.7
10.6
10.9
10.1
5.5
5.7
5.2
4.5
4.5
29.5
29.9
30.3
29.8
29.7
2005
2006 f
2007 f
24.5
24.0
23.4
28.0
28.9
28.5
29.9
29.6
29.2
30.0
29.8
30.1
28.4
28.3
28.3
33.2
32.8
32.8
25.0
24.9
24.6
23.8
23.0
22.2
27.4
27.4
26.0
28.4
28.6
28.5
19.4
18.2
19.0
11.5
12.4
12.2
4.9
4.6
5.0
29.9
29.7
29.4
1976 #
23.8
-8.2
7.5
-7.1
-8.0
-3.4
-7.7
-4.8
-4.9
2.9
8.4
-3.8
---
-3.2
1980
1981
1982
1983
1984
-2.7
0.4
-8.2
-2.6
-15.9
17.1
-6.0
-8.5
-6.2
-6.0
0.8
-6.0
2.5
-0.9
2.8
3.7
-0.3
-1.7
1.4
4.8
5.7
9.6
-4.5
-2.2
3.6
0.0
-4.1
1.6
1.2
0.9
4.2
4.3
-5.1
-3.5
1.2
-9.4
-4.4
-7.8
-3.6
8.3
4.8
-3.2
5.9
-15.3
2.5
-0.2
-8.7
-4.9
1.4
5.9
2.3
-6.7
-16.9
-3.6
3.4
2.7
-8.6
-29.3
-1.9
5.3
-----------
1.6
-1.5
-1.4
-1.6
2.3
1985
1986
1987
1988
1989
-1.7
-16.8
2.2
-0.7
-2.9
0.1
-9.5
-0.7
-1.9
5.3
4.8
11.0
-1.5
4.7
1.3
-1.9
-1.9
-2.5
0.1
-1.6
6.9
12.5
-1.0
-0.6
3.1
0.0
-2.0
0.2
-1.2
-0.4
4.2
2.0
-7.4
-7.4
2.0
15.6
1.7
0.9
-10.2
2.7
0.2
0.2
7.0
12.0
0.5
1.1
-0.1
2.4
1.1
-0.4
-5.7
-22.9
-4.4
-9.7
-6.5
-1.7
-8.3
1.3
-1.8
-2.6
-----------
2.3
1.9
0.5
0.1
0.7
1990
-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
2.2
2.5
5.2
0.2
1.9
3.1
2.0
1.6
6.9
-1.1
-20.3
-5.8
---
2.5
1995
1996
-3.1
-4.7
3.7
-2.1
-0.1
3.3
-6.1
-1.3
0.0
3.7
5.7
1.2
2.8
4.8
0.1
-0.9
5.0
-1.2
-1.8
1.8
4.3
50.3
-10.5
9.4
-----
2.5
1.6
1997
1998
1999
-2.1
4.4
-9.2
3.7
-2.6
-0.2
-5.7
1.3
-3.4
10.2
-3.6
2.1
-0.8
-5.4
6.2
3.0
0.0
1.8
3.4
0.3
-3.5
1.6
-5.4
0.2
3.0
-1.7
-1.3
3.0
2.0
-1.0
1.0
-6.3
-1.5
-6.4
-6.2
6.9
-------
1.9
-1.2
1.5
2000
5.6
-2.3
4.6
-1.2
-1.4
-2.1
-2.1
0.7
0.0
-1.7
29.3
11.1
-13.2
-1.2
2001
2002
-1.0
1.0
-0.2
-7.6
1.7
2.5
2.6
1.4
2.0
1.5
1.9
2.5
2.1
0.8
3.6
-1.5
1.4
-4.0
-1.0
1.9
-4.3
10.8
12.3
-0.2
4.8
-10.0
1.5
1.4
2003
2004
4.4
2.5
4.2
0.1
-1.3
-1.8
-0.3
-3.3
0.9
-2.3
-4.7
-0.4
-3.0
-1.3
1.2
-2.2
-2.2
0.4
1.9
5.4
-3.0
2.5
2.3
-7.1
-12.5
-0.8
-1.9
-0.1
2005
2006 f
5.4
-2.0
-5.2
3.3
-1.5
-0.8
3.9
-0.7
2.2
-0.5
0.7
-1.2
-1.7
-0.4
-3.1
-3.6
-2.2
0.3
-0.8
0.9
-7.9
-6.0
13.3
8.1
8.6
-5.1
0.4
-0.7
2007 f
-2.5
-1.5
-1.5
1.0
0.1
0.0
-1.3
-3.5
-5.1
-0.4
4.6
-1.6
8.8
-0.8
(annual percentage change) #
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
126
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table B.3.1
Public Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2007—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
788.9
876.8
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
1987
588.8
642.9
693.6
128.3
138.0
149.7
947.2
1,023.2
1,165.5
752.2
805.3
888.9
7,927.6
8,051.3
8,636.4
10,443.3
11,730.2
13,011.9
1,310.9
1,425.8
1,530.2
1,195.5
1,325.9
1,372.2
3,239.1
3,537.9
3,514.4
3,410.1
3,666.0
3,895.3
32.9
37.0
39.1
118.9
145.2
157.4
-------
30,094.9
32,528.6
35,054.7
1988
1989
733.8
787.7
163.0
174.4
1,165.0
1,281.5
961.0
1,047.7
9,428.4
10,108.6
14,497.9
16,093.9
1,634.3
1,773.2
1,468.3
1,629.2
3,645.6
4,031.0
4,241.2
4,736.0
40.6
44.2
183.9
203.6
-----
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
928.3
924.9
209.2
218.2
1,477.0
1,445.5
1,233.1
1,236.1
12,234.5
12,459.6
20,001.5
19,821.7
2,099.3
2,088.9
1,819.5
1,727.8
4,846.4
4,800.5
6,477.9
6,869.8
60.6
69.0
249.9
258.7
-----
51,637.3
51,920.8
1994
948.1
217.0
1,413.1
1,272.2
12,674.4
20,008.0
2,115.7
1,778.8
4,527.8
7,237.5
83.3
259.5
---
52,535.5
1995
1996
1997
1998
1999
973.1
974.4
1,020.8
1,107.8
1,250.8
222.8
233.0
229.9
245.5
259.0
1,440.0
1,438.2
1,669.3
1,786.8
1,899.7
1,323.0
1,325.3
1,305.7
1,370.6
1,469.5
12,708.9
12,254.7
13,054.3
14,157.8
14,473.7
19,874.7
20,038.0
20,480.8
22,029.7
23,344.6
2,179.4
2,185.3
2,251.9
2,388.6
2,714.9
1,820.8
1,862.3
1,976.1
2,103.5
2,250.4
4,283.5
4,466.5
4,942.0
5,354.0
6,140.2
7,538.4
7,688.7
7,942.6
8,304.5
8,969.4
84.4
91.3
85.4
87.3
91.8
270.3
265.4
280.9
301.3
211.2
--------133.6
52,719.1
52,823.0
55,239.9
59,237.5
63,208.7
2000
2001
2002
1,318.7
1,415.5
1,510.4
278.1
329.0
366.8
1,968.4
2,082.7
2,269.5
1,580.0
1,740.0
1,833.2
15,710.7
17,004.3
17,976.7
25,957.7
27,606.2
29,626.1
3,005.3
3,184.5
3,366.5
2,381.2
2,581.5
2,725.4
6,792.9
7,745.0
8,470.2
9,825.9
10,820.5
11,478.0
98.9
115.9
123.4
194.9
220.0
245.2
159.2
173.7
203.8
69,271.8
75,018.9
80,195.1
2003
2004
1,592.2
1,630.0
381.2
377.6
2,491.4
2,593.7
1,953.3
2,120.5
19,063.5
20,288.8
33,229.2
35,652.7
3,654.0
3,896.4
2,895.7
3,104.7
9,127.1
9,981.3
11,953.4
12,259.0
124.6
133.1
243.7
268.5
279.2
294.0
86,988.5
92,600.4
2005
1,687.0
414.8
2,826.9
2,317.1
21,383.5
37,823.4
4,200.4
3,374.7
11,085.9
13,237.2
152.1
283.3
287.0
99,073.3
2006 f
2007 f
1,799.3
1,953.7
428.2
465.8
3,025.4
3,216.3
2,498.0
2,658.2
22,791.8
24,119.4
40,451.4
42,887.6
4,359.9
4,682.9
3,678.9
3,962.4
11,982.5
13,613.2
13,919.7
14,682.1
172.4
178.7
282.3
294.1
323.8 105,713.6
320.9 113,035.2
1976 #
10.1
9.5
13.3
18.4
17.2
15.2
17.8
19.9
18.6
16.4
10.9
12.7
---
16.3
1980
1981
1982
1983
1984
13.2
17.3
17.6
11.6
3.9
16.0
15.7
17.1
11.3
6.8
14.4
22.1
15.7
9.6
11.1
18.2
21.2
21.0
8.7
7.2
12.9
14.4
15.9
10.5
6.5
13.5
18.5
16.6
12.9
10.1
16.5
17.1
17.5
12.2
7.3
19.2
17.7
21.3
12.2
7.1
19.3
23.0
25.6
13.1
3.3
25.9
23.1
14.7
6.9
4.5
8.3
10.1
38.2
3.3
-1.1
2.9
23.7
60.3
12.2
1.0
-----------
15.7
18.4
17.6
11.2
7.2
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
1991
1992
11.2
3.4
2.5
6.8
9.4
2.7
7.4
5.4
1.8
8.4
4.5
3.9
7.0
9.3
3.5
7.7
10.5
4.4
10.0
2.8
4.7
10.0
2.1
-0.5
7.3
5.3
6.3
13.7
10.8
8.6
9.7
16.4
7.2
7.3
13.2
1.1
-------
8.4
8.7
4.6
1993
1994
-0.4
2.5
4.3
-0.6
-2.1
-2.2
0.2
2.9
1.8
1.7
-0.9
0.9
-0.5
1.3
-5.0
3.0
-0.9
-5.7
6.0
5.4
14.0
20.7
3.5
0.3
-----
0.5
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
0.1
4.8
4.6
-1.3
-0.1
16.1
0.2
-1.5
-3.6
6.5
0.8
2.2
0.3
3.0
2.3
6.1
4.3
10.6
2.0
3.3
8.2
-6.4
-1.8
5.8
-----
0.2
4.6
1998
8.5
6.8
7.0
5.0
8.5
7.6
6.1
6.4
8.3
4.6
2.2
7.3
---
7.2
1999
12.9
5.5
6.3
7.2
2.2
6.0
13.7
7.0
14.7
8.0
5.1
-29.9
---
6.7
2000
2001
2002
5.4
7.3
6.7
7.4
18.3
11.5
3.6
5.8
9.0
7.5
10.1
5.4
8.5
8.2
5.7
11.2
6.4
7.3
10.7
6.0
5.7
5.8
8.4
5.6
10.6
14.0
9.4
9.5
10.1
6.1
7.7
17.3
6.4
-7.7
12.9
11.4
19.2
9.1
17.3
9.6
8.3
6.9
2003
2004
5.4
2.4
3.9
-1.0
9.8
4.1
6.6
8.6
6.0
6.4
12.2
7.3
8.5
6.6
6.2
7.2
7.8
9.4
4.1
2.6
1.0
6.9
-0.6
10.2
37.0
5.3
8.5
6.5
2005
3.5
9.9
9.0
9.3
5.4
6.1
7.8
8.7
11.1
8.0
14.2
5.5
-2.4
7.0
2006 f
2007 f
6.7
8.6
3.2
8.8
7.0
6.3
7.8
6.4
6.6
5.8
6.9
6.0
3.8
7.4
9.0
7.7
8.1
13.6
5.2
5.5
13.3
3.7
-0.4
4.2
12.8
-0.9
6.7
6.9
(annual percentage change) #
# —Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
CIHI 2007
CIHI 2007
127
National Health Expenditure Trends, 1975–2007
Table B.3.2
Public Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2007—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
907.72
999.65
860.19
925.49
984.09
1985
1,016.34
1,004.74
1,070.18
1986
1987
1988
1,115.18
1,205.91
1,276.14
1,074.57
1,164.10
1,260.71
1,150.53
1,304.53
1,298.16
1989
1,366.63
1,340.84
1990
1991
1992
1993
1,515.29
1,562.86
1,600.38
1,594.84
1,426.83
1,563.81
1,599.57
1,651.43
1994
1,650.45
1995
1996
1997
1998
1999
1,714.87
1,740.60
1,852.68
2,051.73
2,344.87
2000
2001
2002
2003
2004
Sask.
Canada
Average
Alta.
B.C.
Y.T.
N.W.T
Nun.
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
1,189.31
1,123.23
1,211.28
1,165.85
1,347.98
1,146.55
1,351.18
2,185.68
---
1,164.54
1,110.46
1,221.26
1,315.80
1,200.16
1,273.33
1,378.61
1,242.85
1,349.18
1,473.03
1,306.04
1,393.62
1,482.95
1,288.21
1,328.72
1,428.29
1,455.36
1,443.08
1,485.33
1,220.34
1,277.10
1,361.37
1,510.29
1,521.49
1,524.93
2,655.45
2,859.77
3,302.40
-------
1,246.25
1,325.38
1,424.23
1,417.87
1,425.04
1,458.95
1,592.27
1,606.82
1,598.43
1,615.48
1,480.99
1,632.10
3,570.18
---
1,536.23
1,513.31
1,585.86
1,606.22
1,564.33
1,535.00
1,592.01
1,648.30
1,650.79
1,544.02
1,672.46
1,721.23
1,741.32
1,683.15
1,836.97
1,892.32
1,854.51
1,764.67
1,807.82
1,886.70
1,869.05
1,779.42
1,824.01
1,812.37
1,716.06
1,698.71
1,757.86
1,840.71
1,799.67
1,636.89
1,768.85
1,867.66
1,925.71
1,747.95
1,954.71
2,011.98
2,274.52
3,708.35
4,057.16
4,004.30
4,071.51
---------
1,640.78
1,761.68
1,820.34
1,810.23
1,626.43
1,524.47
1,695.79
1,762.32
1,849.47
1,883.55
1,762.05
1,676.53
1,969.00
2,805.59
3,983.42
---
1,811.62
1,657.77
1,716.36
1,689.18
1,807.78
1,900.33
1,551.41
1,544.13
1,790.15
1,917.40
2,034.29
1,761.67
1,761.66
1,735.08
1,826.14
1,957.71
1,760.37
1,691.02
1,794.50
1,940.50
1,976.39
1,815.04
1,807.99
1,824.04
1,938.04
2,028.84
1,930.11
1,926.73
1,982.07
2,099.82
2,376.29
1,795.42
1,827.39
1,941.01
2,067.33
2,217.77
1,566.45
1,609.44
1,746.27
1,846.54
2,079.12
1,995.86
1,984.56
2,011.53
2,084.95
2,236.02
2,771.86
2,908.40
2,687.26
2,804.53
2,981.92
4,060.01
3,927.17
4,146.76
4,484.12
5,194.03
--------4,979.28
1,799.15
1,783.90
1,847.03
1,964.30
2,078.97
2,497.29
2,711.82
2,907.60
3,070.91
3,151.07
2,037.89
2,407.05
2,678.41
2,776.47
2,738.74
2,107.72
2,233.74
2,428.56
2,660.85
2,766.64
2,105.17
2,320.35
2,443.17
2,600.17
2,819.49
2,135.46
2,298.81
2,414.36
2,543.85
2,688.07
2,221.39
2,320.31
2,448.02
2,710.47
2,873.52
2,619.32
2,766.07
2,913.23
3,145.55
3,329.61
2,362.85
2,581.17
2,736.70
2,911.62
3,122.50
2,260.58
2,533.75
2,718.01
2,888.67
3,114.52
2,432.62
2,653.08
2,789.04
2,877.15
2,917.52
3,250.61
3,848.40
4,093.61
4,073.88
4,314.43
4,812.89
5,390.16
5,909.52
5,770.18
6,265.76
5,787.57
6,175.93
7,089.84
9,574.08
9,906.94
2,257.22
2,418.31
2,556.21
2,746.79
2,896.08
2005
2006 f
2007 f
3,282.44
3,530.27
3,837.74
3,001.67
3,091.36
3,350.54
3,019.76
3,237.79
3,435.89
3,083.44
3,334.36
3,543.90
2,814.44
2,978.72
3,134.88
3,011.74
3,188.42
3,343.64
3,577.39
3,701.83
3,957.01
3,408.96
3,733.49
4,031.29
3,382.34
3,549.55
3,986.88
3,108.90
3,229.29
3,368.58
4,886.83
5,519.38
5,705.02
6,646.27 9,555.20
6,743.92 10,520.61
6,930.78 10,354.89
3,067.33
3,240.41
3,435.84
1976 #
8.9
8.6
12.1
16.3
15.9
13.9
17.0
18.0
14.7
14.8
8.1
9.0
---
14.8
1980
1981
1982
1983
1984
12.7
17.0
17.7
10.7
3.8
15.4
15.7
17.0
9.8
5.8
14.0
21.8
15.0
8.4
10.1
17.7
21.2
20.7
7.6
6.3
12.2
13.7
15.3
10.2
6.0
12.4
17.6
15.2
11.5
8.5
16.8
16.9
16.3
10.7
6.2
18.2
16.7
19.9
10.5
5.7
14.1
17.6
21.7
12.1
3.3
22.3
19.6
12.8
5.7
3.1
6.8
12.0
35.0
7.0
-2.3
1.6
20.5
53.9
8.9
-2.0
-----------
14.2
17.0
16.2
10.1
6.2
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
1991
1992
10.9
3.1
2.4
6.4
9.6
2.3
6.7
4.8
1.3
7.7
3.7
3.5
5.8
8.3
2.9
5.7
9.1
3.0
9.8
2.4
4.4
11.3
2.5
-0.6
5.2
3.5
4.7
10.5
8.1
5.6
7.1
11.8
2.9
3.9
9.4
-1.3
-------
6.8
7.4
3.3
1993
1994
-0.3
3.5
3.2
-1.5
-2.6
-2.5
0.2
2.7
1.2
1.2
-2.0
-0.3
-0.9
0.8
-5.3
2.7
-2.2
-6.8
3.1
2.2
13.0
23.3
1.7
-2.2
-----
-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
6.1
-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
-3.3
5.6
-------
-0.7
-0.8
3.5
1998
1999
10.7
14.3
7.0
5.1
7.1
6.1
5.2
7.2
8.1
1.8
6.2
4.7
5.9
13.2
6.5
7.3
5.7
12.6
3.6
7.2
4.4
6.3
8.1
15.8
-----
6.3
5.8
2000
2001
2002
6.5
8.6
7.2
7.2
18.1
11.3
3.6
6.0
8.7
7.5
10.2
5.3
8.0
7.6
5.0
9.5
4.5
5.5
10.2
5.6
5.3
6.5
9.2
6.0
8.7
12.1
7.3
8.8
9.1
5.1
9.0
18.4
6.4
-7.3
12.0
9.6
16.2
6.7
14.8
8.6
7.1
5.7
2003
2004
5.6
2.6
3.7
-1.4
9.6
4.0
6.4
8.4
5.4
5.7
10.7
6.0
8.0
5.9
6.4
7.2
6.3
7.8
3.2
1.4
-0.5
5.9
-2.4
8.6
35.0
3.5
7.5
5.4
2005
2006 f
2007 f
4.2
7.6
8.7
9.6
3.0
8.4
9.1
7.2
6.1
9.4
8.1
6.3
4.7
5.8
5.2
4.8
5.9
4.9
7.4
3.5
6.9
9.2
9.5
8.0
8.6
4.9
12.3
6.6
3.9
4.3
13.3
12.9
3.4
6.1
1.5
2.8
-3.6
10.1
-1.6
5.9
5.6
6.0
Year
Man.
($’ per capita)
(annual percentage change) #
# —Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
128
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table B.3.3
Public Sector Health Expenditure as a Proportion of Total Health Expenditure by Province/Territory
and Canada, 1975 to 2007—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
Average
(percentage)
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
74.5
75.7
76.4
77.5
71.9
71.1
77.9
76.1
75.2
76.2
-----
76.2
77.0
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
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
1980
1981
66.2
66.1
61.5
63.8
77.5
78.9
73.8
73.9
81.5
79.7
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
1982
1983
1984
68.9
69.7
74.5
66.9
68.9
70.8
78.3
78.5
77.9
74.4
74.0
72.8
80.6
81.1
80.4
72.9
72.5
72.3
76.3
77.2
76.9
81.9
82.6
81.1
76.5
80.1
79.6
75.6
75.3
73.8
81.8
82.5
81.9
86.0
86.3
85.6
-------
76.2
76.6
76.1
1985
1986
1987
74.9
79.1
78.7
70.8
73.6
73.8
76.9
74.3
74.7
73.3
73.8
74.4
79.0
76.4
76.6
72.3
72.9
72.8
75.9
75.4
77.3
78.2
77.8
77.6
79.6
79.5
78.1
73.5
73.6
72.9
82.9
86.8
87.4
85.8
87.0
86.8
-------
75.5
75.1
74.9
1988
1989
78.8
79.4
74.2
72.9
73.5
73.2
74.4
74.8
76.8
76.1
73.1
73.3
79.0
78.6
79.9
79.4
75.5
75.3
72.6
72.8
88.6
89.3
87.1
87.4
-----
74.9
74.7
1990
1991
1992
1993
1994
79.9
78.5
77.5
76.5
76.0
72.7
72.6
70.9
70.0
69.3
73.7
73.7
72.7
71.4
69.9
74.1
72.8
72.5
71.1
71.0
75.6
75.6
74.7
73.7
73.2
72.8
73.1
72.5
70.6
69.7
78.5
77.9
77.7
76.0
75.5
79.6
78.8
78.2
75.1
74.7
75.3
75.2
75.4
73.6
71.8
73.1
73.4
73.9
73.9
74.2
90.6
90.3
89.7
86.7
89.4
88.5
88.5
89.4
90.1
90.7
-----------
74.5
74.5
74.0
72.6
71.9
1995
76.7
68.1
69.9
72.8
73.2
67.9
74.8
74.6
70.4
74.6
89.0
91.7
---
71.2
1996
1997
1998
1999
77.8
78.3
77.3
79.4
68.8
67.6
68.5
68.5
68.9
70.7
70.3
71.3
73.1
70.4
71.5
70.9
72.2
72.5
74.0
72.3
67.6
66.6
66.6
66.0
73.6
72.7
72.6
73.6
74.9
74.5
75.8
75.8
70.8
69.9
70.4
70.8
74.2
73.4
72.9
73.2
83.4
83.3
84.3
84.6
90.9
91.5
92.0
91.4
------93.7
70.8
70.2
70.6
70.1
2000
2001
2002
2003
2004
78.3
78.5
78.3
77.3
76.7
69.3
69.3
71.6
70.5
70.4
70.0
69.5
68.7
69.1
69.7
71.2
70.5
70.1
70.1
71.1
72.7
72.2
71.8
71.5
72.2
66.8
66.1
65.3
66.9
67.0
74.2
73.6
73.4
74.2
74.5
75.6
74.8
75.1
74.9
75.4
70.7
70.3
71.5
72.1
72.0
73.6
73.9
73.4
72.9
71.4
80.0
80.9
78.9
79.5
79.0
90.5
89.3
89.4
89.1
89.9
94.5
94.3
94.8
95.5
95.5
70.5
70.1
69.7
70.2
70.3
2005
2006 f
2007 f
75.5
76.0
76.6
72.0
71.1
71.5
70.1
70.4
70.8
70.0
70.2
69.9
71.6
71.7
71.7
66.8
67.2
67.2
75.0
75.1
75.4
76.2
77.0
77.8
72.6
72.6
74.0
71.6
71.4
71.5
80.6
81.8
81.0
88.5
87.6
87.8
95.1
95.4
95.0
70.1
70.3
70.6
(annual percentage change) #
1976 #
-6.9
3.0
-2.0
2.1
2.1
1.1
2.2
1.6
1.5
-1.1
-2.4
1.3
---
1.0
1980
1981
1982
1983
1984
1.4
-0.2
4.2
1.2
6.9
-8.4
3.8
4.8
3.1
2.7
-0.2
1.7
-0.7
0.2
-0.8
-1.2
0.1
0.6
-0.5
-1.7
-1.2
-2.2
1.1
0.5
-0.8
0.0
1.6
-0.6
-0.4
-0.3
-1.2
-1.3
1.7
1.1
-0.3
2.8
1.1
1.9
0.8
-1.7
-1.3
1.0
-1.7
4.7
-0.6
0.1
3.4
1.7
-0.5
-1.9
-0.7
2.0
4.7
0.8
-0.7
-0.7
2.4
7.2
0.3
-0.8
-----------
-0.5
0.5
0.4
0.5
-0.7
1985
1986
1987
0.6
5.6
-0.6
0.0
3.9
0.3
-1.4
-3.3
0.5
0.7
0.7
0.9
-1.7
-3.3
0.3
0.0
0.8
-0.1
-1.3
-0.6
2.4
-3.6
-0.5
-0.3
0.0
-0.1
-1.8
-0.4
0.0
-0.8
1.3
4.7
0.7
0.3
1.4
-0.2
-------
-0.7
-0.6
-0.2
1988
1989
0.2
0.8
0.7
-1.8
-1.6
-0.5
0.0
0.6
0.2
-0.9
0.4
0.1
2.2
-0.5
2.9
-0.7
-3.4
-0.2
-0.4
0.2
1.4
0.8
0.3
0.4
-----
0.0
-0.2
1990
1991
0.6
-1.7
-0.2
-0.1
0.8
-0.1
-1.0
-1.7
-0.7
0.0
-0.6
0.4
0.0
-0.8
0.3
-0.9
-0.1
-0.1
0.4
0.5
1.4
-0.4
1.3
-0.1
-----
-0.3
0.0
1992
-1.3
-2.3
-1.3
-0.4
-1.1
-0.8
-0.2
-0.7
0.3
0.6
-0.6
1.0
---
-0.6
1993
1994
-1.3
-0.7
-1.3
-1.1
-1.8
-2.1
-2.0
-0.1
-1.3
-0.7
-2.7
-1.3
-2.2
-0.6
-4.1
-0.5
-2.3
-2.5
0.0
0.4
-3.4
3.1
0.8
0.6
-----
-1.9
-0.9
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
-3.7
0.0
-1.4
0.3
-2.5
-0.5
-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
-0.9
0.6
-------
-1.0
-0.7
-0.8
1998
1999
-1.2
2.7
1.2
0.1
-0.6
1.5
1.5
-0.9
2.1
-2.2
0.0
-0.9
-0.1
1.3
1.8
-0.1
0.7
0.5
-0.7
0.4
1.3
0.3
0.6
-0.6
-----
0.5
-0.6
2000
2001
2002
-1.4
0.3
-0.3
1.1
0.1
3.4
-1.8
-0.7
-1.1
0.5
-1.1
-0.6
0.5
-0.7
-0.6
1.1
-1.0
-1.3
0.8
-0.7
-0.3
-0.2
-1.2
0.5
0.0
-0.6
1.7
0.6
0.4
-0.7
-5.3
1.1
-2.5
-1.0
-1.3
0.0
0.9
-0.3
0.6
0.5
-0.6
-0.6
2003
2004
-1.2
-0.7
-1.7
-0.1
0.6
0.8
0.1
1.4
-0.4
0.9
2.5
0.2
1.1
0.4
-0.4
0.7
0.9
-0.2
-0.7
-2.0
0.8
-0.7
-0.3
0.9
0.7
0.0
0.8
0.1
2005
2006 f
2007 f
-1.6
0.6
0.8
2.2
-1.3
0.6
0.7
0.3
0.6
-1.6
0.3
-0.4
-0.8
0.2
0.0
-0.3
0.6
0.0
0.6
0.1
0.4
1.0
1.1
1.0
0.9
-0.1
1.9
0.3
-0.4
0.1
2.1
1.4
-1.0
-1.5
-1.0
0.2
-0.4
0.3
-0.4
-0.2
0.3
0.3
# —Refer to electronic tables for annual percentage change for the years 1977–1979.
f—Forecast
CIHI 2007
CIHI 2007
129
National Health Expenditure Trends, 1975–2007
Table B.4.1
Provincial/Territorial Government Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2007—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
1975
1976
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
728.6
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
24,510.1
26,243.9
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
1992
1993
1994
836.0
861.0
881.0
880.9
902.6
173.7
189.6
196.2
205.2
200.4
1,263.6
1,333.8
1,356.8
1,322.9
1,280.1
1,057.2
1,102.1
1,142.4
1,154.7
1,189.3
10,250.4
11,213.3
11,617.6
11,841.5
12,007.4
16,195.9
17,951.3
18,810.3
18,618.2
18,753.5
1,742.8
1,788.7
1,867.8
1,856.8
1,861.9
1,636.4
1,658.2
1,635.9
1,539.4
1,560.5
4,043.8
4,241.0
4,506.3
4,452.2
4,103.5
5,043.6
5,578.3
6,060.7
6,424.1
6,740.9
38.6
45.6
49.1
58.1
71.5
187.9
213.9
213.6
218.4
214.0
-----------
42,469.7
46,176.8
48,337.8
48,572.6
48,885.6
1995
1996
1997
1998
1999
925.5
203.2
1,302.6
1,235.2
926.0
968.2
1,050.3
1,190.4
213.2
213.9
228.8
240.8
1,317.7
1,552.0
1,656.5
1,749.7
1,234.4
1,213.9
1,269.5
1,369.8
12,020.3
18,549.6
1,903.4
1,595.6
3,904.8
7,007.1
68.7
220.6
---
48,936.4
11,587.3
12,172.3
13,170.6
13,413.2
18,696.5
19,065.6
20,121.8
21,592.8
1,922.8
1,976.6
2,102.8
2,395.3
1,637.4
1,749.2
1,855.2
1,995.4
4,091.3
4,527.6
4,896.0
5,641.1
7,186.1
7,434.9
7,758.4
8,390.8
67.6
69.6
74.2
78.4
215.3
231.1
249.7
176.0
------115.4
49,095.6
51,174.9
54,433.7
58,349.2
2000
2001
2002
2003
2004
1,246.8
1,333.7
1,423.3
1,498.1
1,538.7
258.7
305.6
344.8
354.9
348.4
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
14,456.4
15,535.9
16,412.1
17,273.2
18,399.2
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
11,180.5
11,432.8
83.8
96.9
102.1
103.8
113.3
158.2
177.2
199.5
201.7
225.9
136.3
146.0
170.3
235.8
243.9
63,639.6
68,546.1
73,495.2
79,333.3
84,624.4
2005
2006 f
2007 f
1,589.7
1,702.5
1,851.5
372.0
383.9
418.5
2,580.3
2,767.0
2,943.5
2,132.4
2,308.8
2,455.4
19,424.3
20,742.8
21,951.4
34,818.4
37,259.5
39,535.8
3,699.6
3,853.0
4,141.0
2,986.5
3,253.0
3,518.9
10,191.2
11,054.4
12,617.3
12,369.5
13,032.8
13,745.0
125.0
146.7
151.3
232.5
233.4
243.1
224.2 90,745.7
260.1 96,997.8
255.0 103,827.5
1976 #
9.9
9.4
13.4
19.0
17.4
14.9
1980
1981
1982
1983
1984
19.3
20.5
16.8
16.6
42.9
24.3
---
16.3
13.3
16.8
17.4
11.7
3.7
16.1
15.8
17.1
11.2
6.4
14.9
20.6
15.8
10.0
9.8
17.3
21.0
21.2
8.2
7.1
12.7
14.3
15.8
10.5
6.3
13.1
17.5
17.0
12.9
10.1
14.6
19.9
16.9
11.6
7.9
18.9
17.4
21.0
12.4
5.9
20.0
23.9
29.7
14.1
2.7
24.1
22.9
14.5
7.8
4.9
10.0
10.4
49.2
1.8
3.1
4.9
21.2
43.8
13.2
7.3
-----------
15.3
18.1
17.9
11.4
7.1
1985
1986
1987
1988
1989
5.0
8.9
8.0
6.0
7.4
5.5
7.1
8.2
7.9
6.1
8.4
5.7
7.7
8.5
10.0
5.8
6.8
10.4
7.5
8.9
5.7
1.8
7.0
8.9
7.1
10.4
12.8
11.0
11.3
11.0
7.3
7.4
7.5
7.3
8.3
7.7
11.1
3.4
6.7
11.2
6.7
9.3
-0.3
3.6
10.7
4.1
7.6
6.3
8.7
12.0
5.7
10.9
6.6
13.8
8.5
16.0
26.9
15.7
39.5
18.7
-----------
7.5
8.2
7.6
9.1
9.8
1990
1991
11.3
3.0
6.5
9.2
7.2
5.6
7.7
4.2
6.4
9.4
7.4
10.8
9.8
2.6
9.1
1.3
6.6
4.9
13.2
10.6
6.6
18.1
7.6
13.8
-----
8.0
8.7
1992
2.3
3.5
1.7
3.7
3.6
4.8
4.4
-1.3
6.3
8.6
7.6
-0.1
---
4.7
1993
1994
0.0
2.5
4.6
-2.3
-2.5
-3.2
1.1
3.0
1.9
1.4
-1.0
0.7
-0.6
0.3
-5.9
1.4
-1.2
-7.8
6.0
4.9
18.3
23.0
2.2
-2.0
-----
0.5
0.6
1995
1996
2.5
0.1
1.4
4.9
1.8
1.2
3.9
-0.1
0.1
-3.6
-1.1
0.8
2.2
1.0
2.2
2.6
-4.8
4.8
3.9
2.6
-3.8
-1.7
3.1
-2.4
-----
0.1
0.3
1997
1998
1999
4.6
8.5
13.3
0.3
7.0
5.2
17.8
6.7
5.6
-1.7
4.6
7.9
5.0
8.2
1.8
2.0
5.5
7.3
2.8
6.4
13.9
6.8
6.1
7.6
10.7
8.1
15.2
3.5
4.3
8.2
2.9
6.6
5.8
7.4
8.1
-29.5
-------
4.2
6.4
7.2
2000
2001
4.7
7.0
7.4
18.1
2.2
5.4
7.1
8.8
7.8
7.5
10.9
5.5
9.8
6.2
4.9
8.3
10.2
13.2
9.2
10.4
6.9
15.6
-10.1
12.0
18.1
7.1
9.1
7.7
2002
2003
2004
6.7
5.3
2.7
12.8
2.9
-1.8
9.4
10.2
4.1
5.2
6.8
8.9
5.6
5.2
6.5
7.9
11.5
7.7
6.1
8.6
6.7
5.5
5.9
7.9
9.9
7.2
9.9
6.4
3.9
2.3
5.4
1.7
9.1
12.6
1.1
12.0
16.6
38.5
3.5
7.2
7.9
6.7
2005
2006 f
2007 f
3.3
7.1
8.7
6.8
3.2
9.0
9.1
7.2
6.4
9.2
8.3
6.3
5.6
6.8
5.8
6.4
7.0
6.1
7.7
4.1
7.5
9.3
8.9
8.2
11.9
8.5
14.1
8.2
5.4
5.5
10.4
17.3
3.2
2.9
0.4
4.2
-8.1
16.0
-2.0
7.2
6.9
7.0
Year
Man.
Sask.
($’ 000,000)
(annual percentage change) #
#—Refer to electronic tables for annual percentage change for the years 1977–1979.
f–Forecast
130
CIHI 2007
CIHI 2007
National Health Expenditure Trends, 1975–2007
Table B.4.2
Provincial/Territorial Government Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2007—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.
Average
($’ per capita)
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
329.31
390.81
384.21
434.15
371.34
427.31
281.70
392.62
355.89
427.62
-----
376.32
431.98
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
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
1980
1981
587.97
684.49
586.87
679.49
556.32
669.77
559.50
677.01
708.13
804.58
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
1982
1983
1984
803.88
889.85
921.49
795.18
872.94
920.16
770.56
838.29
912.41
818.37
876.77
931.38
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
1985
1986
1987
969.11
1,060.19
1,147.48
963.16
1,025.64
1,108.04
980.11
1,031.12
1,105.10
982.04
1,046.94
1,151.22
1,136.74
1,150.09
1,217.52
1,048.32
1,164.97
1,265.35
1,092.73
1,163.01
1,242.92
1,073.93
1,188.64
1,224.38
1,263.05
1,364.43
1,358.38
1,076.10
1,146.18
1,200.20
1,020.22
1,125.67
1,142.60
1,320.82
1,666.65
1,915.62
-------
1,091.32
1,168.59
1,240.96
1988
1989
1,216.34
1,303.10
1,189.24
1,254.08
1,194.19
1,304.30
1,233.44
1,334.56
1,315.53
1,390.10
1,380.08
1,491.89
1,329.10
1,438.04
1,312.55
1,471.92
1,396.57
1,520.06
1,276.99
1,393.40
1,255.80
1,337.46
2,641.91
3,061.59
-----
1,336.28
1,441.70
1990
1991
1992
1993
1,446.22
1,485.76
1,518.94
1,518.87
1,330.38
1,455.09
1,500.45
1,553.24
1,389.08
1,457.56
1,475.44
1,431.70
1,428.37
1,478.27
1,527.08
1,542.11
1,463.53
1,587.25
1,634.44
1,654.93
1,572.74
1,721.43
1,779.63
1,741.91
1,576.21
1,612.05
1,678.64
1,661.38
1,624.80
1,653.75
1,629.49
1,528.88
1,587.56
1,635.78
1,711.51
1,669.10
1,532.63
1,653.57
1,747.40
1,800.79
1,391.27
1,578.60
1,630.67
1,913.85
3,189.46
3,510.43
3,423.11
3,437.35
---------
1,533.34
1,647.32
1,704.03
1,693.50
1994
1,571.25
1,502.41
1,381.01
1,585.29
1,669.57
1,733.51
1,657.61
1,545.80
1,519.44
1,833.90
2,406.47
3,284.08
---
1,685.76
1995
1996
1997
1998
1999
1,630.96
1,654.16
1,757.15
1,945.16
2,231.77
1,511.50
1,570.44
1,571.56
1,684.76
1,766.59
1,403.36
1,414.75
1,664.36
1,777.59
1,873.69
1,644.78
1,640.82
1,613.06
1,691.40
1,824.87
1,664.98
1,598.94
1,673.26
1,805.19
1,831.58
1,694.03
1,686.95
1,698.00
1,770.20
1,876.60
1,685.66
1,695.29
1,739.72
1,848.60
2,096.54
1,573.35
1,606.75
1,718.15
1,823.25
1,966.46
1,427.96
1,474.25
1,599.84
1,688.58
1,910.13
1,855.19
1,854.82
1,882.96
1,947.83
2,091.76
2,257.88
2,154.16
2,187.86
2,381.31
2,548.64
3,313.42
3,185.91
3,411.81
3,716.54
4,329.58
--------4,303.32
1,670.06
1,658.03
1,711.11
1,805.01
1,919.14
2000
2001
2002
2003
2004
2,361.22
2,555.02
2,739.98
2,889.41
2,974.60
1,895.21
2,235.93
2,518.06
2,585.19
2,527.36
1,914.73
2,021.76
2,205.82
2,425.51
2,521.74
1,954.06
2,127.56
2,237.56
2,386.75
2,595.91
1,964.98
2,100.30
2,204.22
2,304.95
2,437.71
2,048.82
2,122.90
2,251.87
2,478.10
2,637.58
2,292.92
2,426.92
2,565.29
2,772.40
2,936.48
2,076.82
2,266.09
2,401.67
2,547.42
2,749.33
2,068.22
2,301.09
2,480.77
2,622.77
2,842.74
2,268.96
2,480.95
2,615.43
2,691.12
2,720.88
2,756.05
3,216.74
3,389.07
3,396.25
3,671.32
3,905.37
4,340.56
4,807.91
4,775.26
5,271.13
4,957.08
5,192.98
5,924.44
8,083.36
8,220.68
2,073.69
2,209.65
2,342.66
2,505.07
2,646.63
2005
2006 f
2007 f
3,093.08
3,340.40
3,636.86
2,692.20
2,771.15
3,010.09
2,756.38
2,961.27
3,144.47
2,837.56
3,081.82
3,273.56
2,556.58
2,710.93
2,853.09
2,772.46
2,936.84
3,082.32
3,150.92
3,271.41
3,499.10
3,016.84
3,301.29
3,580.07
3,109.36
3,274.64
3,695.21
2,905.11
3,023.53
3,153.58
4,017.91
4,696.21
4,830.10
5,454.86
5,575.61
5,728.28
7,462.21
8,448.64
8,229.34
2,809.51
2,973.25
3,155.96
1976 #
8.7
8.5
12.2
16.9
16.2
13.6
18.5
18.7
13.0
15.1
39.4
20.2
---
14.8
1980
1981
1982
1983
1984
12.8
16.4
17.4
10.7
3.6
15.5
15.8
17.0
9.8
5.4
14.4
20.4
15.0
8.8
8.8
16.9
21.0
20.9
7.1
6.2
12.0
13.6
15.3
10.1
5.8
12.0
16.6
15.6
11.4
8.5
14.9
19.7
15.7
10.1
6.8
17.9
16.4
19.6
10.8
4.5
14.8
18.4
25.6
13.1
2.7
20.5
19.4
12.6
6.6
3.4
8.5
12.3
45.7
5.5
1.8
3.6
18.0
38.1
9.8
4.1
-----------
13.8
16.7
16.5
10.3
6.1
1985
1986
1987
5.2
9.4
8.2
4.7
6.5
8.0
7.4
5.2
7.2
5.4
6.6
10.0
5.2
1.2
5.9
8.9
11.1
8.6
6.3
6.4
6.9
6.6
10.7
3.0
6.2
8.0
-0.4
3.1
6.5
4.7
3.8
10.3
1.5
12.1
26.2
14.9
-------
6.5
7.1
6.2
1988
1989
6.0
7.1
7.3
5.5
8.1
9.2
7.1
8.2
8.0
5.7
9.1
8.1
6.9
8.2
7.2
12.1
2.8
8.8
6.4
9.1
9.9
6.5
37.9
15.9
-----
7.7
7.9
1990
1991
1992
11.0
2.7
2.2
6.1
9.4
3.1
6.5
4.9
1.2
7.0
3.5
3.3
5.3
8.5
3.0
5.4
9.5
3.4
9.6
2.3
4.1
10.4
1.8
-1.5
4.4
3.0
4.6
10.0
7.9
5.7
4.0
13.5
3.3
4.2
10.1
-2.5
-------
6.4
7.4
3.4
1993
0.0
3.5
-3.0
1.0
1.3
-2.1
-1.0
-6.2
-2.5
3.1
17.4
0.4
---
-0.6
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
---
-0.5
1995
1996
1997
3.8
1.4
6.2
0.6
3.9
0.1
1.6
0.8
17.6
3.8
-0.2
-1.7
-0.3
-4.0
4.6
-2.3
-0.4
0.7
1.7
0.6
2.6
1.8
2.1
6.9
-6.0
3.2
8.5
1.2
0.0
1.5
-6.2
-4.6
1.6
0.9
-3.8
7.1
-------
-0.9
-0.7
3.2
1998
1999
10.7
14.7
7.2
4.9
6.8
5.4
4.9
7.9
7.9
1.5
4.3
6.0
6.3
13.4
6.1
7.9
5.5
13.1
3.4
7.4
8.8
7.0
8.9
16.5
-----
5.5
6.3
2000
5.8
7.3
2.2
7.1
7.3
9.2
9.4
5.6
8.3
8.5
8.1
-9.8
15.2
8.1
2001
2002
8.2
7.2
18.0
12.6
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
11.1
10.8
4.8
14.1
6.6
6.0
2003
2004
5.5
2.9
2.7
-2.2
10.0
4.0
6.7
8.8
4.6
5.8
10.0
6.4
8.1
5.9
6.1
7.9
5.7
8.4
2.9
1.1
0.2
8.1
-0.7
10.4
36.4
1.7
6.9
5.7
2005
2006 f
2007 f
4.0
8.0
8.9
6.5
2.9
8.6
9.3
7.4
6.2
9.3
8.6
6.2
4.9
6.0
5.2
5.1
5.9
5.0
7.3
3.8
7.0
9.7
9.4
8.4
9.4
5.3
12.8
6.8
4.1
4.3
9.4
16.9
2.9
3.5
2.2
2.7
-9.2
13.2
-2.6
6.2
5.8
6.1
(annual percentage change) #
#–Refer to electronic tables for annual percentage change for the years 1977–1979.
f–Forecast
CIHI 2007
CIHI 2007
131
National Health Expenditure Trends, 1975–2007
Table B.4.3
Provincial/Territorial Government Sector Health Expenditure as a Proportion of
Total Health Expenditure by Province/Territory and Canada, 1975 to 2007—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.
Average
(percentage)
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
68.5
70.0
70.0
70.0
67.1
66.5
38.8
48.8
43.5
48.5
-----
71.4
72.1
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
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
1980
1981
1982
63.7
63.3
65.9
59.4
61.7
64.6
72.2
72.6
72.1
70.2
70.2
70.7
78.3
76.5
77.3
67.7
68.2
68.0
67.2
67.9
68.7
74.1
74.8
76.0
70.1
71.3
72.4
67.1
69.2
70.3
52.1
53.3
60.3
48.0
48.1
46.2
-------
70.8
71.0
71.5
1983
1984
66.7
71.1
66.6
68.1
72.5
71.1
70.1
68.9
77.7
76.9
67.7
67.5
69.1
69.2
76.8
74.6
76.5
75.5
70.6
69.4
59.9
62.0
46.8
49.3
-----
72.0
71.4
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
74.6
73.5
71.0
69.1
68.6
68.1
64.7
65.6
73.0
54.6
58.2
69.7
-------
70.4
70.1
70.3
1989
75.7
68.2
67.3
70.1
72.5
68.6
70.3
73.1
70.9
68.5
73.2
75.0
---
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
64.0
67.7
67.7
66.8
65.3
63.3
68.9
67.6
67.2
66.4
66.4
71.6
71.7
70.9
70.1
69.4
68.1
68.5
68.2
66.3
65.3
70.1
69.4
69.1
67.5
66.4
72.7
71.5
70.4
66.9
65.5
70.3
70.0
70.1
68.3
65.1
68.4
68.6
69.1
69.1
69.1
72.1
72.9
72.7
73.0
76.7
76.1
76.5
76.4
76.1
74.8
-----------
69.6
69.7
69.3
67.9
66.9
1995
1996
1997
1998
1999
73.0
74.0
74.3
73.3
75.6
62.1
62.9
62.9
63.8
63.7
63.2
63.1
65.7
65.2
65.7
67.9
68.1
65.4
66.2
66.0
69.3
68.3
67.6
68.8
67.0
63.4
63.1
62.0
60.9
61.1
65.3
64.8
63.8
63.9
64.9
65.4
65.8
65.9
66.9
67.2
64.2
64.8
64.0
64.4
65.0
69.4
69.3
68.7
68.1
68.4
72.5
61.8
67.8
71.6
72.3
74.8
73.7
75.3
76.3
76.2
--------81.0
66.1
65.8
65.0
64.8
64.7
2000
2001
2002
2003
2004
74.0
74.0
73.8
72.8
72.4
64.4
64.4
67.4
65.6
65.0
63.6
62.9
62.4
63.0
63.5
66.1
64.6
64.2
64.4
65.5
66.9
66.0
65.5
64.8
65.5
61.6
60.5
60.0
61.2
61.5
64.9
64.6
64.6
65.4
65.7
66.5
65.6
65.9
65.5
66.4
64.7
63.9
65.3
65.5
65.7
68.7
69.1
68.8
68.2
66.6
67.9
67.6
65.3
66.3
67.2
73.4
71.9
72.7
73.7
75.6
81.0
79.3
79.2
80.6
79.3
64.8
64.0
63.8
64.0
64.2
2005
2006 f
2007 f
71.1
71.9
72.6
64.6
63.7
64.2
64.0
64.4
64.8
64.4
64.9
64.6
65.0
65.3
65.3
61.5
61.9
62.0
66.0
66.3
66.7
67.4
68.1
69.1
66.8
66.9
68.6
66.9
66.8
66.9
66.3
69.6
68.5
72.7
72.4
72.6
74.3
76.6
75.5
64.2
64.5
64.8
(annual percentage change) #
1976 #
-7.0
3.0
-1.9
2.6
2.4
0.8
3.5
2.2
0.0
-0.9
25.9
11.7
---
1.0
1980
1981
1982
1983
1984
1.5
-0.7
4.0
1.2
6.7
-8.3
3.9
4.8
3.0
2.3
0.1
0.5
-0.6
0.6
-1.9
-1.9
-0.1
0.8
-0.9
-1.8
-1.4
-2.3
1.1
0.5
-1.0
-0.3
0.8
-0.2
-0.5
-0.3
-2.9
1.0
1.2
0.5
0.2
2.5
0.9
1.6
1.0
-2.8
-0.7
1.7
1.5
5.6
-1.2
-1.3
3.2
1.5
0.4
-1.6
0.9
2.4
13.0
-0.6
3.5
1.3
0.3
-3.8
1.2
5.3
-----------
-0.9
0.2
0.8
0.7
-0.8
1985
1986
0.5
5.3
-0.4
3.5
-1.0
-5.4
0.6
0.5
-1.8
-3.1
0.1
1.2
-1.1
-1.9
-3.4
-0.3
-1.3
0.0
-0.6
0.1
0.9
3.4
5.3
5.3
-----
-0.9
-0.6
1987
1988
-0.5
0.4
0.0
-0.2
-5.0
6.8
0.9
-0.6
0.1
0.0
0.0
0.3
2.6
2.7
-0.4
2.7
-1.4
-3.5
-0.8
-0.6
1.4
11.2
6.5
19.8
-----
-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
-0.7
-2.8
-3.1
0.0
-1.0
-1.5
-1.6
-2.0
-4.7
0.0
5.1
-1.7
---
-1.5
1995
0.9
-2.9
-0.1
2.4
-0.2
-2.9
-1.7
-0.1
-1.4
0.4
-5.5
0.1
---
-1.2
1996
1997
1998
1.4
0.4
-1.3
1.3
0.0
1.4
-0.2
4.1
-0.8
0.2
-3.9
1.1
-1.4
-1.1
1.8
-0.6
-1.7
-1.9
-0.9
-1.5
0.2
0.7
0.1
1.5
1.0
-1.2
0.5
-0.1
-0.9
-0.9
-14.7
9.7
5.6
-1.4
2.1
1.3
-------
-0.5
-1.1
-0.3
1999
3.1
-0.2
0.8
-0.2
-2.6
0.4
1.5
0.5
1.0
0.5
0.9
0.0
---
-0.2
2000
-2.1
1.1
-3.2
0.1
-0.2
0.8
0.0
-1.1
-0.4
0.3
-6.1
-3.7
0.0
0.0
2001
2002
2003
-0.1
-0.3
-1.4
0.0
4.6
-2.6
-1.1
-0.8
1.0
-2.3
-0.7
0.3
-1.4
-0.7
-1.1
-1.8
-0.7
1.9
-0.5
0.1
1.2
-1.3
0.5
-0.7
-1.3
2.2
0.4
0.6
-0.4
-0.9
-0.3
-3.5
1.5
-2.0
1.1
1.4
-2.1
0.0
1.7
-1.1
-0.3
0.3
2004
-0.4
-0.9
0.8
1.7
1.0
0.6
0.5
1.4
0.4
-2.3
1.4
2.5
-1.7
0.3
2005
-1.8
-0.7
0.8
-1.6
-0.7
-0.1
0.5
1.5
1.6
0.5
-1.3
-3.9
-6.3
0.1
1.1
1.0
-1.3
0.8
0.5
0.7
0.8
-0.5
0.4
0.0
0.7
0.1
0.5
0.5
1.0
1.5
0.2
2.4
-0.2
0.1
5.0
-1.5
-0.3
0.2
3.1
-1.5
0.5
0.4
2006 f
2007 f
#–Refer to electronic tables for annual percentage change for the years 1977–1979.
f–Forecast
132
CIHI 2007
CIHI 2007
Series E
Provincial/Territorial Government Health
Expenditure, by Age and Sex,
by Province/Territory and Canada
(Selected Tables)
National Health Expenditure Trends, 1975–2007
Table E.1.1
Estimate of Total Provincial and Territorial Government Health Expenditures, by Age and Sex,
by Province/Territory and Canada, 2005—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Age
Groups
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
($’ 000,000)
Both Sexes
<1
30.5
7.8
67.1
52.8
447.0
1,063.0
85.7
76.5
375.5
278.9
2.5
9.9
17.5
2,514.8
1–4
19.8
6.6
35.7
39.7
283.7
613.0
69.3
69.0
244.4
202.5
4.0
11.0
17.3
1,616.0
5–9
24.1
13.1
40.5
37.2
323.4
684.2
92.1
70.5
271.8
245.2
4.4
7.9
13.1
1,827.4
10–14
25.3
7.9
42.4
40.4
357.6
740.0
86.0
83.6
300.2
285.9
4.3
7.5
11.6
1,992.7
15–19
35.3
11.2
60.9
56.0
431.4
937.6
117.3
111.7
392.1
376.1
5.5
11.5
16.5
2,563.1
20–24
44.5
12.9
75.8
68.9
577.9
1,113.5
136.6
121.1
478.5
487.7
6.3
14.1
17.3
3,155.0
25–29
51.1
13.9
86.7
77.1
667.4
1,351.6
144.5
123.5
527.5
500.3
5.8
16.3
19.3
3,585.0
30–34
58.4
14.2
94.2
82.9
629.4
1,588.0
151.6
123.7
540.5
566.3
6.8
17.6
19.2
3,892.7
35–39
60.6
13.3
92.1
83.4
731.2
1,615.5
148.8
111.7
510.2
593.7
6.7
14.7
14.6
3,996.5
40–44
68.3
16.9
116.8
101.9
888.7
1,838.6
177.3
140.2
585.3
669.9
8.1
14.4
12.0
4,638.4
45–49
83.5
18.1
127.5
118.2
984.1
1,900.9
190.2
157.0
634.4
723.4
9.6
15.1
11.3
4,973.3
50–54
99.0
19.4
142.1
130.2
1,072.1
1,956.8
203.5
162.1
611.0
742.0
8.9
13.4
9.7
5,170.1
55–59
109.6
23.0
174.2
146.8
1,184.9
2,074.2
215.6
162.5
598.5
759.3
8.4
13.0
10.3
5,480.3
60–64
104.9
21.4
153.2
136.3
1,194.7
1,974.0
201.1
154.9
554.2
711.1
6.8
10.4
8.4
5,231.5
65–69
114.1
24.9
190.6
151.1
1,413.1
2,479.7
209.3
175.7
610.7
747.9
6.9
9.8
7.1
6,140.8
70–74
134.4
29.3
218.4
174.0
1,767.9
2,951.2
260.6
209.4
704.4
894.6
7.9
12.5
7.8
7,372.3
75–79
151.5
33.1
240.1
198.0
2,039.0
3,241.7
314.5
249.7
749.9
1,029.7
6.9
12.3
5.4
8,271.8
80–84
151.5
36.0
248.4
194.2
1,855.1
3,073.3
362.9
262.8
679.3
1,064.5
6.5
9.7
3.2
7,947.3
85–89
149.8
30.5
231.9
152.8
1,721.1
2,323.0
333.9
266.2
522.8
947.3
6.9
8.8
1.8
6,696.8
90+
73.4
18.6
141.9
90.6
854.6
1,298.8
198.9
155.0
300.0
543.1
1.8
2.8
0.7
3,680.0
Total
1,589.7
372.0
2,580.3
2,132.4
19,424.3
34,818.4
3,699.6
2,986.5
10,191.2
12,369.5
125.0
232.5
224.2
90,745.7
Female
<1
13.9
3.5
30.2
23.9
204.6
496.7
38.2
35.0
171.8
127.8
1.1
4.6
7.7
1,159.1
1–4
8.9
2.5
16.5
15.7
133.1
283.2
32.2
32.4
113.4
95.0
2.4
6.8
9.9
752.1
5–9
11.2
3.1
18.6
17.4
150.6
328.1
51.4
34.2
127.1
115.3
2.4
4.1
6.6
870.1
10–14
12.3
3.8
19.9
19.4
173.6
354.5
41.5
39.6
143.1
137.2
2.2
3.7
5.8
956.7
15–19
20.2
6.5
33.8
30.7
228.0
497.8
63.1
60.5
205.8
195.5
3.0
6.5
9.2
1,360.5
20–24
26.6
8.0
47.8
42.0
334.5
659.0
81.4
73.0
278.0
260.8
3.8
9.0
11.1
1,835.0
25–29
33.2
9.4
58.2
52.3
415.9
897.1
91.9
80.4
333.5
310.5
3.9
11.2
13.2
2,310.8
30–34
38.4
9.4
65.3
53.2
389.9
1,069.0
93.8
71.1
337.1
355.6
4.3
11.1
11.9
2,510.0
35–39
36.4
8.1
56.4
49.1
399.4
978.0
84.1
64.1
292.0
344.4
3.9
8.9
8.3
2,333.0
40–44
36.8
9.5
64.8
56.2
452.6
1,005.0
92.6
76.3
312.8
359.7
4.5
8.0
6.0
2,484.5
45–49
43.9
10.3
68.4
62.9
503.9
1,008.4
98.2
83.1
323.3
381.4
4.9
7.6
5.2
2,601.4
50–54
50.0
9.9
72.4
66.5
537.4
1,005.6
105.1
81.7
305.0
369.4
4.4
6.6
4.8
2,618.6
55–59
53.2
11.8
86.6
71.9
573.2
1,020.2
106.9
80.6
293.2
370.3
4.0
5.9
4.9
2,682.8
60–64
46.7
10.4
70.4
62.4
577.5
947.7
100.3
75.6
275.6
340.4
3.2
4.7
4.1
2,519.0
65–69
51.4
12.4
91.6
71.3
691.8
1,207.6
104.3
85.5
291.8
358.3
3.1
4.6
3.1
2,976.9
70–74
64.7
14.4
108.2
89.2
915.1
1,474.6
129.7
103.0
341.2
430.4
3.7
6.6
3.6
3,684.5
75–79
80.8
18.1
133.7
109.0
1,150.3
1,739.6
170.1
129.6
388.4
541.9
3.4
5.9
2.0
4,473.0
80–84
92.8
22.3
158.2
117.8
1,184.7
1,860.6
222.6
156.8
398.8
645.9
4.0
5.5
1.0
4,871.0
85–89
107.2
21.8
166.0
104.3
1,245.7
1,607.5
230.8
180.7
344.7
653.1
5.0
5.1
0.7
4,672.7
90+
56.1
13.6
109.8
68.9
660.3
987.0
149.4
112.6
216.9
404.4
1.3
1.8
0.2
2,782.2
Total
884.7
208.9
1,476.8
1,184.1
10,922.1
19,427.2
2,087.5
1,655.9
5,493.7
6,797.2
68.5
128.2
119.3
50,453.9
Male
<1
16.7
4.3
36.8
28.8
242.5
566.3
47.5
41.5
203.7
151.1
1.4
5.4
9.8
1,355.7
1–4
10.8
4.1
19.2
24.0
150.6
329.8
37.2
36.6
131.0
107.5
1.6
4.1
7.4
863.9
5–9
12.9
9.9
21.9
19.7
172.8
356.1
40.7
36.3
144.6
129.9
2.0
3.8
6.5
957.3
10–14
13.0
4.0
22.5
20.9
183.9
385.4
44.5
44.0
157.1
148.8
2.1
3.8
5.8
1,036.0
15–19
15.1
4.7
27.1
25.3
203.5
439.7
54.3
51.1
186.3
180.6
2.6
5.0
7.4
1,202.6
20–24
17.9
4.9
27.9
26.9
243.4
454.5
55.1
48.1
200.5
226.9
2.6
5.1
6.3
1,320.0
25–29
18.0
4.5
28.5
24.8
251.5
454.5
52.5
43.1
194.0
189.8
1.9
5.1
6.1
1,274.2
30–34
20.0
4.8
28.9
29.7
239.6
519.0
57.8
52.6
203.3
210.8
2.4
6.4
7.3
1,382.7
35–39
24.3
5.3
35.6
34.3
331.8
637.5
64.7
47.6
218.2
249.3
2.8
5.8
6.2
1,663.5
40–44
31.5
7.4
52.1
45.8
436.0
833.6
84.8
63.9
272.5
310.2
3.7
6.4
6.1
2,153.9
45–49
39.6
7.8
59.1
55.3
480.3
892.4
92.0
73.9
311.1
342.1
4.6
7.4
6.1
2,371.8
50–54
49.0
9.5
69.7
63.7
534.7
951.2
98.5
80.4
306.0
372.6
4.5
6.8
4.9
2,551.5
55–59
56.4
11.2
87.6
74.9
611.7
1,053.9
108.7
81.9
305.3
389.0
4.4
7.2
5.3
2,797.5
60–64
58.2
11.1
82.8
74.0
617.2
1,026.3
100.7
79.3
278.7
370.7
3.6
5.6
4.3
2,712.5
65–69
62.7
12.5
99.0
79.8
721.3
1,272.1
105.0
90.2
318.8
389.6
3.8
5.2
4.0
3,164.0
70–74
69.6
14.8
110.3
84.9
852.8
1,476.6
130.9
106.4
363.2
464.2
4.2
5.9
4.1
3,687.9
75–79
70.7
14.9
106.4
89.0
888.7
1,502.0
144.5
120.1
361.5
487.8
3.5
6.4
3.4
3,798.8
80–84
58.8
13.7
90.1
76.4
670.4
1,212.8
140.3
105.9
280.4
418.6
2.5
4.3
2.2
3,076.3
85–89
42.6
8.7
65.9
48.5
475.4
715.5
103.0
85.5
178.1
294.2
1.9
3.7
1.2
2,024.0
90+
17.3
5.0
32.1
21.7
194.3
311.8
49.5
42.4
83.1
138.7
0.5
1.0
0.5
897.8
Total
705.0
163.1
1,103.5
948.3
8,502.2
15,391.2
1,612.2
1,330.6
4,697.5
5,572.3
56.6
104.3
104.9
40,291.8
Note: See methodology for age-sex distribution in the Methodological Notes section of this report.
CIHI 2007
CIHI 2007
135
National Health Expenditure Trends, 1975–2007
Table E.1.2 Cont.
Estimate of Total Provincial and Territorial Government Health Expenditures, by Age and Sex,
by Province/Territory and Canada, 2005—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Age
Groups
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
($' per capita)
Both Sexes
<1
6,869.08
5,658.95
7,761.50
7,659.28
5,943.80
8,022.66
6,218.73
6,425.28
9,145.75
6,879.92
6,871.75
14,442.94
23,288.49
7,436.72
1–4
1,044.28
1,192.41
1,016.00
1,394.61
951.27
1,128.77
1,240.67
1,454.66
1,534.49
1,222.72
3,167.68
4,184.37
6,147.30
1,184.54
5–9
914.43
1,598.16
803.49
932.94
795.82
888.70
1,198.95
1,120.96
1,321.39
1,068.74
2,287.56
2,259.00
3,731.09
969.56
10–14
823.81
837.77
736.02
875.65
746.85
883.58
1,022.56
1,166.21
1,352.23
1,098.31
1,953.20
2,044.35
3,549.40
945.59
15–19
1,020.27
1,084.68
966.47
1,137.32
930.17
1,115.85
1,386.57
1,451.57
1,659.06
1,344.22
2,304.07
3,328.71
5,396.43
1,193.38
20–24
1,265.42
1,328.07
1,195.70
1,355.80
1,152.86
1,292.51
1,637.22
1,635.17
1,879.46
1,606.70
2,732.75
4,061.45
6,819.26
1,404.90
25–29
1,657.79
1,643.78
1,511.48
1,616.66
1,257.94
1,608.84
1,851.71
1,955.02
2,066.48
1,796.37
3,200.77
4,699.16
7,545.67
1,631.17
30–34
1,794.01
1,659.37
1,562.46
1,648.35
1,264.81
1,766.01
1,964.84
2,121.82
2,216.36
1,944.69
3,291.78
4,720.94
7,468.67
1,747.64
35–39
1,584.57
1,522.87
1,419.79
1,573.86
1,368.01
1,671.71
1,909.61
1,866.49
2,111.40
1,889.81
2,785.24
4,028.60
6,806.55
1,688.07
40–44
1,580.14
1,548.29
1,458.39
1,607.95
1,379.05
1,679.78
1,905.09
1,869.17
2,110.66
1,876.84
2,766.08
3,951.55
6,788.00
1,688.41
45–49
1,925.75
1,697.31
1,652.78
1,898.48
1,536.59
1,911.65
2,123.40
2,061.05
2,360.36
2,066.22
3,136.13
4,996.12
7,455.25
1,897.83
50–54
2,339.74
1,930.70
2,026.12
2,252.45
1,877.51
2,284.93
2,551.11
2,396.10
2,737.00
2,335.06
3,338.04
5,133.44
8,328.72
2,245.40
55–59
2,878.78
2,342.83
2,667.41
2,791.69
2,336.26
2,758.40
3,092.90
2,927.53
3,343.36
2,731.24
4,039.82
6,553.13
11,237.85
2,723.63
60–64
3,829.54
3,105.66
3,133.62
3,547.77
2,964.25
3,521.34
3,917.63
3,657.12
4,342.14
3,460.78
4,812.96
8,573.38
13,166.89
3,452.45
65–69
5,446.24
4,400.16
4,977.37
5,087.90
4,661.57
5,434.94
5,162.59
4,879.95
6,156.76
4,606.16
7,827.73
12,801.25
17,398.05
5,142.48
70–74
7,914.46
6,199.84
6,738.09
6,978.70
6,676.27
7,375.83
7,101.99
6,240.10
8,264.88
6,278.76
12,965.04
23,807.85
38,976.30
7,066.60
75–79
11,258.21
8,999.90
9,368.61
9,594.38
9,449.81
9,701.56
9,652.56
8,239.70
10,859.06
8,664.63
19,513.53
37,952.20
57,862.88
9,564.27
80–84
16,988.49
12,644.16
12,650.00
12,247.07
12,513.85
12,688.66
13,924.72
11,065.68
13,982.89
11,922.65
31,042.37
49,959.12
57,424.48
12,698.65
85–89
29,633.01
18,063.46
19,901.95
17,277.51
23,037.12
19,820.35
22,720.40
17,940.51
19,986.38
19,745.30
74,275.50
96,220.87
70,911.63
20,731.25
90+
31,138.37
19,145.52
22,545.98
18,940.96
22,105.11
21,426.75
23,674.47
17,788.00
21,891.27
21,333.82
31,990.13
64,953.82
42,790.40
21,638.61
Total
3,093.08
2,692.20
2,756.38
2,837.56
2,556.58
2,772.46
3,150.92
3,016.84
3,109.36
2,905.11
4,017.91
5,454.86
7,462.21
2,809.51
Female
<1
6,498.17
5,231.47
6,963.73
7,106.23
5,579.69
7,712.50
5,709.51
6,071.73
8,576.90
6,474.85
6,053.38
13,541.99
22,305.66
7,038.20
1–4
960.16
889.90
959.70
1,116.38
914.91
1,066.67
1,172.23
1,410.31
1,454.38
1,181.55
3,980.93
4,982.43
7,295.92
1,128.44
5–9
872.46
807.76
750.88
905.52
761.51
866.68
1,385.54
1,115.92
1,271.98
1,034.40
2,377.46
2,462.47
3,954.09
945.29
10–14
830.87
838.71
705.23
865.35
742.18
868.39
1,008.67
1,133.19
1,330.26
1,084.91
2,021.42
2,099.11
3,582.83
931.68
15–19
1,185.85
1,265.62
1,098.38
1,290.63
1,005.87
1,216.10
1,519.65
1,619.54
1,790.54
1,434.75
2,582.24
3,834.64
6,110.59
1,299.26
20–24
1,520.65
1,646.38
1,535.60
1,710.31
1,368.11
1,556.64
2,011.37
2,056.65
2,256.57
1,764.07
3,409.09
5,499.62
8,759.39
1,672.86
25–29
2,139.56
2,141.75
1,987.68
2,210.40
1,604.26
2,141.36
2,406.70
2,585.29
2,720.77
2,241.07
3,987.54
6,767.46
10,232.07
2,128.95
30–34
2,287.38
2,123.64
2,124.49
2,129.81
1,603.49
2,379.72
2,495.91
2,449.54
2,869.50
2,434.25
3,932.95
6,519.11
9,371.35
2,274.64
35–39
1,842.03
1,807.02
1,725.19
1,857.82
1,527.66
2,020.80
2,199.10
2,143.50
2,491.27
2,172.77
3,157.87
4,844.89
8,108.67
1,982.73
40–44
1,670.20
1,712.43
1,612.66
1,763.20
1,424.11
1,844.20
2,012.18
2,034.69
2,286.25
2,005.52
2,850.80
4,203.59
7,346.15
1,818.46
45–49
2,006.02
1,874.85
1,748.21
2,014.54
1,570.80
2,018.73
2,226.74
2,208.54
2,444.18
2,152.37
3,157.44
5,161.83
8,088.83
1,981.49
50–54
2,334.24
1,921.66
2,019.68
2,270.48
1,858.70
2,309.94
2,606.16
2,443.10
2,773.11
2,308.04
3,489.82
5,323.69
8,782.89
2,251.72
55–59
2,767.29
2,389.03
2,636.51
2,715.36
2,221.21
2,672.77
3,046.11
2,909.03
3,307.29
2,648.03
4,175.22
6,553.39
9,849.15
2,638.12
60–64
3,386.44
2,941.87
2,838.23
3,220.26
2,790.88
3,307.75
3,863.36
3,525.70
4,330.25
3,278.40
5,275.98
9,580.92
13,466.15
3,266.29
65–69
4,841.75
4,286.06
4,645.38
4,690.44
4,334.49
5,077.61
4,950.69
4,601.07
5,762.62
4,350.15
8,161.51
13,252.32
16,411.01
4,805.77
70–74
7,358.41
5,821.26
6,227.24
6,608.33
6,308.79
6,941.48
6,644.65
5,800.41
7,693.98
5,937.52
12,956.69
25,991.43
48,011.74
6,646.40
75–79
10,721.40
8,805.62
9,144.92
9,156.48
9,150.96
9,285.64
9,234.34
7,724.96
10,285.60
8,423.27
18,520.96
38,614.60
72,051.83
9,187.92
80–84
17,310.35
12,415.85
13,235.46
11,999.51
12,564.75
12,576.86
13,848.74
11,002.55
13,672.94
12,181.96
38,492.56
51,464.93
47,605.65
12,688.17
85–89
31,695.76
18,933.20
21,159.57
17,568.16
23,913.86
20,732.74
23,475.98
18,738.02
20,033.79
21,091.82
71,815.80 107,893.31 51,388.16
21,660.67
90+
32,580.69
18,596.29
23,372.67
19,591.78
22,180.96
22,129.71
24,089.79
18,359.44
21,884.45
22,512.79
42,094.86
61,048.31
34,885.98
22,202.64
Total
3,384.20
2,943.71
3,088.34
3,111.30
2,838.39
3,055.93
3,532.12
3,324.79
3,388.39
3,166.40
4,434.79
6,214.57
8,237.47
3,094.59
Male
<1
7,212.36
6,068.16
8,567.25
8,188.46
6,290.11
8,316.00
6,698.32
6,757.37
9,687.68
7,264.30
7,741.27
15,307.97
24,121.24
7,815.03
1–4
1,125.72
1,512.15
1,070.12
1,665.07
985.89
1,188.16
1,306.73
1,496.42
1,611.30
1,261.59
2,425.26
3,308.49
5,078.15
1,238.13
5–9
954.10
2,316.40
854.30
958.56
828.33
910.00
1,024.79
1,125.73
1,368.11
1,101.18
2,187.07
2,073.25
3,528.75
992.72
10–14
817.22
836.89
765.69
885.42
751.31
898.02
1,035.89
1,197.56
1,372.88
1,110.96
1,889.05
1,992.70
3,516.86
958.80
15–19
859.44
906.30
840.63
993.86
857.82
1,020.61
1,258.47
1,292.88
1,534.59
1,258.28
2,051.07
2,838.40
4,711.47
1,092.64
20–24
1,012.32
1,011.20
867.00
1,024.03
947.89
1,037.30
1,284.31
1,246.96
1,525.79
1,457.25
2,119.31
2,784.63
4,903.39
1,149.03
25–29
1,171.41
1,108.20
1,014.81
1,031.45
926.96
1,079.18
1,319.21
1,343.68
1,461.92
1,356.00
2,284.26
2,809.12
4,814.71
1,145.45
30–34
1,269.19
1,162.13
978.63
1,173.47
941.29
1,153.40
1,460.04
1,796.77
1,609.11
1,452.03
2,550.36
3,192.04
5,617.22
1,230.22
35–39
1,310.27
1,227.73
1,108.84
1,291.68
1,215.16
1,321.49
1,630.67
1,589.69
1,753.66
1,601.68
2,388.36
3,196.97
5,603.96
1,396.92
40–44
1,486.61
1,379.38
1,303.30
1,451.04
1,335.20
1,516.74
1,800.47
1,703.67
1,939.69
1,746.89
2,670.53
3,677.37
6,314.24
1,559.73
45–49
1,843.98
1,508.99
1,554.70
1,781.75
1,502.28
1,803.54
2,023.23
1,917.09
2,279.11
1,977.95
3,113.63
4,836.78
6,991.69
1,813.82
50–54
2,345.38
1,940.14
2,032.84
2,233.91
1,896.81
2,259.07
2,494.88
2,350.16
2,701.94
2,362.48
3,203.65
4,960.49
7,929.31
2,238.96
55–59
2,992.41
2,296.08
2,698.72
2,869.04
2,455.46
2,846.69
3,140.37
2,945.98
3,378.75
2,815.45
3,925.91
6,552.91
12,929.91
2,811.01
60–64
4,279.00
3,277.03
3,437.86
3,880.33
3,147.18
3,744.61
3,973.24
3,791.83
4,353.97
3,647.07
4,466.84
7,873.90
12,893.53
3,645.40
65–69
6,066.75
4,519.66
5,329.88
5,504.45
5,025.29
5,824.02
5,391.74
5,177.57
6,567.95
4,869.71
7,571.70
12,428.59
18,258.89
5,505.41
70–74
8,512.51
6,619.36
7,327.74
7,415.47
7,121.41
7,867.46
7,621.41
6,734.35
8,884.18
6,632.16
12,972.50
21,761.75
33,438.44
7,543.04
75–79
11,942.37
9,247.72
9,665.80
10,191.26
9,866.91
10,232.40
10,196.03
8,878.56
11,551.15
8,949.49
20,569.59
37,355.66
51,750.72
10,048.93
80–84
16,503.90
13,032.77
11,738.62
12,649.80
12,424.92
12,864.11
14,047.01
11,160.49
14,448.68
11,543.46
23,592.17
48,165.69
63,489.05
12,715.27
85–89
25,461.89
16,190.66
17,311.06
16,683.31
21,017.83
18,037.01
21,192.32
16,459.12
19,895.23
17,294.41
81,761.53
83,752.58
90,435.09
18,862.73
90+
27,235.48
20,839.37
20,111.52
17,132.95
21,851.10
19,469.21
22,504.56
16,430.89
21,909.09
18,507.09
19,460.25
73,043.81
47,533.05
20,059.49
Total
2,791.72
2,426.77
2,409.74
2,556.70
2,267.39
2,481.87
2,764.59
2,705.04
2,836.21
2,639.43
3,607.43
4,742.08
6,740.76
2,518.93
Note: See methodology for age-sex distribution in the Methodological Notes section of this report.
136
CIHI 2007
CIHI 2007
www.cihi.ca
www.icis.ca
Taking health information further
À l’avant-garde de l’information sur la santé
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