National Health Expenditure Trends 1975–2005

National Health Expenditure Trends 1975–2005
National Health
Expenditure Trends
1975–2005
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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Cette publication est disponible en français sous le titre :
Tendances des dépenses nationales de santé, 1975 à 2005
ISBN 1-55392-729-X (PDF)
National Health Expenditure Trends 1975–2005
Table of Contents
Acknowledgments .................................................................................................... i
Highlights ............................................................................................................... iii
Introduction ............................................................................................................ 1
Overview................................................................................................................ 3
Total Health Expenditure........................................................................................ 3
Total Health Expenditure Per Capita......................................................................... 4
Total Health Expenditure and Economic Growth ........................................................ 5
Total Health Expenditure by Source of Finance ......................................................... 7
Total Health Expenditure by Use of Funds .............................................................. 15
Provincial and Territorial Government Health Expenditure by Age and Sex .................. 25
Provincial and Territorial Government Health Expenditure Standardized
for Age and Sex ................................................................................................. 31
Health Expenditure in the Provinces and Territories.................................................. 33
International Comparisons .................................................................................... 41
Methodological Notes............................................................................................. 59
Concepts and Definitions ..................................................................................... 59
Major Data Limitations......................................................................................... 66
Collection and Non-Response ............................................................................... 66
Major Changes from Previous Years ...................................................................... 80
Revision History.................................................................................................. 80
Sources of Data.................................................................................................. 83
Data Tables .......................................................................................................... 95
Series A—Summary Data, Canada ........................................................................ 97
Series B—Total Health Expenditure by Source of Finance,
by Province/Territory and Canada (Selected Tables)............................................... 125
Series E—Provincial/Territorial Government Health Expenditure, by Age and Sex,
by Province/Territory and Canada (Selected Tables)............................................... 143
Comprehensive versions of Series A–F data tables and the Appendices in Microsoft® Excel®
format are available for download with the electronic version of this report. All references
to the CD-ROM throughout this report refer to these data tables.
National Health Expenditure Trends 1975–2005
List of Figures
Figure 1
Total Health Expenditure, Canada, 1975 to 2005..................................... 3
Figure 2
Total Health Expenditure, Annual Growth Rates in Constant 1997 Dollars,
Canada, 1976 to 2005 ......................................................................... 4
Figure 3
Total Health Expenditure Per Capita, Canada, 1975 to 2005 ..................... 4
Figure 4
Total Health Expenditure Per Capita, Annual Growth Rates in Constant
1997 Dollars, Canada, 1976 to 2005 ..................................................... 5
Figure 5
Total Health Expenditure as a Percentage of Gross Domestic Product,
Canada, 1975 to 2005 ......................................................................... 6
Figure 6
Health Expenditure and GDP Trends, Constant Dollar Indices
(1975 = 100), Canada, 1975 to 2005................................................... 6
Figure 7
Health Expenditure by Source of Finance, Canada, 1975 to 2005 .............. 8
Figure 8
Health Expenditure by Source of Finance, Constant Dollar Indices
(1975 = 100), Canada, 1975 to 2005................................................... 9
Figure 9
Growth in Real Per Capita Public and Private Health Expenditure and the
Private Share, Canada, 1976 to 2005 .................................................. 10
Figure 10
Private Sector Health Expenditure, Annual Growth of Selected Sources
of Finance, Canada, 1989 to 2003 ...................................................... 14
Figure 11
Total Health Expenditure by Use of Funds, Canada, 2003 ....................... 15
Figure 12
Total Health Expenditure, Selected Uses of Funds,
Canada, 1975 to 2005 ....................................................................... 16
Figure 13
Public and Private Shares of Total Health Expenditure, by Use of Funds,
Canada, 2003 ................................................................................... 16
Figure 14
Hospitals’ Share of Total Provincial/Territorial Government Health
Expenditure and Total Health Expenditure, Canada, 1975 to 2005 ........... 17
Figure 15
Private Sector Hospital Expenditure, Canada, 1975 to 2003.................... 18
Figure 16
Drugs by Source of Finance and Type, Canada, 2003............................. 20
Figure 17
Prescribed Drug Expenditure, Public Sector Versus Private Sector,
Canada, 1975 to 2005 ....................................................................... 20
National Health Expenditure Trends 1975–2005
List of Figures (cont’d)
Figure 18
Other Professionals Expenditure by Source of Finance and Type,
Canada, 2003 ................................................................................... 22
Figure 19
Provincial/Territorial Government Hospital Expenditure, by Age and
Sex, Canada, 2003 ............................................................................ 27
Figure 20
Provincial/Territorial Government Hospital Expenditure Per Capita,
by Age and Sex, Canada, 2003 ........................................................... 27
Figure 21
Provincial/Territorial Government Physician Expenditure, by Age and
Sex, Canada, 2003 ............................................................................ 28
Figure 22
Provincial/Territorial Government Physician Expenditure Per Capita,
by Age and Sex, Canada, 2003 ........................................................... 29
Figure 23
Total Provincial/Territorial Government Health Expenditure, by Age
and Sex, Canada, 2003 ...................................................................... 30
Figure 24
Total Provincial/Territorial Government Health Expenditure Per Capita,
by Age and Sex, Canada, 2003 ........................................................... 30
Figure 25
Total Provincial/Territorial Government Health Expenditure Per Capita,
Age-Sex Standardized versus Actual, by Province/Territory
and Canada, 2003 ............................................................................. 32
Figure 26
Public and Private Sector Health Expenditure per Capita,
1988 to 2005, by Province and Territory—Current Dollars ...................... 35
Figure 27
Real Average Annual Rates of Growth of Public and Private Expenditure
Per Capita, by Province/Territory and Canada, 1975 to 1990................... 38
Figure 28
Real Average Annual Rates of Growth of Public and Private Expenditure
Per Capita, by Province/Territory and Canada, 1990 to 1996................... 39
Figure 29
Real Average Annual Rates of Growth of Public and Private Expenditure
Per Capita, by Province/Territory and Canada, 1996 to 2003................... 40
Figure 30
Total Health Expenditure as a Percent of GDP, Sixteen
Selected Countries, 2003 ................................................................... 43
Figure 31
Public Sector Health Expenditure as a Percent of GDP, Sixteen
Selected Countries, 2003 ................................................................... 45
National Health Expenditure Trends 1975–2005
List of Figures (cont’d)
Figure 32
Private Sector Health Expenditure as a Percent of GDP,
Sixteen Selected Countries, 2003 ........................................................ 46
Figure 33
Total Health Expenditure Per Capita in US Dollars,
Sixteen Selected Countries, 2003 ........................................................ 47
Figure 34
Public Sector Health Expenditure Per Capita in U.S. Dollars,
Sixteen Selected Countries, 2003 ........................................................ 48
Figure 35
Private Sector Health Expenditure Per Capita in U.S. Dollars,
Sixteen Selected Countries, 2003 ........................................................ 49
Figure 36
Expenditure on Personal Health Care as a Percent of Total Health
Expenditure, Thirteen Selected Countries, 2003..................................... 50
Figure 37
Public Share of Total Health Expenditure, Sixteen Selected
Countries, 2003 ................................................................................ 51
Figure 38
Public Share of Expenditure on Medical Services, Thirteen Selected
Countries, 2003 ................................................................................ 52
Figure 39
Public Share of Expenditure on Medical Goods, Thirteen Selected
Countries, 2003 ................................................................................ 53
Figure 40
Percent of Total Health Expenditure Financed by the Public Sector,
by Source of Finance, Sixteen Selected Countries, 2003......................... 54
Figure 41
Percent of Total Health Expenditure Financed by the Private Sector,
by Source of Finance, Sixteen Selected Countries, 2003......................... 55
Figure 42
Composition of Total Health Expenditures, by Source of Finance.............. 59
National Health Expenditure Trends 1975–2005
List of Text Tables
Table 1
Distribution of Public Sector Health Expenditure by Source of Finance,
Canada, 1975 and 2003..................................................................... 11
Table 2
Quebec Drug Insurance Fund, 1997 to 2005 ......................................... 13
Table 3
Distribution of Private Sector Health Expenditure by Source of Finance,
Canada, 1988 and 2003..................................................................... 14
Table 4
Hospital Expenditure Summary by Sector of Finance, Canada, 2003......... 17
Table 5
Private Sector Health Expenditure, by Source of Finance and Use of
Funds, Canada, 2003 ......................................................................... 19
Table 6
Total Provincial/Territorial Government Health Expenditure Per Capita
Standardized for Age and Sex, by Province/Territory and Canada,
2000 to 2003 ................................................................................... 32
Table 7
Health Expenditure Summary, by Province/Territory and Canada, 2003..... 34
Table 8
Total Health Expenditure as a Percent of GDP for Sixteen
Selected Countries, 1975 to 2003 ....................................................... 44
Table 9
Differences from Previously Reported Provincial Government Sector
Data by Province/Territory and Canada, 1998 to 2002 ........................... 80
Table 10
Differences from Previously Reported Private Sector Data by
Province/Territory and Canada, 1998 to 2002 ....................................... 81
Table 11
Differences from Previously Reported Federal Direct Sector Data by
Province/Territory and Canada, 1997 to 2002 ....................................... 81
Table 12
Differences from Previously Reported Municipal Government Sector
Data by Province/Territory and Canada, 1998 to 2002 ........................... 82
Table 13
Differences from Previously Reported Social Security Fund Data
by Province/Territory and Canada, 2001 to 2002................................... 82
National Health Expenditure Trends 1975–2005
List of Data Tables
Series A—Summary Data, Canada
1
Total Health Expenditure, Canada, 1975 to 2005—Summary
2.1–.3
Total Health Expenditure by Source of Finance, Canada, 1975 to 2005—
Current Dollars
2.4–.5
Total Health Expenditure by Source of Finance, Canada, 1975 to 2005—
Constant Dollars
3.1.1–.3
Total Health Expenditure by Use of Funds, Canada, 1975 to 2005—
Current Dollars
3.2.1–.3
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—
Current Dollars
3.3.1–.3
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—
Current Dollars
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 2005—Current Dollars
1.3
Total Health Expenditure as a Percent of (Provincial/Territorial) G.D.P., by
Province/Territory and Canada, 1975 to 2005—Current Dollars
2.1–.2
Private Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Current Dollars
2.3
Private Sector Health Expenditure as a Proportion of Total Health Expenditure,
by Province/Territory and Canada, 1975 to 2005—Current Dollars
3.1–.2
Public Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Current Dollars
3.3
Public Sector Health Expenditure as a Proportion of Total Health Expenditure,
by Province/Territory and Canada, 1975 to 2005—Current Dollars
4.1–.2
Provincial/Territorial Government Sector Health Expenditure, by
Province/Territory and Canada, 1975 to 2005—Current Dollars
4.3
Provincial/Territorial Government Sector Health Expenditure as a Proportion of
Total Health Expenditure, by Province/Territory and Canada, 1975 to 2005—
Current Dollars
National Health Expenditure Trends 1975–2005
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
Estimate of Total Provincial and Territorial Government Health Expenditures,
By Age and Sex, by Province/Territory and Canada, 1998—Current Dollars
1.2
Estimate of Total Provincial and Territorial Government Health Expenditures,
By Age and Sex, by Province/Territory and Canada, 1999—Current Dollars
1.3
Estimate of Total Provincial and Territorial Government Health Expenditures,
By Age and Sex, by Province/Territory and Canada, 2000—Current Dollars
1.4
Estimate of Total Provincial and Territorial Government Health Expenditures,
By Age and Sex, by Province/Territory and Canada, 2001—Current Dollars
1.5
Estimate of Total Provincial and Territorial Government Health Expenditures,
By Age and Sex, by Province/Territory and Canada, 2002—Current Dollars
1.6
Estimate of Total Provincial and Territorial Government Health Expenditures,
By Age and Sex, by Province/Territory and Canada, 2003—Current Dollars
National Health Expenditure Trends 1975–2005
List of Data Tables on CD-ROM
Series A—Summary Data, Canada
1
Total Health Expenditure, Canada, 1975 to 2005—Summary
2.1–.3
Total Health Expenditure by Source of Finance, Canada, 1975 to 2005—
Current Dollars
2.4–.5
Total Health Expenditure by Source of Finance, Canada, 1975 to 2005—
Constant Dollars
3.1.1–.3
Total Health Expenditure by Use of Funds, Canada, 1975 to 2005—
Current Dollars
3.2.1–.3
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—
Current Dollars
3.3.1–.3
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—
Current Dollars
Series B—Total Health Expenditure by Source of Finance,
by Province/Territory and Canada
1.1–.2
Total Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Current Dollars
1.3
Total Health Expenditure as a Percent of (Provincial/Territorial) G.D.P., by
Province/Territory and Canada, 1975 to 2005—Current Dollars
1.4–.5
Total Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Constant Dollars
2.1–.2
Private Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Current Dollars
2.3
Private Sector Health Expenditure as a Proportion of Total Health Expenditure,
by Province/Territory and Canada, 1975 to 2005—Current Dollars
2.4–.5
Private Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Constant Dollars
3.1–.2
Public Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Current Dollars
3.3
Public Sector Health Expenditure as a Proportion of Total Health Expenditure,
by Province/Territory and Canada, 1975 to 2005—Current Dollars
3.4–.5
Public Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Constant Dollars
National Health Expenditure Trends 1975–2005
List of Data Tables on CD-ROM (cont’d)
Series B—Total Health Expenditure by Source of Finance,
by Province/Territory and Canada (cont’d)
4.1–.2
Provincial/Territorial Government Sector Health Expenditure, by
Province/Territory and Canada, 1975 to 2005—Current Dollars
4.3
Provincial/Territorial Government Sector Health Expenditure as a Proportion of
Total Health Expenditure, by Province/Territory and Canada, 1975 to 2005—
Current Dollars
4.4–.5
Total Provincial/Territorial Government Sector Health Expenditure as a
Proportion of Total Provincial/Territorial Government Programs, by
Province/Territory and Canada, 1975 to 2005—Current Dollars
4.6–.7
Provincial/Territorial Government Sector Health Expenditure, by
Province/Territory and Canada, 1975 to 2005—Constant Dollars
5.1–.2
Other Public Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Current Dollars
5.3
Other Public Sector Health Expenditure as a Proportion of Total
Health Expenditure, by Province/Territory and Canada, 1975 to 2005—
Current Dollars
5.4–.5
Other Public Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Constant Dollars
6.1–.2
Federal Direct Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Current Dollars
6.3
Federal Direct Health Expenditure as a Proportion of Total Health Expenditure,
by Province/Territory and Canada, 1975 to 2005—Current Dollars
6.4–.5
Federal Direct Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Constant Dollars
7.1–.2
Municipal Government Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Current Dollars
7.3
Municipal Sector Health Expenditure as a Proportion of Total
Health Expenditure, by Province/Territory and Canada, 1975 to 2005—
Current Dollars
7.4–.5
Municipal Government Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Constant Dollars
National Health Expenditure Trends 1975–2005
List of Data Tables on CD-ROM (cont’d)
Series B—Total Health Expenditure by Source of Finance,
by Province/Territory and Canada (cont’d)
8.1–.2
Social Security Funds Health Expenditure, by Province/Territory and Canada
1975 to 2005—Current Dollars
8.3
Social Security Funds Health Expenditure as a Proportion of Total
Health Expenditure, by Province/Territory and Canada, 1975 to 2005—
Current Dollars
8.4–.5
Social Security Funds Health Expenditure, by Province/Territory and Canada
1975 to 2005—Constant Dollars
Series C—Health Expenditure by Use of Funds, by Source of Finance, Canada
1.1–.3
Total Health Expenditure by Use of Funds, Canada, 1975 to 2005—
Current Dollars
1.4
Public and Private Share of Total Health Expenditure by Use of Funds, Canada,
1975 to 2005—Current Dollars
2.1–.3
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—
Current Dollars
2.4
Private Sector Health Expenditure, by Use of Funds, as a Percent of Total,
Canada, 1975 to 2005—Current Dollars
3.1–.3
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—
Current Dollars
3.4
Public Sector Health Expenditure, by Use of Funds, as a Percent of Total,
Canada, 1975 to 2005—Current Dollars
4.1–.3
Provincial/Territorial Government Sector Health Expenditure by Use of Funds,
Canada, 1975 to 2005—Current Dollars
4.4
Provincial/Territorial Government Sector Health Expenditure, by Use of Funds,
as a Percent of Total, Canada, 1975 to 2005—Current Dollars
5.1–.3
Other Public Sector Health Expenditure by Use of Funds, Canada, 1975 to
2005—Current Dollars
5.4
Other Public Sector Health Expenditure, by Use of Funds, as a Percent of Total,
Canada, 1975 to 2005—Current Dollars
National Health Expenditure Trends 1975–2005
List of Data Tables on CD-ROM (cont’d)
Series C—Health Expenditure by Use of Funds, by Source of Finance,
Canada (cont’d)
6.1–.3
Federal Direct Health Expenditure by Use of Funds, Canada, 1975 to 2005—
Current Dollars
6.4
Federal Direct Health Expenditure, by Use of Funds, as a Percent of Total,
Canada, 1975 to 2005—Current Dollars
7.1–.3
Municipal Government Health Expenditure by Use of Funds, Canada,
1975 to 2005—Current Dollars
7.4
Municipal Government Health Expenditure, by Use of Funds, as a Percent of
Total, Canada, 1975 to 2005—Current Dollars
8.1–.3
Social Security Funds Health Expenditure by Use of Funds, Canada,
1975 to 2005—Current Dollars
8.4
Social Security Funds Health Expenditure, by Use of Funds, as a Percent of
Total, Canada, 1975 to 2005—Current Dollars
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
1.1.1–.3
Total Health Expenditure by Use of Funds, Newfoundland and Labrador,
1975 to 2005—Current Dollars
1.2.1–.3
Total Health Expenditure by Use of Funds, Prince Edward Island,
1975 to 2005—Current Dollars
1.3.1–.3
Total Health Expenditure by Use of Funds, Nova Scotia, 1975 to 2005—
Current Dollars
1.4.1–.3
Total Health Expenditure by Use of Funds, New Brunswick, 1975 to 2005—
Current Dollars
1.5.1–.3
Total Health Expenditure by Use of Funds, Quebec, 1975 to 2005—
Current Dollars
1.6.1–.3
Total Health Expenditure by Use of Funds, Ontario, 1975 to 2005—
Current Dollars
1.7.1–.3
Total Health Expenditure by Use of Funds, Manitoba, 1975 to 2005—
Current Dollars
National Health Expenditure Trends 1975–2005
List of Data Tables on CD-ROM (cont’d)
Series D1—Total Health Expenditure by Use of Funds, by Province/Territory (cont’d)
1.8.1–.3
Total Health Expenditure by Use of Funds, Saskatchewan, 1975 to 2005—
Current Dollars
1.9.1–.3
Total Health Expenditure by Use of Funds, Alberta, 1975 to 2005—
Current Dollars
1.10.1–.3 Total Health Expenditure by Use of Funds, British Columbia, 1975 to 2005—
Current Dollars
1.11.1–.3 Total Health Expenditure by Use of Funds, Yukon Territory, 1975 to 2005—
Current Dollars
1.12.1–.3 Total Health Expenditure by Use of Funds, Northwest Territories,
1975 to 2005—Current Dollars
1.13.1–.3 Total Health Expenditure by Use of Funds, Nunavut Territory, 1975 to 2005—
Current Dollars
Series D2—Private Sector Health Expenditure by Use of Funds, by Province/Territory
2.1.1–.3
Private Sector Health Expenditure by Use of Funds, Newfoundland and
Labrador, 1975 to 2005—Current Dollars
2.2.1–.3
Private Sector Health Expenditure by Use of Funds, Prince Edward Island,
1975 to 2005—Current Dollars
2.3.1–.3
Private Sector Health Expenditure by Use of Funds, Nova Scotia,
1975 to 2005—Current Dollars
2.4.1–.3
Private Sector Health Expenditure by Use of Funds, New Brunswick,
1975 to 2005—Current Dollars
2.5.1–.3
Private Sector Health Expenditure by Use of Funds, Quebec, 1975 to 2005—
Current Dollars
2.6.1–.3
Private Sector Health Expenditure by Use of Funds, Ontario, 1975 to 2005—
Current Dollars
2.7.1–.3
Private Sector Health Expenditure by Use of Funds, Manitoba, 1975 to 2005—
Current Dollars
2.8.1–.3
Private Sector Health Expenditure by Use of Funds, Saskatchewan,
1975 to 2005—Current Dollars
National Health Expenditure Trends 1975–2005
List of Data Tables on CD-ROM (cont’d)
Series D2—Private Sector Health Expenditure by Use of Funds,
by Province/Territory (cont’d)
2.9.1–.3
Private Sector Health Expenditure by Use of Funds, Alberta, 1975 to 2005—
Current Dollars
2.10.1–.3 Private Sector Health Expenditure by Use of Funds, British Columbia,
1975 to 2005—Current Dollars
2.11.1–.3 Private Sector Health Expenditure by Use of Funds, Yukon Territory,
1975 to 2005—Current Dollars
2.12.1–.3 Private Sector Health Expenditure by Use of Funds, Northwest Territories, 1975
to 2005—Current Dollars
2.13.1–.3 Private Sector Health Expenditure by Use of Funds, Nunavut Territory,
1975 to 2005—Current Dollars
Series D3—Public Sector Health Expenditure by Use of Funds, by Province/Territory
3.1.1–.3
Public Sector Health Expenditure by Use of Funds, Newfoundland and Labrador,
1975 to 2005—Current Dollars
3.2.1–.3
Public Sector Health Expenditure by Use of Funds, Prince Edward Island,
1975 to 2005—Current Dollars
3.3.1–.3
Public Sector Health Expenditure by Use of Funds, Nova Scotia,
1975 to 2005—Current Dollars
3.4.1–.3
Public Sector Health Expenditure by Use of Funds, New Brunswick,
1975 to 2005—Current Dollars
3.5.1–.3
Public Sector Health Expenditure by Use of Funds, Quebec, 1975 to 2005—
Current Dollars
3.6.1–.3
Public Sector Health Expenditure by Use of Funds, Ontario, 1975 to 2005—
Current Dollars
3.7.1–.3
Public Sector Health Expenditure by Use of Funds, Manitoba, 1975 to 2005—
Current Dollars
3.8.1–.3
Public Sector Health Expenditure by Use of Funds, Saskatchewan,
1975 to 2005—Current Dollars
3.9.1–.3
Public Sector Health Expenditure by Use of Funds, Alberta,
1975 to 2005—Current Dollars
National Health Expenditure Trends 1975–2005
List of Data Tables on CD-ROM (cont’d)
Series D3—Public Sector Health Expenditure by Use of Funds,
by Province/Territory (cont’d)
3.10.1–.3 Public Sector Health Expenditure by Use of Funds, British Columbia,
1975 to 2005—Current Dollars
3.11.1–.3 Public Sector Health Expenditure by Use of Funds, Yukon Territory,
1975 to 2005—Current Dollars
3.12.1–.3 Public Sector Health Expenditure by Use of Funds, Northwest Territories,
1975 to 2005—Current Dollars
3.13.1–.3 Public Sector Health Expenditure by Use of Funds, Nunavut Territory,
1975 to 2005—Current Dollars
Series D4—Provincial/Territorial Government Health Expenditure by Use of Funds,
by Province/Territory
4.1.1–.3
Provincial Government Health Expenditure by Use of Funds, Newfoundland and
Labrador, 1975 to 2005—Current Dollars
4.2.1–.3
Provincial Government Health Expenditure by Use of Funds, Prince Edward
Island, 1975 to 2005—Current Dollars
4.3.1–.3
Provincial Government Health Expenditure by Use of Funds, Nova Scotia,
1975 to 2005—Current Dollars
4.4.1–.3
Provincial Government Health Expenditure by Use of Funds, New Brunswick,
1975 to 2005—Current Dollars
4.5.1–.3
Provincial Government Health Expenditure by Use of Funds, Quebec,
1975 to 2005—Current Dollars
4.6.1–.3
Provincial Government Health Expenditure by Use of Funds, Ontario,
1975 to 2005—Current Dollars
4.7.1–.3
Provincial Government Health Expenditure by Use of Funds, Manitoba,
1975 to 2005—Current Dollars
4.8.1–.3
Provincial Government Health Expenditure by Use of Funds, Saskatchewan,
1975 to 2005—Current Dollars
4.9.1–.3
Provincial Government Health Expenditure by Use of Funds, Alberta,
1975 to 2005—Current Dollars
4.10.1–.3 Provincial Government Health Expenditure by Use of Funds, British Columbia,
1975 to 2005—Current Dollars
National Health Expenditure Trends 1975–2005
List of Data Tables on CD-ROM (cont’d)
Series D4—Provincial/Territorial Government Health Expenditure by Use of Funds,
by Province/Territory (cont’d)
4.11.1–.3 Territorial Government Health Expenditure by Use of Funds, Yukon Territory,
1975 to 2005—Current Dollars
4.12.1–.3 Territorial Government Health Expenditure by Use of Funds, Northwest
Territories, 1975 to 2005—Current Dollars
4.13.1–.3 Territorial Government Health Expenditure by Use of Funds, Nunavut Territory,
1975 to 2005—Current Dollars
Series E—Provincial Government Health Expenditure by Selected Uses of Funds,
by Age and Sex, by Province/Territory and Canada
1.1
Estimate of Total Provincial and Territorial Government Health Expenditures,
By Age and Sex, by Province/Territory and Canada, 1998—Current Dollars
1.2
Estimate of Total Provincial and Territorial Government Health Expenditures,
By Age and Sex, by Province/Territory and Canada, 1999—Current Dollars
1.3
Estimate of Total Provincial and Territorial Government Health Expenditures,
By Age and Sex, by Province/Territory and Canada, 2000—Current Dollars
1.4
Estimate of Total Provincial and Territorial Government Health Expenditures,
By Age and Sex, by Province/Territory and Canada, 2001—Current Dollars
1.5
Estimate of Total Provincial and Territorial Government Health Expenditures,
By Age and Sex, by Province/Territory and Canada, 2002—Current Dollars
1.6
Estimate of Total Provincial and Territorial Government Health Expenditures,
By Age and Sex, by Province/Territory and Canada, 2003—Current Dollars
2.1
Provincial and Territorial Government Hospital Expenditure by Age and Sex,
by Province/Territory and Canada, 1996—Current Dollars
2.2
Provincial and Territorial Government Hospital Expenditure by Age and Sex,
by Province/Territory and Canada, 1997—Current Dollars
2.3
Provincial and Territorial Government Hospital Expenditure by Age and Sex,
by Province/Territory and Canada, 1998—Current Dollars
2.4
Provincial and Territorial Government Hospital Expenditure by Age and Sex,
by Province/Territory and Canada, 1999—Current Dollars
2.5
Provincial and Territorial Government Hospital Expenditure by Age and Sex,
by Province/Territory and Canada, 2000—Current Dollars
2.6
Provincial and Territorial Government Hospital Expenditure by Age and Sex,
by Province/Territory and Canada, 2001—Current Dollars
National Health Expenditure Trends 1975–2005
List of Data Tables on CD-ROM (cont’d)
Series E—Provincial Government Health Expenditure by Selected Uses of Funds,
by Age and Sex, by Province/Territory and Canada (cont’d)
2.7
Provincial and Territorial Government Hospital Expenditure by Age and Sex,
by Province/Territory and Canada, 2002—Current Dollars
2.8
Provincial and Territorial Government Hospital Expenditure by Age and Sex,
by Province/Territory and Canada, 2003—Current Dollars
3.1
Provincial and Territorial Government Other Institutions Expenditure by Age and
Sex, by Province/Territory and Canada, 1996—Current Dollars
3.2
Provincial and Territorial Government Other Institutions Expenditure by Age and
Sex, by Province/Territory and Canada, 1997—Current Dollars
3.3
Provincial and Territorial Government Other Institutions Expenditure by Age and
Sex, by Province/Territory and Canada, 1998—Current Dollars
3.4
Provincial and Territorial Government Other Institutions Expenditure by Age and
Sex, by Province/Territory and Canada, 1999—Current Dollars
3.5
Provincial and Territorial Government Other Institutions Expenditure by Age and
Sex, by Province/Territory and Canada, 2000—Current Dollars
3.6
Provincial and Territorial Government Other Institutions Expenditure by Age and
Sex, by Province/Territory and Canada, 2001—Current Dollars
3.7
Provincial and Territorial Government Other Institutions Expenditure by Age and
Sex, by Province/Territory and Canada, 2002—Current Dollars
3.8
Provincial and Territorial Government Other Institutions Expenditure by Age and
Sex, by Province/Territory and Canada, 2003—Current Dollars
4.1
Provincial and Territorial Government Physicians Expenditure by Age and Sex,
by Province/Territory and Canada, 1996—Current Dollars
4.2
Provincial and Territorial Government Physicians Expenditure by Age and Sex,
by Province/Territory and Canada, 1997—Current Dollars
4.3
Provincial and Territorial Government Physicians Expenditure by Age and Sex,
by Province/Territory and Canada, 1998—Current Dollars
4.4
Provincial and Territorial Government Physicians Expenditure by Age and Sex,
by Province/Territory and Canada, 1999—Current Dollars
4.5
Provincial and Territorial Government Physicians Expenditure by Age and Sex,
by Province/Territory and Canada, 2000—Current Dollars
National Health Expenditure Trends 1975–2005
List of Data Tables on CD-ROM (cont’d)
Series E—Provincial Government Health Expenditure by Selected Uses of Funds,
by Age and Sex, by Province/Territory and Canada (cont’d)
4.6
Provincial and Territorial Government Physicians Expenditure by Age and Sex,
by Province/Territory and Canada, 2001—Current Dollars
4.7
Provincial and Territorial Government Physicians Expenditure by Age and Sex,
by Province/Territory and Canada, 2002—Current Dollars
4.8
Provincial and Territorial Government Physicians Expenditure by Age and Sex,
by Province/Territory and Canada, 2003—Current Dollars
5.1
Provincial and Territorial Government Other Professionals Expenditure by Age
and Sex, by Province/Territory and Canada, 1996—Current Dollars
5.2
Provincial and Territorial Government Other Professionals Expenditure by Age
and Sex, by Province/Territory and Canada, 1997—Current Dollars
5.3
Provincial and Territorial Government Other Professionals Expenditure by Age
and Sex, by Province/Territory and Canada, 1998—Current Dollars
5.4
Provincial and Territorial Government Other Professionals Expenditure by Age
and Sex, by Province/Territory and Canada, 1999—Current Dollars
5.5
Provincial and Territorial Government Other Professionals Expenditure by Age
and Sex, by Province/Territory and Canada, 2000—Current Dollars
5.6
Provincial and Territorial Government Other Professionals Expenditure by Age
and Sex, by Province/Territory and Canada, 2001—Current Dollars
5.7
Provincial and Territorial Government Other Professionals Expenditure by Age
and Sex, by Province/Territory and Canada, 2002—Current Dollars
5.8
Provincial and Territorial Government Other Professionals Expenditure by Age
and Sex, by Province/Territory and Canada, 2003—Current Dollars
6.1
Provincial and Territorial Government Drugs Expenditure by Age and Sex, by
Province/Territory and Canada, 1996—Current Dollars
6.2
Provincial and Territorial Government Drugs Expenditure by Age and Sex, by
Province/Territory and Canada, 1997—Current Dollars
6.3
Provincial and Territorial Government Drugs Expenditure by Age and Sex, by
Province/Territory and Canada, 1998—Current Dollars
6.4
Provincial and Territorial Government Drugs Expenditure by Age and Sex, by
Province/Territory and Canada, 1999—Current Dollars
National Health Expenditure Trends 1975–2005
List of Data Tables on CD-ROM (cont’d)
Series E—Provincial Government Health Expenditure by Selected Uses of Funds,
by Age and Sex, by Province/Territory and Canada (cont’d)
6.5
Provincial and Territorial Government Drugs Expenditure by Age and Sex, by
Province/Territory and Canada, 2000—Current Dollars
6.6
Provincial and Territorial Government Drugs Expenditure by Age and Sex, by
Province/Territory and Canada, 2001—Current Dollars
6.7
Provincial and Territorial Government Drugs Expenditure by Age and Sex, by
Province/Territory and Canada, 2002—Current Dollars
6.8
Provincial and Territorial Government Drugs Expenditure by Age and Sex, by
Province/Territory and Canada, 2003—Current Dollars
Series F—Provincial/Territorial Government Health Expenditure,
by Province/Territory and Canada
1.1.1–.2
Provincial/Territorial Government Health Expenditure, by Province/Territory and
Canada, 1974–1975 to 2005–2006—Current Dollars
1.1.3
Total Provincial/Territorial Government Health Expenditure as a Percent
of (Provincial/Territorial) G.D.P., by Province/Territory and Canada, 1974–1975
to 2005–2006—Current Dollars
1.1.4
Total Provincial/Territorial Government Health Expenditure as a Proportion of
Total Provincial Government Programs, by Province/Territory and Canada,
1974–1975 to 2005–2006—Current Dollars
1.1.5
Total Provincial/Territorial Government Health Expenditure as a Proportion of
Total Provincial Government Expenditures, by Province/Territory and Canada,
1974–1975 to 2005–2006—Current Dollars
1.1.6 –.7
Provincial/Territorial Government Health Expenditure, by Province/Territory and
Canada, 1974–1975 to 2005–2006—Constant Dollars
2.1.1 –.3
Provincial/Territorial Government Health Expenditure, by Use of Funds,
Canada, 1974–1975 to 2005–2006—Current Dollars
3.1.1 –.3
Provincial Government Health Expenditure, by Use of Funds, Newfoundland
and Labrador, 1974–1975 to 2005–2006—Current Dollars
3.2.1 –.3
Provincial Government Health Expenditure, by Use of Funds, Prince Edward
Island, 1974–1975 to 2005–2006—Current Dollars
3.3.1 –.3
Provincial Government Health Expenditure, by Use of Funds, Nova Scotia,
1974–1975 to 2005–2006—Current Dollars
National Health Expenditure Trends 1975–2005
List of Data Tables on CD-ROM (cont’d)
Series F—Provincial/Territorial Government Health Expenditure,
by Province/Territory and Canada (cont’d)
3.4.1 –.3
Provincial Government Health Expenditure, by Use of Funds, New Brunswick,
1974–1975 to 2005–2006—Current Dollars
3.5.1 –.3
Provincial Government Health Expenditure, by Use of Funds, Quebec,
1974–1975 to 2005–2006—Current Dollars
3.6.1 –.3
Provincial Government Health Expenditure, by Use of Funds, Ontario,
1974–1975 to 2005–2006—Current Dollars
3.7.1 –.3
Provincial Government Health Expenditure, by Use of Funds, Manitoba,
1974–1975 to 2005–2006—Current Dollars
3.8.1 –.3
Provincial Government Health Expenditure, by Use of Funds, Saskatchewan,
1974–1975 to 2005–2006—Current Dollars
3.9.1 –.3
Provincial Government Health Expenditure, by Use of Funds, Alberta,
1974–1975 to 2005–2006—Current Dollars
3.10.1 –.3 Provincial Government Health Expenditure, by Use of Funds, British Columbia,
1974–1975 to 2005–2006—Current Dollars
3.11.1 –.3 Territorial Government Health Expenditure, by Use of Funds, Yukon Territory,
1974–1975 to 2005–2006—Current Dollars
3.12.1 –.3 Territorial Government Health Expenditure, by Use of Funds, Northwest
Territories, 1974–1975 to 2005–2006—Current Dollars
3.13.1 –.3 Territorial Government Health Expenditure, by Use of Funds, Nunavut
Territory, 1974–1975 to 2005–2006—Current Dollars
Appendices A–D
Appendix A.1—Gross Domestic Product
Appendix B.1–.3—Implicit Price Indices
Appendix C.1–.9—Population by Province/Territory, Canada
Appendix D.1–.2—Total Provincial/Territorial Government Programs/Expenditures,
by Province/Territory, Canada
Acknowledgments
It is only through the contribution of many individuals and organizations that the production
of National Health Expenditure Trends, 1975–2005, 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:
Dr. John Horne, University of Victoria
Dr. Richard Plain, University of Alberta
Dr. Robert G. Evans, University of British Columbia
M. André Grenon, Health Canada
Dr. Michael Wolfson, Statistics Canada
Dr. Jeremiah Hurley, McMaster University
Dr. Stephen Law, Mount Allison University
M. Alain Saucier, Ministère de la Santé et des Services sociaux du Québec
Ms. Louise Ogilvie, Canadian Institute for Health Information
Mr. Geoff Ballinger, Canadian Institute for Health Information
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
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
i
Provincial and territorial ministries for providing age and sex distributions for their
respective drug subsidy and additional health benefit programs:
− Newfoundland and Labrador Medical Services Commission
− Maritime Medical Care facilitated by the Nova Scotia Department of Health, Insured
Programs Management and Clinical Rationalization
− 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
− 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
ii
NATIONAL HEALTH EXPENDITURE TRENDS H I G H L I G H T S
Highlights
Total health expenditure, in current dollars,1 was estimated at $123.0 billion in
2003, and is forecast to have reached $131.8 billion in 2004 and $142.0 billion
in 2005.
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 5.1% from 1996 to 2003.
Real growth is expected to have been 4.9% in 2004 and 5.0% in 2005.
Total health expenditure per capita was estimated at $3,884 in 2003 and is
expected to have been $4,125 in 2004 and $4,411 in 2005.
Total health care spending as a percentage of Gross Domestic Product was 10.1%
in 2003; the ratio is forecast to have increased to 10.2% in 2004 and is expected
to have been 10.4% in 2005.
The private sector share peaked in 2002 at 30.4%. It is expected to decrease to
30.1% in 2004 and increase again to 30.4% in 2005.
The category of drugs ranks second after hospitals in terms of its share of total
health expenditure. In 1997, expenditure on drugs overtook spending on physician
services. The share of total spending accounted for by drugs grew from a low of
8.4% in the late 1970s to 16.4% in 2003. In 2005, drugs are expected to remain
ranked second with a share of 17.5%.
Total health expenditure per capita varies among the provinces. In 2003, Manitoba
and Ontario spent more per person on health care than any other province, at
$4,247 and $4,055, respectively. Quebec and New Brunswick had the lowest
expenditure per capita at $3,450 and $3,699, respectively.
Health expenditure varies considerably among different age and sex groups. After
adjusting for differences in provincial age and sex distributions, Newfoundland and
Labrador, Alberta and Manitoba had the highest per capita provincial government
expenditure in 2003, while New Brunswick and Quebec had the lowest.
1. All figures are in current dollars (unadjusted for inflation) unless otherwise stated.
iii
NATIONAL HEALTH EXPENDITURE TRENDS I N T R O D U C T I O N
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
beginning in 1960. The Canadian Institute for Health Information assumed responsibility for
the national health accounts, including the National Health Expenditure database, in 1995.
National Health Expenditure Trends (1975–2005) is CIHI’s ninth 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 2005; 2003
figures which are now considered to be an estimate rather than a forecast; an
outlook for 2004 and 2005;
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 2005; and
International Comparisons.
The 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.
Additional feature of this year’s publication is:
Enhancements to the data tables, which present the category of Public Health and
Administration, separately.
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. A detailed
explanation of the revisions can be found in the Data Quality section under Major Changes
from Previous Years.
More information on health expenditures and the methods used in the preparation of this
document is available by contacting the NHEX section by telephone, (613) 241-7860 or
by email: [email protected]
1
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Overview
T O T A L
H E A L T H
E X P E N D I T U R E
2003 and Outlook for 2004 and 2005
Total health expenditures in Canada were $123.0 billion in 2003. Expenditures are forecast
to have been $131.8 billion in 2004 and $142.0 billion in 2005, an increase of 7.2% and
7.7%, respectively. Real rates of increase at constant (1997) prices are 4.9% in 2004 and
5.0% in 2005.
Figure 1—Total Health Expenditure, Canada, 1975 to 2005
($’ billions)
160.0
140.0
Current
Constant ($1997)
Forecast
120.0
100.0
80.0
60.0
40.0
20.0
0.0
1975
78
81
84
87
90
93
96
99
02
2005
Year
Source: Canadian Institute for Health Information.
Trends—1975 to 2003
Health expenditure in 2003 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). 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.
3
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Figure 2—Total Health Expenditure, Annual Growth Rates in
Constant 1997 Dollars, Canada, 1976 to 2005
7.0%
6.0%
Actual
Forecast
5.0%
4.0%
3.0%
2.0%
1.0%
0.0%
1976
79
82
85
88
91
94
97
00
03
2005
Year
Source: Canadian Institute for Health Information.
T O T A L
H E A L T H
E X P E N D I T U R E
P E R
C A P I T A
2003 and Outlook for 2004 and 2005
Total health expenditure per capita was $3,884 in 2003. Forecasts for 2004 and 2005 are
expected to have been $4,125 and $4,411 (Figure 3). After adjusting for inflation, real rates
of increase in 2004 and 2005 are expected to have been 4.0% and 4.2%, respectively.
Figure 3—Total Health Expenditure Per Capita, Canada,
1975 to 2005
$5,000
Current
Constant ($1997)
Forecast
$4,500
$4,000
$3,500
$3,000
$2,500
$2,000
$1,500
$1,000
$500
$0
1975
78
81
84
87
90
Year
Source: Canadian Institute for Health Information.
4
93
96
99
02
2005
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Trends—1975 to 2003
Total health expenditure per capita 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 the next seven years, the average increase rebounded to 4.1% per year.
Figure 4—Total Health Expenditure Per Capita, Annual Growth
Rates in Constant 1997 Dollars, Canada, 1976 to 2005
6.0%
Actual
5.0%
Forecast
4.0%
3.0%
2.0%
1.0%
0.0%
-1.0%
1976
79
82
85
88
91
94
97
00
03
2005
Year
Source: Canadian Institute for Health Information.
T O T A L H E A L T H E X P E N D I T U R E
E C O N O M I C G R O W T H
A N D
2003 and Outlook for 2004 and 2005
Total health expenditure was 10.1% of Gross Domestic Product (GDP) in 2003. It is
forecast to have been 10.2% in 2004, reflecting relatively high real growth in total health
expenditure (4.9%) and lower real growth in the denominator, GDP (3.1%). According to
forecasts in 2005, the ratio of total health expenditure to GDP is expected to increase to
10.4% (Figure 5).
5
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Figure 5—Total Health Expenditure as a Percentage of
Gross Domestic Product, Canada, 1975 to 2005
11.0%
Actual
Forecast
10.0%
9.0%
8.0%
7.0%
6.0%
1975
78
81
84
87
90
93
96
99
02
2005
Year
Sources: Canadian Institute for Health Information; Statistics Canada.
Trends—1975 to 2003
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.
Real health expenditure grew at slightly higher rates than the economy during two of the
last five years of the 1980s. By the end of the decade, the total health expenditure to GDP
ratio was equivalent to 8.5%.
Figure 6—Health Expenditure and GDP Trends, Constant
Dollar Indices (1975=100), Canada, 1975 to 2005
325
300
Health Care
GDP
Forecast
275
250
225
200
175
150
125
100
1975
78
81
84
87
90
93
Year
Sources: Canadian Institute for Health Information; Statistics Canada.
6
96
99
02
2005
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Canada experienced another recession from 1990 until 1992. Real GDP increased in 1992
but did not recover to pre-recession levels until 1993. Real health expenditures grew at
higher rates than real GDP from 1989 to 1992. The ratio of total health expenditure to
GDP increased significantly during these four years 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 each year between
1998 and 2003, with the result that the health to GDP ratio reached 10.1% in 2003.
See Data Tables A.1 and B.1.3.
T O T A L H E A L T H
O F F I N A N C E
E X P E N D I T U R E
B Y
S O U R C E
2003 and Outlook for 2004 and 2005
In 2003, governments and government agencies in Canada (the public sector) spent
$86.3 billion. Public sector expenditure is forecast to have been $92.1 billion in 2004 and
$98.8 billion in 2005. The growth rates associated with these increases are 6.7% and
7.3%, respectively; reflecting increased spending by governments on health. In 2003,
private health insurers and households (the private sector) spent $36.7 billion. Private
sector expenditure is forecast to have reached $39.7 billion in 2004 and $43.2 billion in
2005, assuming growth rates of 8.2% and 8.7%, respectively.
In terms of constant (1997) dollars, the public sector spent $75.0 billion in 2003 and is
forecast to have spent $78.3 billion in 2004 and $81.8 billion in 2005, with respective
growth rates of 4.3% and 4.6%. Private sector expenditure was $32.2 billion in 2003 and
is forecast to have reached $34.2 billion in 2004 and $36.3 billion in 2005, with growth
rates of 6.3% and 6.0%, respectively.
The private sector accounted for 29.8% of total expenditure in 2003. It is expected to
account for 30.1% in 2004 and 30.4% in 2005.
7
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Trends—1975 to 2003
The average annual rate of growth in public sector health expenditure between 1975
and 1991 was 11.0%. There was a pronounced change in public expenditure trends
following the 1990–1992 recession (Figure 7). During this period, governments introduced
fiscal restraint measures, which affected spending for health and social programs. Average
annual rates of growth fell to 0.6% from 1992 to 1996, lower than at any time in the past
20 years. In 1995 and 1996 there was virtually no growth and in 1997 public sector
expenditure increased by 4.0%.
Figure 7—Health Expenditure by Source of Finance, Canada,
1975 to 2005
($’ billions)
120.0
Public Sector
Private Sector
Forecast
100.0
80.0
60.0
40.0
20.0
0.0
1975
78
81
84
87
90
93
96
99
02
2005
Year
Source: Canadian Institute for Health Information.
By comparison, the average annual rate of growth of health spending by private health
insurers and households (the private sector) was 11.7% from 1975 to 1991. From 1992
to 1996, it was 4.8%. 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 by 4.0 percentage points during the five years, reaching
29.9% by 1997.
In 1998, public sector growth was higher than growth in the private sector by more than a
percentage point for the first time since 1983. In 1998, public sector health expenditure
grew by 7.3% over the previous year reaching $59.0 billion. Private sector growth in 1998
was 5.5%, adding almost $1.3 billion to private sector expenditure to become $24.7 billion.
In 1999, public sector expenditure grew by another 6.8% to reach $63.1 billion. The
private sector expenditure grew by 8.9% to become $26.9 billion. In 1999 the private
sector share rose to 29.9% of total health expenditure; in 2002 it was 30.4% and in 2003
it decreased to 29.8%.
In terms of constant dollars, private sector expenditure grew more rapidly than public
sector expenditure during the last half of the 1970s (Figure 8). During this time, real
growth rates in the private sector averaged 5.1% annually, while public sector expenditure
8
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
grew at real rates of 2.7% annually. Rates converged in the early 1980s. From 1984 to
1990, the real annual growth rates were almost identical in the two sectors, averaging
4.1% in the private sector and 4.0% in the public sector.
Figure 8—Health Expenditure by Source of Finance, Constant
Dollar Indices (1975 =100), Canada, 1975 to 2005
400
375
350
325
300
275
250
225
200
175
150
125
100
1975
Public
Private
Forecast
78
81
84
87
90
93
96
99
02
2005
Year
Source: Canadian Institute for Health Information.
Public sector expenditure continued to increase during the first two years of the 1990–1992
recession, at annual real rates averaging 3.0%. In 1992, however, the real growth rate of
public sector expenditure fell to 1.7%. In 1993, there was a decline in public sector
expenditure of seven tenths of one percent with further declines over the next 3 years.
In 1997, expenditure increased by 2.6%. In 1998 and 1999 real growth in the public sector
increased by 6.1% and 5.2% each year, respectively. In 2001, the rate was 6.4%, the
highest real rate of public sector growth in the time series. This growth rate slowed in
2003, reaching 5.6%.
During the six years after 1991, private expenditure continued to have real growth rates
averaging 3.8% per year. The different trends in private and public expenditures after
1991 explain in large part the rapid growth of the private sector share to 1997. By 1998,
however, the situation was reversed; real growth in the private sector was lower than in
the public sector at just 3.2% compared to 6.1%. In 1999, the private share was 29.9%
reflecting higher nominal growth in the private sector, however, inflation was higher in
the private sector that year, with the result that real growth was higher in the public
sector. In 2003, growth was higher in the public sector and the public share increased to
70.2% (Figure 9).
9
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Figure 9—Growth in Real Per Capita Public and Private Health
Expenditure and the Private Share, Canada, 1976 to 2005
(Growth)
7.0%
(Private Share)
Private Sector Growth
Public Sector Growth
6.0%
30.0%
Private Share
5.0%
28.0%
4.0%
3.0%
26.0%
2.0%
24.0%
1.0%
0.0%
22.0%
-1.0%
Year
-2.0%
1976
79
82
85
88
91
94
97
00
20.0%
03 2005
Sources: Canadian Institute for Health Information; Statistics Canada.
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 and 71.4% of total expenditure that year. The other public sources together
totalled $0.6 billion, or 6.4% of the public sector and 4.9% of total expenditure in 1975.
The provincial/territorial government share of public sector spending was highest in the late
seventies at 94.1%. Over the next sixteen years, the proportion fell by 1.3 percentage
points to reach 92.8% of public spending in 1996. The proportion declined further in
1997, when the Quebec Drug Insurance Fund was introduced and included in the Social
Security Funds sector. Higher relative growth in direct health care spending by the federal
government also contributed to the fall in the overall share of provincial/territorial
government spending in the public sector. By 2003, provincial/territorial government
expenditure was $78.5 billion, accounting for 91.0% of public sector expenditure, a drop
of 2.6 percentage points from 1975 and 3.1 percentage points from its high in 1979.
Provincial/territorial government expenditure as a proportion of total expenditure has
gradually fallen from 71.4% in 1975 to 63.8% in 2003, with the largest falls during
the severest period of cost containment by provincial/territorial governments from
1992 to 1996.
10
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Table 1—Distribution of Public Sector Health Expenditure by Source of Finance,
Canada, 1975 and 2003
Provincial/Territorial Governments
Federal Direct
Social Security Funds
Municipal Governments
1975
($’ 000,000)
8,709.3
398.3
121.1
71.6
Total Expense
9,300.3
2003
(%)
($’ 000,000)
93.6
78,499.8
4.3
4,991.8
1.3
1,795.5
0.8
980.1
(%)
91.0
5.8
2.1
1.1
100.0
100.0
86,267.2
Source: Canadian Institute for Health Information.
Federal Transfers
National health expenditures are reported based on the principle of responsibility for
payment rather than on the source of the funds. It is for this reason that federal health
transfers to the provinces are included in the provincial government sector. There are now
five major programs: the Canada Health Transfer, Canada Social Transfer, Health Reform
Transfer, Equalization, and Territorial Formula Financing.
In April 1996 the Canada Health and Social Transfer (CHST) was introduced. The CHST
was a block fund to the provinces in support of health care, post secondary education,
social assistance and other social programs. Provinces allocated the CHST to health and
other social programs according to their specific priorities. Nevertheless, the 1999 federal
government budget allocated an additional $11.5 billion dollars in cash transfers to the
provinces on an equal per capita basis over five years. The federal government designated
this money specifically for health care. Most of the funds ($8.0 billion) were to be in the
form of future-year increases in the CHST, with a $3.5 billion supplement available to the
provinces and territories beginning in 1999.
An additional $2.5 billion over four years beginning in 2000–2001 was allocated to
the CHST in the February 2000 federal budget to fund both post-secondary education
and health. The health accord signed by the federal and provincial governments on
September 11, 2000 further supplemented the CHST adding gradual annual increases
that would take the cash component of the CHST from $15.5 billion in 2000–2001 to
$21 billion by 2005–2006.
The September 2000 health accord added an additional $2.3 billion in transfers by the
federal government to be paid out over five years that was outside of the CHST
mechanism. Specifically, $500 million was allocated in 2000–2001 for health information
technology. Another $1.0 billion was allocated over two years beginning in 2000–2001 to
the Medical Equipment Fund, which was intended to help in the purchase of major medical
equipment such as magnetic resonance imaging units. A further $800 million was allocated
over four years beginning in 2001–2002 to the Health Transition Fund for Primary Care
which was intended to ease pressures in emergency rooms and reduce waiting times.
11
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
In addition, the 1999 federal budget allocated nearly $1.4 billion over four years for
investments in health information, research and prevention. In February 2003, an
agreement was reached on a new Health Accord. The 2003 federal budget provided for an
increase in federal funding of $17.3 billion over the next three years and $34.8 billion over
the next five years. Effective on April 1, 2004, the Canada Health and Social Transfer
(CHST) was replaced by the Canada Health Transfer (CHT) and the Canada Social Transfer
(CST). The CHST-legislated amounts have been apportioned between the new transfers.
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 2003, nearly 30 federal government departments and agencies provided direct health
care services to Canadians worth $5.0 billion and accounting for 4.1% of total health
expenditure, slightly higher than the 3.8% in the previous year. Forecasts indicate that
the share of federal direct spending will increase to 4.2% of total spending in 2005.
Federal departments that had the largest shares of total federal direct health expenditure in
2003 were Health Canada, which funded 74%, the Department of Veterans Affairs (14%),
the Solicitor General of Canada (3%) and the Department of National Defense (3%). The
Canadian Institutes of Health Research, which is included under Health Canada, accounted
for 13% of total federal direct health expenditure.
Social Security Funds
Workers’ Compensation Boards are included under Social Security Funds together with the
Quebec Drug Insurance Fund. Both Workers’ Compensation Boards and the Quebec Drug
Insurance Fund meet the conditions of Social Security Funds. Social Security Funds are
financially autonomous social insurance schemes that are imposed and controlled by a
government authority. They generally involve compulsory contributions by employees,
employers or both, and the government authority determines the terms on which benefits
are paid to recipients.
Workers’ Compensation Boards operate under provincial and territorial statute and are
considered agencies of the provincial/territorial governments. They are financed through
compulsory contributions by employers who pay a percentage of their total payroll
depending on the accident experience of each category of employer.
On January 1, 1997 the 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.
12
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
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 2005 and annual percentage changes from 1998
of the Quebec Drug Insurance Fund.
Table 2—Quebec Drug Insurance Fund, 1997 to 2005
$’ 000,000
Annual Percentage Change (%)
1997
1998
1999
2000
2001
2002
2003
2004 f
2005 f
172.0
218.2
264.0
332.3
379.9
450.4
595.0
630.2
674.5
---
26.8
21.0
25.9
14.3
18.6
32.1
5.9
7.0
f = forecast
Source: Canadian Institute for Health Information.
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.2 The distribution of private expenditure between these
three sources of finance is shown in Table 3. Out-of-pocket expenditure was estimated at
$17.7 billion in 2003, an increase of $10.2 billion over the last 15 years. In 1988, the
first year for which data at this level of detail was available, out-of-pocket expenditure
accounted for 58.1% of private sector expenditure. By 2003, the proportion dropped to
48.2% as expenditure by insurance firms grew more rapidly. The share of non-consumption
expenditure dropped from 12.7% to 10.8% during the same period (Table 3).
2. Non-consumption expenditure includes a number of heterogeneous components, such as hospital nonpatient revenue, capital expenditures for privately owned facilities and health research.
13
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Table 3—Distribution of Private Sector Health Expenditure by Source of Finance,
Canada, 19883 and 2003
1988
($’ 000,000)
Source of Finance
Household
(out-of-pocket)
(%)
(%)
7,434.8
3,735.7
1,625.9
58.1
29.2
12.7
17,672.2
15,059.8
3,959.7
48.2
41.0
10.8
12,796.4
100.0
36,691.7
100.0
Private Health Insurance
Non-Consumption
Total Expense
2003
($’ 000,000)
Source: Canadian Institute for Health Information.
Insurance firms increased their share of private sector expenditure by over 11 percentage
points during 1988 to 2003 and in 2003 were responsible for 41.0% of private sector
health expenditure. Insurance expenditure grew more rapidly than out-of-pocket expenditure
during the late 1980s and most of the 1990s, but rates of growth converged in the mid1990s. By 2003, growth in health expenditure from households and health insurance firms
were 3.0% and 7.4%, respectively (Figure 10).
Figure 10—Private Sector Health Expenditure, Annual Growth
of Selected Sources of Finance, Canada, 1989 to 2003
18.0%
Out-Of-Pocket
15.0%
Insurance
12.0%
9.0%
6.0%
3.0%
0.0%
1989
91
93
95
97
99
01
2003
Year
Source: Canadian Institute for Health Information.
3. Private sector data were revised following a methodology review in the early 1990s. The revised private
sector data incorporated information estimated directly from insurance, out-of-pocket and non-consumption
sources for 1988 and subsequent years. See Methodological Notes for further details.
14
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
T O T A L H E A L T H
O F F U N D S
E X P E N D I T U R E
B Y
U S E
Health dollars are used to purchase health care goods and services, to provide capital
investment, to administer public and private insurance plans and public health programs,
and to fund research. These uses are grouped into nine major categories (uses of funds)
throughout most of the National Health Expenditure data series (Figure 11). Data table
series A.3.1 to A.3.3 report national estimates for thirteen categories.
Figure 11—Total Health Expenditure by Use of Funds,
Canada, 2003
($’ billions)
Hospitals
$37.2; 30.3%
Capital
$5.6; 4.6%
Drugs
$20.1; 16.4%
Administration
$4.9; 4.0%
Physicians
$16.1; 13.1%
Public Health
$6.9; 5.6%
Other Health Spending
$7.4; 6.0%
Other
Institutions
$11.4; 9.3%
Other Professionals
$13.2; 10.7%
Source: Canadian Institute for Health Information.
This section discusses the public and private shares of total health expenditure and the
shares of the major categories between the public and private sectors and refers to
Figures 11 to 18.
Figure 12 shows national expenditures for the three major uses of funds from 1975 to
2005 in billions of current dollars. Figure 13 presents the public and private shares at the
national level of the nine major uses of funds in 2003.
See Data Tables A.3.1 to A.3.3 and C.1.1. to C.4.4.
15
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Figure 12—Total Health Expenditure, Selected Uses of Funds,
Canada, 1975 to 2005
($’ billions)
45.0
Hospitals
Drugs
40.0
35.0
Physicians
Forecast
30.0
25.0
20.0
15.0
10.0
5.0
0.0
1975
78
81
84
87
90
93
96
99
02
2005
Year
Source: Canadian Institute for Health Information.
Figure 13—Public and Private Shares of Total Health
Expenditure, by Use of Funds, Canada, 2003
100.0%
80.0%
Public Sector Share
100.0%
98.8%
91.1%
Private Sector Share
90.8%
80.0%
74.6%
72.4%
70.2%
61.9%
60.0%
54.0%
46.0%
38.1%
40.0%
20.0%
0.0%
27.6%
8.9%
29.8%
25.4%
20.0%
9.2%
1.2%
s
ns
ns
tals
n al
i ci a
utio
s pi
sio
hys
Ho
s tit
esP
f
n
I
o
r
er
er P
Oth
Oth
0.0%
gs
Dr u
Source: Canadian Institute for Health Information.
16
Ca
l
alth
pita
He
lic
b
u
P
.
ing
m in
end
Ad
Sp
h
t
e al
er H
Oth
e ra
Av
ge
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
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. Between 1976 and 1990, hospitals’ share
of total expenditure fell by 6.1 percentage points, while their share of provincial
expenditure dropped 7.1 percentage points. During the 1990s hospitals’ share of total and
provincial expenditure declined by 7.7 percentage points and 5.8 percentage points
respectively (Figure 14). In 2003, Canadians spent $37.2 billion on hospitals, accounting
for 30.3% of total expenditure.
60.0%
Figure 14—Hospitals’ Share of Total Provincial/Territorial
Government Health Expenditure and Total Health Expenditure,
Canada, 1975 to 2005
Share of Provincial/Territorial Government Health Expenditure
Share of Total Health Expenditure
Forecast
55.0%
50.0%
45.0%
40.0%
35.0%
30.0%
25.0%
1975
78
81
84
87
Source: Canadian Institute for Health Information.
90
93
Year
96
99
02
2005
Provincial and territorial government expenditure accounts for 90% of hospital income
(Table 4). The private sector is the next largest source of income, followed by other
public sectors. Private sector expenditure per capita decreased in most years from
1994 to 1998. This decrease in hospital revenue from the private sector was due in large
measure to reductions in the number of hospitals and beds, and the associated decline in
revenue for preferred accommodation and auxiliary services. Private sector revenue fell
more rapidly than overall hospital expenditure, with the result that by 2003 the private
sector accounted for only 8.9% of total hospital expenditure, down from a high of 10.2%
in 1994 (Figure 15).
Table 4—Hospital Expenditure Summary by Sector of Finance, Canada, 2003
Provincial/
Territorial
Total Expenditure ($’000,000)
Expenditure Per Capita
Share of Total
$33,327.29
$1,052.65
89.5%
Source: Canadian Institute for Health Information.
17
Other Public
$582.30
$18.39
1.6%
Private
$3,319.62
$104.85
8.9%
Total
$37,229.2
$1,175.89
100.0%
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Figure 15—Private Sector Hospital Expenditure,
Canada, 1975 to 2003
11.0%
$100
10.0%
$80
9.0%
$60
8.0%
7.0%
$40
6.0%
$20
Expenditure Per Capita
5.0%
4.0%
20
03
01
99
97
95
93
89
87
85
83
81
79
77
19
75
$0
91
Percent of Total Hospital Expenditure
Year
Sources: Canadian Institute for Health Information; Statistics Canada.
Of the $3.3 billion spent on hospital services by the private sector in 2003, households
and insurance firms together spent about $1.5 billion providing income to hospitals for
patient services.4 Non-patient revenue earned from investments, food services, real estate,
parking, rentals, donations and other sources provided the remaining $1.8 billion of the
private sector in 2003. The distribution of expenditure financed by insurance, households
(out-of-pocket expenditure) and non-consumption in 2003 is shown in Table 5.
In 2004, it is expected that the private share of total hospital expenditure will fall slightly
to 8.8%, reflecting lower expected growth in the private sector at 5.2% and reaching
$3.5 billion in expenditure on hospital services. Growth in the provincial government
sector for the same year is expected to be 7.3% reaching $35.7 billion. In 2005, hospital
expenditure in the provincial government sector is expected to have grown by an
additional 6.5% to reach $38.1 billion in expenditure. Growth in the private sector in 2005
is expected to have been 5.9% to reach $3.7 billion in spending. The relatively lower
growth in the private sector than in the provincial government sector is expected to lower
the private sector share of total hospital spending to 8.6%. Overall, the share that
hospitals will take of total expenditure will fall from 30.3% in 2003 to 30.2% in 2004 and
29.9% in 2005.
4. Income to hospitals for patient services includes charges for preferred accommodation, care of
non-residents, chronic care co-payments, uninsured services and other patient services.
18
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Table 5—Private Sector Health Expenditure, by Source of Finance
and Use of Funds, Canada, 2003
($’ millions)
Households
(Out-of-Pocket)
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
Insurance
NonConsumption
1,802.1
Total
611.3
3,156.4
193.5
906.3
3.4
3,319.6
3,156.4
196.8
3,446.7
1,914.0
964.8
4,577.4
524.7
567.3
8,024.1
2,438.7
1,532.1
3,155.9
1,937.7
1,712.1
5,649.7
8,805.6
1,937.7
1,712.1
1,423.5
2,671.2
1,423.5
2,671.2
203.3
376.5
84.2
75.6
17,672.2
15,059.8
734.1
734.1
287.5
452.1
3,959.7
36,691.7
* forecast for 2003.
Source: Canadian Institute for Health Information.
Drugs
Retail sales5 of prescribed and non-prescribed drugs together constituted the second largest
category of health expenditure in 2003 at $20.1 billion, an increase of 9.2% over 2002.
Expenditure for drugs has increased more rapidly than total expenditure, with the result
that the share of total health expenditure allocated to drugs increased from (a low of)
8.4% in the late 1970s to 16.4% in 2003 (Figure 11). Spending on drugs is forecast to
have increased by another 10.9% in 2004 to $22.3 billion and by 11.0% in 2005 to
$24.8 billion, or 17.5% of total health care spending.
Non-prescribed drugs, which include over-the-counter drugs and personal health supplies,
amounted to 18.1% of total expenditure on drugs in 2003 (Figure 16).
5. The drug category does not include drugs dispensed in hospitals and generally in other institutions.
These are included in the categories of hospitals and other institutions.
19
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Figure
Figure 16—Drugs
16—Drugs by
by Source
Source of
of Finance
Finance and
and Type,
Type,
Canada,
2003
Canada, 2003
($’
($’ billions)
billions)
Public
Public Sector
Sector
(Prescribed
(Prescribed
Drugs)
Drugs)
$7.7,
$7.7,
38.1%
38.1%
Prescribed
Prescribed
$8.8,
$8.8,
43.8%
43.8%
Private
Private Sector
Sector
(Prescribed
(Prescribed and
and
Non-Prescribed
Non-Prescribed
Drugs)
Drugs)
$12.5,
$12.5,
61.9%
61.9%
OTC
$1.9,
OTC $1.9,
9.6%
9.6%
PX
$1.7,
PX $1.7,
8.5%
8.5%
Non-prescribed
Non-prescribed Drugs
Drugs include
include
Over
Over the
the Counter
Counter Drugs
Drugs (OTC)
(OTC) and
and Personal
Personal Health
Health Supplies
Supplies (PX)
(PX)
Source:
Source: Canadian
Canadian Institute
Institute for
for Health
Health Information.
Information.
In 1976, the private sector accounted for over 75.6% of expenditure for prescribed drugs;
by 1992, it had decreased to 52.3%. The share of prescribed drugs financed from private
sources had increased steadily from 1992 to 1998 reaching 57.5%. In 2002, the share
fell to 53.5 %, or $7.9 billion; in 2003 the share fell to 53.4%, or $8.8 billion. Forecasts
indicate that in 2004 and 2005 prescribed drugs expenditure in the private sector will be
$10.1 billion and $11.1 billion, respectively. In 2004 the private share of prescribed drugs
is expected to have risen to 54.4%. In 2005 it is expected to have decreased slightly to
54.0% of total spending, reflecting slightly higher relative growth in public sector drug
programs in that year (Figure 17).
Figure 17—Prescribed Drug Expenditure, Public Sector Versus
Private Sector, Canada, 1975 to 2005
($’ billions)
12.0
11.0
10.0
9.0
8.0
7.0
6.0
5.0
4.0
3.0
2.0
1.0
0.0
1975
Public Sector
Private Sector
Forecast
78
81
84
87
90
Year
Source: Canadian Institute for Health Information.
20
93
96
99
02
2005
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Physicians
Physician services constituted the third largest category of total health expenditure in 2003
at $16.1 billion, representing 13.1% of total health expenditure. Expenditure for physician
services grew at above average rates through the mid-1980s, and peaked at 15.7% of
total expenditure in 1987. Expenditure grew at below average rates during the 1990s,
leading to a decline in the share of total expenditure. Physician expenditure is forecast to
have reached $17.1 billion in 2004, a 5.8% increase over the previous year. In 2005, this
category is forecast to have grown by 6.4% to reach $18.2 billion and reflecting 12.8% of
total expenditure.
Public sector expenditure on physicians has remained above 98% of total physician
expenditure since 1975. The private share of physician expenditure was high in the decade
from 1976 to 1986, when a number of provinces permitted supplementary charges to
patients (sometimes referred to as “extra billing” or “balance billing”). The private share
reached a low of 0.9% from 1991 to 1993; by 2003 the private share of physician
services had reached 1.2%.
Physician services were the second largest category of public sector health expenditure in
2003 at 18.5%, the same share as in 2001 and 2002.
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.
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 $13.2 billion or 10.7% of total
expenditures in 2003 and has maintained the highest percentage of private spending of all
the major categories. The private share declined until 1981 reaching a low of 81.6%, and
gradually increased to 90.8% in 2003. The private sector growth rates of this category
have been more consistent than in other categories, averaging 11.5% through the 1980s
and 6.5% from 1990 to 1997. Public sector growth was considerably higher than the
private sector from 1975 to the early 1980s, a period when the private sector share
declined by over five percentage points.
21
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Figure
Figure 18—Other
18—Other Professionals
Professionals Expenditure
Expenditure by
by Source
Source of
of Finance
Finance
and
Type,
Canada,
2003
and Type, Canada, 2003
($’
($’ billions)
billions)
Dentists
Dentists
$0.4;
$0.4; 3.3%
3.3%
Vision
Vision Care
Care
$0.2;
$0.2; 1.8%
1.8%
Dentists
Dentists
$8.0;
$8.0; 60.7%
60.7%
Public
Public Sector
Sector
$1.2;
$1.2; 9.2%
9.2%
Private
Private Sector
Sector
$12.0;
$12.0; 90.8%
90.8%
Vision
Vision Care
Care
$2.4;
$2.4; 18.5%
18.5%
Other
Other
$0.5;
$0.5; 4.1%
4.1%
Other
Other
$1.5;
$1.5; 11.6%
11.6%
Source:
Source: Canadian
Canadian Institute
Institute for
for Health
Health Information.
Information.
Dental care and vision care are the major discrete categories of expenditure in both the
public and private sector for other professional services (Figure 18). In the private sector,
insurance firms accounted for 57.0% of the amount spent for dental care in 2003. In the
same year, households accounted for 78.5% of spending on vision care in the private
sector. Households also accounted for the majority of amounts spent for professionals
providing services other than dental or vision care e.g. physiotherapists, chiropractors,
podiatrists, massage therapists and private duty nurses. Estimates are not reported
separately for these professions by private sector data sources.
Other Institutions
In 2003 the category of other institutions, which includes nursing homes and residential
care facilities, accounted for 9.3% of total expenditures, or $11.4 billion. Other
institutions’ share of total health expenditure is forecast to have been 9.3% of total
expenditure in 2004 and in 2005.
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. The public sector share has
varied over the last twenty years, fluctuating between 70% and 75% between 1975 and
1993, reaching the highest level in the early 1980s. In 1994, the public sector share fell
below 70% for the first time in the series. In 2003 the public share of other institutions
was 72.4%.
22
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Other Health Spending
The sub-category with the greatest impact on the current category of other health
spending is health research.6 The remaining categories include medical transportation,
hearing aids and appliances, voluntary health associations and explicitly identified
home care.7 In 2003, other expenditures accounted for $7.4 billion or 6.0% of total
health expenditure.
Public sector sources accounted for 80.0% of other expenditures in 2003, most of which
was for health research, ambulance services and home care.
The broad category of other expenditures grew faster than total health expenditure from
1983 to 2001. In 2003, it is estimated to have grown at 5.3%. In 2004 and 2005 it is
expected that other health spending will have grown by 9.0% and 7.8%, respectively,
reaching $8.7 billion by 2005.
Administration
The National Health Expenditure Database has included a category of Public Health and
Administration in public sector expenditure estimates since 2001. A study published in
June 2002 examined the feasibility of breaking out the category into separate components
for public health and administrative expenditure8. A complete review of provincial
estimates was carried out during the feasibility study in order to create separate subcategories for public health and certain public and private administration costs. The review
identified two key factors that limit the degree of comparability of estimates from public
sources and therefore are responsible for significant variation between the estimates of
some provinces. These factors are:
1) The degree of provincial 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 comparisons.
Results of the review were presented in last year’s edition (2004) 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.
6. Research funded by pharmaceutical companies is funded from drug sales and included in the drugs category.
7. 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.
8. CIHI, Ottawa, Public Health and Administration in National Health Expenditures Feasibility Study. June 2002.
23
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Administration includes infrastructure costs to operate health departments and prepayment
administration (the administrative expenses of providing health insurance by governments
and private health insurance companies9).
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 2.6% in 2003, the private sector
share has risen to 7.3%.
Public Health
Public health is provided only 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, and 4.4% of public
sector 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 5.6% in 2003, or $6.9 billion.
The share is expected to fall to 5.5% in 2005.
9. 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.
24
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
P R O V I N C I A L A N D T E R R I T O R I A L
G O V E R N M E N T H E A L T H E X P E N D I T U R E
A G E A N D S E X 10
B Y
The population of Canada is aging rapidly by historical standards. The largest concentration
of population is in the middle age groups and moving upward.11 The “baby-boomers”, who
are defined as those between 38 and 57 in 2003, represented approximately 31% of the
population in 2003. Population projections indicate that the cohort of persons between
35 and 55 will gradually decline over the next twenty-five years to approximately 27% in
2026. The baby-boom cohort will affect the size of the elderly population, which was
estimated at 12.8% in 2003, and is projected to grow to just over 21% by 2026 (using the
traditional threshold of 65 years to define elderly persons). Future health care costs for an
aging population have been a topical issue for a number of years.
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.
Canadian studies suggest that the effects of population growth and aging will be
manageable, however, within the context of a growing economy.
This section briefly looks at provincial and territorial government expenditures by age
and sex. CIHI has collected actual utilization data from national and provincial/territorial
administrative databases for major categories of service delivered by provincial and
territorial governments, from 1996 to 2003. A brief discussion is provided focusing on
the age and sex distributions in 2003 (for 19 age groupings), of the hospital and
physician categories. In addition, the analysis also examines provincial government
health expenditure by age and sex and standardizes expenditures for differences in
provincial populations.
The complete set of estimates for five major categories including hospitals, physicians,
drugs, other institutions and other professionals, by eight age group from 1996 to 2003
are presented in the Series E Data Tables of this report.
10. A detailed explanation of methods and sources used to distribute provincial government health expenditure
by age and sex is available in the Methodological Notes section of this report.
11. Statistics Canada Population Projections. Medium growth estimate. CANSIM II table 052-0001.
25
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Hospital and Physician Expenditure
All residents are insured for hospital and physician plans under provisions of the Canada
Health Act. Provincial and territorial governments account for 90% of total expenditure for
hospitals and 97% for physicians services. These two categories accounted for
approximately 62% of provincial and territorial health expenditure in 2003.
Hospital expenditure for children under one year of age was approximately $1.94 billion
in 2003, more than total expenditure for all children and teenagers from ages 1 to 19
($1.60 billion) (Figure 19). 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 declines during the late 30s and early 40s, and then remains stable until the
60s. 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 75.
Expenditure for males declines sharply after age 79, with expenditure for females higher
than expenditure for males in each age group.
Persons 65 and over accounted for approximately 50% of provincial government
hospital expenditure in Canada during 2003. Within this age group most was spent by
70 to 84 years old (31% of total). Children under one year old accounted for 6%.
Hospital expenditure per capita exhibits a more striking age pattern than total expenditure.
Expenditure per capita exceeds $5,500 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+ age group
for females (Figure 20). Expenditure per capita drops to the range of $100 to $300 during
the childhood and early teenage years. 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.
Expenditure per capita for both sexes remains under $1,000 until the 55–59 age group
for males and the 60–64 age group for females, when it begins to increase rapidly.
Hospital expenditure per capita is higher for males than for females throughout the senior
age groups. Higher total expenditure for females after age 75 results from higher female
populations over 75, which in turn is due to greater longevity.
26
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Figure 19—Provincial/Territorial Government Hospital Expenditure,
by Age and Sex, Canada, 2003
($’000,000)
2,400
2,000
Male
1,600
Female
1,200
800
400
85+
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
Source: Canadian Institute for Health Information.
Figure 20—Provincial/Territorial Government Hospital Expenditure
Per Capita, by Age and Sex, Canada, 2003
$9,000
$8,000
$7,000
Male
$6,000
Female
$5,000
$4,000
$3,000
$2,000
$1,000
Age Group
Sources: Canadian Institute for Health Information; Statistics Canada.
27
85+
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
$0
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Physician services expenditure for females is slightly less than for males until age 14, and
consistently higher thereafter (Figure 21). Expenditure for females is highest between the
ages of 25 to 59, accounting for 51% of total expenditure for females. Expenditure for
males for the same group accounts for 44% of total expenditure for males.
Expenditure per capita for physician services follows a different age group distribution than
that observed for hospital services (Figure 22). Children under one exhibit relatively high
expenditure per capita, but the magnitude of differences between expenditure per capita
for infants and other children is much less in the case of physicians services than it is in
the case of hospitals (expenditure per capita for physicians services is over 3 times as
great for infants as it is for the 5–9 age group, while it is over 40 times as great for
hospital services).
($’000,000)
Figure 21—Provincial/Territorial Government Physician
Expenditure, by Age and Sex, Canada, 2003
800
700
600
Male
500
Female
400
300
200
100
85+
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
Source: Canadian Institute for Health Information.
Expenditure per capita for females has a bimodal distribution, peaking at ages 30 to 34 and
again at ages 80–84, then falling off in the oldest age group. Expenditure per capita for
males has a fairly narrow range of $165 to $200 between the ages of 5 and 29, and then
increases steadily through the middle and elderly age groups, peaking at $1,425 for seniors
aged between 80 to 84. Expenditure per capita for males is consistently below the level for
females in the same age group from age 15 to 64 and consistently higher thereafter. As in
the case of hospital services, a larger population of women aged 65 and older is the main
factor contributing to higher total expenditure for physicians’ services by female seniors
compared to males.
28
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Figure 22—Provincial/Territorial Government Physician
Expenditure Per Capita, by Age and Sex, Canada, 2003
$1,600
$1,400
$1,200
Male
$1,000
Female
$800
$600
$400
$200
85+
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
Sources: Canadian Institute for Health Information; Statistics Canada.
Total Provincial/Territorial Government Expenditure12
The distribution of provincial/territorial government health expenditure by age and sex, in
millions of dollars and per capita dollars is shown in Figures 23 and 24. 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 government health
spending in 2003, while only comprising 12.8% of the population. Females accounted for an
estimated 56% of all provincial government spending in 2003, with female seniors
consuming the most at over 25%. 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 $6,500 per person for both sexes.
From youths age 1, to adults age 49, spending per person slowly increases but does not
exceed $2,000 per person. There is a pronounced increase in per capita spending in the
senior age groups. Spending per capita for females exceeds that of males from ages
15 to 54.
12. Missing data were estimated for this analysis. Refer to Age/Sex Distribution Methods in the Methodological
Notes section of this report for more details.
29
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Figure 23—Total Provincial/Territorial Government Health
Expenditure, by Age and Sex, Canada, 2003
($’000,000)
7,500
Males
6,000
Females
4,500
3,000
1,500
85+
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
Source: Canadian Institute for Health Information.
Figure 24—Total Provincial/Territorial Government Health
Expenditure Per Capita, by Age and Sex, Canada, 2003
$20,000
Males
$16,000
Females
$12,000
$8,000
$4,000
Age Group
Sources: Canadian Institute for Health Information; Statistics Canada.
30
85+
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
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
P R O V I N C I A L A N D T E R R I T O R I A L
G O V E R N M E N T H E A L T H E X P E N D I T U R E
S T A N D A R D I Z E D F O R A G E A N D S E X
Provincial and territorial health expenditures per capita are quite similar because of
universal coverage for medically necessary hospital and physicians services under the
Canada Health Act. The 13 jurisdictions have different population age and sex profiles,
however, 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 expenditure per capita, standardized for age and sex for 2000 to 2003, is
compared in Table 6. Distributions that were unavailable for specific categories of
expenditure were estimated for these comparisons. The data show both actual and
standardized expenditures. 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. Newfoundland and Labrador,
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, with the declines ranging
from approximately two to seven percent. Saskatchewan standardized expenditure per
capita is over six percent less than actual expenditure per capita for all four years
presented in this analysis.
For all four years, the territories have the highest standardized expenditure per capita.
In 2003, Newfoundland and Labrador, Alberta and Manitoba have the highest standardized
expenditure among the provinces. Alberta per capita spending increases to second highest
behind Newfoundland and Labrador in age-sex standardized comparisons (Figure 25).
31
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Table 6—Total Provincial/Territorial Government Health Expenditure Per Capita
Standardized for Age and Sex, by Province/Territory and Canada, 2000 to 2003
2000
2001
2002
2003
Actual
($)
Standardized
($)
Percent
Change
Actual
($)
Standardized
($)
Percent
Change
Actual
($)
Standardized
($)
Percent
Change
Actual
($)
Standardized
($)
Percent
Change
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
2,361
1,895
1,915
1,954
1,922
2,049
2,293
2,077
2,068
2,269
2,757
3,906
4,956
2,418
1,807
1,823
1,893
1,911
2,060
2,193
1,932
2,246
2,215
3,804
5,671
7,323
2.4%
-4.7%
-4.8%
-3.1%
-0.5%
0.5%
-4.4%
-7.0%
8.6%
-2.4%
38.0%
45.2%
47.8%
2,555
2,235
2,022
2,128
2,045
2,123
2,427
2,266
2,301
2,481
3,224
4,340
5,190
2,602
2,142
1,920
2,055
2,025
2,141
2,324
2,112
2,497
2,418
4,246
6,283
7,536
1.8%
-4.2%
-5.0%
-3.4%
-1.0%
0.9%
-4.3%
-6.8%
8.5%
-2.5%
31.7%
44.8%
45.2%
2,740
2,518
2,206
2,238
2,136
2,252
2,563
2,402
2,481
2,615
3,389
4,809
5,923
2,774
2,422
2,096
2,157
2,110
2,277
2,459
2,237
2,685
2,544
4,534
6,945
8,830
1.2%
-3.8%
-5.0%
-3.6%
-1.2%
1.1%
-4.1%
-6.9%
8.2%
-2.7%
33.8%
44.4%
49.1%
2,890
2,586
2,426
2,388
2,213
2,481
2,771
2,548
2,622
2,656
3,399
4,779
8,048
2,911
2,496
2,306
2,299
2,176
2,511
2,675
2,385
2,837
2,578
4,592
7,230
11,249
0.7%
-3.5%
-4.9%
-3.7%
-1.6%
1.2%
-3.5%
-6.4%
8.2%
-2.9%
35.1%
51.3%
39.8%
Canada
2,063
2,063
2,197
2,197
2,326
2,326
2,479
2,479
---
---
---
Sources: Canadian Institute for Health Information; Statistics Canada.
Figure 25—Total Provincial/Territorial Government Health
Expenditure Per Capita, Age-Sex Standardized versus Actual, by
Province/Territory and Canada, 2003
Sources: Canadian Institute for Health Information; Statistics Canada.
32
un
.
N
.W
.T
.
.
N
Y.
T
C.
B.
A
lta
.
Canada Average
Sa
sk
.
an
.
M
O
nt
.
.
.B
.
Standardized
N
.S
.
N
I.
P.
E.
N
.L
.
Actual
Q
ue
$13,000
$12,000
$11,000
$10,000
$9,000
$8,000
$7,000
$6,000
$5,000
$4,000
$3,000
$2,000
$1,000
$0
---
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
H E A L T H E X P E N D I T U R E
A N D T E R R I T O R I E S
I N
T H E
P R O V I N C E S
Health expenditure per capita varies among provinces because of different age
distributions.13 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, largely because of their large
geographical areas and low population densities (Table 7). In 2003, expenditure per
capita is quite evenly distributed among the provinces, with Manitoba, Ontario and
Alberta ranking highest with expenditures of between $4,247 and $4,009 per person.
Newfoundland and Labrador, Prince Edward Island and British Columbia occupy fourth
to sixth positions with expenditures within a $48 range, between $3,960 and $3,912
per capita.
Health expenditure as a percent of GDP shows greater variation than expenditure per
capita, ranging from a low of 7.4% in Alberta to highs of 30.6% and 14.0% in Nunavut
and Prince Edward Island, respectively.
In 2003, the public sector was responsible for 70.2% of Canadian health expenditure.
The public sector share varied considerably among the provinces and territories. It exceeded
79% in the Territories, and was the lowest in Ontario (67.1%).
Public sector expenditure per capita averaged $2,725 in 2003. After the territories,
Manitoba, Newfoundland and Labrador and Saskatchewan had the highest public sector
expenditure; Nova Scotia, New Brunswick and Quebec had the lowest.
Private sector expenditure averaged $1,159 per capita in 2003. Ontario led the thirteen
jurisdictions, followed by Nova Scotia, and Prince Edward Island.
13. Provincial comparisons in this discussion are based on figures that are not adjusted for variations in age
and sex. For age-sex standardized comparisons see the discussion in the previous section.
33
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Table 7—Health Expenditure Summary, by Province/Territory and Canada, 2003
Expenditure
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
($’ 000,000)
2.1
0.5
3.6
2.8
25.9
49.7
4.9
3.9
12.7
16.2
0.2
0.3
0.3
123.0
Percent
Distribution
Total Expenditure
per Capita
(%)
1.7
0.4
2.9
2.3
21.0
40.4
4.0
3.1
10.3
13.2
0.1
0.2
0.2
100.0
($)
3,960
3,941
3,849
3,699
3,450
4,055
4,247
3,890
4,009
3,912
5,099
6,449
9,982
3,884
(Annual)
Change
since 2002
(%)
6.9
5.4
9.0
7.0
4.7
8.0
7.0
6.8
5.5
2.9
-1.6
-2.4
33.8
6.3
Total
Health
Exp. as
Percent
of GDP
(%)
11.2
14.0
12.5
12.4
10.2
10.1
13.0
10.6
7.4
11.2
11.7
7.5
30.6
10.1
Public
Sector
Exp. per
Capita
($)
3,072
2,777
2,661
2,601
2,451
2,723
3,145
2,913
2,887
2,842
4,069
5,775
9,543
2,725
Private
Sector
Exp. per
Capita
($)
888
1,164
1,188
1,098
999
1,333
1,102
977
1,122
1,070
1,030
674
439
1,159
Public Sector
as Percent of
Total
(%)
77.6
70.5
69.1
70.3
71.0
67.1
74.0
74.9
72.0
72.6
79.8
89.5
95.6
70.2
Source: Canadian Institute for Health Information.
Public sector expenditure per capita declined in all twelve jurisdictions at some time during
the 1990s, although the timing and duration of expenditure reductions varied. Quebec,
Saskatchewan and Alberta experienced the sharpest declines, while the decline in Ontario
was the most protracted with declines in each of the four years from 1993 to 1996
(Figure 26). All jurisdictions recovered from their declines during the latter half of the
decade. British Columbia experienced the most stability in public sector expenditure per
capita during the five years from 1993 to 1997, and stayed at or near the top of provincial
rankings during that time. Current forecasts indicate that Alberta and Manitoba will have
the highest levels of public expenditure per capita among the provinces in 2005, while
Quebec and Prince Edward Island are expected to have the lowest.
34
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Figure 26—Public and Private Sector Health Expenditure Per Capita, 1988 to 2005,
by Province and Territory—Current Dollars
$4,000
Newfoundland and Labrador
$3,500
$3,000
$4,000
$3,500
Public
Private
Forecast
$3,000
$2,500
$2,500
$2,000
$2,000
$1,500
$1,500
$1,000
$1,000
$500
$500
$0
1988
93
98
Year
$0
1988
03 2005
Nova Scotia
$3,000
93
$3,500
Public
Private
Forecast
$3,000
$2,500
$2,000
$2,000
$1,500
$1,500
$1,000
$1,000
$500
$500
93
98
$0
1988
03 2005
93
$4,000
$3,500
Public
Private
Forecast
$3,000
$2,500
$2,500
$2,000
$2,000
$1,500
$1,500
$1,000
$1,000
$500
$500
93
98
Year
03 2005
Ontario
Quebec
$0
1988
98
Year
$4,000
$3,000
03 2005
Public
Private
Forecast
Year
$3,500
98
Year
New Brunswick
$2,500
$0
1988
Public
Private
Forecast
$4,000
$4,000
$3,500
Prince Edward Island
03
$0
1988
2005
Public
Private
Forecast
93
98
Year
Sources: Canadian Institute for Health Information; Statistics Canada.
35
03 2005
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Figure 26 (cont’d)—Public and Private Sector Health Expenditure Per Capita,
1988 to 2005, by Province and Territory—Current Dollars
Manitoba
Saskatchewan
$4,000
$3,500
$3,000
$4,000
$3,500
Public
Private
Forecast
$3,000
$2,500
$2,500
$2,000
$2,000
$1,500
$1,500
$1,000
$1,000
$500
$500
$0
1988
93
98
03
$0
1988
2005
Public
Private
Forecast
93
Alberta
British Columbia
$4,000
$3,000
$4,000
$3,500
Public
Private
Forecast
$3,000
$2,500
$2,500
$2,000
$2,000
$1,500
$1,500
$1,000
$1,000
$500
$500
$0
1988
03 2005
Year
Year
$3,500
98
93
98
$0
1988
03 2005
Year
Public
Private
Forecast
93
98
Year
Sources: Canadian Institute for Health Information; Statistics Canada.
36
03
2005
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Figure 26 (cont’d)—Public and Private Sector Health Expenditure Per Capita,
1988 to 2005, by Province and Territory—Current Dollars
Yukon
Northwest Territories
$7,000
$7,000
$6,000
$5,000
Public
Private
Forecast
$5,000
$4,000
$4,000
$3,000
$3,000
$2,000
$2,000
$1,000
$1,000
$0
1988
93
Public
Private
Forecast
$6,000
98
$0
1988
03 2005
93
Year
Year
Nunavut
$11,000
$10,000
$9,000
$8,000
$7,000
$6,000
$5,000
$4,000
$3,000
$2,000
$1,000
$0
1988
98
Public
Private
Forecast
93
98
Year
Sources: Canadian Institute for Health Information; Statistics Canada.
37
03 2005
03
2005
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
The provincial trends in Figure 26, which are not adjusted for inflation, show modest
private sector growth in most provinces. Ontario private sector expenditure showed the
steepest growth curve in the 1990s. By 2005, Ontario is expected to have the highest
private sector expenditure per capita at $1,506. Newfoundland and Labrador, Nova Scotia,
New Brunswick, Quebec, Saskatchewan and the Territories experienced reductions in
private sector expenditure during brief periods of the 1990s. In Quebec the decline was
only one year in duration but the Northwest Territories showed a slight downward trend
from 1992 to 1997.
Provinces and Territories
Provincial rates of increase are compared in Figures 27, 28 and 29. The comparisons focus
on growth of health expenditure per capita at constant prices. This is to standardize for
both population growth and inflation, which have varied by province during the last two
decades.14 The graphs compare average annual growth rates in the public and private
sectors during the fifteen years from 1975 to 1990 (Figure 27), the six years from 1990
to 1996 (Figure 28) and the seven years from 1996 to 2003 (Figure 29). The choice of
time periods has some effect on annual average growth rates. In particular, both sectors
have experienced quite different rates of growth during specific periods of the 1990s,
although the timing of trends has been different, both between sectors and among
provinces, as discussed above. Because the early 1990s have witnessed policies of health
system reform and public expenditure restraint in virtually all jurisdictions, this decade is
viewed separately in comparisons of expenditure trends. This expenditure restraint relaxed
over the period between 1996 and 2003, which saw significant public reinvestment in the
health sector, hence this period is also viewed separately.
2.9%
2.5%
4.9%
1.3%
2.6%
2.4%
2.5%
2.6%
3.3%
0.4%
2.8%
2.7%
3.0%
2.6%
3.2%
4.4%
4.2%
3.4%
3.3%
1.7%
2.0%
1.9%
4.0%
1.1%
3.2%
6.0%
1.4%
Figure 27—Real Average Annual Rates of Growth of Public and
Private Expenditure Per Capita, by Province/Territory and Canada,
1975 to 1990
Public
-4.0%
-5.7%
-2.0%
Private
-1.6%
0.0%
ad
a
.T
.W
Ca
n
.
N
Y.
T
C.
B.
.
lta
A
Sa
sk
.
an
.
M
O
nt
.
.
Q
ue
.B
.
N
.S
.
N
I.
P.
E.
N
.L
.
-6.0%
Sources: Canadian Institute for Health Information; Statistics Canada.
14. 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).
38
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
1975 to 1990
Public and private sector annual growth rates for Canada, and in most provinces, were close
between 1975 and 1990. Growth rates between the two sectors were nearly identical in
Nova Scotia, Manitoba and Alberta. Relatively large discrepancies between the two sectors
were evident in Newfoundland and Labrador, Quebec, Saskatchewan and the territories.
Public sector growth rates tended to be higher than the Canadian average in three of the
Atlantic Provinces, Ontario, Manitoba, Saskatchewan, Alberta and British Columbia and the
Northwest Territories, and lower in Prince Edward Island, Quebec and the Yukon. The
Northwest Territories experienced the highest rates of public sector expenditure growth
while the Yukon experienced the lowest. New Brunswick, Ontario, Nova Scotia, and
Quebec experienced the highest private sector growth rates; Saskatchewan had the
lowest; the Territories experienced decreases in private sector expenditure.
1990 to 1996
The trends in expenditure at constant prices between 1990 and 1996 tend to be closer to
trends at market prices than they were in the earlier period, due to relatively low levels of
inflation after 1992.
Public sector expenditure per capita at constant prices declined by an average of 0.5%
annually from 1990 and 1996. Different trends were followed from east to west, with
Newfoundland and Labrador, Prince Edward Island and New Brunswick showing small
increases, and all other jurisdictions, except the Yukon, experiencing decreases. Among
the provinces, Alberta experienced the largest decline, followed by Saskatchewan. Even
among provinces experiencing growth during this period, public sector expenditure growth
was substantially less than its average during the previous 15 years.
Private
-1.3%
-0.5%
2.1%
18.6%
6.0%
-0.3%
-0.3%
0.6%
2.5%
-3.0%
-5.7%
Public
-1.5%
-4.0%
3.7%
-0.2%
3.2%
-0.3%
-1.0%
-2.0%
1.7%
0.0%
0.0%
0.3%
4.5%
0.3%
2.0%
2.3%
1.4%
4.0%
1.7%
6.0%
2.8%
Figure 28—Real Average Annual Rates of Growth of Public and
Private Expenditure Per Capita, by Province/Territory and Canada,
1990 to 1996
Sources: Canadian Institute for Health Information; Statistics Canada.
39
ad
a
Ca
n
N
.W
.T
.
Y.
T
C.
B.
.
A
lta
.
Sa
sk
an
.
M
O
nt
.
.
Q
ue
.B
.
N
.S
.
N
P.
E.
I.
N
.L
.
-6.0%
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Real private sector expenditure per capita in Canada grew at similar rates during the 1990s
as during the previous 15 years (2.1% and 2.9% respectively). Figure 28 shows a wavelike pattern among provinces and territories, cresting in Prince Edward Island, Manitoba
and Yukon. British Columbia and the Northwest Territories experienced declines, while the
private sector grew in New Brunswick and Alberta by less than 1.0%.
1996 to 2005
Public reinvestment in health care near the end of the 1990s contributed to significant
increases in growth rates of public health expenditure across Canada. Public sector health
expenditure per capita at constant prices grew by an average of 3.9% annually between
1996 and 2003. The highest growth rates are found in Newfoundland and Labrador,
Nova Scotia, and Alberta. The lowest growth rates are found in Ontario, Quebec, and
British Columbia.
All provinces experienced an increase in real private sector expenditure per capita from
1996 to 2003. On average, real private per capita health expenditures grew by 4.5%.
Newfoundland and Labrador, New Brunswick, and Nova Scotia experienced growth rates
higher than 6%. Prince Edward Island and British Columbia saw the smallest annual
increase in private sector health expenditure.
Figure 29—Real Average Annual Rates of Growth of Public and
Private Expenditure Per Capita, by Province/Territory and Canada,
1996 to 2003
4.5%
3.7%
3.9%
6.6%
7.2%
3.9%
3.9%
5.5%
2.9%
5.6%
4.2%
4.9%
4.0%
4.4%
3.9%
M
4.4%
O
nt
.
3.1%
5.7%
Private
6.6%
4.0%
6.3%
5.9%
4.3%
5.0%
3.6%
7.5%
Public
7.3%
6.3%
10.0%
2.5%
ad
a
Ca
n
.T
.W
N
Y.
T.
B.
C.
.
A
lta
.
Sa
sk
an
.
.
Q
ue
.B
.
N
.S
.
N
I.
P.
E.
N
.L
.
0.0%
Sources: Canadian Institute for Health Information; Statistics Canada.
In 2004 and 2005, real public sector health expenditure per capita is forecast to grow by
3.4% and 3.8%, respectively. All provinces are expected to have growth rates above 1.0%
in 2004 except Prince Edward Island and British Columbia, which are expected to have
rates of -0.5% and -0.8%, respectively. Alberta is forecast to have a growth rate above
7.0%. In 2005, Alberta is expected to have the highest growth rate at 7.4%, while Prince
Edward Island is expected to experience declines of 0.2%.
Private sector per capita health expenditure at constant prices is forecast to have been
5.3% and 5.2% in 2004 and 2005, respectively.
40
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
I N T E R N A T I O N A L
C O M P A R I S O N S
Comparability of Health Expenditure Across Countries
For the last five 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 2005 are at varying levels of
comparability. This section shows health expenditure information for the sixteen 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.15 The sixteen countries are Australia, Canada,
Denmark, France, Germany, Hungary, Japan, Korea, Mexico, the Netherlands, Norway,
Spain, Switzerland, Turkey, the United Kingdom 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 of the sixteen countries in the mid to late 1990s.
The data presented in OECD Health Data 2005 are based on the SHA starting in the
following years:
Australia: 1998
Canada: 1975
Denmark: 1971
France: 1960
Germany: 1992
Hungary: 1998
Japan: 1995
Korea: 1983
Mexico: 1999
Netherlands: 1998
Norway: 1997
Spain: 1999
Switzerland: 1995
Turkey: 1999
United Kingdom: 1997
United States: 1999
Due to the change in reporting standards, this section on international comparisons focuses
on data for 2003, the most recent year for which data are available, rather than on trends.
15. See Data Comprehensiveness and Boundaries of Health Care at the end of the International
Comparisons section.
41
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
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—2003
Canada is among the six countries with the highest ratio of total health expenditure to
GDP.16 In 2003, the United States had the highest ratio of total health expenditure to GDP
at 15.0%, followed by Switzerland and Germany respectively at 11.5% and 11.1%.
Canada, France and Norway had comparable health expenditure to GDP ratios, at
9.9%,10.1% and 10.3% respectively. Australia, the Netherlands and Denmark had similar
ratios, ranging between 9.0% and 9.8%. The share of health expenditure to GDP was
8.4% in Hungary, 7.9% in Japan17, 7.7% in the United Kingdom and Spain, 7.4% in
Turkey, 6.2% in Mexico and 5.6% in Korea (Figure 30).
16. 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.
17. Notes provided to the OECD by Japan suggest that there may be a non-negligible under-reporting of
private sector expenditure in this country. See Data Comprehensiveness and Boundaries of Health Care at
the end of the International Comparisons section.
42
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Figure 30—Total Health Expenditure as a Percent of GDP,
Sixteen Selected Countries, 2003
15.0%
tes
d Sta
Unite
nd
a
l
z er
Sw it
y
n
a
m
Ger
y
a
Norw
e
c
Fran
A
D
A
CAN
s
rl an d
e
h
t
Ne
a)
(
a
li
ra
Aus t
ark
Denm
a ry
Hun g
n ( a)
Japa
( a)
gd om
d Kin
in
e
a
t
p
i
n
S
U
ey
Turk
ico
Me x
a
Ko re
0.0%
11.5%
11.1%
10.3%
10.1%
9.9%
9.8%
9.3%
9.0%
8.4%
7.9%
7.7%
7.7%
7.4%
6.2%
5.6%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
Source: OECD Health Data 2005, 2nd Edition.
(a) Data for 2002.
Total Health Expenditure as a Percent of GDP—Trends 1975 to 2003
The health to GDP ratio is provided in Table 8 for thirteen countries starting in 1975.
Data for Hungary, Korea and Mexico are only available at a later date. There are some
breaks in series due to the adoption of the SHA for international reporting and caution
should be exercised in interpreting the data, although the impact of the break is believed to
be lessened somewhat when the first and last year of a long time series are considered. All
countries with available data back to 1975 experienced an increase in their health to GDP
ratio over the 28 years. Health expenditure as a percent of GDP in the United States was
more than seven percentage points higher in 2003 than in 1975. Switzerland followed
with an increase of 4.5 percentage points in its health to GDP ratio, ahead of Turkey and
Norway with a gain of 4.4 percentage points. Canada, the Netherlands, Japan, the United
Kingdom, Germany, Spain and Australia each increased by 2 to 3 percentage points.
During the late 1970s, Canada’s total health to GDP ratio was relatively constant, but it
grew steadily during the 1980s with significant increases during the recessions of the early
1980s and 1990s. The ratio began to decline after it peaked at 10.0% in 1992. Denmark,
Hungary, the Netherlands, and the United States also had peaks around 1993 to 1995,
followed by declines. Since the late 1990s, the ratios have risen again.
43
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Table 8—Total Health Expenditure as a Percent of GDP for Sixteen Selected Countries,
1975 to 2003
(Caution—breaks in series: Bolded italicized figures are before the adoption of the SHA)
United United
Year Australia Canada Denmark France Germany Hungary Japan Korea Mexico Netherlands Norway Spain Switzerland Turkey Kingdom States
1975
7.1
8.9
6.5
7.1
8.6
5.6
7.1
5.9
4.7
7.0
3.0
5.5
7.8
1976
7.1
8.8
7.1
8.6
5.6
7.0
6.0
5.1
7.3
2.3
5.5
8.0
1977
7.4
7.0
8.6
8.4
5.8
7.1
6.2
5.4
7.3
2.7
5.3
8.2
1978
7.0
8.7
6.0
7.2
6.8
5.4
7.3
3.1
5.3
8.1
7.2
8.5
1979
6.9
8.8
7.0
8.4
6.1
7.4
6.2
5.3
7.4
3.2
5.3
8.2
1980
1981
1982
1983
1984
7.0
6.9
7.2
7.2
7.2
7.1
7.3
8.1
8.3
8.2
9.1
9.3
9.3
9.0
8.7
7.1
1985
1986
1987
1988
1989
7.4
7.6
7.4
7.3
7.4
8.2
8.5
8.4
8.3
8.6
8.7
8.3
8.6
8.8
8.6
1990
1991
1992
1993
1994
7.8
8.0
8.1
8.2
8.2
9.0
9.7
10.0
9.9
9.5
1995
1996
1997
1998
1999
8.3
8.4
8.5
8.6
8.7
2000
2001
2002
2003
9.0
9.1
9.3
---
8.7
9.0
8.9
8.8
8.9
6.5
6.6
6.7
6.8
6.6
4.2
4.0
7.5
7.7
7.9
7.8
7.5
7.0
6.7
6.9
7.1
6.7
5.4
5.6
5.7
5.8
5.6
7.4
7.5
7.7
8.1
7.8
3.3
3.5
3.0
3.0
2.9
5.6
5.9
5.8
6.0
6.0
8.7
9.0
9.8
9.9
9.8
8.2
9.0
8.9
9.0
9.1
8.6
6.7
6.6
6.6
6.3
6.1
4.1
3.9
3.7
3.9
4.4
7.4
7.5
7.6
7.7
8.0(b)
6.6
7.2
7.6
7.8
7.7
5.5
5.4
5.5
6.1
6.3
7.8
8.0
8.3
8.3
8.3
2.2
2.7
2.8
3.1
3.4
5.9
5.9
6.0
5.9
5.9
10.0
10.1
10.4
10.8
11.2
8.5
8.4
8.5
8.8
8.5
8.6
8.8
9.0
9.4
9.4
8.5
9.9 (a)
9.9
10.2
7.1
7.7
7.7
8.3
5.9
6.0
6.2
6.5
6.7
4.5
4.4
4.4
4.3
4.2
4.8
5.2
5.6
5.8
5.8
8.0
8.2
8.4
8.6
8.4
7.7
8.1
8.2
8.0
7.9
6.7
6.9
7.2
7.5
7.4
8.3
8.9
9.3
9.4
9.5
3.6
3.8
3.8
3.7
3.6
6.0
6.5
6.9
6.9
7.0
11.9
12.6
12.9
13.2
13.1
9.2
9.0
8.9
9.2
9.0
8.2
8.3
8.2
8.4
8.5
9.5
9.5
9.4
9.3
9.3
10.6
10.9
10.7
10.6
10.6
7.5
7.2
7.0
7.3
7.4
6.8
7.0
6.9
7.2
7.4
4.2
4.4
4.3
4.5
4.8
5.6
5.1
5.3
5.4
5.6
8.4
8.3
8.2
8.2
8.4
7.9
7.9
8.5
9.3
9.4
7.6
7.6
7.5
7.5
7.5
9.7
10.1
10.2
10.3
10.5
3.4
3.9
4.2
4.8
6.4
7.0
7.0
6.8
6.9
7.2
13.3
13.2
13.0
13.0
13.0
8.9
9.4
9.6
9.9
8.4
8.6
8.8
9.0
9.3
9.4
9.7
10.1
10.6
10.8
10.9
11.1
7.1
7.4
7.8
8.4
7.6
7.8
7.9
---
4.7
5.4
5.3
5.6
5.6
6.0
6.0
6.2
8.3
8.7
9.3
9.8
8.5
8.9
9.9
10.3
7.4
7.5
7.6
7.7
10.4
10.9
11.1
11.5
6.6
7.5
7.2
7.4
7.3
7.5
7.7
---
13.1
13.8
14.6
15.0
–- Data not available for 2003.
(a) Data up to 1990 refer to the former Federal Republic; data from 1992 onwards correspond to Germany after reunification.
(b) Data before and after 1989 are not comparable. Starting in 1989 integrated service organizations and maternity centres
were excluded and institutions for home health and social services were included.
Source: OECD Health Data 2005, 2nd Edition.
44
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Public Sector Health Expenditure as a Percent of GDP—2003
With regard to public sector spending on health as a percentage of GDP in 2003, Canada
falls within the top five countries. Public sector health expenditure accounted for 8.6% of
Norway and Germany’s GDP, the highest proportion among the sixteen countries. France,
Denmark and Canada had ratios ranging between 6.9% and 7.7%. Public sector spending
on health represented an almost identical proportion of GDP (between 6.1% and 6.7%) in
seven countries: Switzerland, Australia, Japan, the United Kingdom, the United States, the
Netherlands and Hungary. The ratios in Spain and Turkey were somewhat lower than for
these seven countries at 5.5% and 5.2% respectively. Spending on health by the public
sector was only 2.9% of GDP in Mexico and 2.8% in Korea (Figure 31).
Figure 31—Public Sector Health Expenditure as a Percent of GDP,
Sixteen Selected Countries, 2003
8.6%
ay
Norw
an y
Germ
ce
Fran
rk
a
Denm
A
D
A
CAN
d
n
la
z er
Sw it
s
e
t
a
t
dS
Unite
a)
om (
ingd
K
d
a
(
e
n )
Unit
Japa
(a)
rali a
Aus t
ds
n
er l a
Neth
ry
a
g
Hun
Spain
ey
Turk
c
i o
Me x
a
Ko re
0.0%
8.6%
7.7%
7.5%
6.9%
6.7%
6.6%
6.4%
6.4%
6.3%
6.1%
6.1%
5.5%
5.2%
2.9%
2.8%
1.0%
2.0%
3.0%
4.0%
Source: OECD Health Data 2005, 2nd Edition.
(a) Data for 2002.
45
5.0%
6.0%
7.0%
8.0%
9.0%
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Private Sector Health Expenditure as a Percent of GDP—2003
Private sector health expenditure represented 8.3% of GDP in the United States in 2003,
by far the highest percentage among the sixteen countries. Switzerland followed at 4.8%.
Canada is within a group of four countries with very similar private sector health
expenditure to GDP ratios ranging between 3.0% and 3.7%; other countries in this group
are Australia, Netherlands and Mexico. Another group of six countries (Korea, Germany,
France, Hungary, Turkey and Spain) had ratios between 2.2% and 2.8%. The countries
with the lowest ratios, ranging between 1.3% and 1.7%, comprise Norway, Japan15,
Denmark, and the United Kingdom (Figure 32).
Figure 32—Private Sector Health Expenditure as a Percent of GDP,
Sixteen Selected Countries, 2003
Uni
tes
d Sta
Unite
nd
z erl a
Sw it
ds
n
erla
Neth
o
c
i
x
Me
DA
A
N
CA
(a)
rali a
s
u
A t
a
r
Ko e
y
n
a
Germ
ce
Fran
ry
a
g
n
Hu
y
e
Turk
n
i
a
Sp
y
a
w
Nor
n ( a)
Japa
ark
Denm
( a)
m
o
ingd
K
d
e
t
0.0%
8.3%
4.8%
3.7%
3.3%
3.0%
3.0%
2.8%
2.4%
2.4%
2.3%
2.2%
2.2%
1.7%
1.5%
1.5%
1.3%
1.0%
2.0%
3.0%
Source: OECD Health Data 2005, 2nd Edition.
(a) Data for 2002.
46
4.0%
5.0%
6.0%
7.0%
8.0%
9.0%
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Health Expenditure Per Capita18
Total Health Expenditure per Capita—2003
Canada, with a per capita spending of $3,001, is among the four countries with the
highest spending on health per capita. The United States had by far the highest health
expenditure per capita ($5,635) in 2003. Norway and Switzerland had the second and
third highest per capita spending, but were still almost a third lower than the U.S. at
$3,807 and $3,781 respectively. Health expenditure per capita was rather similar in
Canada, Germany, the Netherlands, France, Denmark and Australia, ranging between
$3,001 and $2,699. The United Kingdom, Japan and Spain followed with expenditure
varying between $2,231 and $1,835. Hungary, Korea, Mexico and Turkey had the lowest
health expenditure per capita, between $1,269 and $513 (Figure 33).
Figure 33—Total Health Expenditure Per Capita in U.S. Dollars,
Sixteen Selected Countries, 2003
$5,635
tes
d Sta
Uni te rw ay
No
nd
z erla
it
Sw
DA
A
N
CA
an y
Germ
ds
erl an
Neth
e
c
Fran
k
r
a
Denm
(a)
rali a
s
Au t
a)
(
m
o
ingd
K
d
a
(
n )
Unite
Japa
n
Spai
y
r
a
Hun g
a
e
r
o
K
i co
Me x
ey
k
r
u
T
$3,807
$3,781
$3,001
$2,996
$2,976
$2,903
$2,763
$2,699
$2,231
$2,139
$1,835
$1,269
$1,074
$583
$513
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
Source: OECD Health Data 2005, 2nd Edition.
(a) Data for 2002.
18. 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.
47
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Public Sector Health Expenditure per Capita—2003
Norway has the highest public sector health expenditure per capita at $3,188. Canada falls
within the top half of countries for the level of health spending by the public sector per
capita. Health expenditure by the public sector per capita in 2003 was similar in the United
States, Germany, Denmark, France, Switzerland and Canada ranging between $2,503 and
$2,098. A second group of countries that includes the United Kingdom, the Netherlands,
Australia and Japan had public sector health expenditure per capita in a narrow range
around $1,800. The per capita expenditure was $1,306 and $919 respectively in Spain and
Hungary. Korea, Mexico and Turkey reported much lower public sector health expenditure
per capita than other countries, ranging from $531 to $270. (Figure 34).
Figure 34—Public Sector Health Expenditure Per Capita in U.S.
Dollars, Sixteen Selected Countries, 2003
ay
Norw
es
t
d Sta
Uni te
y
n
a
Germ
k
r
a
Denm
ce
Fran
nd
z erla
Sw it
D
A A
CAN
( a)
d om
Ki ng
d
e
ds
it
n
Un
erla
Neth
)
(a
a
rali
Aus t
( a)
n
a
Jap
Spain
a ry
Hun g
a
o
K re
y
e
k
r
Tu
ico
Me x
$3,188
$2,503
$2,343
$2,292
$2,214
$2,213
$2,098
$1,860
$1,856
$1,821
$1,743
$1,306
$919
$531
$364
$270
$0
$500
$1,000
$1,500
Source: OECD Health Data 2005, 2nd Edition.
(a) Data for 2002.
48
$2,000
$2,500
$3,000
$3,500
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Private Sector Health Expenditure per Capita—2003
Canada, with a private sector spending per capita of $903, is among the four 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 ($3,131) and Switzerland
($1,568). Private sector health expenditure per capita in the Netherlands ($1,119) and in
Australia ($878) was close to Canada’s level. The per capita expenditure was around in
France, Germany and Norway was between $689 to $619. Korea, Spain, Denmark, Japan,
the United Kingdom, Hungary and Mexico followed with private sector per capita
expenditure ranging from $543 to $312. The country with the lowest health expenditure
funded by the private sector was Turkey, at $150 per capita (Figure 35).
Figure 35—Private Sector Health Expenditure Per Capita in U.S.
Dollars, Sixteen Selected Countries, 2003
$3,131
tes
d Sta
Uni te
nd
la
r
ze
Sw it
ds
n
a
l
r
e
Neth
ADA
CAN
(a)
rali a
Aus t
ce
n
Fra
y
n
a
Germ
ay
w
r
o
N
a
Ko re
n
i
a
Sp
k
r
a
Denm
n ( a)
Japa
a)
om (
ingd
K
d
e
a ry
Uni t
Hun g
i co
Me x
ey
k
r
Tu
$1,568
$1,119
$903
$878
$689
$653
$619
$543
$529
$471
$396
$371
$351
$312
$150
$0
$500
$1,000
$1,500
$2,000
$2,500
$3,000
Source: OECD Health Data 2005, 2nd Edition.
(a) Data for 2002.
Total Health Expenditure by Use of Funds—2003
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 84% of total health expenditure in each of the thirteen countries
for which the breakdown of total health expenditure is available (the breakdown is not
available for Australia, Turkey or the United Kingdom) (Figure 36).
Expenditure on medical services is composed of expenditure on inpatient care and
expenditure on other medical services.19 Inpatient care is mainly delivered in hospitals but
also in nursing and residential care facilities. Expenditure on other medical services
19. The two components of medical services are not shown separately in Figure 36, 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.
49
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
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.
Among the thirteen countries for which the breakdown of total health expenditure is
available, expenditure on medical services accounted for about 65% to 80% of total
expenditure, with the exceptions of Denmark (83%), Korea (58%) and Hungary (57%).
Expenditure on medical goods accounted for the highest percentage of total health
expenditure in Hungary (32%), followed by Korea (31%), Spain and France (25%), Mexico
(21%), and Germany (20%). Expenditure on medical goods ranged between 17% and 19%
of total health expenditure for a middle group of three countries: Japan, Canada, and the
Netherlands. Another group of four countries that includes the United States, Norway,
Switzerland and Denmark had the lowest percentages, between 12% and 14% (Figure 36).
Figure 36—Expenditure on Personal Health Care as a Percent of
Total Health Expenditure, Thirteen Selected Countries, 2003
ark
Denm
nd
z erla
Sw it
ay
Norw
a)
(
n
Japa
s
e
t
d Sta
Uni te
o
c
i
Me x
ce
n
a
r
F
n
Spai
s
d
n
er l a
Neth
y
n
a
Germ
DA
A
N
CA
a
Ko re
y
r
a
g
Hun
0.0%
82.8%
Medical Services
12.1%
80.4%
12.7%
76.3%
Medical Goods
13.6%
73.6%
19.3%
73.2%
14.2%
68.5%
21.4%
68.5%
24.7%
67.7%
25.1%
67.5%
16.7%
67.2%
19.9%
65.4%
19.2%
58.3%
31.2%
57.3%
31.8%
20.0%
40.0%
Source: OECD Health Data 2005, 2nd Edition.
(a) Data for 2002.
50
60.0%
80.0%
100.0%
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Public Share of Health Expenditure—2003
Public Share of Total Health Expenditure—2003
Expenditure by the public sector represented more than 80% of total health expenditure
in Norway, the United Kingdom, Denmark and Japan. Canada is within a group of seven
countries with a public sector share ranging between 68% and 78% of total health
expenditure. The share funded by the public sector was a bit lower in the Netherlands and
Switzerland, at 62.4% and 58.5%, respectively. The countries with the lowest public
sector share were Korea, Mexico and the United States, varying between 49.4% and
44.4% (Figure 37).
Figure 37—Public Share of Total Health Expenditure,
Sixteen Selected Countries, 2003
83.7%
83.4%
83.0%
ay
Norw
a)
(
d om
King
k
d
r
e
a
t
i
Un
Denm
( a)
n
a
Jap
an y
Germ
ce
Fran
ry
a
Hun g
n
a
p
S i
ey
k
r
u
T
ADA
CAN
(a)
rali a
Aus t
ds
erlan
Neth
d
n
z erla
Sw it
a
Ko re
i co
Me x
tes
d Sta
Uni te
0.0%
81.5%
78.2%
76.3%
72.4%
71.2%
70.9%
69.9%
67.5%
62.4%
58.5%
49.4%
46.4%
44.4%
20.0%
40.0%
Source: OECD Health Data 2005, 2nd Edition.
(a) Data for 2002.
51
60.0%
80.0%
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Public Share of Expenditure on Medical Services—2003
More than 80% of expenditures on medical services were financed by the public sector in
Denmark, Norway, Japan, France, and Germany (data are not available for the United
Kingdom, Turkey or Australia). The public sector share ranged between 70% and 80% for
the group of four countries that includes Canada, along with Hungary, Spain and the
Netherlands. The public sector share was about 57% in Switzerland and 53% in Korea,
51% in Mexico and just under 48% in the United States (Figure 38).
Figure 38—Public Share of Expenditure on Medical Services,
Thirteen Selected Countries, 2003
89.7%
ark
Denm
ay
Norw
n ( a)
Japa
ce
Fran
86.7%
85.6%
83.1%
81.2%
an y
Germ
ADA
CAN
a ry
Hun g
n
Spai
77.9%
74.6%
72.4%
71.5%
ds
erl an
Neth
d
n
z erl a
Sw it
a
e
Ko r
i co
Me x
tes
d Sta
Unite
0.0%
57.4%
53.4%
50.5%
47.9%
10.0%
20.0%
30.0%
40.0%
Source: OECD Health Data 2005, 2nd Edition.
(a) Data for 2002.
52
50.0%
60.0%
70.0%
80.0%
90.0%
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Public Share of Expenditure on Medical Goods—2003
The countries of Germany (70.2%), Spain (65.5%) and Japan (65.4%) had the highest
share of expenditure on medical goods (dispensed to outpatients) financed by the public
sector among the thirteen countries for which data were available (data were not available
for the United Kingdom, Turkey or Australia). The public sector share was between 60%
and 64% in four countries: Switzerland (63.1%), Hungary (61.3%), France (61.1%) and
Norway (60.5%); and between 35% and 50% in four others: the Netherlands (49.1%),
Denmark (40.4%), Korea (39.8%) and Canada (36.4%). The public sector funded the
lowest shares of expenditure on medical goods in the United States (22.6%) and Mexico
(11.3%) (Figure 39).
Figure 39—Public Share of Expenditure on Medical Goods,
Thirteen Selected Countries, 2003
70.2%
an y
Germ
Spain
n ( a)
Japa
nd
z erla
Sw it
a)
(
y
ar
Hun g
e
c
Fran
y
a
Norw
ds
n
erla
Neth
ark
Denm
a
Ko re
ADA
CAN
tes
d Sta
Uni te
i co
Me x
0.0%
65.5%
65.4%
63.1%
61.3%
61.1%
60.5%
49.1%
40.4%
39.8%
36.4%
22.6%
11.3%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
Source: OECD Health Data 2005, 2nd Edition.
(a) Data for 2002.
Total Health Expenditure by Source of Finance—2003
Public Sector Sources of Finance—2003
Figure 40 shows the sixteen countries in descending order according to the share of total
health expenditure financed by the public sector, general government.
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 the United Kingdom, Denmark,
53
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
Norway and Japan. In these first two countries and in Australia, general governments
financed all of the public sector spending. Canada falls within a group of seven countries
with a public sector share ranging between 65% and 80% of total health expenditure. In
four of these countries (France, Germany, Hungary and Turkey), social security funds were
the principal source of finance, in contrast to Canada where only 1.5% 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. The countries with the lowest public sector shares in descending order are the
Netherlands (62.4%), Switzerland (58.5%), Korea (49.4%), Mexico (46.4%) and the
United States (44.4%). Among four of these countries, the social security funds sub-sector
is proportionately larger, while general governments is the dominant public sub-sector in
the United States.
Figure 40—Percent of Total Health Expenditure Financed
by the Public Sector, by Source of Finance, Sixteen Selected
Countries, 2003
( a)
gd om
d Kin
rk
e
a
it
m
n
n
U
De
ADA
CAN
ay
Norw
a)
(
a
rali
Aus t
Spain
tes
d Sta
Uni te
ey
Turk
d
n
z erla
Sw it
)
a
(
n
Japa
o
ic
x
Me
a ry
Hun g
an y
Germ
a
Ko re
s
d
n
erla
Neth
e
c
n
a
Fr
83.4%
83.0%
1.5%
68.5%
68.3%
15.2%
67.5%
65.9%
5.3%
13.0%
31.5%
18.0%
40.5%
65.6%
15.9%
15.3%
31.0%
12.0%
60.3%
68.4%
9.8%
9.0%
0.0%
Social Security
Schemes
40.1%
30.8%
Public General
Government
40.4%
58.0%
4.4%
73.8%
2.5%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
Source: OECD Health Data 2005, 2nd Edition.
(a) Data for 2002.
Private Sector Sources of Finance—2003
Figure 41 shows the sixteen countries in descending order according to the share of total
health expenditure financed by private insurance. In twelve countries, private sector funding
is broken down between private insurance and all other private funds. However, this
breakdown is not available for Australia, Turkey, the United Kingdom and Norway.
54
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
More than 50% of total health expenditure was financed by the private sector in the
United States (55.6%), Mexico (53.6%) and Korea (50.6%). In contrast to Mexico and
Korea, where private insurance funded only 3.1% and 2.1% of total health expenditure,
private insurance in the United States accounted for more than one third of total health
expenditure (36.7%), by far the largest proportion of any country. Switzerland had the
fourth highest share at 41.5%. Canada is included in a group of 5 countries (with
Australia, Spain, Turkey and Hungary) where the private sector funded about 30% of
total health expenditure. In Canada, private insurance accounts for 12.7% of total
health expenditure. Denmark had one of the lowest proportions of health expenditure
financed by the private sector (17.0%), only about one tenth of which was funded by
private insurance.
Figure 41—Percent of Total Health Expenditure Financed
by the Private Sector, by Source of Finance, Sixteen Selected
Countries, 2003
tes
d Sta
Unite
ds
erlan
Neth
D
A A
CAN
ce
Fran
d
n
la
z er
Sw it
y
n
a
Germ
Spain
36.7%
18.9%
20.4%
17.2%
12.7%
17.4%
12.7%
11.0%
9.0%
32.5%
8.8%
13.0%
4.3%
i co
Me x
a
Ko re
k
r
a
Denm
a ry
Hun g
( a)
n
Japa
(a)
a
rali
Aus t
ey
Turk
a)
(
m
o
ingd
K
y
d
a
e
Uni t
Norw
0.0%
24.5%
3.1%
50.5%
2.1%
48.5%
1.3%
0.6%
0.3%
15.7%
27.0%
Private Insurance
18.2%
Priv. Funds All Other
32.5%
All Private Sources of Finance
29.1%
16.6%
16.3%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
Source: OECD Health Data 2005, 2nd Edition.
(a) Data for 2002.
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
2005, 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.
55
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
A U S T R A L I A
Excludes:
Minor amounts spent on defense force and prison medical services and expenditure
on school health services.
C A N A D A
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.
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).
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.).
Some medical expenses by public and private insurance plans for motor
vehicle insurance.
D E N M A R K
Excludes:
Parts of the private health expenditures, e.g. occupational health services,
expenditure by non-profit institutions serving households such as red cross,
philanthropic and charitable institutions.
Private investments on medical facilities.
F R A N C E
Data on health expenditure are reported using a detailed analysis that allows for
results that are mostly compatible with the SHA standard.
G E R M A N Y
Excludes:
Expenditure for military health and prison health.
56
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
H U N G A R Y
Excludes:
Private services provided abroad and financed by (voluntary) insurance enterprises.
J A P A N
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.
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.
K O R E A
No information available on departures from OECD/SHA boundaries
and classifications.
M E X I C O
No information available on departures from OECD/SHA boundaries
and classifications.
N E T H E R L A N D S
Data provided to the OECD Health Data are regrouped according to the SHA-ICHA.
N O R W A Y
No information available on departures from OECD/SHA boundaries
and classifications.
S P A I N
Excludes:
Health care incurred in nursing homes and residential care facilities.
Occupational health and safety.
57
NATIONAL HEALTH EXPENDITURE TRENDS O V E R V I E W
S W I T Z E R L A N D
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.
T U R K E Y
No information available on departures from OECD/SHA boundaries
and classifications.
U N I T E D
K I N G D O M
Excludes:
Expenditure on occupational health care and household production of health care are
not included in total.
U N I T E D
S T A T E S
Excludes:
Estimates of “Investment/construction” currently do not include spending for moveable
equipment nor does it include building costs associated with physicians’ offices and
other medical offices located in commercial buildings. The US National Health
Expenditure definition for “construction” is limited to the value of new construction
put in place for hospitals and nursing homes (only).
58
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
Methodological Notes
C O N C E P T S
A N D
D E F I N I T I O N S
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 42—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
Quebec, Drug
Insurance Fund
Out-of-Pocket
Commercial Insurance Firms
Private Health Insurance
Not-for-Profit Insurance Firms
59
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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 are included in the provincial government sector
since it is the responsibility of provincial 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.
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 and the drug insurance fund
component of the Quebec Ministry of Health and Social Services drug subsidy program.
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.
On January 1, 1997 the government of Quebec introduced a 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 of the new plan are paid from the Drug Insurance Fund.
This component of the Quebec drug program is self-funded (i.e. it is funded through the
compulsory payment of premiums and not by the provincial government of Quebec).
60
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
Private Sector—includes out-of-pocket expenditures made by individuals for health care
goods and services; the health insurance claims paid 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 medical care plans. Provinces differ in
terms of what the medical care plans cover. CIHI has not attempted to make adjustments
to physician expenditures to reflect these differences because only a few provinces, to
date, can net out these differences from their data.
Other Professionals—services, at the aggregate level represent expenditures for the
services of privately practicing dentists, denturists, chiropractors, massage therapists,
orthoptists, 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.
61
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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, orthoptists, 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.
Capital—includes expenditures on construction, machinery, equipment and some software
of hospitals, clinics, first-aid stations, and residential care facilities.
Public health—is provided only 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 in public sector agencies.
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
62
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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.
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
63
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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 provincial 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. CST funding is provided
through cash payments and tax transfers and supports the five principles of the
Canada Health Act.
Health Reform Transfer (HRT)—provides provinces and territories support for health
care reforms targeted to primary health care, home care and catastrophic drug
coverage. Subject to authorizing legislation the HRT will be 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,
Prince Edward Island, Nova Scotia, New Brunswick, Quebec, Manitoba,
Saskatchewan and British Columbia.
Territorial Formula Financing (TIFF)—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 is
a block fund provided in the form of both cash transfers and tax point transfers to all
provinces/territories in support of health, post-secondary education, social assistance
64
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
and social service programs. Provinces may allocate 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 entitlements
under the combined EPF and CAP transfers in 1995–1996.20
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.21
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 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)22—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)23—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.
20. Health Canada, Canada Health Act Annual Report, 2003–2004.
21. Human Resources Development Canada, Cost Shared Programs, Provincial Entitlements under the Canada
Assistance Plan, February, 1996, (unpublished).
22. Statistics Canada, Guide to the Income and Expenditure Accounts, catalogue 13-603E, 1996, pp. 137
and 139.
23. OECD Health Data 2005, Organisation for Economic Cooperation and Development, Paris, 2005.
65
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
M A J O R
D A T A
NOTES
L I M I T A T I O N S
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 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 Web
site (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,24 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.
C O L L E C T I O N
A N D
N O N - R E S P O N S E
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.25
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.
24. Family Expenditure in Canada, Statistics Canada Catalogue Number 65-555. Statistics Canada,
Periodical, Ottawa.
25. 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.
66
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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.
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.
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 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
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.
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NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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 government health
expenditure were submitted to provincial/territorial departments of health for review.
Provincial government 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 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.
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
68
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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,26 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.
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
26. 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.
69
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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.
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.
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NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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.27
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.
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 September of the same year, which was the latest
information available prior to the publication of this report.
27. For example, Guide to the Income and Expenditure Accounts, Statistics Canada catalogue number
13-603E, Statistics Canada, Ottawa.
71
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
Calculation of TOTAL Health Expenditure as a Percentage of Gross Domestic Product
The Gross Domestic Product (GDP) at market prices28 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
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.
28. Source: National Accounts and Environment Division, Statistics Canada.
72
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
Data back to 1998 have been revised to reflect changes made to the survey to improve
coverage of small businesses, capital items charged to operating expenditures and better
information received from respondents.
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 2004 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 2005 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.
In the private sector, the actual data for other institutions (from Statistics Canada) are
unavailable for 2002 and 2003. Consequently these data were forecast for four instead of
two years. The remaining data in the private sector were forecast for two years.
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 was forecast for 2005 for the provinces
and territories. The 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.
73
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
The CPI (health) index was forecast to December of the latest year based on the average
of the monthly index up to September 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)29 and Hospital Morbidity
Database (HMDB). The CIHI Case Mix grouping methodology (or CMGTM) 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 latest methodology (2003) was used for fiscal
2003–2004.
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
level30 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 (or RIWTM)31 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.
29. 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.
30. Following extensive consultation with experts in the field, at the time of printing it is believed that these
data have not been substantially effected by recent concerns regarding complexity.
31. 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.
74
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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 the years 2002 and 2003 in
Quebec, as well as for 2003 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 year 2003 are preliminary estimates.
75
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
Other Institutions
Statistics Canada’s Residential Care Facilities Survey (RCF) was used to estimate the
provincial/territorial age and sex distribution from 1995–1996 to 2001–2002 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 that were also used to
distribute NHEX hospital expenditure (see age-sex distribution methodology for hospitals in
this section).
At the time of publication data was unavailable for Quebec for all years. The weighted
patient counts for Canada (minus Quebec) from the RCF for 1996–1997 to 2001–2002
was used as a proxy for Quebec’s distribution of other institutions expenditure. An Estimate
for 1995–1996 was also generated using growth rates across age groups and gender in the
population, applied to the 1996–1997 other institutions spending estimates by province and
territory. Data was then converted into calendar year (see Calculation Methods).
Full data for 2002 and 2003 were unavailable for all jurisdictions. Consequently,
expenditure by age and sex for this year were estimated based on an analysis of the
historical series.
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.
76
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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.
Data from Nova Scotia consists of the Seniors Pharmacare Program and prescription drug
claims paid by the Department of Community Services through the Income Assistance
Program and Family Benefits Program. Data from the Special Drug Program was
unavailable; expenditure for this plan was distributed using data from the Department of
Community Services.
Data collected from the New Brunswick Prescription Drug Program consists of 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.32
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.
32. See the definition of Social Security Funds in the variables and concepts section of this report for
more information.
77
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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. Data for fiscal year 2003–2004 were unavailable and have
been estimated based on an analysis of the historical series.
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 2002–2003 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
78
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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).
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.
79
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
The remaining categories of Public Health, Administration and Other Health Spending were
also estimated using the general provincial/territorial populations by age and sex based on
the following rationale. Public health and health research benefit the entire population and
it would be difficult to attribute them in different proportions to specific age and sex
groups. Prepayment administration expenditures are accounted for mainly by the universal
hospital and physicians’ services plans. The rationale for distributing them according to the
general population rather than based on utilization is because prepayment administration
expenses are made up largely of the costs of registration systems for eligible residents,
which cover the total population, and claims processing costs. The convention of allocating
ambulance expenditure by population distributions is not believed to result in significant
error of the total provincial expenditure distributions due to its small share of the other
health care spending category.
Age-Sex Standardization of Provincial Government Expenditures
For the purpose of age-sex standardization CIHI used a direct method. Standardized
expenditures by category were calculated by multiplying the male and female population of
Canada in each of the 19 age groups by the expenditure per capita for each age group and
sex by province and territory. Male and female standardized expenditure was aggregated
and then divided by the total Canada population to generate the standardized per capita
spending for a particular category by province and territory.
M A J O R
C H A N G E S
F R O M
P R E V I O U S
Y E A R S
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.
R E V I S I O N
H I S T O R Y
Provincial Government Sector
Revisions to capital expenditure data provided by Statistics Canada are largely responsible
for differences in all jurisdictions from previously reported figures (see the Capital
expenditures section under Calculation Methods for more detail). In Ontario, updated
historical information on home care expenditure resulted in net increases for the years
2001 and 2002.
Table 9—Differences from Previously Reported Provincial Government Sector Data by
Province/Territory and Canada, 1998 to 2002
($ millions)
Year
1998
1999
2000
2001
2002
N.L.
0.7
-4.7
0.5
-10.2
-24.6
P.E.I.
-0.3
-1.5
0.1
19.1
---
N.S.
0.3
-5.6
0.5
-0.6
0.9
N.B.
0.4
-4.1
0.6
-0.1
-0.3
Que.
-0.5
5.9
8.8
-3.5
7.7
Ont.
3.3
-104.0
13.6
103.3
156.5
Man.
0.3
-22.8
0.6
0.2
27.1
80
Sask.
-0.9
-14.4
1.4
-1.3
-3.9
Alta.
12.7
-51.4
4.5
3.4
-4.0
B.C.
1.7
-8.7
4.6
-1.0
-3.1
Y.T. N.W.T.
-0.2
-23.5
0.3
-1.4
----0.9
-17.9
0.2
1.0
Nun. Canada
---5.9
0.2 -211.9
0.1
35.4
-1.1
91.2
-0.7 156.7
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
Private Sector
Revisions to capital expenditure data provided by Statistics Canada are largely responsible
for differences in all jurisdictions from previously reported figures (see the Capital
expenditures section under Calculation Methods for more detail).
Hospital estimates for 2001 and 2002, varying from province to province, were revised
due to new information from the CMDB.
Forecasted health research expenditure for all jurisdictions in 2002 presented in the last
report were replaced by the actual data.
Table 10—Differences from Previously Reported Private Sector Data
by Province/Territory and Canada, 1998 to 2002
($ millions)
Year
1998
1999
2000
2001
2002
N.L.
-1.9
0.8
0.2
3.9
5.3
P.E.I.
0.5
2.1
0.2
-0.3
-3.0
N.S.
0.1
8.0
0.7
5.5
6.9
N.B.
-0.1
5.8
0.5
20.9
7.3
Que.
2.3
1.4
9.8
6.6
-10.6
Ont.
0.5
151.0
9.4
131.9
334.7
Man.
-0.2
28.0
1.1
31.0
-10.1
Sask.
0.1
15.7
0.6
13.0
27.2
Alta.
2.1
70.4
8.1
79.6
-19.7
B.C.
5.6
14.2
9.6
25.5
40.1
Y.T. N.W.T.
0.3
-0.6
-0.2
-1.2
-0.1
-0.1
-0.1
0.7
1.0
1.2
Nun. Canada
--8.7
0.7 296.5
--40.0
1.5 319.8
0.9 381.2
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 11—Differences from Previously Reported Federal Direct Sector Data
by Province/Territory and Canada, 1997 to 2002
($ millions)
Year
1997
1998
1999
2000
2001
2002
N.L.
----------0.4
P.E.I.
----------0.1
N.S.
----------1.0
N.B.
----------1.4
Que.
0.3
0.3
0.1
--4.4
15.3
Ont.
0.3
0.4
0.1
----14.0
Man.
----------12.7
81
Sask.
----------11.7
Alta.
----------10.2
B.C.
0.1
0.1
------9.9
Y.T. N.W.T.
--------------------0.4
2.5
Nun. Canada
--0.7
--0.7
--0.1
--0.0
--4.4
1.9
81.6
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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 12—Differences from Previously Reported Municipal Government Sector Data by
Province/Territory and Canada, 1998 to 2002
($ millions)
Year
1998
1999
2000
2001
2002
N.L.
--------0.1
P.E.I.
-----------
N.S.
---0.2
--0.3
0.6
N.B.
-------0.8
-1.1
Que.
------1.1
---
Ont.
0.4
-14.9
2.0
-30.5
-7.1
Man.
---2.2
0.1
3.9
1.2
Sask.
-------1.4
-0.8
Alta.
-------0.3
-0.1
B.C.
------0.5
8.5
Y.T. N.W.T.
-----------------0.1
---
Nun. Canada
---17.2
---17.2
--2.0
-0.1
-27.3
0.2
1.3
Social Security Fund Sector
Changes in Social Security data from 2001 to 2002 are the result of updated historical
information. The Manitoba revisions for 2001 and 2002 are summarized in Table 13 below.
Table 13—Differences from Previously Reported Social Security Fund Data by
Province/Territory and Canada, 2001 to 2002
($ millions)
Year
2001
2002
N.L.
-----
P.E.I.
-----
N.S.
-----
N.B.
-----
Que.
-----
Ont.
-----
Man.
-0.1
3.5
Sask.
-----
Alta.
-----
B.C.
-----
Y.T. N.W.T.
---------
Nun. Canada
---0.1
--3.5
Age and Sex Expenditure Data
Changes to the age-sex distributions from the 2004 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 2005.
82
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
S O U R C E S
O F
NOTES
D A T A
National Health Expenditure estimates are compiled based on information from the
following sources.
Provincial Government Sector
Provincial Public Accounts and Main Estimates
Provincial Departments of Health Annual Reports and Statistical Supplements
where available
Annual Reports of various foundations, agencies and commissions
Special tabulations and specific information from various provincial departments
reporting health expenditures.
Federal Transfers as a part of Provincial Government spending:
−
EPF, CHST—Federal-Provincial Relations Division, Federal Department
of Finance
−
CAP—Cost Shared Programs Division, Human Resources and
Development Canada
−
Contributions to the Governments of the Northwest 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.
83
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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
not-for-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:
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)
84
NATIONAL HEALTH EXPENDITURE TRENDS M E T H O D O L O G I C A L
NOTES
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
−
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
85
NATIONAL HEALTH EXPENDITURE TRENDS D A T A
TABLES
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)
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.
95
Series A
Summary Data, Canada
97
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.1
Total Health Expenditure, Canada, 1975 to 2005—Summary
Total Health Expenditure in Constant 1997 Dollars
Total Health Expenditure in Current Dollars
Total
Per Capita
Total
Total Health Expenditure as a % of GDP
Per Capita
Year
($’ 000,000)
($)
($’ 000,000)
($)
(%)
1975
1976
1977
1978
1979
12,199.4
14,049.8
15,450.0
17,106.8
19,169.7
527.1
599.1
651.2
713.9
792.1
39,691.4
40,773.8
41,617.0
42,948.7
44,214.7
1,715.0
1,738.8
1,754.1
1,792.3
1,826.9
7.0
7.0
7.0
7.0
6.8
1980
1981
1982
1983
1984
22,298.4
26,276.7
30,759.1
34,038.6
36,743.1
909.5
1,058.7
1,224.6
1,341.8
1,434.8
46,682.1
48,791.9
51,101.7
53,092.6
55,050.2
1,904.1
1,965.8
2,034.5
2,093.0
2,149.8
7.1
7.3
8.1
8.3
8.2
1985
1986
1987
1988
1989
39,841.7
43,337.3
46,788.2
50,959.2
56,095.5
1,541.7
1,660.4
1,769.0
1,901.8
2,056.2
57,472.9
60,277.0
61,937.8
64,637.3
67,577.8
2,223.9
2,309.4
2,341.8
2,412.3
2,477.0
8.2
8.5
8.4
8.3
8.5
1990
1991
1992
1993
1994
61,022.6
66,289.1
69,805.7
71,557.7
73,085.4
2,203.2
2,364.8
2,460.8
2,494.9
2,520.3
69,789.6
72,607.7
74,161.7
74,769.3
75,237.6
2,519.7
2,590.2
2,614.4
2,606.9
2,594.5
9.0
9.7
10.0
9.8
9.5
1995
1996
1997
1998
1999
74,075.9
74,696.8
78,436.1
83,743.6
89,974.2
2,528.0
2,522.6
2,622.6
2,776.9
2,959.3
75,522.1
75,737.8
78,436.1
82,533.1
87,119.5
2,577.3
2,557.8
2,622.6
2,736.8
2,865.4
9.1
8.9
8.9
9.2
9.2
2000
2001
2002
2003
2004 f
97,980.8
106,698.8
114,665.8
122,958.9
131,767.2
3,192.7
3,439.5
3,655.0
3,883.7
4,124.6
91,533.8
97,675.5
102,177.0
107,208.5
112,483.7
2,982.6
3,148.7
3,256.9
3,386.2
3,521.0
9.1
9.6
9.9
10.1
10.2
2005 f
141,968.7
4,410.6
118,108.2
3,669.3
10.4
(annual percentage change)
1975
1976
1977
1978
1979
--15.2
10.0
10.7
12.1
--13.7
8.7
9.6
11.0
--2.7
2.1
3.2
2.9
--1.4
0.9
2.2
1.9
-----------
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
1987
1988
1989
8.4
8.8
8.0
8.9
10.1
7.4
7.7
6.5
7.5
8.1
4.4
4.9
2.8
4.4
4.5
3.5
3.8
1.4
3.0
2.7
-----------
1990
1991
1992
1993
1994
8.8
8.6
5.3
2.5
2.1
7.2
7.3
4.1
1.4
1.0
3.3
4.0
2.1
0.8
0.6
1.7
2.8
0.9
-0.3
-0.5
-----------
1995
1996
1997
1998
1999
1.4
0.8
5.0
6.8
7.4
0.3
-0.2
4.0
5.9
6.6
0.4
0.3
3.6
5.2
5.6
-0.7
-0.8
2.5
4.4
4.7
-----------
2000
2001
2002
2003
2004 f
8.9
8.9
7.5
7.2
7.2
7.9
7.7
6.3
6.3
6.2
5.1
6.7
4.6
4.9
4.9
4.1
5.6
3.4
4.0
4.0
-----------
2005 f
7.7
6.9
5.0
4.2
---
f = forecast
CIHI 2005.
99
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.2.1
Total Health Expenditure by Source of Finance, Canada, 1975 to 2005—Current Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
1976
1977
1978
1979
8,709.3
10,129.9
11,102.0
12,269.4
13,696.6
398.3
439.7
475.2
485.6
512.8
71.6
105.8
114.2
111.7
156.0
121.1
141.9
153.1
173.8
186.8
9,300.3
10,817.2
11,844.6
13,040.5
14,552.3
2,899.2
3,232.6
3,605.4
4,066.3
4,617.4
12,199.4
14,049.8
15,450.0
17,106.8
19,169.7
1980
1981
1982
1983
1984
15,794.0
18,655.5
22,002.1
24,510.1
26,243.9
582.1
692.7
854.8
994.9
1,106.1
234.0
275.4
250.8
222.2
214.5
231.7
319.0
339.1
352.7
392.3
16,841.8
19,942.6
23,446.8
26,080.0
27,956.9
5,456.5
6,334.1
7,312.3
7,958.6
8,786.3
22,298.4
26,276.7
30,759.1
34,038.6
36,743.1
1985
1986
1987
1988
1989
28,202.8
30,501.5
32,821.9
35,806.2
39,332.1
1,157.7
1,260.8
1,349.7
1,522.8
1,686.6
273.1
310.2
404.6
303.5
326.4
461.3
456.2
478.5
530.3
566.0
30,094.9
32,528.6
35,054.7
38,162.8
41,911.1
9,746.9
10,808.7
11,733.5
12,796.4
14,184.3
39,841.7
43,337.3
46,788.2
50,959.2
56,095.5
1990
1991
1992
1993
1994
42,469.7
46,176.8
48,337.8
48,572.6
48,885.6
1,970.4
2,110.0
2,199.9
2,280.9
2,519.8
364.6
374.7
396.9
383.7
446.1
640.8
720.8
759.1
742.5
747.2
45,445.5
49,382.2
51,693.8
51,979.7
52,598.7
15,577.1
16,906.9
18,112.0
19,578.1
20,486.8
61,022.6
66,289.1
69,805.7
71,557.7
73,085.4
1995
1996
1997
1998
1999
48,936.4
49,095.6
50,904.3
54,187.7
58,162.7
2,667.0
2,606.2
2,828.0
3,027.5
3,152.9
394.9
348.1
318.7
765.9
565.4
792.4
827.1
951.4
1,047.0
1,174.8
52,790.6
52,877.1
55,002.3
59,028.1
63,055.8
21,285.3
21,819.7
23,433.8
24,715.5
26,918.4
74,075.9
74,696.8
78,436.1
83,743.6
89,974.2
2000
2001
2002
2003
2004 f
63,319.8
68,138.6
72,985.0
78,499.8
83,748.3
3,614.5
4,263.1
4,361.1
4,991.8
5,436.1
690.3
775.8
874.8
980.1
979.6
1,370.7
1,480.5
1,561.2
1,795.5
1,890.1
68,995.3
74,657.9
79,782.2
86,267.2
92,054.0
28,985.5
32,040.9
34,883.7
36,691.7
39,713.2
97,980.8
106,698.8
114,665.8
122,958.9
131,767.2
2005 f
89,813.6
5,933.5
1,076.1
1,972.1
98,795.3
43,173.4
141,968.7
($’ 000,000)
Year
(annual percentage change)
1975
1976
1977
1978
1979
--16.3
9.6
10.5
11.6
--10.4
8.1
2.2
5.6
--47.6
7.9
-2.2
39.7
--17.2
8.0
13.5
7.5
--16.3
9.5
10.1
11.6
--11.5
11.5
12.8
13.6
--15.2
10.0
10.7
12.1
1980
1981
1982
1983
1984
15.3
18.1
17.9
11.4
7.1
13.5
19.0
23.4
16.4
11.2
50.0
17.7
-8.9
-11.4
-3.5
24.0
37.7
6.3
4.0
11.2
15.7
18.4
17.6
11.2
7.2
18.2
16.1
15.4
8.8
10.4
16.3
17.8
17.1
10.7
7.9
1985
1986
1987
1988
1989
7.5
8.2
7.6
9.1
9.8
4.7
8.9
7.1
12.8
10.8
27.3
13.6
30.4
-25.0
7.6
17.6
-1.1
4.9
10.8
6.7
7.6
8.1
7.8
8.9
9.8
10.9
10.9
8.6
9.1
10.8
8.4
8.8
8.0
8.9
10.1
1990
1991
1992
1993
1994
8.0
8.7
4.7
0.5
0.6
16.8
7.1
4.3
3.7
10.5
11.7
2.8
6.0
-3.3
16.2
13.2
12.5
5.3
-2.2
0.6
8.4
8.7
4.7
0.6
1.2
9.8
8.5
7.1
8.1
4.6
8.8
8.6
5.3
2.5
2.1
1995
1996
1997
1998
1999
0.1
0.3
3.7
6.5
7.3
5.8
-2.3
8.5
7.1
4.1
-11.5
-11.9
-8.4
140.3
-26.2
6.0
4.4
15.0
10.1
12.2
0.4
0.2
4.0
7.3
6.8
3.9
2.5
7.4
5.5
8.9
1.4
0.8
5.0
6.8
7.4
2000
2001
2002
2003
2004 f
8.9
7.6
7.1
7.6
6.7
14.6
17.9
2.3
14.5
8.9
22.1
12.4
12.8
12.0
-0.1
16.7
8.0
5.5
15.0
5.3
9.4
8.2
6.9
8.1
6.7
7.7
10.5
8.9
5.2
8.2
8.9
8.9
7.5
7.2
7.2
2005 f
7.2
9.1
9.9
4.3
7.3
8.7
7.7
f = forecast
CIHI 2005.
101
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.2.2
Total Health Expenditure by Source of Finance, Canada, 1975 to 2005—Current Dollars
Provincial
Government
Federal
Direct
Municipal
Government
C
Social
Security Funds
Total of
Public Sector
D
A+B+C+D
E
Private
Sector
Total
F
E+F
G
A
B
1975
1976
1977
1978
1979
71.4
72.1
71.9
71.7
71.4
3.3
3.1
3.1
2.8
2.7
0.6
0.8
0.7
0.7
0.8
1.0
1.0
1.0
1.0
1.0
76.2
77.0
76.7
76.2
75.9
23.8
23.0
23.3
23.8
24.1
100.0
100.0
100.0
100.0
100.0
1980
1981
1982
1983
1984
70.8
71.0
71.5
72.0
71.4
2.6
2.6
2.8
2.9
3.0
1.0
1.0
0.8
0.7
0.6
1.0
1.2
1.1
1.0
1.1
75.5
75.9
76.2
76.6
76.1
24.5
24.1
23.8
23.4
23.9
100.0
100.0
100.0
100.0
100.0
1985
1986
1987
1988
1989
70.8
70.4
70.1
70.3
70.1
2.9
2.9
2.9
3.0
3.0
0.7
0.7
0.9
0.6
0.6
1.2
1.1
1.0
1.0
1.0
75.5
75.1
74.9
74.9
74.7
24.5
24.9
25.1
25.1
25.3
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
69.6
69.7
69.2
67.9
66.9
3.2
3.2
3.2
3.2
3.4
0.6
0.6
0.6
0.5
0.6
1.1
1.1
1.1
1.0
1.0
74.5
74.5
74.1
72.6
72.0
25.5
25.5
25.9
27.4
28.0
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
66.1
65.7
64.9
64.7
64.6
3.6
3.5
3.6
3.6
3.5
0.5
0.5
0.4
0.9
0.6
1.1
1.1
1.2
1.3
1.3
71.3
70.8
70.1
70.5
70.1
28.7
29.2
29.9
29.5
29.9
100.0
100.0
100.0
100.0
100.0
2000
2001
2002
2003
2004 f
64.6
63.9
63.7
63.8
63.6
3.7
4.0
3.8
4.1
4.1
0.7
0.7
0.8
0.8
0.7
1.4
1.4
1.4
1.5
1.4
70.4
70.0
69.6
70.2
69.9
29.6
30.0
30.4
29.8
30.1
100.0
100.0
100.0
100.0
100.0
2005 f
63.3
4.2
0.8
1.4
69.6
30.4
100.0
(percentage distribution of $’ 000,000)
Year
(annual percentage change)
1975
1976
1977
1978
1979
--1.0
-0.3
-0.2
-0.4
---4.1
-1.7
-7.7
-5.8
--28.2
-1.9
-11.6
24.7
--1.7
-1.8
2.5
-4.1
--1.0
-0.4
-0.6
-0.4
---3.2
1.4
1.9
1.3
-----------
1980
1981
1982
1983
1984
-0.9
0.2
0.8
0.7
-0.8
-2.4
1.0
5.4
5.2
3.0
28.9
-0.1
-22.2
-20.0
-10.6
6.6
16.8
-9.2
-6.0
3.0
-0.5
0.5
0.4
0.5
-0.7
1.6
-1.5
-1.4
-1.6
2.3
-----------
1985
1986
1987
1988
1989
-0.9
-0.6
-0.3
0.2
-0.2
-3.5
0.1
-0.8
3.6
0.6
17.4
4.4
20.8
-31.1
-2.3
8.5
-9.1
-2.8
1.8
-3.0
-0.7
-0.6
-0.2
0.0
-0.2
2.3
1.9
0.5
0.1
0.7
-----------
1990
1991
1992
1993
1994
-0.7
0.1
-0.6
-2.0
-1.5
7.4
-1.4
-1.0
1.1
8.2
2.7
-5.4
0.6
-5.7
13.8
4.1
3.6
0.0
-4.6
-1.5
-0.3
0.0
-0.6
-1.9
-0.9
1.0
-0.1
1.7
5.4
2.5
-----------
1995
1996
1997
1998
1999
-1.2
-0.5
-1.3
-0.3
-0.1
4.4
-3.1
3.3
0.3
-3.1
-12.7
-12.6
-12.8
125.1
-31.3
4.6
3.5
9.5
3.1
4.4
-1.0
-0.7
-0.9
0.5
-0.6
2.5
1.7
2.3
-1.2
1.4
-----------
2000
2001
2002
2003
2004 f
0.0
-1.2
-0.3
0.3
-0.4
5.3
8.3
-4.8
6.7
1.6
12.1
3.2
4.9
4.5
-6.7
7.1
-0.8
-1.9
7.2
-1.8
0.5
-0.6
-0.6
0.8
-0.4
-1.1
1.5
1.3
-1.9
1.0
-----------
2005 f
-0.5
1.3
2.0
-3.2
-0.4
0.9
f = forecast
--CIHI 2005.
102
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.2.3
Total Health Expenditure by Source of Finance, Canada, 1975 to 2005—Current Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
1976
1977
1978
1979
376.32
431.98
467.93
512.01
565.93
17.21
18.75
20.03
20.26
21.19
3.10
4.51
4.81
4.66
6.45
5.23
6.05
6.45
7.25
7.72
401.86
461.29
499.22
544.19
601.29
125.27
137.85
151.96
169.69
190.79
527.13
599.14
651.19
713.87
792.08
1980
1981
1982
1983
1984
644.23
751.62
875.97
966.22
1,024.85
23.74
27.91
34.03
39.22
43.20
9.54
11.10
9.99
8.76
8.38
9.45
12.85
13.50
13.90
15.32
686.97
803.48
933.49
1,028.11
1,091.74
222.57
255.20
291.12
313.74
343.11
909.54
1,058.67
1,224.61
1,341.85
1,434.85
1985
1986
1987
1988
1989
1,091.32
1,168.59
1,240.96
1,336.28
1,441.70
44.80
48.30
51.03
56.83
61.82
10.57
11.88
15.30
11.33
11.97
17.85
17.48
18.09
19.79
20.75
1,164.54
1,246.25
1,325.38
1,424.23
1,536.23
377.16
414.11
443.63
477.56
519.92
1,541.70
1,660.36
1,769.01
1,901.79
2,056.15
1990
1991
1992
1993
1994
1,533.34
1,647.32
1,704.03
1,693.50
1,685.76
71.14
75.27
77.55
79.52
86.89
13.16
13.37
13.99
13.38
15.38
23.13
25.71
26.76
25.89
25.76
1,640.78
1,761.68
1,822.33
1,812.29
1,813.80
562.40
603.14
638.49
682.59
706.46
2,203.18
2,364.82
2,460.82
2,494.88
2,520.26
1995
1996
1997
1998
1999
1,670.06
1,658.03
1,702.06
1,796.85
1,913.00
91.02
88.02
94.56
100.39
103.70
13.48
11.75
10.66
25.40
18.60
27.04
27.93
31.81
34.72
38.64
1,801.59
1,785.73
1,839.09
1,957.35
2,073.94
726.40
736.88
783.55
819.56
885.36
2,527.99
2,522.61
2,622.63
2,776.91
2,959.30
2000
2001
2002
2003
2004 f
2,063.27
2,196.51
2,326.39
2,479.43
2,621.53
117.78
137.42
139.01
157.67
170.16
22.49
25.01
27.88
30.96
30.66
44.67
47.72
49.76
56.71
59.16
2,248.21
2,406.67
2,543.05
2,724.76
2,881.52
944.49
1,032.87
1,111.92
1,158.91
1,243.12
3,192.70
3,439.54
3,654.97
3,883.67
4,124.64
2005 f
2,790.26
184.34
33.43
61.27
3,069.30
1,341.28
4,410.58
Year
($’ per capita)
(annual percentage change)
1975
1976
1977
1978
1979
--14.8
8.3
9.4
10.5
--9.0
6.8
1.2
4.6
--45.7
6.7
-3.1
38.3
--15.6
6.7
12.3
6.5
--14.8
8.2
9.0
10.5
--10.0
10.2
11.7
12.4
--13.7
8.7
9.6
11.0
1980
1981
1982
1983
1984
13.8
16.7
16.5
10.3
6.1
12.0
17.5
21.9
15.2
10.1
48.1
16.2
-10.0
-12.3
-4.4
22.4
36.0
5.0
3.0
10.2
14.2
17.0
16.2
10.1
6.2
16.7
14.7
14.1
7.8
9.4
14.8
16.4
15.7
9.6
6.9
1985
1986
1987
1988
1989
6.5
7.1
6.2
7.7
7.9
3.7
7.8
5.6
11.4
8.8
26.1
12.5
28.7
-26.0
5.6
16.5
-2.1
3.5
9.4
4.8
6.7
7.0
6.3
7.5
7.9
9.9
9.8
7.1
7.6
8.9
7.4
7.7
6.5
7.5
8.1
1990
1991
1992
1993
1994
6.4
7.4
3.4
-0.6
-0.5
15.1
5.8
3.0
2.5
9.3
10.0
1.5
4.7
-4.4
15.0
11.5
11.1
4.1
-3.3
-0.5
6.8
7.4
3.4
-0.6
0.1
8.2
7.2
5.9
6.9
3.5
7.2
7.3
4.1
1.4
1.0
1995
1996
1997
1998
1999
-0.9
-0.7
2.7
5.6
6.5
4.7
-3.3
7.4
6.2
3.3
-12.4
-12.8
-9.4
138.3
-26.8
5.0
3.3
13.9
9.1
11.3
-0.7
-0.9
3.0
6.4
6.0
2.8
1.4
6.3
4.6
8.0
0.3
-0.2
4.0
5.9
6.6
2000
2001
2002
2003
2004 f
7.9
6.5
5.9
6.6
5.7
13.6
16.7
1.2
13.4
7.9
21.0
11.2
11.5
11.0
-1.0
15.6
6.8
4.3
14.0
4.3
8.4
7.0
5.7
7.1
5.8
6.7
9.4
7.7
4.2
7.3
7.9
7.7
6.3
6.3
6.2
2005 f
6.4
8.3
9.0
3.6
6.5
7.9
f = forecast
6.9
CIHI 2005.
103
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.2.4
Total Health Expenditure by Source of Finance, Canada, 1975 to 2005—Constant Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
A+B+C+D
E
F
E+F
G
D
A
B
C
1975
1976
1977
1978
1979
27,834.3
28,659.5
28,970.1
29,826.1
30,367.9
1,272.1
1,247.3
1,243.4
1,184.5
1,140.9
230.4
304.7
304.7
277.9
354.1
389.4
403.8
402.6
425.3
417.5
29,726.3
30,615.2
30,920.8
31,713.8
32,280.4
9,965.1
10,158.6
10,696.2
11,234.9
11,934.4
39,691.4
40,773.8
41,617.0
42,948.7
44,214.7
1980
1981
1982
1983
1984
31,774.8
33,201.3
35,100.5
37,028.7
38,230.8
1,174.0
1,236.2
1,370.6
1,503.6
1,609.6
482.4
501.6
410.0
342.1
318.2
469.8
572.2
544.4
537.8
574.5
33,901.0
35,511.3
37,425.5
39,412.2
40,733.1
12,781.1
13,280.7
13,676.3
13,680.3
14,317.1
46,682.1
48,791.9
51,101.7
53,092.6
55,050.2
1985
1986
1987
1988
1989
39,681.7
41,604.7
42,868.1
45,077.1
47,023.6
1,629.3
1,719.5
1,764.7
1,918.1
2,017.2
389.1
423.9
526.9
382.4
389.3
650.0
623.4
625.8
668.9
676.5
42,350.0
44,371.5
45,785.5
48,046.4
50,106.7
15,122.9
15,905.5
16,152.3
16,590.9
17,471.1
57,472.9
60,277.0
61,937.8
64,637.3
67,577.8
1990
1991
1992
1993
1994
48,187.1
50,300.9
51,154.3
50,743.2
50,294.9
2,237.4
2,304.4
2,336.9
2,393.3
2,599.6
413.7
409.0
420.6
401.3
461.7
727.1
784.7
802.7
775.2
769.4
51,565.3
53,799.0
54,714.4
54,313.1
54,125.6
18,224.3
18,808.8
19,447.3
20,456.3
21,112.1
69,789.6
72,607.7
74,161.7
74,769.3
75,237.6
1995
1996
1997
1998
1999
49,791.4
49,771.3
50,904.3
53,574.3
56,629.4
2,718.3
2,642.4
2,828.0
2,992.0
3,065.2
403.6
353.2
318.7
754.3
551.7
807.1
838.8
951.4
1,037.0
1,144.2
53,720.3
53,605.7
55,002.3
58,357.7
61,390.5
21,801.8
22,132.1
23,433.8
24,175.4
25,729.0
75,522.1
75,737.8
78,436.1
82,533.1
87,119.5
2000
2001
2002
2003
2004 f
59,113.3
62,519.6
64,955.6
68,255.6
71,203.7
3,369.1
3,906.7
3,875.7
4,336.1
4,615.6
647.5
718.3
783.8
856.5
837.2
1,278.2
1,355.9
1,387.5
1,557.7
1,602.6
64,408.1
68,500.4
71,002.6
75,005.8
78,259.1
27,125.7
29,175.0
31,174.4
32,202.7
34,224.7
91,533.8
97,675.5
102,177.0
107,208.5
112,483.7
2005 f
74,391.4
4,910.0
892.4
1,631.1
81,824.9
36,283.2
118,108.2
Year
(in 1997 $’ 000,000)
(annual percentage change)
1975
1976
1977
1978
1979
--3.0
1.1
3.0
1.8
---2.0
-0.3
-4.7
-3.7
--32.2
0.0
-8.8
27.4
--3.7
-0.3
5.6
-1.8
--3.0
1.0
2.6
1.8
--1.9
5.3
5.0
6.2
--2.7
2.1
3.2
2.9
1980
1981
1982
1983
1984
4.6
4.5
5.7
5.5
3.2
2.9
5.3
10.9
9.7
7.0
36.2
4.0
-18.3
-16.6
-7.0
12.5
21.8
-4.9
-1.2
6.8
5.0
4.7
5.4
5.3
3.4
7.1
3.9
3.0
0.0
4.7
5.6
4.5
4.7
3.9
3.7
1985
1986
1987
1988
1989
3.8
4.8
3.0
5.2
4.3
1.2
5.5
2.6
8.7
5.2
22.3
8.9
24.3
-27.4
1.8
13.1
-4.1
0.4
6.9
1.1
4.0
4.8
3.2
4.9
4.3
5.6
5.2
1.6
2.7
5.3
4.4
4.9
2.8
4.4
4.5
1990
1991
1992
1993
1994
2.5
4.4
1.7
-0.8
-0.9
10.9
3.0
1.4
2.4
8.6
6.3
-1.1
2.8
-4.6
15.0
7.5
7.9
2.3
-3.4
-0.7
2.9
4.3
1.7
-0.7
-0.3
4.3
3.2
3.4
5.2
3.2
3.3
4.0
2.1
0.8
0.6
1995
1996
1997
1998
1999
-1.0
0.0
2.3
5.2
5.7
4.6
-2.8
7.0
5.8
2.4
-12.6
-12.5
-9.8
136.7
-26.9
4.9
3.9
13.4
9.0
10.3
-0.7
-0.2
2.6
6.1
5.2
3.3
1.5
5.9
3.2
6.4
0.4
0.3
3.6
5.2
5.6
2000
2001
2002
2003
2004 f
4.4
5.8
3.9
5.1
4.3
9.9
16.0
-0.8
11.9
6.4
17.4
10.9
9.1
9.3
-2.3
11.7
6.1
2.3
12.3
2.9
4.9
6.4
3.7
5.6
4.3
5.4
7.6
6.9
3.3
6.3
5.1
6.7
4.6
4.9
4.9
2005 f
4.5
6.4
6.6
1.8
4.6
6.0
f = forecast
5.0
CIHI 2005.
104
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.2.5
Total Health Expenditure by Source of Finance, Canada, 1975 to 2005—Constant Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
A+B+C+D
E
F
E+F
G
D
A
B
C
1975
1976
1977
1978
1979
1,202.70
1,222.16
1,221.03
1,244.65
1,254.78
54.97
53.19
52.40
49.43
47.14
9.96
12.99
12.84
11.60
14.63
16.82
17.22
16.97
17.75
17.25
1,284.45
1,305.57
1,303.25
1,323.43
1,333.80
430.59
433.21
450.83
468.84
493.12
1,715.04
1,738.77
1,754.07
1,792.27
1,826.92
1980
1981
1982
1983
1984
1,296.08
1,337.66
1,397.45
1,459.72
1,492.94
47.89
49.80
54.57
59.28
62.86
19.68
20.21
16.32
13.49
12.42
19.16
23.06
21.67
21.20
22.44
1,382.81
1,430.73
1,490.02
1,553.68
1,590.66
521.34
535.07
544.49
539.30
559.10
1,904.14
1,965.80
2,034.51
2,092.98
2,149.76
1985
1986
1987
1988
1989
1,535.51
1,593.98
1,620.79
1,682.27
1,723.63
63.05
65.88
66.72
71.58
73.94
15.06
16.24
19.92
14.27
14.27
25.15
23.88
23.66
24.96
24.80
1,638.76
1,699.98
1,731.10
1,793.09
1,836.64
585.19
609.38
610.70
619.17
640.39
2,223.95
2,309.36
2,341.80
2,412.26
2,477.03
1990
1991
1992
1993
1994
1,739.76
1,794.45
1,803.31
1,769.18
1,734.36
80.78
82.21
82.38
83.44
89.64
14.94
14.59
14.83
13.99
15.92
26.25
27.99
28.30
27.03
26.53
1,861.73
1,919.24
1,928.82
1,893.64
1,866.45
657.98
670.99
685.57
713.21
728.02
2,519.70
2,590.23
2,614.38
2,606.85
2,594.48
1995
1996
1997
1998
1999
1,699.23
1,680.84
1,702.06
1,776.51
1,862.57
92.77
89.24
94.56
99.21
100.82
13.77
11.93
10.66
25.01
18.15
27.54
28.33
31.81
34.39
37.63
1,833.32
1,810.33
1,839.09
1,935.12
2,019.17
744.03
747.43
783.55
801.65
846.24
2,577.35
2,557.77
2,622.63
2,736.77
2,865.41
2000
2001
2002
2003
2004 f
1,926.20
2,015.38
2,070.46
2,155.86
2,228.85
109.78
125.94
123.54
136.96
144.48
21.10
23.15
24.98
27.05
26.21
41.65
43.71
44.23
49.20
50.16
2,098.73
2,208.18
2,263.21
2,369.07
2,449.71
883.89
940.49
993.68
1,017.13
1,071.32
2,982.62
3,148.66
3,256.89
3,386.20
3,521.02
2005 f
2,311.14
152.54
27.73
50.67
2,542.08
1,127.22
3,669.30
(in 1997 $’ per capita)
Year
(annual percentage change)
1975
1976
1977
1978
1979
--1.6
-0.1
1.9
0.8
---3.2
-1.5
-5.7
-4.6
--30.5
-1.1
-9.7
26.1
--2.4
-1.5
4.6
-2.8
--1.6
-0.2
1.5
0.8
--0.6
4.1
4.0
5.2
--1.4
0.9
2.2
1.9
1980
1981
1982
1983
1984
3.3
3.2
4.5
4.5
2.3
1.6
4.0
9.6
8.6
6.0
34.5
2.7
-19.2
-17.4
-7.9
11.1
20.3
-6.0
-2.2
5.8
3.7
3.5
4.1
4.3
2.4
5.7
2.6
1.8
-1.0
3.7
4.2
3.2
3.5
2.9
2.7
1985
1986
1987
1988
1989
2.9
3.8
1.7
3.8
2.5
0.3
4.5
1.3
7.3
3.3
21.2
7.9
22.7
-28.4
0.0
12.1
-5.0
-0.9
5.5
-0.7
3.0
3.7
1.8
3.6
2.4
4.7
4.1
0.2
1.4
3.4
3.5
3.8
1.4
3.0
2.7
1990
1991
1992
1993
1994
0.9
3.1
0.5
-1.9
-2.0
9.2
1.8
0.2
1.3
7.4
4.7
-2.3
1.6
-5.6
13.8
5.9
6.6
1.1
-4.5
-1.8
1.4
3.1
0.5
-1.8
-1.4
2.7
2.0
2.2
4.0
2.1
1.7
2.8
0.9
-0.3
-0.5
1995
1996
1997
1998
1999
-2.0
-1.1
1.3
4.4
4.8
3.5
-3.8
6.0
4.9
1.6
-13.5
-13.4
-10.7
134.8
-27.5
3.8
2.9
12.3
8.1
9.4
-1.8
-1.3
1.6
5.2
4.3
2.2
0.5
4.8
2.3
5.6
-0.7
-0.8
2.5
4.4
4.7
2000
2001
2002
2003
2004 f
3.4
4.6
2.7
4.1
3.4
8.9
14.7
-1.9
10.9
5.5
16.3
9.7
7.9
8.3
-3.1
10.7
4.9
1.2
11.2
2.0
3.9
5.2
2.5
4.7
3.4
4.4
6.4
5.7
2.4
5.3
4.1
5.6
3.4
4.0
4.0
2005 f
3.7
5.6
5.8
1.0
3.8
5.2
f = forecast
4.2
CIHI 2005.
105
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.1.1—Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars
Other Professionals
Hospitals Other Institutions
A
B
Physicians
Dental Services
Vision Care
Services
Other
C
Year
Sub-Total
D
($’ 000,000)
1975
5,454.9
1,125.0
1,839.9
741.7
226.1
128.4
1,096.2
1976
6,357.3
1,368.6
2,071.0
869.1
260.1
145.5
1,274.7
1977
6,792.8
1,577.0
2,284.4
1,034.6
295.8
162.6
1,493.0
1978
7,382.0
1,851.8
2,566.7
1,191.3
336.0
186.3
1,713.5
1979
8,114.1
2,171.7
2,857.1
1,374.5
365.8
219.2
1,959.5
1980
9,334.4
2,539.6
3,287.5
1,592.0
414.4
255.4
2,261.7
1981
11,030.7
2,889.9
3,824.8
1,811.8
513.6
303.7
2,629.1
1982
13,092.8
3,384.8
4,420.8
2,072.7
609.8
357.3
3,039.8
1983
14,417.6
3,741.6
5,052.7
2,225.7
715.0
411.6
3,352.4
1984
15,344.8
3,915.5
5,525.9
2,402.3
829.4
452.2
3,683.8
1985
16,260.3
4,105.9
6,045.7
2,711.3
925.9
496.4
4,133.6
1986
17,637.2
4,087.3
6,674.8
2,959.6
1,002.2
562.0
4,523.8
1987
18,951.1
4,329.2
7,342.8
3,203.6
1,075.6
634.3
4,913.5
1988
20,400.3
4,738.7
7,942.1
3,494.0
1,184.2
715.6
5,393.8
1989
22,270.1
5,141.3
8,506.7
3,820.7
1,302.3
833.8
5,956.7
1990
23,866.4
5,748.2
9,245.1
4,139.0
1,402.7
956.6
6,498.3
1991
25,716.3
6,345.2
10,205.5
4,467.5
1,484.8
1,082.7
7,035.0
1992
26,670.3
6,788.4
10,448.5
4,690.2
1,535.0
1,171.6
7,396.8
1993
26,744.3
6,797.2
10,498.9
4,926.9
1,587.0
1,220.4
7,734.3
1994
26,172.3
6,922.9
10,731.6
5,217.1
1,683.0
1,253.7
8,153.8
1995
25,511.6
7,153.2
10,638.0
5,485.2
1,774.4
1,295.7
8,555.3
1996
25,219.7
7,308.6
10,758.8
5,663.4
1,830.1
1,336.7
8,830.2
1997
25,775.1
7,596.9
11,177.2
5,895.8
2,188.3
1,543.1
9,627.3
1998
27,116.0
7,974.8
11,716.0
6,278.5
2,275.3
1,528.0
10,081.8
1999
28,250.4
8,610.4
12,223.6
6,774.6
2,346.3
1,725.3
10,846.1
2000
2001
2002
2003
2004 f
30,601.1
32,537.9
34,909.0
37,229.2
39,843.0
9,318.8
10,077.8
10,722.3
11,447.1
12,301.7
12,977.0
13,978.0
15,048.9
16,120.8
17,057.0
7,205.5
7,803.1
8,288.6
8,464.1
8,735.7
2,574.2
2,751.2
2,795.7
2,676.9
2,977.9
1,806.9
2,022.4
2,042.9
2,070.2
2,364.1
11,586.6
12,576.6
13,127.2
13,211.1
14,077.7
2005 f
42,390.3
13,257.1
18,154.3
9,702.1
3,031.4
2,452.8
15,186.2
(annual percentage change)
1975
---
---
---
---
---
---
---
1976
16.5
21.7
12.6
17.2
15.0
13.3
16.3
1977
6.9
15.2
10.3
19.0
13.7
11.7
17.1
1978
8.7
17.4
12.4
15.1
13.6
14.6
14.8
1979
9.9
17.3
11.3
15.4
8.9
17.6
14.4
1980
15.0
16.9
15.1
15.8
13.3
16.5
15.4
1981
18.2
13.8
16.3
13.8
24.0
18.9
16.2
1982
18.7
17.1
15.6
14.4
18.7
17.7
15.6
1983
10.1
10.5
14.3
7.4
17.3
15.2
10.3
1984
6.4
4.6
9.4
7.9
16.0
9.9
9.9
1985
6.0
4.9
9.4
12.9
11.6
9.8
12.2
1986
8.5
-0.5
10.4
9.2
8.2
13.2
9.4
1987
7.4
5.9
10.0
8.2
7.3
12.9
8.6
1988
7.6
9.5
8.2
9.1
10.1
12.8
9.8
1989
9.2
8.5
7.1
9.3
10.0
16.5
10.4
1990
7.2
11.8
8.7
8.3
7.7
14.7
9.1
1991
7.8
10.4
10.4
7.9
5.8
13.2
8.3
1992
3.7
7.0
2.4
5.0
3.4
8.2
5.1
1993
0.3
0.1
0.5
5.0
3.4
4.2
4.6
1994
-2.1
1.8
2.2
5.9
6.1
2.7
5.4
1995
1996
1997
-2.5
-1.1
2.2
3.3
2.2
3.9
-0.9
1.1
3.9
5.1
3.2
4.1
5.4
3.1
19.6
3.4
3.2
15.4
4.9
3.2
9.0
1998
5.2
5.0
4.8
6.5
4.0
-1.0
4.7
1999
4.2
8.0
4.3
7.9
3.1
12.9
7.6
2000
2001
2002
2003
2004 f
8.3
6.3
7.3
6.6
7.0
8.2
8.1
6.4
6.8
7.5
6.2
7.7
7.7
7.1
5.8
6.4
8.3
6.2
2.1
3.2
9.7
6.9
1.6
-4.3
11.2
4.7
11.9
1.0
1.3
14.2
6.8
8.5
4.4
0.6
6.6
2005 f
6.4
7.8
6.4
11.1
1.8
3.8
f = forecast
7.9
CIHI 2005.
106
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.1.1 — Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars (cont'd)
Drugs
Other Health Spending
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
Capital
E
F
Public Health Administration
G
($’ 000,000)
Health
Research
Other
Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
771.7
305.6
1,077.3
536.1
406.8
343.6
93.7
226.0
319.7
12,199.4
883.4
316.0
1,199.4
544.1
510.6
361.9
105.4
256.7
362.1
14,049.8
987.9
324.5
1,312.4
563.7
598.5
408.3
129.4
290.3
419.7
15,450.0
1,052.7
392.8
1,445.5
672.2
615.4
406.7
150.4
302.5
452.9
17,106.8
1,162.9
495.5
1,658.4
725.1
707.0
451.8
173.7
351.3
524.9
19,169.7
1,298.4
586.3
1,884.6
990.7
845.4
512.3
202.5
439.5
642.1
22,298.4
1,677.1
655.0
2,332.1
1,111.2
1,006.1
631.5
231.2
590.2
821.3
26,276.7
1,924.1
715.0
2,639.1
1,394.8
1,149.7
693.3
258.0
686.1
944.1
30,759.1
2,107.1
845.9
2,953.0
1,436.6
1,241.4
763.6
297.3
782.4
1,079.7
34,038.6
2,255.6
1,058.6
3,314.2
1,504.1
1,376.5
897.6
336.9
843.7
1,180.6
36,743.1
2,566.5
1,235.9
3,802.3
1,651.2
1,515.7
966.1
381.2
979.8
1,361.0
39,841.7
3,018.0
1,399.0
4,417.1
1,801.4
1,570.2
1,030.6
452.8
1,142.1
1,594.9
43,337.3
3,293.1
1,621.7
4,914.9
1,871.8
1,661.0
1,060.1
452.0
1,291.9
1,743.9
46,788.2
3,736.8
1,784.9
5,521.7
1,901.7
1,786.6
1,225.5
507.1
1,541.7
2,048.8
50,959.2
4,262.9
1,975.6
6,238.5
2,092.8
1,953.6
1,525.0
588.4
1,822.4
2,410.8
56,095.5
4,871.8
2,058.7
6,930.5
2,123.7
2,138.5
1,657.3
667.7
2,146.9
2,814.6
61,022.6
5,468.7
2,236.6
7,705.3
2,027.5
2,316.5
1,780.5
698.6
2,458.9
3,157.5
66,289.1
6,100.7
2,418.1
8,518.8
2,058.0
2,596.2
1,873.5
806.5
2,648.7
3,455.2
69,805.7
6,603.5
2,576.0
9,179.6
2,016.9
2,820.4
2,071.0
793.5
2,901.7
3,695.2
71,557.7
6,760.9
2,676.6
9,437.5
2,272.8
3,123.1
2,298.4
804.2
3,168.8
3,973.0
73,085.4
7,399.0
2,703.6
10,102.6
2,263.1
3,316.5
2,429.9
808.2
3,297.5
4,105.6
74,075.9
7,602.1
2,756.0
10,358.1
2,160.0
3,425.6
2,489.8
819.9
3,326.3
4,146.1
74,696.8
8,540.8
2,877.5
11,418.3
2,122.0
3,350.8
2,689.6
1,091.7
3,587.3
4,679.0
78,436.1
9,469.3
3,067.0
12,536.3
2,301.5
4,212.8
2,703.1
1,178.9
3,922.6
5,101.5
83,743.6
10,267.3
3,252.3
13,519.5
3,508.9
4,517.6
3,036.3
1,160.9
4,300.5
5,461.4
89,974.2
11,764.6
13,218.1
14,834.2
16,475.2
18,495.0
3,321.2
3,442.7
3,595.4
3,649.8
3,819.1
15,085.8
16,660.8
18,429.6
20,125.1
22,314.1
3,965.5
4,508.7
4,936.4
5,609.0
5,798.6
5,063.6
5,716.1
6,049.8
6,886.6
7,098.8
3,374.7
4,022.0
4,430.6
4,944.3
5,228.7
1,419.6
1,921.1
1,904.1
2,052.9
2,358.8
4,588.0
4,699.8
5,107.9
5,332.9
5,688.8
6,007.7
6,621.0
7,012.0
7,385.8
8,047.6
97,980.8
106,698.8
114,665.8
122,958.9
131,767.2
20,616.1
4,158.6
24,774.7
5,993.7
7,781.9
5,752.4
2,577.5
6,100.7
8,678.2
141,968.7
(annual percentage change)
--14.5
--3.4
--11.3
---
---
---
1.5
25.5
5.3
---
---
---
---
12.5
13.6
13.2
15.2
11.8
2.7
9.4
3.6
17.2
12.8
22.8
13.1
15.9
10.0
6.6
21.1
10.1
19.2
2.8
-0.4
16.2
4.2
7.9
10.7
10.5
26.2
14.7
7.9
14.9
11.1
15.4
16.1
15.9
12.1
11.7
18.3
13.6
36.6
19.6
13.4
16.6
25.1
22.3
16.3
29.2
11.7
23.7
12.2
19.0
23.3
14.1
34.3
27.9
17.8
14.7
9.2
13.2
25.5
14.3
9.8
11.6
16.2
14.9
17.1
9.5
18.3
11.9
3.0
8.0
10.2
15.2
14.0
14.4
10.7
7.9
7.0
25.2
12.2
4.7
10.9
17.5
13.3
7.8
9.3
13.8
16.7
14.7
9.8
10.1
7.6
13.1
16.1
15.3
8.4
17.6
13.2
16.2
9.1
3.6
6.7
18.8
16.6
17.2
8.8
8.0
9.1
15.9
11.3
3.9
5.8
2.9
-0.2
13.1
9.3
13.5
10.1
12.3
1.6
7.6
15.6
12.2
19.3
17.5
8.9
14.1
10.7
13.0
10.0
9.3
24.4
16.0
18.2
17.7
10.1
14.3
4.2
11.1
1.5
9.5
8.7
13.5
17.8
16.8
8.8
12.3
8.6
11.2
-4.5
8.3
7.4
4.6
14.5
12.2
8.6
11.6
8.1
10.6
1.5
12.1
5.2
15.4
7.7
9.4
5.3
8.2
6.5
7.8
-2.0
8.6
10.5
-1.6
9.6
6.9
2.5
2.4
3.9
2.8
12.7
10.7
11.0
1.4
9.2
7.5
2.1
9.4
2.7
12.3
1.0
1.9
4.4
7.0
2.5
10.2
-0.4
-4.6
-1.8
6.2
3.3
-2.2
5.7
2.5
8.0
0.5
1.4
33.2
4.1
0.9
7.8
3.3
1.0
12.9
1.4
0.8
5.0
10.9
6.6
9.8
8.5
25.7
0.5
8.0
9.3
9.0
6.8
8.4
6.0
7.8
52.5
7.2
12.3
-1.5
9.6
7.1
7.4
14.6
12.4
12.2
11.1
12.3
2.1
3.7
4.4
1.5
4.6
11.6
10.4
10.6
9.2
10.9
13.0
13.7
9.5
13.6
3.4
12.1
12.9
5.8
13.8
3.1
11.1
19.2
10.2
11.6
5.8
22.3
35.3
-0.9
7.8
14.9
6.7
2.4
8.7
4.4
6.7
10.0
10.2
5.9
5.3
9.0
8.9
8.9
7.5
7.2
7.2
11.5
8.9
11.0
3.4
9.6
10.0
9.3
7.2
7.8
7.7
CIHI 2005.
107
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.1.2 — Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars
Other Professionals
Hospitals Other Institutions
Physicians
Dental Services
Vision Care
Services
Other
A
B
1975
44.7
9.2
15.1
6.1
1.9
1.1
9.0
1976
45.2
9.7
14.7
6.2
1.9
1.0
9.1
1977
44.0
10.2
14.8
6.7
1.9
1.1
9.7
1978
43.2
10.8
15.0
7.0
2.0
1.1
10.0
1979
42.3
11.3
14.9
7.2
1.9
1.1
10.2
1980
41.9
11.4
14.7
7.1
1.9
1.1
10.1
1981
42.0
11.0
14.6
6.9
2.0
1.2
10.0
1982
42.6
11.0
14.4
6.7
2.0
1.2
9.9
1983
42.4
11.0
14.8
6.5
2.1
1.2
9.8
1984
41.8
10.7
15.0
6.5
2.3
1.2
10.0
1985
40.8
10.3
15.2
6.8
2.3
1.2
10.4
1986
40.7
9.4
15.4
6.8
2.3
1.3
10.4
1987
40.5
9.3
15.7
6.8
2.3
1.4
10.5
1988
40.0
9.3
15.6
6.9
2.3
1.4
10.6
1989
39.7
9.2
15.2
6.8
2.3
1.5
10.6
1990
39.1
9.4
15.2
6.8
2.3
1.6
10.6
1991
38.8
9.6
15.4
6.7
2.2
1.6
10.6
1992
38.2
9.7
15.0
6.7
2.2
1.7
10.6
1993
37.4
9.5
14.7
6.9
2.2
1.7
10.8
1994
35.8
9.5
14.7
7.1
2.3
1.7
11.2
1995
34.4
9.7
14.4
7.4
2.4
1.7
11.5
1996
33.8
9.8
14.4
7.6
2.5
1.8
11.8
1997
32.9
9.7
14.3
7.5
2.8
2.0
12.3
1998
32.4
9.5
14.0
7.5
2.7
1.8
12.0
1999
31.4
9.6
13.6
7.5
2.6
1.9
12.1
2000
2001
2002
2003
2004 f
31.2
30.5
30.4
30.3
30.2
9.5
9.4
9.4
9.3
9.3
13.2
13.1
13.1
13.1
12.9
7.4
7.3
7.2
6.9
6.6
2.6
2.6
2.4
2.2
2.3
1.8
1.9
1.8
1.7
1.8
11.8
11.8
11.4
10.7
10.7
2005 f
29.9
9.3
12.8
6.8
2.1
1.7
10.7
Year
C
(percentage distribution of $’ 000,000)
Sub-Total
D
(annual percentage change)
1975
---
---
---
---
1976
--1.2
--5.6
-2.3
---
1.8
-0.1
-1.6
1977
-2.8
4.8
0.3
---
8.3
3.4
1.6
1978
-1.9
6.1
1.5
---
4.0
2.6
3.5
3.7
1979
-1.9
4.7
-0.7
---
3.0
-2.8
5.0
2.0
1980
-1.1
0.5
-1.1
---
-0.4
-2.6
0.2
-0.8
1981
0.3
-3.4
-1.3
---
-3.4
5.2
0.9
-1.4
1982
1.4
0.1
-1.3
---
-2.3
1.4
0.5
-1.2
1983
-0.5
-0.1
3.3
---
-3.0
6.0
4.1
-0.3
1984
-1.4
-3.1
1.3
---
0.0
7.5
1.8
1.8
1985
-2.3
-3.3
0.9
---
4.1
3.0
1.2
3.5
1986
-0.3
-8.5
1.5
---
0.4
-0.5
4.1
0.6
1987
-0.5
-1.9
1.9
---
0.3
-0.6
4.6
0.6
1988
-1.2
0.5
-0.7
---
0.1
1.1
3.6
0.8
1989
-0.8
-1.4
-2.7
---
-0.7
-0.1
5.8
0.3
1990
-1.5
2.8
-0.1
---
-0.4
-1.0
5.5
0.3
1991
-0.8
1.6
1.6
---
-0.6
-2.6
4.2
-0.3
1992
-1.5
1.6
-2.8
---
-0.3
-1.8
2.8
-0.2
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
1.9
-2.2
---
3.7
4.0
2.0
3.5
1996
-2.0
1.3
0.3
---
2.4
2.3
1997
-2.7
-1.0
-1.1
---
-0.9
13.9
9.9
3.8
1998
-1.5
-1.7
-1.8
---
-0.3
-2.6
-7.3
-1.9
1999
-3.0
0.5
-2.9
---
0.4
-4.0
5.1
0.1
2000
2001
2002
2003
2004 f
-0.5
-2.4
-0.2
-0.5
-0.1
-0.6
-0.7
-1.0
-0.4
0.3
-2.5
-1.1
0.2
-0.1
-1.3
-----------
-2.3
-0.6
-1.2
-4.8
-3.7
0.7
-1.9
-5.4
-10.7
3.8
-3.8
2.8
-6.0
-5.5
6.6
-1.9
-0.3
-2.9
-6.1
-0.6
2005 f
-1.3
0.0
-1.2
---
3.1
-5.5
-3.7
f = forecast
---
2.3
--1.0
6.5
2.4
0.1
CIHI 2005.
108
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.1.2 — Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars (cont'd)
Drugs
Other Health Spending
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
E
Capital
Public Health Administration
Health
Research
Other
Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
F
G
H
(percentage distribution of $’ 000,000)
6.3
2.5
8.8
4.4
3.3
2.8
0.8
1.9
2.6
100.0
6.3
2.2
8.5
3.9
3.6
2.6
0.8
1.8
2.6
100.0
6.4
2.1
8.5
3.6
3.9
2.6
0.8
1.9
2.7
100.0
6.2
2.3
8.4
3.9
3.6
2.4
0.9
1.8
2.6
100.0
6.1
2.6
8.7
3.8
3.7
2.4
0.9
1.8
2.7
100.0
5.8
2.6
8.5
4.4
3.8
2.3
0.9
2.0
2.9
100.0
6.4
2.5
8.9
4.2
3.8
2.4
0.9
2.2
3.1
100.0
6.3
2.3
8.6
4.5
3.7
2.3
0.8
2.2
3.1
100.0
6.2
2.5
8.7
4.2
3.6
2.2
0.9
2.3
3.2
100.0
6.1
2.9
9.0
4.1
3.7
2.4
0.9
2.3
3.2
100.0
6.4
3.1
9.5
4.1
3.8
2.4
1.0
2.5
3.4
100.0
7.0
3.2
10.2
4.2
3.6
2.4
1.0
2.6
3.7
100.0
7.0
3.5
10.5
4.0
3.5
2.3
1.0
2.8
3.7
100.0
7.3
3.5
10.8
3.7
3.5
2.4
1.0
3.0
4.0
100.0
7.6
3.5
11.1
3.7
3.5
2.7
1.0
3.2
4.3
100.0
8.0
3.4
11.4
3.5
3.5
2.7
1.1
3.5
4.6
100.0
8.2
3.4
11.6
3.1
3.5
2.7
1.1
3.7
4.8
100.0
8.7
3.5
12.2
2.9
3.7
2.7
1.2
3.8
4.9
100.0
9.2
3.6
12.8
2.8
3.9
2.9
1.1
4.1
5.2
100.0
9.3
3.7
12.9
3.1
4.3
3.1
1.1
4.3
5.4
100.0
10.0
3.6
13.6
3.1
4.5
3.3
1.1
4.5
5.5
100.0
10.2
3.7
13.9
2.9
4.6
3.3
1.1
4.5
5.6
100.0
10.9
3.7
14.6
2.7
4.3
3.4
1.4
4.6
6.0
100.0
11.3
3.7
15.0
2.7
5.0
3.2
1.4
4.7
6.1
100.0
11.4
3.6
15.0
3.9
5.0
3.4
1.3
4.8
6.1
100.0
12.0
12.4
12.9
13.4
14.0
3.4
3.2
3.1
3.0
2.9
15.4
15.6
16.1
16.4
16.9
4.0
4.2
4.3
4.6
4.4
5.2
5.4
5.3
5.6
5.4
3.4
3.8
3.9
4.0
4.0
1.4
1.8
1.7
1.7
1.8
4.7
4.4
4.5
4.3
4.3
6.1
6.2
6.1
6.0
6.1
100.0
100.0
100.0
100.0
100.0
14.5
2.9
17.5
4.2
5.5
4.1
1.8
4.3
6.1
100.0
(annual percentage change)
---
---
---
---
---
---
-0.6
-10.2
---
---3.3
-11.9
---
--9.0
-8.5
-2.3
-1.4
-1.7
---
1.7
-6.6
-0.5
-5.8
6.6
2.6
11.7
2.9
5.4
---
-3.8
9.3
-0.5
7.7
-7.1
-10.0
5.0
-5.9
-2.6
---
-1.4
12.6
2.4
-3.7
2.5
-0.9
3.0
3.6
3.4
---
-4.0
1.7
-2.3
17.5
2.8
-2.5
0.3
7.6
5.2
---
9.6
-5.2
5.0
-4.8
1.0
4.6
-3.1
13.9
8.6
---
-2.0
-6.7
-3.3
7.2
-2.4
-6.2
-4.7
-0.7
-1.8
---
-1.0
6.9
1.1
-6.9
-2.4
-0.5
4.1
3.1
3.3
---
-0.8
15.9
4.0
-3.0
2.7
8.9
5.0
-0.1
1.3
---
4.9
7.7
5.8
1.2
1.6
-0.7
4.3
7.1
6.3
---
8.1
4.1
6.8
0.3
-4.8
-1.9
9.2
7.2
7.7
---
1.1
7.4
3.1
-3.8
-2.0
-4.7
-7.6
4.8
1.3
---
4.2
1.1
3.2
-6.7
-1.2
6.1
3.0
9.6
7.9
---
3.6
0.5
2.6
0.0
-0.7
13.0
5.4
7.4
6.9
---
5.1
-4.2
2.1
-6.7
0.6
-0.1
4.3
8.3
7.3
---
3.3
0.0
2.3
-12.1
-0.3
-1.1
-3.7
5.4
3.3
---
5.9
2.7
5.0
-3.6
6.4
-0.1
9.6
2.3
3.9
---
5.6
3.9
5.1
-4.4
6.0
7.8
-4.0
6.9
4.3
---
0.2
1.7
0.7
10.3
8.4
8.7
-0.8
6.9
5.3
---
8.0
-0.3
5.6
-1.8
4.8
4.3
-0.9
2.7
2.0
---
1.9
1.1
1.7
-5.4
1.6
0.6
0.0
0.1
---
7.0
-0.6
5.0
-6.4
-6.8
2.9
26.8
2.7
7.5
---
3.8
-0.2
2.8
1.6
17.8
2.4
-5.9
1.1
2.4
2.1
---
0.9
-1.3
0.4
41.9
-0.2
4.5
-8.3
2.0
-0.4
---
5.2
3.2
4.4
3.6
4.8
-6.2
-4.8
-2.8
-5.3
-2.4
2.5
1.4
2.9
1.8
3.5
3.8
4.4
1.9
6.0
-3.5
2.9
3.7
-1.5
6.2
-3.8
2.1
9.4
2.5
4.1
-1.3
12.3
24.3
-7.8
0.5
7.2
-2.0
-5.9
1.1
-2.6
-0.5
1.0
1.2
-1.5
-1.8
1.7
-----------
3.5
1.1
3.0
-4.1
1.7
2.1
1.4
-0.5
0.1
--CIHI 2005.
109
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.1.3 — Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars
Other Professionals
Hospitals Other Institutions
A
B
Physicians
Dental Services
Vision Care
Services
Other
C
Year
Sub-Total
D
($’ per capita)
1975
235.70
48.61
79.50
32.05
9.77
5.55
47.37
1976
271.10
58.36
88.32
37.06
11.09
6.20
54.36
1977
286.30
66.47
96.28
43.61
12.47
6.85
62.93
1978
308.05
77.28
107.11
49.71
14.02
7.78
71.51
1979
335.27
89.73
118.05
56.79
15.11
9.06
80.96
1980
380.75
103.59
134.10
64.94
16.90
10.42
92.25
1981
444.42
116.43
154.10
73.00
20.69
12.24
105.93
1982
521.26
134.76
176.01
82.52
24.28
14.23
121.03
1983
568.36
147.50
199.18
87.74
28.19
16.23
132.16
1984
599.23
152.91
215.79
93.81
32.39
17.66
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
716.52
163.68
277.62
121.12
40.67
23.98
185.77
1988
761.34
176.85
296.40
130.40
44.19
26.71
201.30
1989
816.30
188.45
311.81
140.04
47.74
30.56
218.34
1990
861.68
207.53
333.79
149.43
50.64
34.54
234.62
1991
917.41
226.36
364.07
159.37
52.97
38.63
250.97
1992
940.19
239.31
368.34
165.34
54.11
41.30
260.76
1993
932.45
236.99
366.05
171.78
55.33
42.55
269.66
1994
902.52
238.73
370.07
179.91
58.04
43.23
281.17
1995
1996
870.64
851.70
244.12
246.82
363.04
363.34
187.20
191.26
60.56
61.81
44.22
45.14
291.97
298.21
1997
861.83
254.01
373.73
197.14
73.17
51.60
321.90
1998
1999
899.16
929.17
264.44
283.20
388.50
402.04
208.19
222.82
75.45
77.17
50.67
56.74
334.31
356.73
2000
2001
2002
2003
2004 f
997.14
1,048.89
1,112.72
1,175.89
1,247.19
303.65
324.87
341.77
361.56
385.07
422.85
450.59
479.68
509.18
533.93
234.79
251.54
264.20
267.34
273.45
83.88
88.69
89.11
84.55
93.22
58.88
65.19
65.12
65.39
74.00
377.55
405.42
418.43
417.27
440.67
2005 f
1,316.95
411.86
564.00
301.42
94.18
76.20
471.79
(annual percentage change)
1975
---
---
---
---
---
---
---
---
1976
15.0
20.1
11.1
---
15.7
13.5
11.8
14.8
1977
5.6
13.9
9.0
---
17.7
12.4
10.4
15.8
1978
7.6
16.3
11.2
---
14.0
12.4
13.5
13.6
1979
8.8
16.1
10.2
---
14.2
7.8
16.5
13.2
1980
13.6
15.4
13.6
---
14.3
11.8
15.0
13.9
1981
16.7
12.4
14.9
---
12.4
22.4
17.5
14.8
1982
17.3
15.7
14.2
---
13.0
17.3
16.3
14.3
1983
9.0
9.5
13.2
---
6.3
16.1
14.1
9.2
1984
5.4
3.7
8.3
---
6.9
14.9
8.8
8.9
1985
5.0
3.9
8.4
---
11.8
10.6
8.8
11.2
1986
7.4
-1.4
9.3
---
8.1
7.2
12.1
8.4
1987
6.0
4.5
8.6
---
6.8
5.9
11.4
7.2
1988
6.3
8.0
6.8
---
7.7
8.7
11.4
8.4
1989
7.2
6.6
5.2
---
7.4
8.0
14.4
8.5
1990
5.6
10.1
7.0
---
6.7
6.1
13.0
1991
6.5
9.1
9.1
---
6.7
4.6
11.8
7.0
1992
2.5
5.7
1.2
---
3.7
2.2
6.9
3.9
1993
-0.8
-1.0
-0.6
---
3.9
2.3
3.0
3.4
1994
-3.2
0.7
1.1
---
4.7
4.9
1.6
4.3
1995
-3.5
2.3
-1.9
---
4.1
4.3
2.3
3.8
1996
-2.2
1.1
0.1
---
2.2
2.1
2.1
2.1
1997
1.2
2.9
2.9
---
3.1
18.4
14.3
7.9
1998
4.3
4.1
4.0
---
5.6
3.1
-1.8
3.9
1999
3.3
7.1
3.5
---
7.0
2.3
12.0
6.7
2000
7.3
7.2
5.2
---
5.4
8.7
3.8
5.8
2001
5.2
7.0
6.6
---
7.1
5.7
10.7
7.4
2002
6.1
5.2
6.5
---
5.0
0.5
-0.1
3.2
2003
5.7
5.8
6.1
---
1.2
-5.1
0.4
-0.3
2004 f
6.1
6.5
4.9
---
2.3
10.3
13.2
5.6
2005 f
5.6
7.0
5.6
---
10.2
1.0
3.0
7.1
f = forecast
7.5
CIHI 2005.
110
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.1.3 — Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars (cont'd)
Drugs
Other Health Spending
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
Capital
E
F
Public Health Administration
G
($’ per capita)
Health
Research
Other
Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
33.34
13.21
46.55
23.16
17.58
14.85
4.05
9.77
13.82
527.13
37.67
13.48
51.15
23.20
21.77
15.43
4.50
10.94
15.44
599.14
41.64
13.68
55.32
23.76
25.23
17.21
5.46
12.24
17.69
651.19
43.93
16.39
60.32
28.05
25.68
16.97
6.28
12.62
18.90
713.87
48.05
20.48
68.52
29.96
29.21
18.67
7.18
14.51
21.69
792.08
52.96
23.91
76.87
40.41
34.48
20.90
8.26
17.93
26.19
909.54
67.57
26.39
93.96
44.77
40.54
25.44
9.31
23.78
33.09
1,058.67
76.60
28.47
105.07
55.53
45.77
27.60
10.27
27.31
37.59
1,224.61
83.07
33.34
116.41
56.63
48.94
30.10
11.72
30.84
42.56
1,341.85
88.08
41.34
129.42
58.74
53.75
35.05
13.16
32.95
46.10
1,434.85
99.31
115.63
47.82
53.60
147.13
169.23
63.90
69.02
58.65
60.16
37.38
39.48
14.75
17.35
37.91
43.76
52.66
61.11
1,541.70
1,660.36
124.51
61.32
185.82
70.77
62.80
40.08
17.09
48.85
65.93
1,769.01
139.46
66.61
206.07
70.97
66.67
45.74
18.93
57.54
76.46
1,901.79
156.25
72.42
228.67
76.71
71.61
55.90
21.57
66.80
88.37
2,056.15
175.89
74.33
250.22
76.67
77.21
59.84
24.11
77.51
101.62
2,203.18
195.09
79.79
274.88
72.33
82.64
63.52
24.92
87.72
112.64
2,364.82
215.07
85.24
300.31
72.55
91.52
66.05
28.43
93.37
121.80
2,460.82
230.23
89.81
320.05
70.32
98.33
72.20
27.66
101.17
128.83
2,494.88
233.14
92.30
325.44
78.38
107.69
79.26
27.73
109.27
137.00
2,520.26
252.51
256.73
92.26
93.07
344.77
349.81
77.23
72.95
113.18
115.69
82.93
84.08
27.58
27.69
112.53
112.33
140.11
140.02
2,527.99
2,522.61
285.57
96.21
381.79
70.95
112.04
89.93
36.50
119.95
156.45
2,622.63
314.00
337.70
101.70
106.97
415.70
444.67
76.32
115.41
139.69
148.58
89.63
99.86
39.09
38.18
130.07
141.45
169.16
179.63
2,776.91
2,959.30
383.35
426.10
472.84
520.37
578.94
108.22
110.98
114.60
115.28
119.55
491.57
537.08
587.44
635.65
698.49
129.22
145.34
157.35
177.16
181.51
165.00
184.26
192.84
217.51
222.21
109.96
129.65
141.22
156.16
163.67
46.26
61.93
60.69
64.84
73.84
149.50
151.50
162.81
168.44
178.07
195.76
213.43
223.51
233.28
251.91
3,192.70
3,439.54
3,654.97
3,883.67
4,124.64
640.49
129.20
769.68
186.21
241.76
178.71
80.07
189.53
269.61
4,410.58
(annual percentage change)
--13.0
---
---
2.1
9.9
10.5
1.5
5.5
19.9
---
---
---
---
---
---
---
11.0
12.1
11.8
13.7
11.5
21.3
11.8
14.6
8.7
-1.4
15.1
3.2
6.8
9.6
0.2
23.9
4.0
8.1
2.4
15.8
9.0
18.1
1.8
9.4
24.9
13.6
6.8
13.8
10.0
14.3
15.0
14.8
11.0
10.2
16.8
12.2
34.9
18.0
11.9
15.1
23.5
20.7
14.8
27.6
10.3
22.2
10.8
17.6
21.8
12.7
32.6
26.4
16.4
13.4
7.9
11.8
24.0
12.9
8.5
10.3
14.9
13.6
15.7
8.4
17.1
10.8
2.0
6.9
9.1
14.1
12.9
13.2
9.6
6.0
24.0
11.2
3.7
9.8
16.4
12.3
6.8
8.3
6.9
12.7
15.7
13.7
8.8
9.1
6.6
12.1
15.1
14.2
16.4
12.1
15.0
8.0
2.6
5.6
17.6
15.4
16.0
7.7
7.7
14.4
9.8
2.5
4.4
1.5
-1.5
11.6
7.9
6.5
12.0
8.6
10.9
0.3
6.2
14.1
10.7
17.8
16.0
7.5
12.0
8.7
11.0
8.1
7.4
22.2
14.0
16.1
15.6
8.1
12.6
2.6
9.4
0.0
7.8
7.0
11.8
16.0
15.0
7.2
10.9
7.3
9.9
-5.7
7.0
6.2
3.4
13.2
10.8
7.3
10.2
6.8
9.3
0.3
10.7
4.0
14.1
6.4
8.1
4.1
7.1
5.4
6.6
-3.1
7.4
9.3
-2.7
8.4
5.8
1.4
1.3
2.8
1.7
11.5
9.5
9.8
0.2
8.0
6.3
1.0
8.3
0.0
5.9
-1.5
5.1
4.6
-0.5
3.0
2.3
0.3
7.4
1.7
0.9
1.5
-5.6
2.2
1.4
0.4
-0.2
-0.1
-0.2
11.2
3.4
9.1
-2.7
-3.2
7.0
31.8
6.8
11.7
4.0
10.0
5.7
8.9
7.6
24.7
-0.3
7.1
8.4
8.1
5.9
7.5
5.2
7.0
51.2
6.4
11.4
-2.3
8.7
6.2
6.6
13.5
1.2
10.5
12.0
11.0
10.1
21.2
5.7
9.0
11.2
2.5
9.3
12.5
11.7
17.9
33.9
1.3
9.0
7.7
11.0
3.3
9.4
8.3
4.7
8.9
-2.0
7.5
4.7
6.3
10.1
0.6
8.2
12.6
12.8
10.6
6.8
3.5
4.4
6.3
11.3
3.7
9.9
2.5
2.2
4.8
13.9
5.7
8.0
6.2
10.6
8.1
10.2
2.6
8.8
9.2
8.4
6.4
7.0
6.9
7.9
CIHI 2005.
111
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.2.1—Part 1
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars
Other Professionals
Hospitals Other Institutions
A
B
Physicians
Dental Services
Vision Care
Services
Other
C
Sub-Total
D
Year
($’ 000,000)
1975
318.1
328.4
26.8
685.3
190.3
81.7
957.2
1976
379.6
369.5
29.5
799.3
219.4
91.6
1,110.3
1977
420.1
401.8
32.3
950.9
251.0
102.0
1,303.9
1978
520.1
484.3
38.3
1,087.3
284.0
110.8
1,482.1
1979
626.5
590.3
52.6
1,230.7
307.8
130.3
1,668.8
1980
749.2
718.2
51.5
1,397.0
347.1
150.5
1,894.6
1981
903.4
743.2
49.7
1,533.4
434.9
177.0
2,145.2
1982
1,090.8
853.4
67.7
1,802.7
518.6
214.3
2,535.7
1983
1,243.1
947.2
79.4
1,965.1
609.3
247.7
2,822.1
1984
1,408.5
992.3
81.3
2,135.5
711.7
271.2
3,118.4
1985
1,522.6
1,039.4
83.6
2,435.8
795.5
281.8
3,513.0
1986
1,700.1
1,104.9
76.9
2,672.5
856.2
301.3
3,829.9
1987
1,796.9
1,197.1
76.6
2,917.3
918.3
358.0
4,193.6
1988
1,903.1
1,270.4
79.6
3,182.6
1,003.4
419.6
4,605.6
1989
2,001.1
1,312.8
84.0
3,470.4
1,096.7
492.2
5,059.3
1990
2,240.3
1,581.4
87.9
3,756.8
1,177.3
562.1
5,496.2
1991
1992
2,421.4
2,537.8
1,768.3
1,889.9
90.9
93.8
4,061.8
4,272.8
1,237.1
1,295.4
619.7
679.0
5,918.6
6,247.2
1993
2,670.0
2,012.9
97.3
4,500.9
1,376.0
732.6
6,609.5
1994
2,660.6
2,092.0
102.2
4,781.2
1,479.0
797.4
7,057.6
1995
2,382.0
2,112.6
109.1
5,060.2
1,581.3
838.9
7,480.5
1996
2,248.1
2,105.4
119.5
5,274.1
1,634.9
884.0
7,793.0
1997
2,327.8
2,132.1
121.3
5,514.8
1,974.7
1,068.8
8,558.2
1998
2,335.7
2,261.9
143.3
5,909.1
2,073.5
1,028.1
9,010.7
1999
2,476.9
2,422.1
153.0
6,378.9
2,130.0
1,184.1
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
2,925.6
2,793.5
148.5
7,361.2
2,513.3
1,450.8
11,325.2
2002
3,224.8
2,973.4
259.8
7,830.5
2,559.2
1,503.5
11,893.2
2003
3,319.6
3,156.4
196.8
8,024.1
2,438.7
1,532.1
11,994.9
2004 f
3,492.3
3,410.7
186.7
8,294.7
2,731.7
1,814.2
12,840.6
2005 f
3,699.2
3,721.8
200.4
9,242.2
2,766.4
1,879.3
13,887.9
(annual percentage change)
1975
---
---
---
---
---
---
---
---
1976
19.3
12.5
10.3
---
16.6
15.3
12.1
16.0
1977
10.7
8.7
9.4
---
19.0
14.4
11.4
17.4
1978
23.8
20.5
18.7
---
14.3
13.2
8.6
13.7
1979
20.5
21.9
37.1
---
13.2
8.3
17.6
12.6
1980
19.6
21.7
-2.0
---
13.5
12.8
15.5
13.5
1981
20.6
3.5
-3.5
---
9.8
25.3
17.6
13.2
1982
20.8
14.8
36.1
---
17.6
19.3
21.1
18.2
1983
14.0
11.0
17.3
---
9.0
17.5
15.6
11.3
1984
13.3
4.8
2.4
---
8.7
16.8
9.5
10.5
1985
8.1
4.8
2.9
---
14.1
11.8
3.9
12.7
1986
11.7
6.3
-8.0
---
9.7
7.6
6.9
9.0
1987
5.7
8.3
-0.4
---
9.2
7.3
18.8
9.5
1988
5.9
6.1
3.9
---
9.1
9.3
17.2
9.8
1989
5.2
3.3
5.5
---
9.0
9.3
17.3
9.9
1990
12.0
20.5
4.6
---
8.3
7.4
14.2
8.6
1991
8.1
11.8
3.5
---
8.1
5.1
10.3
7.7
1992
4.8
6.9
3.2
---
5.2
4.7
9.6
5.6
1993
5.2
6.5
3.7
---
5.3
6.2
7.9
5.8
1994
-0.4
3.9
5.1
---
6.2
7.5
8.8
6.8
1995
1996
1997
-10.5
-5.6
3.5
1.0
-0.3
1.3
6.7
9.5
1.6
-------
5.8
4.2
4.6
6.9
3.4
20.8
5.2
5.4
20.9
6.0
4.2
9.8
1998
0.3
6.1
18.1
---
7.2
5.0
-3.8
5.3
1999
6.0
7.1
6.7
---
7.9
2.7
15.2
7.6
2000
2001
2002
2003
2004 f
7.6
9.8
10.2
2.9
5.2
6.3
8.5
6.4
6.2
8.1
14.6
-15.3
75.0
-24.2
-5.1
-----------
6.3
8.5
6.4
2.5
3.4
10.1
7.1
1.8
-4.7
12.0
2.8
19.2
3.6
1.9
18.4
6.7
9.5
5.0
0.9
7.1
2005 f
5.9
9.1
7.3
---
11.4
1.3
3.6
f = forecast
8.2
CIHI 2005.
112
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.2.1 — Part 2
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars (cont'd)
Drugs
Other Health Spending
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
Capital
E
F
Public Health Administration
G
($’ 000,000)
Health
Research
Other
Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
613.1
305.6
918.7
159.6
---
72.2
23.4
94.7
118.2
2,899.2
667.6
316.0
983.6
177.1
---
62.0
29.5
91.4
120.9
3,232.6
721.4
324.5
1,045.9
178.3
---
90.2
36.4
96.6
132.9
3,605.4
724.7
392.8
1,117.6
217.4
---
86.2
43.2
77.1
120.3
4,066.3
776.5
495.5
1,272.0
177.3
---
100.1
50.3
79.5
129.8
4,617.4
833.3
586.3
1,419.6
355.4
---
117.1
63.0
87.8
150.8
5,456.5
1,110.2
655.0
1,765.2
379.3
---
186.5
66.4
95.2
161.6
6,334.1
1,240.5
715.0
1,955.5
489.1
---
146.6
73.8
99.7
173.4
7,312.3
1,289.8
845.9
2,135.6
371.4
---
172.7
82.1
105.0
187.2
7,958.6
1,312.7
1,058.6
2,371.3
364.3
---
250.3
91.2
108.6
199.9
8,786.3
1,447.7
1,235.9
2,683.6
414.4
---
269.2
102.8
118.2
221.0
9,746.9
1,698.8
1,399.0
3,097.9
449.9
---
296.4
119.7
133.0
252.7
10,808.7
1,800.4
1,621.7
3,422.2
480.7
---
280.4
136.1
149.9
286.0
11,733.5
2,034.0
1,784.9
3,818.9
351.0
---
426.3
164.1
177.4
341.5
12,796.4
2,292.0
1,975.6
4,267.7
390.4
---
660.2
196.1
212.9
408.9
14,184.3
2,593.9
2,058.7
4,652.5
383.4
---
665.4
226.2
243.8
470.0
15,577.1
2,861.9
3,192.3
2,236.6
2,418.1
5,098.5
5,610.4
341.7
363.1
-----
746.8
805.0
249.8
265.5
270.9
299.3
520.7
564.8
16,906.9
18,112.0
3,558.7
2,576.0
6,134.7
366.7
---
1,060.0
275.6
351.4
627.0
19,578.1
3,673.3
2,676.6
6,349.9
329.6
---
1,226.4
293.2
375.3
668.4
20,486.8
4,033.8
2,703.6
6,737.3
439.1
---
1,274.1
319.4
431.2
750.6
21,285.3
4,273.3
2,756.0
7,029.3
474.0
---
1,309.1
332.1
409.4
741.5
21,819.7
4,933.2
2,877.5
7,810.7
364.3
---
1,291.4
358.9
469.0
827.9
23,433.8
5,443.5
3,067.0
8,510.5
427.5
---
1,110.3
427.8
487.8
915.6
24,715.5
5,689.0
3,252.3
8,941.3
882.1
---
1,333.2
449.2
567.6
1,016.8
26,918.4
6,429.3
3,321.2
9,750.5
830.6
---
1,514.4
532.0
597.0
1,129.0
28,985.5
7,102.5
3,442.7
10,545.2
1,088.8
---
1,990.1
650.7
573.2
1,223.9
32,040.9
7,938.2
3,595.4
11,533.6
1,232.5
---
2,305.0
720.9
740.6
1,461.5
34,883.7
8,805.6
3,649.8
12,455.5
1,423.5
---
2,671.2
734.1
739.7
1,473.8
36,691.7
10,063.1
3,819.1
13,882.3
1,391.1
---
2,810.3
827.2
871.9
1,699.1
39,713.2
11,134.7
4,158.6
15,293.3
1,305.0
---
3,163.1
967.4
935.4
1,902.8
43,173.4
---
---
26.0
-3.6
2.3
11.5
(annual percentage change)
---
---
---
---
11.0
---
-14.1
0.7
---
45.4
23.3
5.7
10.0
11.5
21.9
---
-4.4
18.8
-20.2
-9.5
12.8
-18.4
---
16.2
16.4
3.1
7.9
13.6
11.6
100.4
---
17.0
25.4
10.4
16.2
18.2
11.7
24.3
6.7
---
59.2
5.4
8.5
7.2
16.1
11.7
9.2
10.8
29.0
---
-21.4
11.1
4.7
7.3
15.4
4.0
18.3
9.2
-24.1
---
17.8
11.4
5.4
7.9
8.8
1.8
25.2
11.0
-1.9
---
44.9
11.1
3.4
6.8
10.4
10.3
16.7
13.2
13.8
---
7.6
12.7
8.8
10.6
10.9
17.3
13.2
15.4
8.6
---
10.1
16.4
12.5
14.3
10.9
6.0
15.9
10.5
6.9
---
-5.4
13.7
12.7
13.2
8.6
13.0
10.1
11.6
-27.0
---
52.0
20.6
18.3
19.4
9.1
12.7
10.7
11.8
11.2
---
54.9
19.5
20.0
19.7
10.8
13.2
4.2
9.0
-1.8
---
0.8
15.4
14.5
14.9
9.8
10.3
8.6
9.6
-10.9
---
12.2
10.4
11.1
10.8
8.5
11.5
8.1
10.0
6.3
---
7.8
6.3
10.5
8.5
7.1
11.5
6.5
9.3
1.0
---
31.7
3.8
17.4
11.0
8.1
3.2
3.9
3.5
-10.1
---
15.7
6.4
6.8
6.6
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
6.6
9.0
17.3
---
-14.0
19.2
4.0
10.6
5.5
4.5
6.0
5.1
106.3
---
20.1
5.0
16.4
11.1
8.9
13.0
10.5
11.8
10.9
14.3
2.1
3.7
4.4
1.5
4.6
9.1
8.2
9.4
8.0
11.5
-5.8
31.1
13.2
15.5
-2.3
-----------
13.6
31.4
15.8
15.9
5.2
18.4
22.3
10.8
1.8
12.7
5.2
-4.0
29.2
-0.1
17.9
11.0
8.4
19.4
0.8
15.3
7.7
10.5
8.9
5.2
8.2
10.6
8.9
10.2
-6.2
---
12.6
17.0
7.3
12.0
8.9
---
---
3.4
7.1
8.1
2.7
6.3
0.5
21.1
6.9
7.1
26.2
13.8
7.3
18.3
33.2
---
---
8.7
CIHI 2005.
113
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.2.2—Part 1
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars
Other Professionals
Hospitals Other Institutions
Physicians
Dental Services
Vision Care
Services
Other
A
B
1975
11.0
11.3
0.9
23.6
6.6
2.8
33.0
1976
11.7
11.4
0.9
24.7
6.8
2.8
34.3
1977
11.7
11.1
0.9
26.4
7.0
2.8
36.2
1978
12.8
11.9
0.9
26.7
7.0
2.7
36.4
1979
13.6
12.8
1.1
26.7
6.7
2.8
36.1
1980
13.7
13.2
0.9
25.6
6.4
2.8
34.7
1981
14.3
11.7
0.8
24.2
6.9
2.8
33.9
1982
14.9
11.7
0.9
24.7
7.1
2.9
34.7
1983
15.6
11.9
1.0
24.7
7.7
3.1
35.5
1984
16.0
11.3
0.9
24.3
8.1
3.1
35.5
1985
15.6
10.7
0.9
25.0
8.2
2.9
36.0
1986
15.7
10.2
0.7
24.7
7.9
2.8
35.4
1987
15.3
10.2
0.7
24.9
7.8
3.1
35.7
1988
14.9
9.9
0.6
24.9
7.8
3.3
36.0
1989
14.1
9.3
0.6
24.5
7.7
3.5
35.7
1990
14.4
10.2
0.6
24.1
7.6
3.6
35.3
1991
14.3
10.5
0.5
24.0
7.3
3.7
35.0
1992
14.0
10.4
0.5
23.6
7.2
3.7
34.5
1993
13.6
10.3
0.5
23.0
7.0
3.7
33.8
1994
13.0
10.2
0.5
23.3
7.2
3.9
34.4
1995
11.2
9.9
0.5
23.8
7.4
3.9
35.1
1996
10.3
9.6
0.5
24.2
7.5
4.1
35.7
1997
9.9
9.1
0.5
23.5
8.4
4.6
36.5
1998
9.5
9.2
0.6
23.9
8.4
4.2
36.5
1999
9.2
9.0
0.6
23.7
7.9
4.4
36.0
2000
2001
2002
2003
2004 f
9.2
9.1
9.2
9.0
8.8
8.9
8.7
8.5
8.6
8.6
0.6
0.5
0.7
0.5
0.5
23.4
23.0
22.4
21.9
20.9
8.1
7.8
7.3
6.6
6.9
4.2
4.5
4.3
4.2
4.6
35.7
35.3
34.1
32.7
32.3
2005 f
8.6
8.6
0.5
21.4
6.4
4.4
32.2
Year
C
(percentage distribution of $’ 000,000)
Sub-Total
D
(annual percentage change)
1975
---
---
---
---
---
---
---
1976
7.0
0.9
-1.1
4.6
3.4
0.5
1977
-0.8
-2.5
-1.9
6.7
2.5
-0.1
1978
9.8
6.9
5.3
1.4
0.4
-3.7
0.8
1979
6.1
7.3
20.7
-0.3
-4.6
3.6
-0.8
1980
1.2
2.9
-17.0
-3.9
-4.6
-2.3
-3.9
1981
3.9
-10.9
-16.9
-5.4
7.9
1.3
-2.5
1982
4.6
-0.5
17.9
1.8
3.3
4.9
2.4
1983
4.7
2.0
7.8
0.2
7.9
6.2
2.3
1984
2.6
-5.1
-7.3
-1.6
5.8
-0.8
0.1
1985
-2.6
-5.6
-7.3
2.8
0.8
-6.3
1.6
1986
0.7
-4.1
-17.0
-1.1
-2.9
-3.6
-1.7
1987
-2.6
-0.2
-8.2
0.6
-1.2
9.4
0.9
1988
-2.9
-2.7
-4.8
0.0
0.2
7.5
0.7
1989
-5.1
-6.8
-4.8
-1.6
-1.4
5.8
-0.9
1990
1.9
9.7
-4.7
-1.4
-2.2
4.0
-1.1
1991
-0.4
3.0
-4.7
-0.4
-3.2
1.6
-0.8
1992
-2.2
-0.2
-3.7
-1.8
-2.2
2.3
-1.5
1993
-2.7
-1.5
-4.1
-2.6
-1.7
-0.2
-2.1
1994
-4.8
-0.7
0.4
1.5
2.7
4.0
2.0
1995
-13.8
-2.8
2.7
1.9
2.9
1.3
2.0
1996
-7.9
-2.8
6.8
1.7
0.9
2.8
1.6
1997
-3.6
-5.7
-5.4
-2.6
12.5
12.6
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 f
-0.1
-0.7
1.2
-2.1
-2.8
-1.3
-1.8
-2.2
0.9
-0.2
6.5
-23.4
60.7
-28.0
-12.3
-1.2
-1.8
-2.3
-2.6
-4.5
2.3
-3.1
-6.5
-9.4
3.5
-4.5
7.8
-4.8
-3.1
9.4
-0.9
-1.0
-3.5
-4.1
-1.1
2005 f
-2.6
0.4
-1.3
2.5
-6.8
-4.7
f = forecast
4.0
5.3
-0.5
CIHI 2005.
114
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.2.2 — Part 2
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars (cont'd)
Drugs
Other Health Spending
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
E
Capital
Public Health Administration
Health
Research
Other
Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
F
G
H
(percentage distribution of $’ 000,000)
21.1
10.5
31.7
5.5
---
2.5
0.8
3.3
4.1
100.0
20.7
9.8
30.4
5.5
---
1.9
0.9
2.8
3.7
100.0
20.0
9.0
29.0
4.9
---
2.5
1.0
2.7
3.7
100.0
17.8
9.7
27.5
5.3
---
2.1
1.1
1.9
3.0
100.0
16.8
10.7
27.5
3.8
---
2.2
1.1
1.7
2.8
100.0
15.3
10.7
26.0
6.5
---
2.1
1.2
1.6
2.8
100.0
17.5
10.3
27.9
6.0
---
2.9
1.0
1.5
2.6
100.0
17.0
9.8
26.7
6.7
---
2.0
1.0
1.4
2.4
100.0
16.2
10.6
26.8
4.7
---
2.2
1.0
1.3
2.4
100.0
14.9
12.0
27.0
4.1
---
2.8
1.0
1.2
2.3
100.0
14.9
12.7
27.5
4.3
---
2.8
1.1
1.2
2.3
100.0
15.7
12.9
28.7
4.2
---
2.7
1.1
1.2
2.3
100.0
15.3
13.8
29.2
4.1
---
2.4
1.2
1.3
2.4
100.0
15.9
13.9
29.8
2.7
---
3.3
1.3
1.4
2.7
100.0
16.2
13.9
30.1
2.8
---
4.7
1.4
1.5
2.9
100.0
16.7
13.2
29.9
2.5
---
4.3
1.5
1.6
3.0
100.0
16.9
13.2
30.2
2.0
---
4.4
1.5
1.6
3.1
100.0
17.6
13.4
31.0
2.0
---
4.4
1.5
1.7
3.1
100.0
18.2
13.2
31.3
1.9
---
5.4
1.4
1.8
3.2
100.0
17.9
13.1
31.0
1.6
---
6.0
1.4
1.8
3.3
100.0
19.0
12.7
31.7
2.1
---
6.0
1.5
2.0
3.5
100.0
19.6
12.6
32.2
2.2
---
6.0
1.5
1.9
3.4
100.0
21.1
12.3
33.3
1.6
---
5.5
1.5
2.0
3.5
100.0
22.0
12.4
34.4
1.7
---
4.5
1.7
2.0
3.7
100.0
21.1
12.1
33.2
3.3
---
5.0
1.7
2.1
3.8
100.0
22.2
22.2
22.8
24.0
25.3
11.5
10.7
10.3
9.9
9.6
33.6
32.9
33.1
33.9
35.0
2.9
3.4
3.5
3.9
3.5
-----------
5.2
6.2
6.6
7.3
7.1
1.8
2.0
2.1
2.0
2.1
2.1
1.8
2.1
2.0
2.2
3.9
3.8
4.2
4.0
4.3
100.0
100.0
100.0
100.0
100.0
25.8
9.6
35.4
3.0
---
7.3
2.2
2.2
4.4
100.0
(annual percentage change)
---
---
---
---
---
---
-2.4
-7.3
-4.0
-0.5
---
-23.0
13.0
---
-13.5
---
---8.3
-----
-3.1
-7.9
-4.7
-9.8
---
30.4
10.5
-5.2
-1.4
---
-10.9
7.3
-5.3
8.1
---
-15.3
5.3
-29.2
-19.8
---
-5.7
11.1
0.2
-28.2
---
2.3
2.5
-9.2
-5.0
-----
-9.2
0.1
-5.6
69.6
---
-1.0
6.1
-6.6
-1.7
14.8
-3.8
7.1
-8.1
---
37.2
-9.2
-6.5
-7.7
---
-3.2
-5.4
-4.0
11.7
---
-31.9
-3.8
-9.3
-7.1
---
-4.5
8.7
0.3
-30.2
---
8.2
2.3
-3.2
-0.8
---
-7.8
13.4
0.6
-11.2
---
31.3
0.6
-6.3
-3.3
---
-0.6
5.2
2.0
2.5
---
-3.0
1.6
-1.9
-0.3
---
5.8
2.1
4.1
-2.1
---
-0.7
4.9
1.5
3.1
---
-2.4
6.8
1.8
-1.6
---
-12.8
4.8
3.8
4.3
---
3.6
0.9
2.3
-33.0
---
39.4
10.6
8.5
9.5
---
1.7
-0.1
0.8
0.3
---
39.7
7.8
8.3
8.0
---
3.0
-5.1
-0.7
-10.6
---
-8.2
5.1
4.3
4.7
---
1.7
0.1
1.0
-17.9
---
3.4
1.7
2.4
2.1
---
4.1
0.9
2.7
-0.8
---
0.6
-0.8
3.2
1.3
---
3.1
-1.4
1.2
-6.6
---
21.8
-4.0
8.6
2.7
---
-1.4
-0.7
-1.1
-14.1
---
10.6
1.7
2.1
1.9
---
5.7
-2.8
2.1
28.2
---
0.0
4.9
10.6
8.1
---
3.3
-0.6
1.8
5.3
---
0.2
1.4
-7.4
-3.6
---
7.5
-2.8
3.5
-28.4
---
-8.1
0.6
6.7
4.0
---
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
---
5.0
-0.1
2.7
5.5
5.6
-5.2
-6.2
-4.1
-3.5
-3.3
1.3
-2.2
0.5
2.7
3.0
-12.6
18.6
4.0
9.8
-9.7
-----------
5.5
18.9
6.4
10.2
-2.8
10.0
10.6
1.8
-3.2
4.1
-2.3
-13.1
18.7
-5.0
8.9
3.1
-1.9
9.7
-4.1
6.5
-----------
1.8
0.2
1.3
-13.7
---
3.5
7.6
-1.3
3.0
--CIHI 2005.
115
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.2.3—Part 1
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars
Other Professionals
Hospitals Other Institutions
A
B
Physicians
Dental Services
Vision Care
Services
Other
C
Year
Sub-Total
D
($’ per capita)
1975
13.74
14.19
1.16
29.61
8.22
3.53
41.36
1976
16.19
15.76
1.26
34.09
9.36
3.90
47.35
1977
17.71
16.93
1.36
40.08
10.58
4.30
54.96
1978
21.70
20.21
1.60
45.37
11.85
4.62
61.85
1979
25.89
24.39
2.17
50.85
12.72
5.39
68.95
1980
30.56
29.29
2.10
56.98
14.16
6.14
77.28
1981
36.40
29.94
2.00
61.78
17.52
7.13
86.43
1982
43.43
33.98
2.69
71.77
20.65
8.53
100.95
1983
49.00
37.34
3.13
77.47
24.02
9.76
111.25
1984
55.00
38.75
3.17
83.39
27.79
10.59
121.78
1985
58.92
40.22
3.24
94.26
30.78
10.90
135.94
1986
65.14
42.33
2.95
102.39
32.80
11.54
146.73
1987
67.94
45.26
2.90
110.30
34.72
13.54
158.55
1988
71.02
47.41
2.97
118.78
37.45
15.66
171.88
1989
73.35
48.12
3.08
127.21
40.20
18.04
185.45
1990
80.88
57.09
3.17
135.64
42.51
20.29
198.44
1991
86.38
63.08
3.24
144.90
44.13
22.11
211.14
1992
89.46
66.62
3.31
150.63
45.67
23.94
220.23
1993
93.09
70.18
3.39
156.92
47.97
25.54
230.44
1994
91.75
72.14
3.52
164.88
51.00
27.50
243.37
1995
1996
81.29
75.92
72.10
71.10
3.72
4.03
172.69
178.11
53.96
55.21
28.63
29.85
255.29
263.18
1997
77.83
71.29
4.06
184.40
66.03
35.74
286.16
1998
77.45
75.00
4.75
195.95
68.76
34.09
298.79
1999
81.47
79.66
5.03
209.80
70.06
38.95
318.81
2000
2001
2002
2003
2004 f
86.83
94.31
102.79
104.85
109.32
83.87
90.05
94.78
99.70
106.76
5.71
4.79
8.28
6.22
5.85
221.04
237.29
249.60
253.44
259.65
76.45
81.02
81.57
77.03
85.51
39.66
46.77
47.93
48.39
56.79
337.15
365.08
379.10
378.86
401.94
2005 f
114.93
115.63
6.23
287.13
85.95
58.38
431.46
(annual percentage change)
1975
---
---
1976
17.8
11.1
8.8
15.1
13.8
10.6
14.5
1977
9.4
7.5
8.2
17.6
13.0
10.1
16.1
1978
22.6
19.3
17.5
13.2
12.1
7.5
12.5
1979
19.3
20.7
35.8
12.1
7.3
16.5
11.5
1980
18.0
20.1
-3.2
12.1
11.3
14.0
12.1
1981
19.1
2.2
-4.7
8.4
23.7
16.2
11.8
1982
19.3
13.5
34.5
16.2
17.9
19.6
16.8
1983
12.8
9.9
16.2
7.9
16.3
14.4
10.2
1984
12.2
3.8
1.4
7.7
15.7
8.5
9.5
1985
7.1
3.8
1.9
13.0
10.8
3.0
11.6
1986
10.6
5.2
-8.9
8.6
6.6
5.9
7.9
1987
4.3
6.9
-1.7
7.7
5.8
17.2
8.1
1988
4.5
4.8
2.5
7.7
7.9
15.7
8.4
1989
3.3
1.5
3.6
7.1
7.4
15.2
7.9
1990
10.3
18.7
3.1
6.6
5.7
12.5
7.0
1991
6.8
10.5
2.3
6.8
3.8
8.9
6.4
1992
---
---
---
---
---
3.6
5.6
2.0
4.0
3.5
8.3
4.3
1993
4.1
5.3
2.5
4.2
5.1
6.7
4.6
1994
-1.4
2.8
3.9
5.1
6.3
7.7
5.6
1995
-11.4
-0.1
5.6
4.7
5.8
4.1
4.9
1996
-6.6
-1.4
8.4
3.1
2.3
4.3
3.1
1997
2.5
0.3
0.6
3.5
19.6
19.7
8.7
1998
-0.5
5.2
17.1
6.3
4.1
-4.6
4.4
1999
5.2
6.2
5.9
7.1
1.9
14.2
6.7
2000
6.6
5.3
13.6
5.4
9.1
1.8
5.8
2001
8.6
7.4
-16.2
7.4
6.0
17.9
8.3
2002
9.0
5.2
73.0
5.2
0.7
2.5
3.8
2003
2.0
5.2
-24.9
1.5
-5.6
1.0
-0.1
2004 f
4.3
7.1
-6.0
2.4
11.0
17.4
6.1
2005 f
5.1
8.3
6.5
10.6
0.5
2.8
7.3
f = forecast
CIHI 2005.
116
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.2.3 — Part 2
Private Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars (cont'd)
Drugs
Other Health Spending
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
Capital
E
F
Public Health Administration
G
($’ per capita)
Health
Research
Other
Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
26.49
13.21
39.70
6.90
---
3.12
1.01
4.09
5.11
125.27
28.47
13.48
41.95
7.55
---
2.64
1.26
3.90
5.15
137.85
30.40
13.68
44.08
7.51
---
3.80
1.53
4.07
5.60
151.96
30.24
16.39
46.64
9.07
---
3.60
1.80
3.22
5.02
169.69
32.08
20.48
52.56
7.33
---
4.14
2.08
3.28
5.36
190.79
33.99
23.91
57.91
14.50
---
4.78
2.57
3.58
6.15
222.57
44.73
26.39
71.12
15.28
---
7.51
2.68
3.84
6.51
255.20
49.39
28.47
77.85
19.47
---
5.84
2.94
3.97
6.90
291.12
50.84
33.34
84.19
14.64
---
6.81
3.24
4.14
7.38
313.74
51.26
41.34
92.60
14.22
---
9.77
3.56
4.24
7.81
343.11
56.02
47.82
103.84
16.03
---
10.42
3.98
4.57
8.55
377.16
65.09
53.60
118.69
17.24
---
11.36
4.58
5.10
9.68
414.11
68.07
61.32
129.39
18.18
---
10.60
5.15
5.67
10.81
443.63
75.91
66.61
142.52
13.10
---
15.91
6.12
6.62
12.74
477.56
84.01
72.42
156.43
14.31
---
24.20
7.19
7.80
14.99
519.92
93.65
74.33
167.98
13.84
---
24.02
8.17
8.80
16.97
562.40
102.10
79.79
181.89
12.19
---
26.64
8.91
9.66
18.57
603.14
112.53
85.24
197.78
12.80
---
28.38
9.36
10.55
19.91
638.49
124.07
89.81
213.89
12.79
---
36.96
9.61
12.25
21.86
682.59
126.67
92.30
218.97
11.37
---
42.29
10.11
12.94
23.05
706.46
137.66
144.32
92.26
93.07
229.93
237.39
14.99
16.01
-----
43.48
44.21
10.90
11.22
14.72
13.82
25.62
25.04
726.40
736.88
164.95
96.21
261.16
12.18
---
43.18
12.00
15.68
27.68
783.55
180.51
101.70
282.21
14.18
---
36.82
14.19
16.17
30.36
819.56
187.12
106.97
294.08
29.01
---
43.85
14.78
18.67
33.44
885.36
209.50
228.96
253.03
278.13
315.00
108.22
110.98
114.60
115.28
119.55
317.72
339.94
367.63
393.41
434.55
27.07
35.10
39.29
44.96
43.54
-----------
49.35
64.15
73.47
84.37
87.97
17.34
20.98
22.98
23.19
25.89
19.45
18.48
23.61
23.36
27.29
36.79
39.45
46.58
46.55
53.19
944.49
1,032.87
1,111.92
1,158.91
1,243.12
345.92
129.20
475.12
40.54
---
98.27
30.06
29.06
59.11
1,341.28
---
(annual percentage change)
---
---
---
---
---
7.5
2.1
5.7
9.5
---
-15.2
24.3
-4.8
1.0
10.0
6.8
--1.5
--5.1
---0.5
---
43.7
21.9
4.4
8.7
10.2
-0.5
19.9
5.8
20.7
---
-5.4
17.6
-21.0
-10.4
11.7
6.1
24.9
12.7
-19.2
---
15.0
15.2
2.1
6.8
12.4
15.5
23.7
9.0
14.7
97.9
---
---
5.9
16.8
10.2
31.6
10.3
22.8
5.4
---
57.3
4.1
7.2
5.9
14.7
10.4
7.9
9.5
27.4
---
-22.3
9.8
3.4
6.0
14.1
16.7
2.9
17.1
8.1
-24.8
---
16.6
10.3
4.4
6.9
7.8
0.8
24.0
10.0
-2.8
---
43.5
10.0
2.5
5.8
9.4
9.3
15.7
12.1
12.7
---
6.6
11.7
7.8
9.6
9.9
16.2
12.1
14.3
7.5
---
9.0
15.2
11.4
13.2
9.8
4.6
14.4
9.0
5.4
---
-6.6
12.2
11.2
11.7
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
2.6
7.4
-3.3
---
-0.7
13.7
12.8
13.2
8.2
9.0
7.3
8.3
-11.9
---
10.9
9.1
9.8
9.4
10.2
6.8
8.7
5.0
---
6.5
5.0
9.2
7.2
5.9
10.3
5.4
8.1
-0.1
---
30.2
2.7
16.1
9.8
6.9
2.1
2.8
2.4
-11.1
---
14.4
5.2
5.6
5.4
3.5
8.7
0.0
5.0
31.8
---
2.8
7.8
13.7
11.1
2.8
1.4
7.2
4.8
0.9
3.2
6.8
---
1.7
2.9
-6.1
-2.2
14.3
3.4
10.0
-23.9
---
-2.3
7.0
13.4
10.5
6.3
9.4
5.7
8.1
16.4
---
-14.7
18.2
3.1
9.7
4.6
3.7
5.2
4.2
104.7
---
19.1
4.1
15.4
10.2
8.0
12.0
1.2
8.0
-6.7
---
12.5
17.3
4.2
10.0
6.7
9.4
9.3
2.5
7.0
29.7
---
30.0
21.0
-5.0
7.2
10.5
3.3
8.1
11.9
---
14.5
9.5
27.8
18.1
7.7
9.9
0.6
7.0
14.4
---
14.8
0.9
-1.0
-0.1
4.2
13.3
3.7
10.5
-3.2
---
4.3
11.7
16.8
14.3
7.3
9.8
8.1
9.3
-6.9
---
11.7
16.1
6.5
11.1
7.9
CIHI 2005.
117
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.3.1—Part 1
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars
Other Professionals
Hospitals Other Institutions
A
B
Physicians
Dental Services
Vision Care
Services
Other
C
Year
Sub-Total
D
($’ 000,000)
1975
5,136.8
796.6
1,813.2
56.4
35.9
46.7
139.0
1976
5,977.7
999.1
2,041.5
69.8
40.6
53.9
164.4
1977
6,372.7
1,175.2
2,252.1
83.7
44.9
60.5
189.1
1978
6,861.9
1,367.5
2,528.3
104.0
51.9
75.5
231.4
1979
7,487.6
1,581.4
2,804.5
143.8
58.0
88.9
290.7
1980
1981
8,585.2
10,127.4
1,821.5
2,146.7
3,236.0
3,775.1
194.9
278.4
67.2
78.7
104.9
126.7
367.1
483.9
1982
12,001.9
2,531.4
4,353.1
270.0
91.1
143.0
504.2
1983
13,174.5
2,794.4
4,973.3
260.7
105.7
164.0
530.3
1984
13,936.3
2,923.3
5,444.6
266.7
117.7
181.0
565.4
1985
14,737.7
3,066.5
5,962.1
275.5
130.4
214.6
620.5
1986
15,937.1
2,982.4
6,597.9
287.2
146.1
260.7
693.9
1987
17,154.2
3,132.1
7,266.2
286.3
157.3
276.4
719.9
1988
18,497.2
3,468.3
7,862.5
311.3
180.8
296.0
788.2
1989
20,269.0
3,828.5
8,422.7
350.3
205.6
341.5
897.4
1990
21,626.1
4,166.8
9,157.3
382.2
225.4
394.5
1,002.1
1991
23,294.9
4,576.9
10,114.5
405.7
247.7
463.0
1,116.4
1992
1993
24,132.6
24,074.4
4,898.5
4,784.4
10,354.7
10,401.6
417.4
426.1
239.6
211.0
492.6
487.7
1,149.6
1,124.8
1994
23,511.8
4,830.9
10,629.4
435.9
204.1
456.2
1,096.2
1995
23,129.6
5,040.7
10,528.9
425.0
193.1
456.7
1,074.9
1996
22,971.6
5,203.2
10,639.3
389.3
195.3
452.7
1,037.2
1997
1998
23,447.4
24,780.3
5,464.7
5,712.8
11,055.9
11,572.7
381.0
369.3
213.6
201.8
474.4
499.9
1,069.0
1,071.0
1999
25,773.4
6,188.3
12,070.6
395.7
216.3
541.1
1,153.2
2000
2001
2002
2003
2004 f
27,936.5
29,612.2
31,684.1
33,909.6
36,350.7
6,744.8
7,284.2
7,748.9
8,290.6
8,891.0
12,801.7
13,829.5
14,789.1
15,924.0
16,870.2
421.9
441.9
458.1
440.0
441.0
228.1
237.9
236.6
238.2
246.2
589.7
571.6
539.3
538.0
549.9
1,239.6
1,251.4
1,234.0
1,216.2
1,237.1
2005 f
38,691.0
9,535.3
17,953.9
459.9
264.9
573.5
1,298.4
(annual percentage change)
1975
---
---
---
---
---
---
---
1976
16.4
25.4
12.6
23.8
13.3
15.4
18.3
1977
6.6
17.6
10.3
19.9
10.4
12.3
15.0
1978
7.7
16.4
12.3
24.2
15.7
24.8
22.4
1979
9.1
15.6
10.9
38.4
11.7
17.7
25.6
1980
14.7
15.2
15.4
35.5
15.9
18.0
26.3
1981
18.0
17.9
16.7
42.8
17.1
20.8
31.8
1982
18.5
17.9
15.3
-3.0
15.7
12.9
4.2
1983
9.8
10.4
14.2
-3.5
16.0
14.7
5.2
1984
5.8
4.6
9.5
2.3
11.3
10.4
6.6
1985
5.8
4.9
9.5
3.3
10.8
18.5
9.7
1986
8.1
-2.7
10.7
4.2
12.0
21.5
11.8
1987
7.6
5.0
10.1
-0.3
7.7
6.0
3.8
1988
7.8
10.7
8.2
8.8
14.9
7.1
9.5
1989
9.6
10.4
7.1
12.5
13.7
15.4
13.9
1990
6.7
8.8
8.7
9.1
9.6
15.5
11.7
1991
7.7
9.8
10.5
6.1
9.9
17.4
11.4
1992
3.6
7.0
2.4
2.9
-3.3
6.4
3.0
1993
-0.2
-2.3
0.5
2.1
-11.9
-1.0
-2.2
1994
-2.3
1.0
2.2
2.3
-3.3
-6.5
-2.5
1995
1996
1997
-1.6
-0.7
2.1
4.3
3.2
5.0
-0.9
1.0
3.9
-2.5
-8.4
-2.1
-5.4
1.1
9.4
0.1
-0.9
4.8
-1.9
-3.5
3.1
1998
5.7
4.5
4.7
-3.1
-5.5
5.4
0.2
1999
4.0
8.3
4.3
7.1
7.2
8.3
7.7
2000
2001
2002
2003
2004 f
8.4
6.0
7.0
7.0
7.2
9.0
8.0
6.4
7.0
7.2
6.1
8.0
6.9
7.7
5.9
6.6
4.7
3.7
-4.0
0.2
5.4
4.3
-0.6
0.7
3.4
9.0
-3.1
-5.6
-0.2
2.2
7.5
1.0
-1.4
-1.4
1.7
2005 f
6.4
7.2
6.4
4.3
7.6
4.3
f = forecast
5.0
CIHI 2005.
118
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.3.1 — Part 2
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars (cont'd)
Drugs
Other Health Spending
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
Capital
E
F
Public Health Administration
G
($’ 000,000)
Health
Research
Other
Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
158.6
---
158.6
376.4
406.8
271.4
70.3
131.2
201.6
9,300.3
215.8
---
215.8
367.0
510.6
299.9
75.9
165.3
241.2
10,817.2
266.6
---
266.6
385.4
598.5
318.1
93.1
193.7
286.8
11,844.6
327.9
---
327.9
454.8
615.4
320.6
107.2
225.4
332.6
13,040.5
386.4
---
386.4
547.8
707.0
351.7
123.4
271.8
395.2
14,552.3
465.0
566.9
-----
465.0
566.9
635.3
731.9
845.4
1,006.1
395.2
445.0
139.5
164.7
351.8
495.0
491.3
659.7
16,841.8
19,942.6
683.6
---
683.6
905.7
1,149.7
546.6
184.2
586.4
770.6
23,446.8
817.4
---
817.4
1,065.2
1,241.4
590.9
215.1
677.4
892.5
26,080.0
942.8
---
942.8
1,139.8
1,376.5
647.3
245.7
735.1
980.8
27,956.9
1,118.7
---
1,118.7
1,236.9
1,515.7
696.8
278.4
861.6
1,140.0
30,094.9
1,319.2
---
1,319.2
1,351.5
1,570.2
734.2
333.2
1,009.1
1,342.3
32,528.6
1,492.7
---
1,492.7
1,391.1
1,661.0
779.6
315.9
1,142.0
1,457.9
35,054.7
1,702.8
---
1,702.8
1,550.7
1,786.6
799.2
343.0
1,364.3
1,707.3
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
---
2,278.0
1,740.3
2,138.5
991.9
441.5
1,903.1
2,344.6
45,445.5
2,606.7
---
2,606.7
1,685.8
2,316.5
1,033.6
448.9
2,188.0
2,636.8
49,382.2
2,908.5
3,044.9
-----
2,908.5
3,044.9
1,694.9
1,650.2
2,596.2
2,820.4
1,068.6
1,010.9
541.0
517.9
2,349.3
2,550.3
2,890.4
3,068.2
51,693.8
51,979.7
3,087.6
---
3,087.6
1,943.2
3,123.1
1,072.0
511.1
2,793.5
3,304.6
52,598.7
3,365.3
---
3,365.3
1,824.0
3,316.5
1,155.8
488.8
2,866.2
3,355.0
52,790.6
3,328.8
---
3,328.8
1,685.9
3,425.6
1,180.8
487.7
2,916.9
3,404.6
52,877.1
3,607.6
4,025.8
-----
3,607.6
4,025.8
1,757.6
1,874.0
3,350.8
4,212.8
1,398.1
1,592.8
732.8
751.0
3,118.3
3,434.9
3,851.1
4,185.9
55,002.3
59,028.1
4,578.3
---
4,578.3
2,626.8
4,517.6
1,703.0
711.7
3,732.9
4,444.6
63,055.8
5,335.3
6,115.6
6,896.1
7,669.6
8,431.9
-----------
5,335.3
6,115.6
6,896.1
7,669.6
8,431.9
3,134.9
3,419.9
3,703.9
4,185.5
4,407.5
5,063.6
5,716.1
6,049.8
6,886.6
7,098.8
1,860.3
2,031.8
2,125.6
2,273.0
2,418.4
887.6
1,270.4
1,183.2
1,318.8
1,531.6
3,991.0
4,126.6
4,367.3
4,593.2
4,816.9
4,878.7
5,397.1
5,550.6
5,912.0
6,348.5
68,995.3
74,657.9
79,782.2
86,267.2
92,054.0
9,481.4
---
9,481.4
4,688.7
7,781.9
2,589.4
1,610.0
5,165.3
6,775.4
98,795.3
(annual percentage change)
---
---
---
---
---
---
36.1
---
36.1
-2.5
25.5
10.5
---
23.5
---
23.5
5.0
17.2
6.1
22.6
17.2
18.9
9.5
23.0
---
23.0
18.0
2.8
0.8
15.2
16.3
16.0
10.1
17.8
---
17.8
20.4
14.9
9.7
15.1
20.6
18.8
11.6
20.3
---
20.3
16.0
19.6
12.4
13.1
29.4
24.3
15.7
21.9
---
21.9
15.2
19.0
12.6
18.1
40.7
34.3
18.4
20.6
---
20.6
23.7
14.3
22.8
11.8
18.5
16.8
17.6
19.6
---
19.6
17.6
8.0
8.1
16.8
15.5
15.8
11.2
15.4
---
15.4
7.0
10.9
9.5
14.2
8.5
9.9
7.2
18.7
---
18.7
8.5
10.1
7.6
13.3
17.2
16.2
7.6
17.9
---
17.9
9.3
3.6
5.4
19.7
17.1
17.7
8.1
13.2
---
13.2
2.9
5.8
6.2
-5.2
13.2
8.6
7.8
14.1
---
14.1
11.5
7.6
2.5
8.6
19.5
17.1
8.9
15.7
---
15.7
9.8
9.3
8.2
14.4
18.0
17.3
9.8
15.6
---
15.6
2.2
9.5
14.7
12.5
18.2
17.1
8.4
14.4
---
14.4
-3.1
8.3
4.2
1.7
15.0
12.5
8.7
11.6
---
11.6
0.5
12.1
3.4
20.5
7.4
9.6
4.7
4.7
---
4.7
-2.6
8.6
-5.4
-4.3
8.6
6.2
0.6
1.4
---
1.4
17.8
10.7
6.0
-1.3
9.5
7.7
1.2
9.0
-1.1
8.4
-------
9.0
-1.1
8.4
-6.1
-7.6
4.3
6.2
3.3
-2.2
7.8
2.2
18.4
-4.4
-0.2
50.2
2.6
1.8
6.9
1.5
1.5
13.1
0.4
0.2
4.0
11.6
---
11.6
6.6
25.7
13.9
2.5
10.2
8.7
7.3
13.7
---
13.7
40.2
7.2
6.9
-5.2
8.7
6.2
6.8
16.5
14.6
12.8
11.2
9.9
-----------
16.5
14.6
12.8
11.2
9.9
19.3
9.1
8.3
13.0
5.3
12.1
12.9
5.8
13.8
3.1
9.2
9.2
4.6
6.9
6.4
24.7
43.1
-6.9
11.5
16.1
6.9
3.4
5.8
5.2
4.9
9.8
10.6
2.8
6.5
7.4
9.4
8.2
6.9
8.1
6.7
12.4
---
12.4
6.4
9.6
7.1
5.1
7.2
6.7
8.0
---
---
---
25.9
19.7
16.3
7.3
CIHI 2005.
119
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.3.2—Part 1
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars
Other Professionals
Hospitals Other Institutions
Physicians
Dental Services
Vision Care
Services
Other
A
B
1975
55.2
8.6
19.5
0.6
0.4
0.5
1.5
1976
55.3
9.2
18.9
0.6
0.4
0.5
1.5
1977
53.8
9.9
19.0
0.7
0.4
0.5
1.6
1978
52.6
10.5
19.4
0.8
0.4
0.6
1.8
1979
51.5
10.9
19.3
1.0
0.4
0.6
2.0
1980
51.0
10.8
19.2
1.2
0.4
0.6
2.2
1981
50.8
10.8
18.9
1.4
0.4
0.6
2.4
1982
51.2
10.8
18.6
1.2
0.4
0.6
2.2
1983
50.5
10.7
19.1
1.0
0.4
0.6
2.0
1984
49.8
10.5
19.5
1.0
0.4
0.6
2.0
1985
49.0
10.2
19.8
0.9
0.4
0.7
2.1
1986
49.0
9.2
20.3
0.9
0.4
0.8
2.1
1987
48.9
8.9
20.7
0.8
0.4
0.8
2.1
1988
48.5
9.1
20.6
0.8
0.5
0.8
2.1
1989
48.4
9.1
20.1
0.8
0.5
0.8
2.1
1990
47.6
9.2
20.1
0.8
0.5
0.9
2.2
1991
47.2
9.3
20.5
0.8
0.5
0.9
2.3
1992
46.7
9.5
20.0
0.8
0.5
1.0
2.2
1993
46.3
9.2
20.0
0.8
0.4
0.9
2.2
1994
44.7
9.2
20.2
0.8
0.4
0.9
2.1
1995
43.8
9.5
19.9
0.8
0.4
0.9
2.0
1996
43.4
9.8
20.1
0.7
0.4
0.9
2.0
1997
42.6
9.9
20.1
0.7
0.4
0.9
1.9
1998
42.0
9.7
19.6
0.6
0.3
0.8
1.8
1999
40.9
9.8
19.1
0.6
0.3
0.9
1.8
2000
2001
2002
2003
2004 f
40.5
39.7
39.7
39.3
39.5
9.8
9.8
9.7
9.6
9.7
18.6
18.5
18.5
18.5
18.3
0.6
0.6
0.6
0.5
0.5
0.3
0.3
0.3
0.3
0.3
0.9
0.8
0.7
0.6
0.6
1.8
1.7
1.5
1.4
1.3
2005 f
39.2
9.7
18.2
0.5
0.3
0.6
1.3
Year
C
(percentage distribution of $’ 000,000)
Sub-Total
D
(annual percentage change)
1975
---
---
1976
--0.1
--7.8
---3.2
--6.4
-2.5
-0.8
---
1977
-2.6
7.4
0.7
9.5
0.8
2.5
5.1
1978
-2.2
5.7
2.0
12.8
5.1
13.3
11.1
1979
-2.2
3.6
-0.6
24.0
0.1
5.5
12.6
1980
-0.9
-0.5
-0.3
17.1
0.2
2.0
9.1
1981
-0.4
-0.5
-1.5
20.6
-1.1
2.0
11.3
-11.4
1.7
1982
0.8
0.3
-1.9
-17.5
-1.6
-4.0
1983
-1.3
-0.8
2.7
-13.2
4.3
3.1
-5.4
1984
-1.3
-2.4
2.1
-4.5
3.9
3.0
-0.5
1985
-1.8
-2.6
1.7
-4.0
3.0
10.1
1.9
1986
0.0
-10.0
2.4
-3.6
3.6
12.4
3.5
1987
-0.1
-2.6
2.2
-7.5
-0.1
-1.6
-3.7
1988
-1.0
1.7
-0.6
-0.1
5.6
-1.6
0.6
1989
-0.2
0.5
-2.5
2.4
3.6
5.1
3.7
1990
-1.6
0.4
0.3
0.6
1.1
6.5
3.0
1991
-0.9
1.1
1.6
-2.3
1.1
8.0
2.5
1992
-1.0
2.2
-2.2
-1.7
-7.6
1.6
-1.6
1993
-0.8
-2.9
-0.1
1.5
-12.4
-1.5
-2.7
1994
-3.5
-0.2
1.0
1.1
-4.4
-7.6
-3.7
1995
-2.0
4.0
-1.3
-2.9
-5.7
-0.3
-2.3
1996
-0.8
3.1
0.9
-8.6
0.9
-1.1
-3.7
1997
-1.9
1.0
-0.1
-5.9
5.2
0.7
-0.9
1998
-1.5
-2.6
-2.5
-9.7
-12.0
-1.8
-6.6
1999
-2.6
1.4
-2.4
0.3
0.3
1.3
0.8
2000
2001
2002
2003
2004 f
-0.9
-2.0
0.1
-1.0
0.5
-0.4
-0.2
-0.5
-1.1
0.5
-3.1
-0.2
0.1
-0.4
-0.7
-2.6
-3.2
-3.0
-11.2
-6.1
-3.6
-3.6
-7.0
-6.9
-3.1
-0.4
-10.4
-11.7
-7.7
-4.2
-1.8
-6.7
-7.7
-8.9
-4.7
2005 f
-0.8
-0.1
-0.8
-2.8
0.3
-2.8
f = forecast
-2.2
CIHI 2005.
120
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.3.2 — Part 2
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars (cont'd)
Other Health Spending
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
E
Capital
Public Health Administration
Health
Research
Other
Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
F
G
H
(percentage distribution of $’ 000,000)
1.7
---
1.7
4.0
4.4
2.9
0.8
1.4
2.2
100.0
2.0
---
2.0
3.4
4.7
2.8
0.7
1.5
2.2
100.0
2.3
---
2.3
3.3
5.1
2.7
0.8
1.6
2.4
100.0
2.5
---
2.5
3.5
4.7
2.5
0.8
1.7
2.6
100.0
2.7
---
2.7
3.8
4.9
2.4
0.8
1.9
2.7
100.0
2.8
---
2.8
3.8
5.0
2.3
0.8
2.1
2.9
100.0
2.8
---
2.8
3.7
5.0
2.2
0.8
2.5
3.3
100.0
2.9
---
2.9
3.9
4.9
2.3
0.8
2.5
3.3
100.0
3.1
---
3.1
4.1
4.8
2.3
0.8
2.6
3.4
100.0
3.4
---
3.4
4.1
4.9
2.3
0.9
2.6
3.5
100.0
3.7
---
3.7
4.1
5.0
2.3
0.9
2.9
3.8
100.0
4.1
---
4.1
4.2
4.8
2.3
1.0
3.1
4.1
100.0
4.3
---
4.3
4.0
4.7
2.2
0.9
3.3
4.2
100.0
4.5
---
4.5
4.1
4.7
2.1
0.9
3.6
4.5
100.0
4.7
---
4.7
4.1
4.7
2.1
0.9
3.8
4.8
100.0
5.0
---
5.0
3.8
4.7
2.2
1.0
4.2
5.2
100.0
5.3
---
5.3
3.4
4.7
2.1
0.9
4.4
5.3
100.0
5.6
---
5.6
3.3
5.0
2.1
1.0
4.5
5.6
100.0
5.9
---
5.9
3.2
5.4
1.9
1.0
4.9
5.9
100.0
5.9
---
5.9
3.7
5.9
2.0
1.0
5.3
6.3
100.0
6.4
---
6.4
3.5
6.3
2.2
0.9
5.4
6.4
100.0
6.3
---
6.3
3.2
6.5
2.2
0.9
5.5
6.4
100.0
6.6
---
6.6
3.2
6.1
2.5
1.3
5.7
7.0
100.0
6.8
---
6.8
3.2
7.1
2.7
1.3
5.8
7.1
100.0
7.3
---
7.3
4.2
7.2
2.7
1.1
5.9
7.0
100.0
7.7
8.2
8.6
8.9
9.2
-----------
7.7
8.2
8.6
8.9
9.2
4.5
4.6
4.6
4.9
4.8
7.3
7.7
7.6
8.0
7.7
2.7
2.7
2.7
2.6
2.6
1.3
1.7
1.5
1.5
1.7
5.8
5.5
5.5
5.3
5.2
7.1
7.2
7.0
6.9
6.9
100.0
100.0
100.0
100.0
100.0
9.6
---
9.6
4.7
7.9
2.6
1.6
5.2
6.9
100.0
(annual percentage change)
---
---
---
---
---
17.0
---
17.0
-16.2
---
--7.9
-5.0
-7.2
--8.3
--2.9
-----
12.8
---
12.8
-4.1
7.0
-3.1
11.9
7.0
8.6
---
11.7
---
11.7
7.2
-6.6
-8.5
4.6
5.7
5.3
---
5.6
---
5.6
7.9
2.9
-1.7
3.1
8.1
6.5
---
4.0
---
4.0
0.2
3.3
-2.9
-2.3
11.8
7.4
---
2.9
---
2.9
-2.7
0.5
-4.9
-0.3
18.8
13.4
---
2.6
---
2.6
5.2
-2.8
4.5
-4.9
0.8
-0.6
---
7.5
---
7.5
5.7
-2.9
-2.8
5.0
3.8
4.1
---
7.6
---
7.6
-0.2
3.4
2.2
6.5
1.2
2.5
---
10.2
---
10.2
0.8
2.3
0.0
5.3
8.9
8.0
---
9.1
---
9.1
1.1
-4.2
-2.5
10.7
8.4
8.9
---
5.0
---
5.0
-4.5
-1.8
-1.5
-12.0
5.0
0.8
---
4.8
---
4.8
2.4
-1.2
-5.8
-0.3
9.7
7.6
---
5.4
---
5.4
0.0
-0.4
-1.5
4.2
7.4
6.8
---
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
---
6.6
---
6.6
-4.0
7.1
-1.2
15.1
2.6
4.7
---
4.1
---
4.1
-3.2
8.0
-5.9
-4.8
8.0
5.6
---
0.2
---
0.2
16.4
9.4
4.8
-2.5
8.2
6.4
---
8.6
---
8.6
-6.5
5.8
7.4
-4.7
2.2
1.2
---
-1.2
---
-1.2
-7.7
3.1
2.0
-0.4
1.6
1.3
---
4.2
---
4.2
0.2
-6.0
13.8
44.4
2.8
8.7
---
4.0
---
4.0
-0.7
17.2
6.2
-4.5
2.6
1.3
---
6.5
---
6.5
31.2
0.4
0.1
-11.3
1.7
-0.6
---
6.5
5.9
5.5
2.9
3.0
-----------
6.5
5.9
5.5
2.9
3.0
9.1
0.8
1.3
4.5
-1.3
2.4
4.3
-1.0
5.3
-3.4
-0.2
0.9
-2.1
-1.1
-0.3
14.0
32.3
-12.8
3.1
8.8
-2.3
-4.4
-1.0
-2.7
-1.7
0.3
2.2
-3.8
-1.5
0.6
-----------
4.8
---
4.8
-0.9
2.1
-0.2
-2.1
-0.1
-0.6
--CIHI 2005.
121
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.3.3—Part 1
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars
Other Professionals
Hospitals Other Institutions
A
B
Physicians
Dental Services
Vision Care
Services
Other
C
Year
Sub-Total
D
($’ per capita)
1975
221.96
34.42
78.34
2.44
1.55
2.02
6.00
1976
254.91
42.61
87.06
2.98
1.73
2.30
7.01
1977
268.60
49.53
94.92
3.53
1.89
2.55
7.97
1978
286.35
57.07
105.51
4.34
2.17
3.15
9.66
1979
309.38
65.34
115.88
5.94
2.40
3.67
12.01
1980
350.19
74.30
131.99
7.95
2.74
4.28
14.97
1981
408.03
86.49
152.10
11.22
3.17
5.10
19.49
1982
477.83
100.78
173.31
10.75
3.63
5.69
20.07
1983
519.36
110.16
196.05
10.28
4.17
6.46
20.91
1984
544.22
114.16
212.62
10.42
4.59
7.07
22.08
1985
570.29
118.66
230.71
10.66
5.05
8.30
24.01
1986
610.59
114.26
252.78
11.00
5.60
9.99
26.58
1987
648.58
118.42
274.73
10.82
5.95
10.45
27.22
1988
690.31
129.44
293.43
11.62
6.75
11.05
29.41
1989
742.95
140.33
308.73
12.84
7.54
12.52
32.89
1990
780.79
150.44
330.62
13.80
8.14
14.24
36.18
1991
831.03
163.28
360.83
14.47
8.84
16.52
39.83
1992
850.73
172.68
365.03
14.71
8.45
17.37
40.53
1993
839.36
166.81
362.65
14.85
7.36
17.01
39.22
1994
810.77
166.59
366.54
15.03
7.04
15.73
37.80
1995
789.34
172.02
359.32
14.50
6.59
15.59
36.68
1996
775.78
175.72
359.30
13.15
6.59
15.29
35.03
1997
784.00
182.72
369.67
12.74
7.14
15.86
35.74
1998
821.71
189.44
383.75
12.25
6.69
16.58
35.52
1999
847.70
203.54
397.01
13.02
7.11
17.80
37.93
2000
2001
2002
2003
2004 f
910.31
954.58
1,009.93
1,071.04
1,137.87
219.78
234.81
247.00
261.86
278.31
417.14
445.81
471.40
502.96
528.08
13.75
14.25
14.60
13.90
13.81
7.43
7.67
7.54
7.52
7.71
19.21
18.43
17.19
16.99
17.21
40.39
40.34
39.33
38.41
38.72
2005 f
1,202.03
296.24
557.78
14.29
8.23
17.82
40.34
(annual percentage change)
1975
---
---
---
---
---
---
---
1976
14.8
23.8
11.1
22.2
11.9
13.9
16.7
1977
5.4
16.3
9.0
18.5
9.1
11.0
13.7
1978
6.6
15.2
11.2
23.0
14.6
23.5
21.2
1979
8.0
14.5
9.8
37.0
10.6
16.5
24.4
1980
13.2
13.7
13.9
33.8
14.4
16.5
24.7
1981
16.5
16.4
15.2
41.1
15.7
19.3
30.2
1982
17.1
16.5
13.9
-4.2
14.4
11.6
3.0
1983
8.7
9.3
13.1
-4.4
14.8
13.5
4.2
1984
4.8
3.6
8.4
1.4
10.3
9.3
5.6
1985
4.8
3.9
8.5
2.3
9.8
17.5
8.7
1986
7.1
-3.7
9.6
3.2
10.9
20.3
10.7
1987
6.2
3.6
8.7
-1.6
6.3
4.6
2.4
1988
6.4
9.3
6.8
7.4
13.4
5.7
8.1
1989
7.6
8.4
5.2
10.5
11.7
13.3
11.8
1990
5.1
7.2
7.1
7.5
8.0
13.8
10.0
1991
6.4
8.5
9.1
4.9
8.6
16.0
10.1
1992
2.4
5.8
1.2
1.7
-4.4
5.1
1.8
1993
-1.3
-3.4
-0.7
1.0
-12.9
-2.1
-3.2
1994
-3.4
-0.1
1.1
1.2
-4.3
-7.5
-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
1997
1.1
4.0
2.9
-3.1
8.3
3.7
2.0
1998
4.8
3.7
3.8
-3.9
-6.3
4.5
-0.6
1999
3.2
7.4
3.5
6.3
6.3
7.4
6.8
2000
7.4
8.0
5.1
5.6
4.5
8.0
6.5
2001
4.9
6.8
6.9
3.6
3.2
-4.1
-0.1
2002
5.8
5.2
5.7
2.5
-1.7
-6.7
-2.5
2003
6.1
6.0
6.7
-4.8
-0.2
-1.1
-2.3
2004 f
6.2
6.3
5.0
-0.7
2.4
1.3
0.8
2005 f
5.6
6.4
5.6
3.5
6.8
3.5
f = forecast
-4.5
4.2
CIHI 2005.
122
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table A.3.3.3 — Part 2
Public Sector Health Expenditure by Use of Funds, Canada, 1975 to 2005—Current Dollars (cont'd)
Other Health Spending
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Sub-Total
Capital
E
F
Public Health Administration
G
($’ per capita)
Health
Research
Other
Sub-Total
Grand Total
A+B+C+D
J +E+F+G+H+J
H
6.85
---
6.85
16.27
17.58
11.73
3.04
5.67
8.71
401.86
9.20
---
9.20
15.65
21.77
12.79
3.24
7.05
10.29
461.29
11.23
---
11.23
16.25
25.23
13.41
3.92
8.17
12.09
499.22
13.69
---
13.69
18.98
25.68
13.38
4.47
9.41
13.88
544.19
15.97
---
15.97
22.64
29.21
14.53
5.10
11.23
16.33
601.29
18.97
---
18.97
25.91
34.48
16.12
5.69
14.35
20.04
686.97
22.84
---
22.84
29.49
40.54
17.93
6.64
19.94
26.58
803.48
27.22
---
27.22
36.06
45.77
21.76
7.33
23.35
30.68
933.49
32.22
---
32.22
41.99
48.94
23.30
8.48
26.70
35.18
1,028.11
36.82
---
36.82
44.51
53.75
25.28
9.59
28.71
38.30
1,091.74
43.29
---
43.29
47.86
58.65
26.96
10.77
33.34
44.11
1,164.54
50.54
---
50.54
51.78
60.16
28.13
12.76
38.66
51.43
1,246.25
56.44
---
56.44
52.59
62.80
29.48
11.94
43.18
55.12
1,325.38
63.55
---
63.55
57.87
66.67
29.83
12.80
50.92
63.72
1,424.23
72.24
---
72.24
62.40
71.61
31.70
14.38
59.00
73.38
1,536.23
82.24
---
82.24
62.83
77.21
35.81
15.94
68.71
84.65
1,640.78
92.99
---
92.99
60.14
82.64
36.87
16.01
78.05
94.07
1,761.68
102.53
---
102.53
59.75
91.52
37.67
19.07
82.82
101.89
1,822.33
106.16
---
106.16
57.54
98.33
35.25
18.06
88.92
106.97
1,812.29
106.47
---
106.47
67.01
107.69
36.97
17.62
96.33
113.95
1,813.80
114.85
---
114.85
62.25
113.18
39.44
16.68
97.82
114.50
1,801.59
112.42
---
112.42
56.94
115.69
39.88
16.47
98.51
114.98
1,785.73
120.63
---
120.63
58.77
112.04
46.75
24.50
104.27
128.77
1,839.09
133.49
---
133.49
62.14
139.69
52.82
24.90
113.90
138.80
1,957.35
150.58
---
150.58
86.40
148.58
56.01
23.41
122.78
146.18
2,073.94
173.85
197.14
219.81
242.25
263.94
-----------
173.85
197.14
219.81
242.25
263.94
102.15
110.24
118.06
132.20
137.96
165.00
184.26
192.84
217.51
222.21
60.62
65.50
67.75
71.79
75.70
28.92
40.95
37.72
41.65
47.94
130.05
133.03
139.21
145.08
150.78
158.97
173.98
176.92
186.73
198.73
2,248.21
2,406.67
2,543.05
2,724.76
2,881.52
294.56
---
294.56
145.66
241.76
80.45
50.02
160.47
210.49
3,069.30
(annual percentage change)
---
---
---
---
---
34.3
---
34.3
-3.8
23.9
---
22.1
---
22.1
3.8
15.8
4.9
21.2
15.8
17.5
8.2
21.8
---
21.8
16.8
1.8
-0.2
14.1
15.2
14.8
9.0
16.7
---
16.7
19.3
13.8
8.6
13.9
19.4
17.6
10.5
18.8
---
18.8
14.5
18.0
10.9
11.6
27.8
22.7
14.2
20.4
---
20.4
13.8
17.6
11.2
16.6
39.0
32.6
17.0
19.2
---
19.2
22.3
12.9
21.4
10.5
17.1
15.4
16.2
18.4
---
18.4
16.5
6.9
7.0
15.6
14.4
14.7
10.1
14.3
---
14.3
6.0
9.8
8.5
13.1
7.5
8.9
6.2
17.6
---
17.6
7.5
9.1
6.7
12.3
16.1
15.2
6.7
16.8
---
16.8
8.2
2.6
4.3
18.5
16.0
16.6
7.0
11.7
---
11.7
1.6
4.4
4.8
-6.4
11.7
7.2
6.3
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
---
13.8
0.7
7.8
13.0
10.8
16.5
15.4
6.8
13.1
---
13.1
-4.3
7.0
3.0
0.5
13.6
11.1
7.4
10.3
---
10.3
-0.7
10.7
2.2
19.1
6.1
8.3
3.4
3.5
---
3.5
-3.7
7.4
-6.4
-5.3
7.4
5.0
-0.6
0.3
---
0.3
16.5
9.5
4.9
-2.4
8.3
6.5
0.1
7.9
---
7.9
-7.1
5.1
6.7
-5.4
1.5
0.5
-0.7
-2.1
---
9.1
--6.6
---
---
---
24.3
18.1
14.8
-2.1
-8.5
2.2
1.1
-1.3
0.7
0.4
-0.9
7.3
---
7.3
3.2
-3.2
17.2
48.8
5.8
12.0
3.0
10.7
---
10.7
5.7
24.7
13.0
1.6
9.2
7.8
6.4
12.8
---
12.8
39.0
6.4
6.1
-6.0
7.8
5.3
6.0
15.5
---
15.5
18.2
11.0
8.2
23.6
5.9
8.7
8.4
13.4
---
13.4
7.9
11.7
8.1
41.6
2.3
9.4
7.0
11.5
---
11.5
7.1
4.7
3.4
-7.9
4.6
1.7
5.7
10.2
---
10.2
12.0
12.8
6.0
10.4
4.2
5.5
7.1
9.0
---
9.0
4.4
2.2
5.4
15.1
3.9
6.4
5.8
11.6
---
11.6
5.6
8.8
6.3
4.3
6.4
5.9
6.5
CIHI 2005.
123
Series B
Total Health Expenditure by Source of
Finance, by Province/Territory and
Canada (Selected Tables)
125
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table B.1.1
Total Health Expenditure, by Province/Territory and Canada, 1975 to 2005—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Year
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
($’ 000,000)
1975
264.5
59.2
382.5
277.5
3,378.8
4,422.8
546.3
441.2
992.3
1,383.4
15.9
35.1
---
12,199.4
1976
312.8
62.9
442.2
321.9
3,875.2
5,040.8
629.4
520.3
1,158.9
1,628.3
18.1
39.0
---
14,049.8
1977
362.9
68.7
469.1
358.9
4,200.7
5,524.6
706.0
587.4
1,272.1
1,831.8
18.5
49.3
---
15,450.0
1978
412.7
79.5
512.5
404.7
4,666.6
6,071.9
749.0
622.4
1,465.4
2,044.4
21.3
56.5
---
17,106.8
1979
473.3
96.6
573.0
470.0
5,149.6
6,728.0
823.3
703.5
1,781.0
2,288.6
23.9
59.0
---
19,169.7
1980
528.4
122.3
657.2
562.5
5,886.5
7,634.1
971.4
815.7
2,153.1
2,880.0
26.1
61.1
---
22,298.4
1981
621.3
136.4
788.8
681.2
6,887.8
8,903.0
1,153.2
949.0
2,623.7
3,430.4
28.2
73.8
---
26,276.7
1982
701.2
152.4
919.1
819.3
7,890.5
10,445.2
1,332.1
1,130.0
3,351.7
3,870.2
37.1
110.4
---
30,759.1
1983
773.7
164.5
1,004.8
894.6
8,675.3
11,850.0
1,478.6
1,257.6
3,622.1
4,155.7
38.0
123.5
---
34,038.6
1984
751.7
171.0
1,125.3
975.1
9,313.7
13,086.0
1,592.0
1,371.3
3,764.2
4,428.9
37.9
125.8
---
36,743.1
1985
785.8
181.2
1,232.5
1,026.2
10,031.9
14,442.8
1,726.5
1,528.8
4,070.4
4,637.3
39.7
138.5
---
39,841.7
1986
812.5
187.6
1,376.9
1,091.1
10,537.4
16,097.2
1,889.7
1,703.6
4,448.5
4,983.3
42.6
166.9
---
43,337.3
1987
881.6
202.9
1,560.6
1,194.0
11,268.6
17,866.4
1,980.2
1,767.8
4,499.9
5,340.3
44.7
181.3
---
46,788.2
1988
930.9
219.5
1,585.2
1,291.5
12,279.2
19,819.8
2,069.6
1,837.6
4,830.6
5,838.3
45.8
211.2
---
50,959.2
1989
991.6
239.3
1,751.8
1,400.1
13,290.3
21,970.8
2,257.4
2,052.9
5,349.8
6,509.0
49.5
232.9
---
56,095.5
1990
1,096.4
256.2
1,866.9
1,533.5
14,311.5
23,799.1
2,484.3
2,252.2
5,749.4
7,372.6
53.6
246.8
---
61,022.6
1991
1,153.2
280.6
1,970.0
1,629.3
15,634.6
26,194.3
2,576.0
2,319.8
6,062.5
8,126.7
62.6
279.5
---
66,289.1
1992
1,197.4
295.0
2,031.6
1,699.8
16,376.1
27,631.8
2,701.9
2,325.4
6,430.7
8,769.1
67.5
279.6
---
69,805.7
1993
1,209.1
311.7
2,025.0
1,739.1
16,904.2
28,133.7
2,749.1
2,301.9
6,520.4
9,296.8
79.6
287.1
---
71,557.7
1994
1,247.9
313.3
2,021.4
1,791.6
17,311.6
28,773.5
2,802.0
2,382.4
6,305.7
9,756.5
93.2
286.2
---
73,085.4
1995
1,268.2
327.1
2,059.4
1,818.0
17,356.7
29,320.6
2,912.7
2,439.5
6,085.0
10,099.0
94.8
294.8
---
74,075.9
1996
1,251.9
338.8
2,086.9
1,812.4
16,966.5
29,705.7
2,968.9
2,487.3
6,312.9
10,364.2
109.4
291.9
---
74,696.8
1997
1,303.8
340.0
2,361.6
1,854.8
17,744.4
30,780.4
3,097.4
2,653.1
7,073.1
10,817.8
102.6
307.1
---
78,436.1
1998
1,432.3
358.6
2,541.9
1,917.9
18,896.2
33,101.7
3,288.6
2,773.3
7,607.7
11,394.2
103.6
327.5
---
83,743.6
1999
1,574.8
378.0
2,663.7
2,074.1
19,822.2
35,384.4
3,689.1
2,968.5
8,678.3
12,259.1
108.5
230.9
142.5
89,974.2
2000
1,683.3
401.6
2,811.8
2,218.6
21,281.2
38,928.7
4,052.7
3,147.7
9,602.5
13,345.6
123.4
215.3
168.3
97,980.8
2001
1,800.3
474.7
2,996.6
2,469.5
23,145.5
41,805.1
4,325.9
3,452.9
11,010.2
14,644.9
143.1
246.1
184.1
106,698.8
2002
2003
1,924.4
2,052.4
511.9
541.0
3,300.2
3,603.6
2,593.7
2,777.3
24,537.4
25,851.8
45,453.8
49,706.2
4,585.0
4,933.6
3,626.7
3,868.6
11,846.9
12,663.3
15,641.2
16,242.2
156.2
155.8
274.1
272.2
214.4
290.9
114,665.8
122,958.9
2004 f
2,165.9
551.4
3,900.2
3,012.6
27,801.3
53,179.7
5,258.5
4,103.0
13,985.0
17,050.3
174.2
286.2
298.8
131,767.2
2005 f
2,270.5
572.1
4,227.0
3,280.0
29,301.6
57,583.0
5,615.4
4,379.4
15,570.8
18,361.3
189.5
294.3
323.8
141,968.7
(annual percentage change)
1975
---
1976
18.3
1977
1978
---
---
---
---
---
---
---
---
---
---
---
---
---
6.2
15.6
16.0
14.7
14.0
15.2
17.9
16.8
17.7
13.6
11.3
---
15.2
16.0
9.3
6.1
11.5
8.4
9.6
12.2
12.9
9.8
12.5
2.4
26.3
---
10.0
13.7
15.7
9.2
12.8
11.1
9.9
6.1
6.0
15.2
11.6
15.4
14.6
---
10.7
1979
14.7
21.5
11.8
16.2
10.4
10.8
9.9
13.0
21.5
11.9
12.2
4.3
---
12.1
1980
11.6
26.6
14.7
19.7
14.3
13.5
18.0
16.0
20.9
25.8
9.0
3.6
---
16.3
1981
17.6
11.5
20.0
21.1
17.0
16.6
18.7
16.3
21.9
19.1
7.9
20.9
---
17.8
1982
12.9
11.7
16.5
20.3
14.6
17.3
15.5
19.1
27.7
12.8
31.9
49.5
---
17.1
1983
10.3
8.0
9.3
9.2
9.9
13.4
11.0
11.3
8.1
7.4
2.4
11.9
---
10.7
1984
-2.8
4.0
12.0
9.0
7.4
10.4
7.7
9.0
3.9
6.6
-0.4
1.8
---
7.9
1985
4.5
5.9
9.5
5.2
7.7
10.4
8.4
11.5
8.1
4.7
4.8
10.2
---
8.4
1986
3.4
3.5
11.7
6.3
5.0
11.5
9.5
11.4
9.3
7.5
7.2
20.5
---
8.8
1987
8.5
8.2
13.3
9.4
6.9
11.0
4.8
3.8
1.2
7.2
5.1
8.6
---
8.0
1988
5.6
8.2
1.6
8.2
9.0
10.9
4.5
4.0
7.3
9.3
2.3
16.5
---
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
7.5
13.3
8.2
6.0
1991
5.2
9.5
5.5
6.2
9.2
10.1
3.7
3.0
5.4
10.2
16.8
13.2
---
8.6
1992
3.8
5.1
3.1
4.3
4.7
5.5
4.9
0.2
6.1
7.9
7.9
0.1
---
5.3
1993
1.0
5.7
-0.3
2.3
3.2
1.8
1.7
-1.0
1.4
6.0
17.9
2.7
---
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
---
1.4
1996
-1.3
3.6
1.3
-0.3
-2.2
1.3
1.9
2.0
3.7
2.6
15.4
-1.0
---
1997
4.1
0.4
13.2
2.3
4.6
3.6
4.3
6.7
12.0
4.4
-6.2
5.2
---
5.0
1998
9.9
5.5
7.6
3.4
6.5
7.5
6.2
4.5
7.6
5.3
0.9
6.6
---
6.8
1999
10.0
5.4
4.8
8.1
4.9
6.9
12.2
7.0
14.1
7.6
4.8
-29.5
---
7.4
2000
6.9
6.2
5.6
7.0
7.4
10.0
9.9
6.0
10.6
8.9
13.7
-6.8
18.1
8.9
2001
6.9
18.2
6.6
11.3
8.8
7.4
6.7
9.7
14.7
9.7
15.9
14.3
9.4
2002
6.9
7.8
10.1
5.0
6.0
8.7
6.0
5.0
7.6
6.8
9.2
11.4
16.5
7.5
2003
6.7
5.7
9.2
7.1
5.4
9.4
7.6
6.7
6.9
3.8
-0.2
-0.7
35.7
7.2
2004 f
5.5
1.9
8.2
8.5
7.5
7.0
6.6
6.1
10.4
5.0
11.8
5.2
2.7
7.2
2005 f
4.8
3.8
8.4
8.9
5.4
8.3
6.8
6.7
11.3
7.7
8.8
2.8
8.4
f = forecast
9.7
---
8.8
0.8
8.9
7.7
CIHI 2005.
127
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table B.1.2
Total Health Expenditure, by Province/Territory and Canada, 1975 to 2005—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Year
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
Average
($’ per capita)
1975
475.29
502.62
462.74
409.87
533.75
531.61
533.03
480.92
548.65
553.44
726.48
818.67
---
527.13
1976
555.99
529.82
529.45
466.84
605.80
599.11
610.01
558.53
619.96
642.64
804.44
880.95
---
599.14
1977
641.93
572.56
558.65
515.80
653.12
649.52
680.14
621.68
653.15
712.85
810.18
1,103.96
---
651.19
1978
726.96
653.05
606.81
578.47
724.60
706.71
719.36
653.82
724.79
782.10
899.00
1,248.03
---
713.87
1979
830.23
785.24
674.68
668.42
796.36
776.66
793.65
733.14
849.06
859.40
998.00
1,289.33
---
792.08
1980
922.34
988.59
770.61
796.61
904.64
872.94
938.89
843.21
982.07
1,049.86
1,073.08
1,319.09
---
909.54
1981
1,080.88
1,102.17
923.01
964.41
1,051.94
1,010.40
1,112.70
972.49
1,143.63
1,214.75
1,177.79
1,552.38
---
1,058.67
1982
1,220.41
1,230.17
1,068.71
1,156.84
1,199.29
1,170.69
1,272.56
1,144.53
1,415.24
1,347.15
1,517.96
2,228.99
---
1,224.61
1983
1,334.99
1,311.30
1,156.08
1,250.58
1,313.98
1,310.60
1,393.48
1,255.25
1,515.28
1,430.31
1,611.11
2,420.07
---
1,341.85
1984
1,295.66
1,350.90
1,282.93
1,352.42
1,404.53
1,426.75
1,485.30
1,350.41
1,574.92
1,503.55
1,585.31
2,392.39
---
1,434.85
1985
1,356.50
1,419.40
1,392.54
1,418.05
1,505.01
1,553.40
1,595.25
1,490.78
1,693.92
1,559.13
1,630.07
2,546.73
---
1,541.70
1986
1,409.34
1,460.70
1,548.24
1,504.71
1,570.76
1,705.55
1,731.01
1,655.19
1,829.95
1,658.82
1,739.80
3,052.14
---
1,660.36
1987
1,532.79
1,578.34
1,746.68
1,640.40
1,661.41
1,852.54
1,803.40
1,711.73
1,847.76
1,750.82
1,741.02
3,293.37
---
1,769.01
1988
1,618.95
1,698.12
1,766.48
1,768.26
1,795.46
2,013.75
1,878.01
1,787.57
1,968.11
1,874.03
1,720.95
3,792.49
---
1,901.79
1989
1,720.39
1,840.01
1,938.19
1,904.32
1,918.16
2,173.70
2,045.59
2,014.15
2,143.98
2,035.41
1,826.71
4,084.51
---
2,056.15
1990
1,896.84
1,962.74
2,052.39
2,071.96
2,043.36
2,311.07
2,246.92
2,236.27
2,257.18
2,240.37
1,928.76
4,190.00
---
2,203.18
1991
1,989.99
2,153.50
2,152.81
2,185.39
2,213.09
2,511.89
2,321.53
2,313.60
2,338.38
2,409.00
2,164.74
4,586.61
---
2,364.82
1992
2,064.37
2,255.45
2,209.26
2,272.21
2,303.89
2,614.22
2,428.27
2,316.20
2,442.42
2,528.24
2,242.01
4,480.52
---
2,460.82
1993
2,084.83
2,358.94
2,191.52
2,322.46
2,362.48
2,632.17
2,459.81
2,286.26
2,444.45
2,606.03
2,622.42
4,517.40
---
2,494.88
1994
2,172.27
2,348.55
2,180.72
2,388.13
2,407.10
2,659.72
2,494.62
2,359.92
2,334.87
2,654.34
3,137.33
4,391.79
---
2,520.26
1995
2,234.86
2,433.70
2,218.76
2,420.84
2,404.16
2,677.68
2,579.55
2,405.56
2,225.27
2,673.80
3,115.33
4,428.49
---
2,527.99
1996
2,236.23
2,495.61
2,240.52
2,409.10
2,341.22
2,680.28
2,617.66
2,440.67
2,274.78
2,675.13
3,486.13
4,320.58
---
2,522.61
1997
2,366.13
2,498.01
2,532.61
2,464.74
2,439.22
2,741.32
2,726.28
2,605.99
2,499.27
2,739.70
3,227.27
4,533.25
---
2,622.63
1998
2,652.73
2,640.56
2,727.68
2,555.34
2,589.95
2,912.08
2,891.05
2,725.63
2,623.85
2,860.64
3,325.80
4,873.92
---
2,776.91
1999
2,952.37
2,773.45
2,852.42
2,763.16
2,706.72
3,075.20
3,229.01
2,925.47
2,938.56
3,056.12
3,526.37
5,679.85
5,314.50
2,959.30
2000
2001
3,187.85
3,448.88
2,942.62
3,473.35
3,010.88
3,213.88
2,956.15
3,293.21
2,892.64
3,129.04
3,331.40
3,513.73
3,532.15
3,757.46
3,123.41
3,452.40
3,195.56
3,601.93
3,304.02
3,590.81
4,057.97
4,748.60
5,315.89
6,028.54
6,120.55
6,546.49
3,192.70
3,439.54
2002
3,704.65
3,738.12
3,531.54
3,456.73
3,295.49
3,755.88
3,967.73
3,641.69
3,801.55
3,800.63
5,182.51
6,606.30
7,460.21
3,654.97
2003
2004 f
3,959.53
4,189.06
3,941.42
3,999.78
3,849.32
4,162.66
3,698.64
4,009.42
3,450.43
3,685.83
4,055.45
4,291.20
4,247.44
4,493.43
3,890.26
4,122.00
4,009.11
4,367.71
3,911.62
4,063.10
5,099.41
5,580.71
6,449.39
9,982.29
6,686.50 10,079.92
3,883.67
4,124.64
2005 f
4,400.54
4,132.44
4,502.39
4,364.11
3,878.06
4,595.23
4,789.65
4,399.26
4,819.99
4,316.58
6,051.70
6,826.72 10,741.92
4,410.58
(annual percentage change)
1975
---
1976
17.0
1977
1978
---
---
---
---
---
---
---
---
---
---
---
---
5.4
14.4
13.9
13.5
12.7
14.4
16.1
13.0
16.1
10.7
7.6
---
13.7
15.5
8.1
5.5
10.5
7.8
8.4
11.5
11.3
5.4
10.9
0.7
25.3
---
8.7
13.2
14.1
8.6
12.2
10.9
8.8
5.8
5.2
11.0
9.7
11.0
13.1
---
9.6
1979
14.2
20.2
11.2
15.6
9.9
9.9
10.3
12.1
17.1
9.9
11.0
3.3
---
11.0
1980
11.1
25.9
14.2
19.2
13.6
12.4
18.3
15.0
15.7
22.2
7.5
2.3
---
14.8
1981
17.2
11.5
19.8
21.1
16.3
15.7
18.5
15.3
16.5
15.7
9.8
17.7
---
16.4
1982
12.9
11.6
15.8
20.0
14.0
15.9
14.4
17.7
23.8
10.9
28.9
43.6
---
15.7
1983
9.4
6.6
8.2
8.1
9.6
12.0
9.5
9.7
7.1
6.2
6.1
8.6
---
9.6
1984
-2.9
3.0
11.0
8.1
6.9
8.9
6.6
7.6
3.9
5.1
-1.6
-1.1
---
6.9
1985
4.7
5.1
8.5
4.9
7.2
8.9
7.4
10.4
7.6
3.7
2.8
6.5
---
7.4
1986
3.9
2.9
11.2
6.1
4.4
9.8
8.5
11.0
8.0
6.4
6.7
19.8
---
7.7
1987
8.8
8.1
12.8
9.0
5.8
8.6
4.2
3.4
1.0
5.5
0.1
7.9
---
6.5
1988
5.6
7.6
1.1
7.8
8.1
8.7
4.1
4.4
6.5
7.0
-1.2
15.2
---
7.5
1989
6.3
8.4
9.7
7.7
6.8
7.9
8.9
12.7
8.9
8.6
6.1
7.7
---
8.1
1990
10.3
6.7
5.9
8.8
6.5
6.3
9.8
11.0
5.3
10.1
5.6
2.6
---
7.2
1991
4.9
9.7
4.9
5.5
8.3
8.7
3.3
3.5
3.6
7.5
12.2
9.5
---
7.3
1992
3.7
4.7
2.6
4.0
4.1
4.1
4.6
0.1
4.4
4.9
3.6
-2.3
---
4.1
1993
1.0
4.6
-0.8
2.2
2.5
0.7
1.3
-1.3
0.1
3.1
17.0
0.8
---
1.4
1994
4.2
-0.4
-0.5
2.8
1.9
1.0
1.4
3.2
-4.5
1.9
19.6
-2.8
---
1.0
1995
2.9
3.6
1.7
1.4
-0.1
0.7
3.4
1.9
-4.7
0.7
-0.7
0.8
---
0.3
1996
0.1
2.5
1.0
-0.5
-2.6
0.1
1.5
1.5
2.2
0.0
11.9
-2.4
---
-0.2
1997
5.8
0.1
13.0
2.3
4.2
2.3
4.1
6.8
9.9
2.4
-7.4
4.9
---
4.0
1998
12.1
5.7
7.7
3.7
6.2
6.2
6.0
4.6
5.0
4.4
3.1
7.5
---
5.9
1999
11.3
5.0
4.6
8.1
4.5
5.6
11.7
7.3
12.0
6.8
6.0
16.5
---
6.6
2000
2001
8.0
8.2
6.1
18.0
5.6
6.7
7.0
11.4
6.9
8.2
8.3
5.5
9.4
6.4
6.8
10.5
8.7
12.7
8.1
8.7
15.1
17.0
-6.4
13.4
15.2
7.0
7.9
7.7
2002
7.4
7.6
9.9
5.0
5.3
6.9
5.6
5.5
5.5
5.8
9.1
9.6
14.0
6.3
2003
6.9
5.4
9.0
7.0
4.7
8.0
7.0
6.8
5.5
2.9
-1.6
-2.4
33.8
6.3
2004 f
5.8
1.5
8.1
8.4
6.8
5.8
5.8
6.0
8.9
3.9
9.4
3.7
1.0
6.2
2005 f
5.0
3.3
8.2
8.8
5.2
7.1
6.6
6.7
10.4
6.2
8.4
2.1
6.6
6.9
f = forecast
---
CIHI 2005.
128
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table B.1.3
Total Health Expenditure as a Percent of (Provincial/Territorial) G.D.P., by Province/Territory and Canada,
1975 to 2005—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Year
Sask.
Alta.
B.C.
Y.T.
N.W.T
Canada
Average
Nun.
(percentage)
1975
---
---
---
---
---
---
---
---
---
---
---
---
---
7.0
1976
---
---
---
---
---
---
---
---
---
---
---
---
---
7.0
1977
---
---
---
---
---
---
---
---
---
---
---
---
---
7.0
1978
---
---
---
---
---
---
---
---
---
---
---
---
---
7.0
1979
---
---
---
---
---
---
---
---
---
---
---
---
---
6.8
1980
---
---
---
---
---
---
---
---
---
---
---
---
---
7.1
1981
12.1
12.8
9.9
10.7
8.6
6.8
8.5
6.4
4.9
7.6
5.9
7.4
---
7.3
1982
12.5
13.2
10.0
11.6
9.3
7.5
9.5
7.5
5.9
8.6
7.9
8.6
---
8.1
1983
12.9
12.1
9.7
11.1
9.4
7.7
9.8
7.9
6.2
8.8
8.6
8.6
---
8.3
1984
11.8
12.3
9.8
11.1
9.3
7.6
9.4
8.1
6.0
8.9
8.3
8.5
---
8.2
1985
11.8
12.5
9.9
10.9
9.3
7.6
9.3
8.5
6.1
8.7
8.2
8.4
---
8.2
1986
11.2
11.5
10.3
10.4
9.0
7.7
9.8
9.6
7.7
8.8
6.8
10.8
---
8.5
1987
11.4
11.7
10.8
10.3
8.8
7.7
9.7
9.7
7.5
8.5
5.1
10.8
---
8.4
1988
11.0
11.5
10.4
10.4
8.7
7.7
9.4
9.7
7.6
8.4
4.8
10.6
---
8.3
1989
11.0
11.6
10.7
10.7
9.0
7.9
9.7
10.3
7.9
8.6
4.9
10.9
---
8.5
1990
11.9
11.8
11.0
11.4
9.3
8.4
10.3
10.6
7.8
9.3
5.1
11.3
---
1991
12.0
12.4
11.2
11.9
10.1
9.3
10.7
10.8
8.3
9.9
6.6
12.8
---
9.7
1992
12.5
12.6
11.2
12.1
10.3
9.6
11.1
11.0
8.6
10.1
6.2
12.9
---
10.0
1993
12.4
12.6
11.0
11.8
10.4
9.6
11.2
10.0
8.0
9.9
9.0
12.7
---
9.8
1994
12.2
12.4
10.8
11.7
10.2
9.2
10.8
9.7
7.2
9.7
10.2
12.0
---
9.5
1995
11.9
12.3
10.7
11.1
9.8
8.9
10.8
9.2
6.6
9.6
9.1
12.3
---
9.1
1996
12.0
12.0
10.7
10.9
9.4
8.8
10.4
8.6
6.4
9.5
9.7
11.6
---
8.9
1997
12.4
12.1
11.6
11.0
9.4
8.6
10.4
9.1
6.6
9.5
9.3
11.4
---
8.9
1998
1999
12.8
12.9
12.0
12.0
11.9
11.6
10.9
10.9
9.6
9.4
8.8
8.7
10.6
11.5
9.4
9.6
7.1
7.4
9.9
10.1
9.5
10.0
12.3
10.1
--19.1
9.2
9.2
2000
12.1
11.9
11.4
11.0
9.5
8.8
11.9
9.3
6.6
10.2
10.4
8.6
20.2
9.1
2001
12.7
13.8
11.6
11.9
10.0
9.2
12.3
10.4
7.3
10.9
11.4
8.3
21.0
2002
11.6
13.7
12.1
12.3
10.1
9.5
12.4
10.5
7.9
11.3
12.3
9.1
22.8
9.9
2003
11.2
14.0
12.5
12.4
10.2
10.1
13.0
10.6
7.4
11.2
11.7
7.5
30.6
10.1
2004 f
11.1
13.8
13.0
12.9
10.4
10.3
13.1
10.1
7.5
10.9
12.2
6.8
29.2
10.2
2005 f
11.0
13.8
13.4
13.4
10.5
10.6
13.3
10.3
7.7
11.1
12.1
6.4
28.9
10.4
---
9.0
9.6
(annual percentage change)
1975
---
---
---
---
---
---
---
---
---
---
---
---
---
1976
---
---
---
---
---
---
---
---
---
---
---
---
---
0.0
1977
---
---
---
---
---
---
---
---
---
---
---
---
---
-0.5
1978
---
---
---
---
---
---
---
---
---
---
---
---
---
-0.2
1979
---
---
---
---
---
---
---
---
---
---
---
---
---
-1.8
1980
---
---
---
---
---
---
---
---
---
---
---
---
---
3.4
1981
---
---
---
---
---
---
---
---
---
---
---
---
---
3.1
10.8
12.0
17.2
20.1
12.4
33.1
16.8
---
11.1
1982
3.7
3.4
1.1
8.2
8.2
1983
3.4
-8.2
-3.1
-4.3
2.0
1.8
3.3
4.6
5.1
1.8
9.6
0.2
---
2.2
1984
-8.7
1.5
1.5
-0.5
-1.7
-1.2
-4.3
2.2
-2.6
1.5
-3.7
-1.7
---
-1.2
0.4
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
---
1986
-5.1
-8.2
3.3
-4.7
-3.7
1.1
5.3
12.4
25.9
1.7
-17.0
28.8
---
3.1
1987
1.3
1.5
5.3
-1.1
-2.5
0.3
-1.0
1.4
-2.4
-3.1
-25.4
0.6
---
-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
7.9
1.6
2.3
6.8
4.2
6.8
6.3
3.2
-1.2
7.9
4.6
3.8
---
5.2
1991
1.1
5.3
1.6
4.8
8.0
10.0
4.4
2.2
6.0
6.9
29.2
13.1
---
7.8
1992
4.2
1.1
0.6
1.4
2.6
4.2
3.1
1.1
3.2
1.2
-5.1
0.6
---
3.0
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
-3.5
-3.4
-3.1
-10.8
-1.8
13.4
-5.3
---
-3.7
1995
-2.1
-1.1
-1.4
-5.3
-3.6
-3.7
0.1
-5.1
-7.7
-1.5
-11.5
2.5
---
-3.6
1996
0.9
-2.3
0.2
-1.8
-4.0
-1.3
-3.3
-6.9
-3.2
-0.4
7.1
-5.9
---
-2.3
1997
3.0
1.2
8.4
1.0
0.2
-2.5
-0.3
5.9
3.2
-0.7
-4.4
-1.3
---
-0.5
1998
1999
3.5
0.9
-0.9
-0.5
2.4
-2.7
-1.2
0.1
2.2
-2.3
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
0.1
2000
-6.5
-0.3
-1.3
1.4
0.6
2.1
3.1
-3.5
-10.5
0.2
3.7
-15.0
5.8
2001
4.7
15.7
1.3
8.1
6.0
4.3
3.4
11.5
9.7
7.5
9.8
-3.6
4.1
5.8
2002
-8.5
-1.0
4.9
2.6
0.3
2.9
1.2
1.5
8.1
3.5
7.9
9.8
8.3
2.8
2003
-3.0
2.7
2.9
1.0
1.2
6.1
4.3
0.5
-5.7
-1.2
-4.5
-17.3
34.4
1.9
2004 f
-1.5
-1.7
4.2
4.2
2.2
2.2
0.6
-4.2
0.6
-2.4
4.2
-9.3
-4.5
1.0
2005 f
-0.2
-0.2
3.6
4.1
0.6
3.3
1.9
2.0
3.0
2.2
-0.8
-6.2
-1.1
2.3
f = forecast
-0.6
CIHI 2005.
129
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table B.2.1
Private Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2005—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Year
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
($’ 000,000)
1975
59.4
16.0
81.1
62.7
715.5
1,094.3
122.0
112.6
234.6
388.8
3.5
8.7
---
2,899.2
1976
86.9
15.6
100.8
67.5
755.0
1,205.4
129.7
126.5
260.4
471.2
4.3
9.3
---
3,232.6
1977
121.8
16.1
99.6
74.5
772.8
1,360.0
151.9
143.7
293.3
556.8
4.5
10.5
---
3,605.4
1978
146.3
20.9
109.5
91.1
843.2
1,596.7
160.0
144.6
337.7
599.9
4.8
11.7
---
4,066.3
1979
164.4
31.8
127.8
118.7
901.6
1,874.6
189.0
159.2
389.1
643.4
5.5
12.4
---
4,617.4
1980
178.6
47.1
147.8
147.2
1,089.0
2,126.9
232.3
167.2
493.1
807.9
6.1
13.2
---
5,456.5
1981
210.8
49.3
166.8
177.7
1,397.1
2,377.6
287.6
185.9
581.5
879.1
6.2
14.6
---
6,334.1
1982
218.4
50.4
199.2
210.1
1,528.6
2,834.2
315.1
204.1
786.9
943.1
6.8
15.4
---
7,312.3
1983
234.7
51.1
215.9
232.6
1,643.1
3,253.5
337.6
219.1
720.5
1,026.9
6.7
16.9
---
7,958.6
1984
191.8
49.9
248.5
265.6
1,827.6
3,624.8
367.8
258.6
767.5
1,159.2
6.9
18.1
---
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
169.6
49.6
353.7
285.9
2,486.1
4,367.1
463.9
377.7
910.6
1,317.2
5.6
21.7
---
10,808.7
1987
188.0
53.3
395.0
305.1
2,632.2
4,854.5
449.9
395.5
985.5
1,444.9
5.6
23.9
---
11,733.5
1988
197.1
56.5
420.3
330.5
2,850.8
5,321.9
435.4
369.3
1,184.9
1,597.1
5.2
27.3
---
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
220.6
70.0
490.4
397.4
3,497.4
6,466.2
533.2
460.1
1,422.5
1,986.0
5.0
28.4
---
15,577.1
1991
247.5
76.8
518.8
442.4
3,819.3
7,038.2
570.0
490.9
1,505.1
2,159.5
6.1
32.3
---
16,906.9
1992
269.1
85.8
554.5
466.7
4,141.5
7,573.7
602.6
505.8
1,584.2
2,291.2
6.9
29.7
---
18,112.0
1993
284.2
93.5
579.5
503.0
4,444.6
8,253.2
660.2
574.1
1,719.9
2,427.0
10.6
28.3
---
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
295.1
104.3
619.4
495.0
4,647.8
9,374.4
733.3
618.8
1,801.6
2,560.6
10.5
24.5
---
21,285.3
1996
277.5
105.8
648.6
487.1
4,711.9
9,613.7
783.6
625.0
1,846.4
2,675.5
18.1
26.6
---
21,819.7
1997
282.9
110.1
692.3
549.1
4,960.8
10,266.5
845.5
677.0
2,131.0
2,875.2
17.2
26.2
---
23,433.8
1998
324.5
113.1
755.1
547.3
4,984.4
11,035.4
900.0
669.8
2,253.8
3,089.7
16.2
26.2
---
24,715.5
1999
324.1
119.0
764.0
604.6
5,534.9
12,006.2
974.2
718.1
2,538.1
3,289.7
16.7
19.8
9.0
26,918.4
2000
364.6
123.5
843.4
638.7
5,890.3
12,927.7
1,047.4
766.5
2,809.6
3,519.7
24.5
20.4
9.2
28,985.5
2001
384.7
145.8
913.9
729.5
6,548.7
14,152.3
1,141.4
871.3
3,265.2
3,824.5
26.9
26.1
10.5
32,040.9
2002
414.0
145.1
1,031.6
760.9
7,067.6
15,735.6
1,219.0
901.2
3,376.5
4,159.6
33.3
28.9
10.5
34,883.7
2003
460.2
159.8
1,112.6
824.3
7,487.7
16,336.6
1,280.5
971.7
3,542.8
4,442.7
31.5
28.5
12.8
36,691.7
2004 f
510.2
162.0
1,214.4
917.7
8,181.2
17,431.7
1,391.6
1,016.9
3,845.7
4,962.2
35.4
30.3
13.7
39,713.2
2005 f
537.6
171.7
1,315.9
1,004.6
8,842.4
18,877.7
1,504.7
1,088.6
4,213.9
5,528.9
39.7
32.9
14.9
43,173.4
---
(annual percentage change)
1975
---
---
---
---
---
---
---
---
---
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
1977
40.2
3.3
-1.2
10.3
2.3
12.8
17.1
13.6
12.6
18.2
4.1
13.4
---
11.5
1978
20.1
29.6
9.9
22.3
9.1
17.4
5.4
0.6
15.2
7.7
5.7
11.1
---
12.8
1979
12.4
52.1
16.8
30.3
6.9
17.4
18.1
10.1
15.2
7.2
15.4
5.9
---
13.6
1980
8.6
48.2
15.6
24.0
20.8
13.5
22.9
5.0
26.7
25.6
11.5
6.4
---
18.2
1981
18.0
4.8
12.9
20.7
28.3
11.8
23.8
11.2
17.9
8.8
0.7
10.5
---
16.1
15.4
1982
3.6
2.2
---
---
---
---
19.4
18.2
9.4
19.2
9.6
9.8
35.3
7.3
9.7
5.7
---
1983
7.5
1.3
8.4
10.7
7.5
14.8
7.1
7.3
-8.4
8.9
-1.3
9.8
---
8.8
1984
-18.3
-2.3
15.1
14.2
11.2
11.4
8.9
18.1
6.5
12.9
3.1
7.2
---
10.4
1985
2.7
6.1
14.8
3.2
15.1
10.3
13.0
28.8
8.3
5.9
-1.2
8.3
---
10.9
1986
-13.9
-6.3
24.0
4.3
18.1
9.2
11.6
13.4
9.5
7.3
-17.3
10.5
---
10.9
1987
10.9
7.4
11.7
6.7
5.9
11.2
-3.0
4.7
8.2
9.7
0.4
10.0
---
8.6
1988
4.8
6.2
6.4
8.3
8.3
9.6
-3.2
-6.6
20.2
10.5
-7.5
14.4
---
9.1
1989
3.4
14.8
11.9
6.6
11.6
10.4
11.2
14.7
11.3
11.0
1.2
7.5
---
10.8
1990
8.2
7.7
4.3
12.8
9.9
10.0
10.1
8.6
7.9
12.0
-4.8
-3.3
---
9.8
1991
12.2
9.8
5.8
11.3
9.2
8.8
6.9
6.7
5.8
8.7
20.9
13.7
---
8.5
1992
8.7
11.6
6.9
5.5
8.4
7.6
5.7
3.0
5.3
6.1
14.1
-7.9
---
7.1
1993
5.6
9.0
4.5
7.8
7.3
9.0
9.6
13.5
8.6
5.9
52.5
-4.7
---
8.1
1994
5.5
3.0
5.0
3.3
4.3
5.4
4.0
5.1
3.4
3.8
-6.7
-6.1
---
4.6
1995
-1.6
8.3
1.8
-4.7
0.2
7.7
6.8
2.5
1.3
1.6
6.1
-7.8
---
3.9
1996
-6.0
1.4
4.7
-1.6
1.4
2.6
6.9
1.0
2.5
4.5
73.4
8.4
---
2.5
1997
2.0
4.1
6.7
12.7
5.3
6.8
7.9
8.3
15.4
7.5
-5.3
-1.5
---
7.4
1998
14.7
2.7
9.1
-0.3
0.5
7.5
6.4
-1.1
5.8
7.5
-5.4
0.0
---
5.5
1999
-0.1
5.2
1.2
10.5
11.0
8.8
8.2
7.2
12.6
6.5
2.9
-24.6
---
8.9
2000
12.5
3.8
10.4
5.6
6.4
7.7
7.5
6.7
10.7
7.0
46.9
3.0
2.3
7.7
2001
5.5
18.1
8.4
14.2
11.2
9.5
9.0
13.7
16.2
8.7
9.7
28.2
14.1
10.5
2002
7.6
-0.5
12.9
4.3
7.9
11.2
6.8
3.4
3.4
8.8
23.6
10.6
-0.2
8.9
2003
11.2
10.2
7.8
8.3
5.9
3.8
5.0
7.8
4.9
6.8
-5.4
-1.4
22.2
5.2
2004 f
10.9
1.3
9.2
11.3
9.3
6.7
8.7
4.7
8.5
11.7
12.5
6.7
7.2
8.2
2005 f
5.4
6.0
8.4
9.5
8.1
8.3
8.1
7.0
9.6
11.4
12.0
8.3
8.7
8.7
f = forecast
CIHI 2005.
131
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table B.2.2
Private Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2005—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Year
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
Average
($’ per capita )
1975
106.65
135.81
98.13
92.57
113.03
131.53
118.99
122.75
129.69
155.56
160.46
202.70
---
1976
154.40
131.42
120.69
97.96
118.03
143.27
125.66
135.75
139.32
185.95
192.59
209.75
---
125.27
137.85
1977
215.42
134.19
118.59
107.02
120.15
159.90
146.30
152.08
150.57
216.69
197.19
236.08
---
151.96
1978
257.68
171.57
129.63
130.17
130.92
185.85
153.65
151.90
167.03
229.50
200.49
258.67
---
169.69
1979
288.40
258.31
150.52
168.79
139.42
216.40
182.19
165.93
185.49
241.59
229.00
271.21
---
190.79
1980
311.79
380.69
173.28
208.52
167.36
243.21
224.54
172.83
224.89
294.53
251.86
284.92
---
222.57
1981
366.78
398.78
195.17
251.61
213.37
269.83
277.48
190.48
253.47
311.30
257.98
306.50
---
255.20
1982
380.15
407.15
231.63
296.65
232.33
317.65
301.03
206.74
332.28
328.28
276.32
311.09
---
291.12
1983
405.01
407.23
248.37
325.09
248.87
359.84
318.16
218.66
301.41
353.45
282.66
331.49
---
313.74
1984
330.61
394.19
283.28
368.32
275.61
395.21
343.13
254.68
321.10
393.53
287.69
344.96
---
343.11
1985
340.16
414.66
322.36
378.68
315.70
430.17
383.98
324.93
345.94
412.58
278.89
361.05
---
377.16
1986
294.15
386.13
397.71
394.24
370.59
462.71
424.97
366.97
374.58
438.48
229.51
396.69
---
414.11
1987
326.89
414.24
442.14
419.14
388.08
503.36
409.78
383.01
404.68
473.72
219.52
433.59
---
443.63
1988
342.81
437.42
468.32
452.46
416.85
540.72
395.06
359.28
482.78
512.66
196.03
490.09
---
477.56
1989
353.75
499.18
520.32
479.28
459.21
581.43
438.77
415.71
528.50
554.42
194.61
514.33
---
519.92
1990
381.55
535.91
539.08
536.96
499.35
627.92
482.25
456.84
558.47
603.48
180.81
481.64
---
562.40
1991
427.13
589.69
566.94
593.38
540.63
674.92
513.71
489.59
580.52
640.15
210.04
529.44
---
603.14
1992
463.99
655.88
603.05
623.91
582.66
716.54
541.56
503.84
601.71
660.58
230.03
476.22
---
638.49
1993
489.99
707.51
627.19
671.67
621.16
772.16
590.76
570.20
644.78
680.33
347.90
445.89
---
682.59
1994
521.82
722.12
656.25
692.35
644.78
804.41
611.07
597.86
658.34
685.34
331.74
408.36
---
706.46
1995
519.99
775.94
667.35
659.17
643.79
856.11
649.44
610.14
658.82
677.94
343.47
368.48
---
726.40
1996
495.64
779.25
696.40
647.44
650.19
867.42
690.93
613.28
665.33
690.57
577.74
393.42
---
736.88
1997
513.46
808.82
742.46
729.66
681.93
914.34
744.21
664.98
753.00
728.17
540.01
386.49
---
783.55
1998
601.01
832.78
810.28
729.20
683.17
970.82
791.23
658.30
777.31
775.70
521.26
389.81
---
819.56
1999
607.58
873.12
818.13
805.45
755.79
1,043.44
852.73
707.70
859.44
820.10
542.91
485.91
335.22
885.36
2000
690.56
904.73
903.16
850.98
800.64
1,106.31
912.83
760.56
934.98
871.40
806.83
502.48
334.32
944.49
2001
737.05
1,067.06
980.14
972.86
885.32
1,189.51
991.39
871.23
1,068.18
937.73
893.34
639.15
373.08
1,032.87
2002
796.97
1,059.60
1,103.95
1,014.04
949.21
1,300.24
1,054.89
904.96
1,083.48
1,010.73
1,104.14
695.78
364.19
1,111.92
2003
887.82
1,164.38
1,188.50
1,097.73
999.38
1,332.88
1,102.43
977.17
1,121.64
1,069.93
1,030.30
674.15
438.88
1,158.91
2004 f
986.70
1,174.75
1,296.16
1,221.37
1,084.65
1,406.61
1,189.13
1,021.65
1,201.07
1,182.49
1,134.43
708.90
462.58
1,243.12
2005 f
1,041.98
1,240.07
1,401.64
1,336.63
1,170.29
1,506.47
1,283.44
1,093.50
1,304.42
1,299.80
1,266.85
762.37
494.27
1,341.28
---
---
---
---
10.0
(annual percentage change)
1975
---
---
---
1976
44.8
-3.2
23.0
---
---
---
1977
39.5
2.1
1978
19.6
27.9
1979
11.9
50.6
16.1
29.7
6.5
1980
8.1
47.4
15.1
23.5
20.0
1981
17.6
4.8
12.6
20.7
27.5
10.9
1982
3.6
2.1
18.7
17.9
8.9
17.7
1983
6.5
0.0
7.2
9.6
7.1
13.3
1984
-18.4
-3.2
14.1
13.3
10.7
9.8
1985
2.9
5.2
13.8
2.8
14.5
1986
-13.5
-6.9
23.4
4.1
1987
11.1
7.3
11.2
6.3
1988
4.9
5.6
5.9
1989
3.2
14.1
11.1
1990
7.9
7.4
1991
11.9
1992
8.6
1993
5.6
1994
6.5
1995
1996
---
---
---
---
7.4
19.5
20.0
3.5
12.0
8.1
16.5
2.4
12.6
---
10.2
-0.1
10.9
5.9
1.7
9.6
---
11.7
18.6
9.2
11.1
5.3
14.2
4.8
---
12.4
23.2
4.2
21.2
21.9
10.0
5.1
---
16.7
10.2
12.7
5.7
2.4
7.6
---
14.7
8.5
8.5
31.1
5.5
7.1
1.5
---
14.1
5.7
5.8
-9.3
7.7
2.3
6.6
---
7.8
7.8
16.5
6.5
11.3
1.8
4.1
---
9.4
8.8
11.9
27.6
7.7
4.8
-3.1
4.7
---
9.9
17.4
7.6
10.7
12.9
8.3
6.3
-17.7
9.9
---
9.8
4.7
8.8
-3.6
4.4
8.0
8.0
-4.4
9.3
---
7.1
7.9
7.4
7.4
-3.6
-6.2
19.3
8.2
-10.7
13.0
---
7.6
5.9
10.2
7.5
11.1
15.7
9.5
8.1
-0.7
4.9
---
8.9
3.6
12.0
8.7
8.0
9.9
9.9
5.7
8.8
-7.1
-6.4
---
8.2
10.0
5.2
10.5
8.3
7.5
6.5
7.2
3.9
6.1
16.2
9.9
---
7.2
11.2
6.4
5.1
7.8
6.2
5.4
2.9
3.7
3.2
9.5
-10.1
---
5.9
7.9
4.0
7.7
6.6
7.8
9.1
13.2
7.2
3.0
51.2
-6.4
---
6.9
2.1
4.6
3.1
3.8
4.2
3.4
4.9
2.1
0.7
-4.6
-8.4
---
3.5
-0.4
7.5
1.7
-4.8
-0.2
6.4
6.3
2.1
0.1
-1.1
3.5
-9.8
---
2.8
-4.7
0.4
4.4
-1.8
1.0
1.3
6.4
0.5
1.0
1.9
68.2
6.8
---
1.4
1997
3.6
3.8
6.6
12.7
4.9
5.4
7.7
8.4
13.2
5.4
-6.5
-1.8
---
6.3
1998
17.1
3.0
9.1
-0.1
0.2
6.2
6.3
-1.0
3.2
6.5
-3.5
0.9
---
4.6
1999
1.1
4.8
1.0
10.5
10.6
7.5
7.8
7.5
10.6
5.7
4.2
24.7
---
8.0
2000
13.7
3.6
10.4
5.7
5.9
7.0
7.5
8.8
48.6
3.4
-0.3
2001
6.7
17.9
8.5
14.3
10.6
7.5
8.6
14.6
14.2
7.6
10.7
27.2
11.6
9.4
2002
8.1
-0.7
12.6
4.2
7.2
9.3
6.4
3.9
1.4
7.8
23.6
8.9
-2.4
7.7
2003
11.4
9.9
7.7
8.3
5.3
2.5
4.5
8.0
3.5
5.9
-6.7
-3.1
20.5
4.2
2004 f
11.1
0.9
9.1
11.3
8.5
5.5
7.9
4.6
7.1
10.5
10.1
5.2
5.4
7.3
2005 f
5.6
5.6
8.1
9.4
7.9
7.1
7.9
7.0
8.6
9.9
11.7
7.5
6.9
5.8
4.4
8.9
5.6
10.6
-1.7
9.3
1.8
11.6
16.4
9.3
21.6
9.0
16.2
5.0
16.4
12.4
23.6
6.0
f = forecast
---
6.3
6.7
7.9
CIHI 2005.
132
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table B.2.3
Private Sector Health Expenditure as a Proportion of Total Health Expenditure,
by Province/Territory and Canada, 1975 to 2005—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Year
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
Average
(percentage)
1975
22.4
27.0
21.2
22.6
21.2
24.7
22.3
25.5
23.6
28.1
22.1
24.8
---
23.8
1976
27.8
24.8
22.8
21.0
19.5
23.9
20.6
24.3
22.5
28.9
23.9
23.8
---
23.0
1977
33.6
23.4
21.2
20.7
18.4
24.6
21.5
24.5
23.1
30.4
24.3
21.4
---
23.3
1978
35.4
26.3
21.4
22.5
18.1
26.3
21.4
23.2
23.0
29.3
22.3
20.7
---
23.8
1979
34.7
32.9
22.3
25.3
17.5
27.9
23.0
22.6
21.8
28.1
22.9
21.0
---
24.1
1980
33.8
38.5
22.5
26.2
18.5
27.9
23.9
20.5
22.9
28.1
23.5
21.6
---
24.5
1981
33.9
36.2
21.1
26.1
20.3
26.7
24.9
19.6
22.2
25.6
21.9
19.7
---
24.1
1982
31.1
33.1
21.7
25.6
19.4
27.1
23.7
18.1
23.5
24.4
18.2
14.0
---
23.8
1983
30.3
31.1
21.5
26.0
18.9
27.5
22.8
17.4
19.9
24.7
17.5
13.7
---
23.4
1984
25.5
29.2
22.1
27.2
19.6
27.7
23.1
18.9
20.4
26.2
18.1
14.4
---
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
20.9
26.4
25.7
26.2
23.6
27.1
24.6
22.2
20.5
26.4
13.2
13.0
---
24.9
1987
21.3
26.2
25.3
25.6
23.4
27.2
22.7
22.4
21.9
27.1
12.6
13.2
---
25.1
1988
21.2
25.8
26.5
25.6
23.2
26.9
21.0
20.1
24.5
27.4
11.4
12.9
---
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
21.5
27.4
26.3
27.2
24.4
26.9
22.1
21.2
24.8
26.6
9.7
11.5
---
25.5
1992
22.5
29.1
27.3
27.5
25.3
27.4
22.3
21.8
24.6
26.1
10.3
10.6
---
25.9
1993
23.5
30.0
28.6
28.9
26.3
29.3
24.0
24.9
26.4
26.1
13.3
9.9
---
27.4
1994
24.0
30.7
30.1
29.0
26.8
30.2
24.5
25.3
28.2
25.8
10.6
9.3
---
28.0
1995
23.3
31.9
30.1
27.2
26.8
32.0
25.2
25.4
29.6
25.4
11.0
8.3
---
28.7
1996
22.2
31.2
31.1
26.9
27.8
32.4
26.4
25.1
29.2
25.8
16.6
9.1
---
29.2
1997
21.7
32.4
29.3
29.6
28.0
33.4
27.3
25.5
30.1
26.6
16.7
8.5
---
29.9
1998
22.7
31.5
29.7
28.5
26.4
33.3
27.4
24.2
29.6
27.1
15.7
8.0
---
29.5
1999
20.6
31.5
28.7
29.1
27.9
33.9
26.4
24.2
29.2
26.8
15.4
8.6
6.3
29.9
2000
21.7
30.7
30.0
28.8
27.7
33.2
25.8
24.4
29.3
26.4
19.9
9.5
5.5
29.6
2001
21.4
30.7
30.5
29.5
28.3
33.9
26.4
25.2
29.7
26.1
18.8
10.6
5.7
30.0
2002
21.5
28.3
31.3
29.3
28.8
34.6
26.6
24.8
28.5
26.6
21.3
10.5
4.9
30.4
2003
22.4
29.5
30.9
29.7
29.0
32.9
26.0
25.1
28.0
27.4
20.2
10.5
4.4
29.8
2004 f
23.6
29.4
31.1
30.5
29.4
32.8
26.5
24.8
27.5
29.1
20.3
10.6
4.6
30.1
2005 f
23.7
30.0
31.1
30.6
30.2
32.8
26.8
24.9
27.1
30.1
20.9
11.2
4.6
30.4
---
---
(annual percentage change)
1975
---
---
---
---
---
---
---
---
---
---
---
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
1977
20.8
-5.5
-6.9
-1.1
-5.6
2.9
4.4
0.7
2.6
5.1
1.7
-10.2
---
1.4
1978
5.6
12.1
0.6
8.5
-1.8
6.8
-0.7
-5.0
0.0
-3.5
-8.4
-3.1
---
1.9
1979
-2.0
25.2
4.4
12.2
-3.1
6.0
7.5
-2.6
-5.2
-4.2
2.9
1.5
---
1.3
1980
-2.7
17.1
0.8
3.7
5.7
0.0
4.2
-9.4
4.8
-0.2
2.3
2.7
---
1.6
1981
0.4
-6.0
-6.0
-0.3
9.6
-4.1
4.3
-4.4
-3.2
-8.7
-6.7
-8.6
---
-1.5
1982
-8.2
-8.5
2.5
-1.7
-4.5
1.6
-5.1
-7.8
5.9
-4.9
-16.9
-29.3
---
-1.4
1983
-2.6
-6.2
-0.9
1.4
-2.2
1.2
-3.5
-3.6
-15.3
1.4
-3.6
-1.9
---
-1.6
1984
-15.9
-6.0
2.8
4.8
3.6
0.9
1.2
8.3
2.5
5.9
3.4
5.3
---
2.3
1985
-1.7
0.1
4.8
-1.9
6.9
0.0
4.2
15.6
0.2
1.1
-5.7
-1.7
---
2.3
1986
-16.8
-9.5
11.0
-1.9
12.5
-2.0
2.0
1.7
0.2
-0.1
-22.9
-8.3
---
1.9
1987
2.2
-0.7
-1.5
-2.5
-1.0
0.2
-7.4
0.9
7.0
2.4
-4.4
1.3
---
0.5
1988
-0.7
-1.9
4.7
0.1
-0.6
-1.2
-7.4
-10.2
12.0
1.1
-9.7
-1.8
---
0.1
1989
-2.9
5.3
1.3
-1.6
3.1
-0.4
2.0
2.7
0.5
-0.4
-6.5
-2.6
---
0.7
1990
-2.2
0.6
-2.2
3.0
2.1
1.6
0.1
-1.0
0.4
-1.1
-12.0
-8.7
---
1.0
1991
6.7
0.3
0.3
4.8
0.0
-1.1
3.1
3.6
0.3
-1.3
3.5
0.4
---
-0.1
1992
4.7
6.2
3.6
1.1
3.5
2.0
0.8
2.8
-0.8
-1.7
5.7
-7.9
---
1.7
1993
4.6
3.1
4.8
5.3
4.0
7.0
7.7
14.7
7.1
-0.1
29.3
-7.1
---
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
-3.1
3.7
-0.1
-6.1
0.0
5.7
2.8
0.1
5.0
-1.8
4.3
-10.5
---
2.5
1996
-4.7
-2.1
3.3
-1.3
3.7
1.2
4.8
-0.9
-1.2
1.8
50.3
9.4
---
1.7
1997
-2.1
3.7
-5.7
10.2
0.7
3.1
3.4
1.6
3.0
3.0
1.0
-6.4
---
2.3
1998
4.4
-2.6
1.3
-3.6
-5.6
0.0
0.3
-5.4
-1.7
2.0
-6.3
-6.2
---
-1.2
1999
-9.2
-0.2
-3.4
2.1
5.9
1.8
-3.5
0.2
-1.3
-1.0
-1.8
7.0
---
1.4
2000
5.3
-2.3
4.6
-1.2
-0.9
-2.1
-2.1
0.7
0.0
-1.7
29.1
10.5
-13.4
-1.1
2001
-1.3
-0.1
1.7
2.6
2.2
1.9
2.1
3.6
1.4
-1.0
-5.4
12.2
4.3
1.5
2002
0.7
-7.7
2.5
-0.7
1.8
2.3
0.8
-1.5
-3.9
1.8
13.2
-0.7
-14.3
1.3
2003
4.2
4.2
-1.2
1.2
0.6
-5.1
-2.4
1.1
-1.8
2.9
-5.2
-0.8
-9.9
-1.9
2004 f
5.0
-0.6
0.8
2.6
1.6
-0.3
2.0
-1.3
-1.7
6.4
0.6
1.4
4.4
1.0
2005 f
0.5
2.2
0.0
0.5
2.5
0.0
1.3
0.3
-1.6
3.5
3.0
5.3
0.3
0.9
f = forecast
CIHI 2005.
133
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table B.3.1
Public Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2005—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Year
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
($’ 000,000)
1975
205.1
43.2
301.4
214.8
2,663.2
3,328.5
424.4
328.6
757.8
994.5
12.4
26.4
---
9,300.3
1976
225.9
47.3
341.4
254.3
3,120.1
3,835.4
499.7
393.9
898.5
1,157.2
13.7
29.7
---
10,817.2
1977
241.1
52.6
369.5
284.4
3,427.9
4,164.6
554.1
443.7
978.9
1,275.0
14.0
38.8
---
11,844.6
1978
266.4
58.6
403.0
313.6
3,823.4
4,475.1
589.0
477.8
1,127.7
1,444.5
16.6
44.8
---
13,040.5
1979
308.9
64.8
445.1
351.3
4,248.1
4,853.4
634.3
544.3
1,391.9
1,645.2
18.4
46.6
---
14,552.3
1980
349.8
75.2
509.4
415.2
4,797.5
5,507.2
739.1
648.5
1,660.1
2,072.0
20.0
47.9
---
16,841.8
1981
410.4
87.0
622.0
503.5
5,490.7
6,525.4
865.6
763.1
2,042.2
2,551.3
22.0
59.2
---
19,942.6
1982
482.8
101.9
719.9
609.2
6,361.9
7,611.1
1,017.0
925.9
2,564.7
2,927.1
30.4
95.0
---
23,446.8
1983
539.0
113.4
788.9
662.1
7,032.2
8,596.5
1,141.0
1,038.5
2,901.6
3,128.8
31.4
106.6
---
26,080.0
1984
559.9
121.1
876.8
709.6
7,486.1
9,461.2
1,224.3
1,112.7
2,996.8
3,269.7
31.0
107.6
---
27,956.9
1985
588.8
128.3
947.2
752.2
7,927.6
10,443.3
1,310.9
1,195.5
3,239.1
3,410.1
32.9
118.9
---
30,094.9
1986
642.9
138.0
1,023.2
805.3
8,051.3
11,730.2
1,425.8
1,325.9
3,537.9
3,666.0
37.0
145.2
---
32,528.6
1987
693.6
149.7
1,165.5
888.9
8,636.4
13,011.9
1,530.2
1,372.2
3,514.4
3,895.3
39.1
157.4
---
35,054.7
1988
733.8
163.0
1,165.0
961.0
9,428.4
14,497.9
1,634.3
1,468.3
3,645.6
4,241.2
40.6
183.9
---
38,162.8
1989
787.7
174.4
1,281.5
1,047.7
10,108.6
16,093.9
1,773.2
1,629.2
4,031.0
4,736.0
44.2
203.6
---
41,911.1
1990
875.9
186.3
1,376.6
1,136.1
10,814.1
17,332.8
1,951.1
1,792.1
4,326.9
5,386.7
48.5
218.5
---
45,445.5
1991
905.7
203.8
1,451.2
1,186.9
11,815.3
19,156.1
2,006.0
1,828.9
4,557.5
5,967.2
56.5
247.2
---
49,382.2
1992
928.3
209.2
1,477.0
1,233.1
12,234.5
20,058.0
2,099.3
1,819.5
4,846.4
6,477.9
60.6
249.9
---
51,693.8
1993
924.9
218.2
1,445.5
1,236.1
12,459.6
19,880.5
2,088.9
1,727.8
4,800.5
6,869.8
69.0
258.7
---
51,979.7
1994
948.1
217.0
1,413.1
1,272.2
12,674.4
20,071.3
2,115.7
1,778.8
4,527.8
7,237.5
83.3
259.5
---
52,598.7
1995
973.1
222.8
1,440.0
1,323.0
12,708.9
19,946.2
2,179.4
1,820.8
4,283.5
7,538.4
84.4
270.3
---
52,790.6
1996
974.4
233.0
1,438.2
1,325.3
12,254.7
20,092.0
2,185.3
1,862.3
4,466.5
7,688.7
91.3
265.4
---
52,877.1
1997
1,020.8
229.9
1,669.3
1,305.7
12,783.6
20,513.9
2,251.9
1,976.1
4,942.0
7,942.6
85.4
280.9
---
55,002.3
1998
1,107.8
245.5
1,786.8
1,370.6
13,911.8
22,066.3
2,388.6
2,103.5
5,354.0
8,304.5
87.3
301.3
---
59,028.1
1999
1,250.7
259.0
1,899.7
1,469.5
14,287.3
23,378.2
2,714.9
2,250.4
6,140.2
8,969.4
91.8
211.2
133.6
63,055.8
2000
1,318.7
278.1
1,968.4
1,580.0
15,390.9
26,001.0
3,005.3
2,381.2
6,792.9
9,825.9
98.9
194.9
159.1
68,995.3
2001
1,415.5
328.9
2,082.7
1,740.0
16,596.8
27,652.8
3,184.5
2,581.5
7,745.0
10,820.5
116.2
220.0
173.6
74,657.9
2002
1,510.4
366.8
2,268.6
1,832.8
17,469.8
29,718.2
3,366.0
2,725.5
8,470.4
11,481.6
122.9
245.2
203.9
79,782.2
2003
1,592.2
381.2
2,491.0
1,953.0
18,364.1
33,369.5
3,653.1
2,896.9
9,120.5
11,799.5
124.3
243.7
278.1
86,267.2
2004 f
1,655.7
389.5
2,685.8
2,094.9
19,620.1
35,747.9
3,866.9
3,086.1
10,139.2
12,088.2
138.8
255.9
285.1
92,054.0
2005 f
1,732.9
400.5
2,911.1
2,275.4
20,459.2
38,705.3
4,110.7
3,290.8
11,356.9
12,832.4
149.8
261.4
308.9
98,795.3
(annual percentage change)
1975
---
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
1977
6.7
11.3
1978
10.5
11.4
1979
16.0
10.6
8.2
11.8
9.9
8.6
10.9
12.6
8.9
10.2
1.8
30.3
---
9.5
9.1
10.3
11.5
7.5
6.3
7.7
15.2
13.3
18.5
15.6
---
10.1
10.5
12.0
11.1
8.5
7.7
13.9
23.4
13.9
11.2
3.9
---
11.6
1980
13.2
16.0
1981
17.3
15.7
14.4
18.2
12.9
13.5
16.5
19.2
19.3
25.9
8.3
2.9
---
15.7
22.1
21.2
14.4
18.5
17.1
17.7
23.0
23.1
10.1
23.7
---
1982
17.6
17.1
18.4
15.7
21.0
15.9
16.6
17.5
21.3
25.6
14.7
38.2
60.3
---
1983
11.6
11.3
1984
3.9
6.8
17.6
9.6
8.7
10.5
12.9
12.2
12.2
13.1
6.9
3.3
12.2
---
11.2
11.1
7.2
6.5
10.1
7.3
7.1
3.3
4.5
-1.1
1.0
---
7.2
1985
5.2
5.9
1986
9.2
7.6
8.0
6.0
5.9
10.4
7.1
7.4
8.1
4.3
6.1
10.5
---
7.6
8.0
7.1
1.6
12.3
8.8
10.9
9.2
7.5
12.3
22.2
---
1987
7.9
8.5
8.1
13.9
10.4
7.3
10.9
7.3
3.5
-0.7
6.3
5.8
8.4
---
7.8
1988
5.8
1989
7.4
8.9
-0.1
8.1
9.2
11.4
6.8
7.0
3.7
8.9
3.8
16.8
---
8.9
7.0
10.0
9.0
7.2
11.0
8.5
11.0
10.6
11.7
9.1
10.7
---
1990
9.8
11.2
6.8
7.4
8.4
7.0
7.7
10.0
10.0
7.3
13.7
9.7
7.3
---
8.4
1991
3.4
9.4
5.4
4.5
9.3
10.5
2.8
2.1
5.3
10.8
16.4
13.2
---
8.7
1992
2.5
2.7
1.8
3.9
3.5
4.7
4.7
-0.5
6.3
8.6
7.2
1.1
---
4.7
1993
-0.4
4.3
-2.1
0.2
1.8
-0.9
-0.5
-5.0
-0.9
6.0
14.0
3.5
---
0.6
1994
2.5
-0.6
-2.2
2.9
1.7
1.0
1.3
3.0
-5.7
5.4
20.7
0.3
---
1.2
1995
2.6
2.7
1.9
4.0
0.3
-0.6
3.0
2.4
-5.4
4.2
1.3
4.1
---
0.4
1996
0.1
4.6
-0.1
0.2
-3.6
0.7
0.3
2.3
4.3
2.0
8.2
-1.8
---
0.2
1997
4.8
-1.3
16.1
-1.5
4.3
2.1
3.0
6.1
10.6
3.3
-6.4
5.8
---
4.0
1998
8.5
6.8
7.0
5.0
8.8
7.6
6.1
6.4
8.3
4.6
2.2
7.3
---
7.3
1999
12.9
5.5
6.3
7.2
2.7
5.9
13.7
7.0
14.7
8.0
5.1
-29.9
---
6.8
2000
5.4
7.4
3.6
7.5
7.7
11.2
10.7
5.8
10.6
9.5
7.7
-7.7
19.1
9.4
2001
7.3
18.2
5.8
10.1
7.8
6.4
6.0
8.4
14.0
10.1
17.4
12.9
9.1
8.2
2002
6.7
11.5
8.9
5.3
5.3
7.5
5.7
5.6
9.4
6.1
5.8
11.5
17.5
6.9
2003
5.4
3.9
9.8
6.6
5.1
12.3
8.5
6.3
7.7
2.8
1.2
-0.6
36.4
8.1
2004 f
4.0
2.2
7.8
7.3
6.8
7.1
5.9
6.5
11.2
2.4
11.6
5.0
2.5
6.7
2005 f
4.7
2.8
8.4
8.6
4.3
8.3
6.3
6.6
12.0
6.2
8.0
2.2
8.3
7.3
f = forecast
CIHI 2005.
135
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table B.3.2
Public Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2005—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Year
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
Average
($’ per capita)
1975
368.63
366.81
364.61
317.30
420.71
400.07
414.03
358.17
418.96
397.88
566.03
615.97
---
401.86
1976
401.59
398.40
408.76
368.89
487.77
455.84
484.35
422.78
480.64
456.69
611.85
671.20
---
461.29
1977
426.51
438.37
440.06
408.78
532.97
489.62
533.84
469.60
502.58
496.16
612.99
867.88
---
499.22
1978
469.28
481.48
477.18
448.30
593.68
520.87
565.70
501.92
557.76
552.61
698.51
989.36
---
544.19
1979
541.83
526.92
524.16
499.63
656.94
560.26
611.46
567.21
663.57
617.81
769.00
1,018.11
---
601.29
1980
610.55
607.90
597.33
588.09
737.28
629.73
714.35
670.37
757.18
755.33
821.22
1,034.17
---
686.97
1981
714.10
703.39
727.84
712.80
838.57
740.57
835.22
782.01
890.16
903.45
919.81
1,245.88
---
803.48
1982
840.26
823.02
837.09
860.19
966.96
853.04
971.54
937.79
1,082.96
1,018.87
1,241.64
1,917.90
---
933.49
1983
929.97
904.07
907.72
925.49
1,065.11
950.77
1,075.33
1,036.59
1,213.87
1,076.86
1,328.45
2,088.58
---
1,028.11
1984
965.06
956.70
999.65
984.09
1,128.93
1,031.54
1,142.17
1,095.73
1,253.83
1,110.02
1,297.62
2,047.42
---
1,091.74
1985
1,016.34
1,004.74
1,070.18
1,039.37
1,189.31
1,123.23
1,211.28
1,165.85
1,347.98
1,146.55
1,351.18
2,185.68
---
1,164.54
1986
1,115.18
1,074.57
1,150.53
1,110.46
1,200.16
1,242.85
1,306.04
1,288.21
1,455.36
1,220.34
1,510.29
2,655.45
---
1,246.25
1987
1,205.91
1,164.10
1,304.53
1,221.26
1,273.33
1,349.18
1,393.62
1,328.72
1,443.08
1,277.10
1,521.49
2,859.77
---
1,325.38
1988
1,276.14
1,260.71
1,298.16
1,315.80
1,378.61
1,473.03
1,482.95
1,428.29
1,485.33
1,361.37
1,524.93
3,302.40
---
1,424.23
1989
1,366.63
1,340.84
1,417.87
1,425.04
1,458.95
1,592.27
1,606.82
1,598.43
1,615.48
1,480.99
1,632.10
3,570.18
---
1,536.23
1990
1,515.29
1,426.83
1,513.31
1,535.00
1,544.02
1,683.15
1,764.67
1,779.42
1,698.71
1,636.89
1,747.95
3,708.35
---
1,640.78
1991
1,562.86
1,563.81
1,585.86
1,592.01
1,672.46
1,836.97
1,807.82
1,824.01
1,757.86
1,768.85
1,954.71
4,057.16
---
1,761.68
1992
1,600.38
1,599.57
1,606.22
1,648.30
1,721.23
1,897.67
1,886.70
1,812.37
1,840.71
1,867.66
2,011.98
4,004.30
---
1,822.33
1993
1,594.84
1,651.43
1,564.33
1,650.79
1,741.32
1,860.01
1,869.05
1,716.06
1,799.67
1,925.71
2,274.52
4,071.51
---
1,812.29
1994
1,650.45
1,626.43
1,524.47
1,695.79
1,762.32
1,855.31
1,883.55
1,762.05
1,676.53
1,969.00
2,805.59
3,983.42
---
1,813.80
1995
1,714.87
1,657.77
1,551.41
1,761.67
1,760.37
1,821.57
1,930.11
1,795.42
1,566.45
1,995.86
2,771.86
4,060.01
---
1,801.59
1996
1,740.60
1,716.36
1,544.13
1,761.66
1,691.02
1,812.86
1,926.73
1,827.39
1,609.44
1,984.56
2,908.40
3,927.17
---
1,785.73
1997
1,852.68
1,689.18
1,790.15
1,735.08
1,757.29
1,826.98
1,982.07
1,941.01
1,746.27
2,011.53
2,687.26
4,146.76
---
1,839.09
1998
2,051.73
1,807.78
1,917.40
1,826.14
1,906.78
1,941.26
2,099.82
2,067.33
1,846.54
2,084.95
2,804.53
4,484.12
---
1,957.35
1999
2,344.79
1,900.33
2,034.29
1,957.71
1,950.93
2,031.76
2,376.29
2,217.77
2,079.12
2,236.02
2,983.45
5,193.95
4,979.28
2,073.94
2000
2,497.29
2,037.89
2,107.72
2,105.17
2,092.00
2,225.09
2,619.32
2,362.85
2,260.58
2,432.62
3,251.13
4,813.41
5,786.23
2,248.21
2001
2,711.82
2,406.29
2,233.74
2,320.35
2,243.72
2,324.22
2,766.07
2,581.17
2,533.75
2,653.08
3,855.25
5,389.39
6,173.41
2,406.67
2002
2,907.68
2,678.52
2,427.59
2,442.69
2,346.28
2,455.63
2,912.84
2,736.73
2,718.06
2,789.90
4,078.37
5,910.52
7,096.02
2,543.05
2003
3,071.71
2,777.04
2,660.82
2,600.92
2,451.06
2,722.57
3,145.02
2,913.09
2,887.47
2,841.69
4,069.11
5,775.25
9,543.41
2,724.76
2004 f
3,202.36
2,825.03
2,866.51
2,788.05
2,601.18
2,884.59
3,304.31
3,100.35
3,166.64
2,880.61
4,446.28
5,977.60
9,617.34
2,881.52
2005 f
3,358.55
2,892.37
3,100.75
3,027.48
2,707.77
3,088.75
3,506.21
3,305.76
3,515.57
3,016.78
4,784.84
6,064.35 10,247.65
3,069.30
(annual percentage change)
1975
---
---
---
---
---
---
---
---
---
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
1977
--6.2
10.0
---
7.7
10.8
9.3
7.4
10.2
---
11.1
4.6
8.6
--0.2
29.3
---
---
8.2
1978
10.0
9.8
8.4
9.7
11.4
6.4
6.0
6.9
11.0
11.4
14.0
14.0
---
9.0
1979
15.5
9.4
9.8
11.4
10.7
7.6
8.1
13.0
19.0
11.8
10.1
2.9
---
10.5
1980
12.7
15.4
14.0
17.7
12.2
12.4
16.8
18.2
14.1
22.3
6.8
1.6
---
14.2
1981
17.0
15.7
21.8
21.2
13.7
17.6
16.9
16.7
17.6
19.6
12.0
20.5
---
1982
17.7
17.0
15.0
20.7
15.3
15.2
16.3
19.9
21.7
12.8
35.0
53.9
---
16.2
1983
10.7
9.8
8.4
7.6
10.2
11.5
10.7
10.5
12.1
5.7
7.0
8.9
---
10.1
1984
3.8
5.8
10.1
6.3
6.0
8.5
6.2
5.7
3.3
3.1
-2.3
-2.0
---
6.2
1985
5.3
5.0
7.1
5.6
5.3
8.9
6.1
6.4
7.5
3.3
4.1
6.8
---
6.7
1986
9.7
7.0
7.5
6.8
0.9
10.6
7.8
10.5
8.0
6.4
11.8
21.5
---
7.0
1987
8.1
8.3
13.4
10.0
6.1
8.6
6.7
3.1
-0.8
4.7
0.7
7.7
---
6.3
1988
5.8
8.3
-0.5
7.7
8.3
9.2
6.4
7.5
2.9
6.6
0.2
15.5
---
7.5
1989
7.1
6.4
9.2
8.3
5.8
8.1
8.4
11.9
8.8
8.8
7.0
8.1
---
7.9
1990
10.9
6.4
6.7
7.7
5.8
5.7
9.8
11.3
5.2
10.5
7.1
3.9
---
6.8
1991
3.1
9.6
4.8
3.7
8.3
9.1
2.4
2.5
3.5
8.1
11.8
9.4
---
7.4
17.0
1992
2.4
2.3
1.3
3.5
2.9
3.3
4.4
-0.6
4.7
5.6
2.9
-1.3
---
3.4
1993
-0.3
3.2
-2.6
0.2
1.2
-2.0
-0.9
-5.3
-2.2
3.1
13.0
1.7
---
-0.6
1994
3.5
-1.5
-2.5
2.7
1.2
-0.3
0.8
2.7
-6.8
2.2
23.3
-2.2
---
0.1
1995
3.9
1.9
1.8
3.9
-0.1
-1.8
2.5
1.9
-6.6
1.4
-1.2
1.9
---
-0.7
1996
1.5
3.5
-0.5
0.0
-3.9
-0.5
-0.2
1.8
2.7
-0.6
4.9
-3.3
---
-0.9
1997
6.4
-1.6
15.9
-1.5
3.9
0.8
2.9
6.2
8.5
1.4
-7.6
5.6
---
3.0
1998
10.7
7.0
7.1
5.2
8.5
6.3
5.9
6.5
5.7
3.6
4.4
8.1
---
6.4
1999
14.3
5.1
6.1
7.2
2.3
4.7
13.2
7.3
12.6
7.2
6.4
15.8
---
6.0
2000
6.5
7.2
3.6
7.5
7.2
9.5
10.2
6.5
8.7
8.8
9.0
-7.3
16.2
8.4
2001
8.6
18.1
6.0
10.2
7.3
4.5
5.6
9.2
12.1
9.1
18.6
12.0
6.7
7.0
2002
7.2
11.3
8.7
5.3
4.6
5.7
5.3
6.0
7.3
5.2
5.8
9.7
14.9
5.7
2003
5.6
3.7
9.6
6.5
4.5
10.9
8.0
6.4
6.2
1.9
-0.2
-2.3
34.5
7.1
2004 f
4.3
1.7
7.7
7.2
6.1
6.0
5.1
6.4
9.7
1.4
9.3
3.5
0.8
5.8
2005 f
4.9
2.4
8.2
8.6
4.1
7.1
6.1
6.6
11.0
4.7
7.6
1.5
6.6
f = forecast
6.5
CIHI 2005.
136
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table B.3.3
Public Sector Health Expenditure as a Proportion of Total Health Expenditure by Province/Territory
and Canada, 1975 to 2005—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Year
1975
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
Average
(percentage)
77.6
73.0
78.8
77.4
78.8
75.3
77.7
74.5
76.4
71.9
77.9
75.2
---
76.2
1976
72.2
75.2
77.2
79.0
80.5
76.1
79.4
75.7
77.5
71.1
76.1
76.2
---
77.0
1977
66.4
76.6
78.8
79.3
81.6
75.4
78.5
75.5
76.9
69.6
75.7
78.6
---
76.7
1978
64.6
73.7
78.6
77.5
81.9
73.7
78.6
76.8
77.0
70.7
77.7
79.3
---
76.2
1979
65.3
67.1
77.7
74.7
82.5
72.1
77.0
77.4
78.2
71.9
77.1
79.0
---
75.9
1980
66.2
61.5
77.5
73.8
81.5
72.1
76.1
79.5
77.1
71.9
76.5
78.4
---
75.5
1981
66.1
63.8
78.9
73.9
79.7
73.3
75.1
80.4
77.8
74.4
78.1
80.3
---
75.9
1982
68.9
66.9
78.3
74.4
80.6
72.9
76.3
81.9
76.5
75.6
81.8
86.0
---
76.2
1983
69.7
68.9
78.5
74.0
81.1
72.5
77.2
82.6
80.1
75.3
82.5
86.3
---
76.6
1984
74.5
70.8
77.9
72.8
80.4
72.3
76.9
81.1
79.6
73.8
81.9
85.6
---
76.1
1985
74.9
70.8
76.9
73.3
79.0
72.3
75.9
78.2
79.6
73.5
82.9
85.8
---
75.5
1986
79.1
73.6
74.3
73.8
76.4
72.9
75.4
77.8
79.5
73.6
86.8
87.0
---
75.1
1987
78.7
73.8
74.7
74.4
76.6
72.8
77.3
77.6
78.1
72.9
87.4
86.8
---
74.9
1988
78.8
74.2
73.5
74.4
76.8
73.1
79.0
79.9
75.5
72.6
88.6
87.1
---
74.9
1989
79.4
72.9
73.2
74.8
76.1
73.3
78.6
79.4
75.3
72.8
89.3
87.4
---
74.7
1990
79.9
72.7
73.7
74.1
75.6
72.8
78.5
79.6
75.3
73.1
90.6
88.5
---
74.5
1991
78.5
72.6
73.7
72.8
75.6
73.1
77.9
78.8
75.2
73.4
90.3
88.5
---
74.5
1992
77.5
70.9
72.7
72.5
74.7
72.6
77.7
78.2
75.4
73.9
89.7
89.4
---
74.1
1993
76.5
70.0
71.4
71.1
73.7
70.7
76.0
75.1
73.6
73.9
86.7
90.1
---
72.6
1994
76.0
69.3
69.9
71.0
73.2
69.8
75.5
74.7
71.8
74.2
89.4
90.7
---
72.0
1995
76.7
68.1
69.9
72.8
73.2
68.0
74.8
74.6
70.4
74.6
89.0
91.7
---
71.3
1996
77.8
68.8
68.9
73.1
72.2
67.6
73.6
74.9
70.8
74.2
83.4
90.9
---
70.8
1997
78.3
67.6
70.7
70.4
72.0
66.6
72.7
74.5
69.9
73.4
83.3
91.5
---
70.1
1998
77.3
68.5
70.3
71.5
73.6
66.7
72.6
75.8
70.4
72.9
84.3
92.0
---
70.5
1999
79.4
68.5
71.3
70.9
72.1
66.1
73.6
75.8
70.8
73.2
84.6
91.4
93.7
70.1
2000
78.3
69.3
70.0
71.2
72.3
66.8
74.2
75.6
70.7
73.6
80.1
90.5
94.5
70.4
2001
78.6
69.3
69.5
70.5
71.7
66.1
73.6
74.8
70.3
73.9
81.2
89.4
94.3
70.0
2002
78.5
71.7
68.7
70.7
71.2
65.4
73.4
75.2
71.5
73.4
78.7
89.5
95.1
69.6
2003
77.6
70.5
69.1
70.3
71.0
67.1
74.0
74.9
72.0
72.6
79.8
89.5
95.6
70.2
2004 f
76.4
70.6
68.9
69.5
70.6
67.2
73.5
75.2
72.5
70.9
79.7
89.4
95.4
69.9
2005 f
76.3
70.0
68.9
69.4
69.8
67.2
73.2
75.1
72.9
69.9
79.1
88.8
95.4
69.6
---
---
---
---
(annual percentage change)
1975
---
---
---
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
1977
-8.0
1.8
2.0
0.3
1.4
-0.9
-1.1
-0.2
-0.7
-2.1
-0.5
3.2
---
-0.4
1978
-2.8
-3.7
-0.2
-2.2
0.4
-2.2
0.2
1.6
0.0
1.5
2.7
0.8
---
-0.6
1979
1.1
-9.0
-1.2
-3.5
0.7
-2.1
-2.0
0.8
1.6
1.7
-0.8
-0.4
---
-0.4
1980
1.4
-8.4
-0.2
-1.2
-1.2
0.0
-1.2
2.8
-1.3
0.1
-0.7
-0.7
---
-0.5
1981
-0.2
3.8
1.7
0.1
-2.2
1.6
-1.3
1.1
1.0
3.4
2.0
2.4
---
0.5
1982
4.2
4.8
-0.7
0.6
1.1
-0.6
1.7
1.9
-1.7
1.7
4.7
7.2
---
0.4
1983
1.2
3.1
0.2
-0.5
0.5
-0.4
1.1
0.8
4.7
-0.5
0.8
0.3
---
0.5
1984
6.9
2.7
-0.8
-1.7
-0.8
-0.3
-0.3
-1.7
-0.6
-1.9
-0.7
-0.8
---
-0.7
1985
0.6
0.0
-1.4
0.7
-1.7
0.0
-1.3
-3.6
0.0
-0.4
1.3
0.3
---
-0.7
1986
5.6
3.9
-3.3
0.7
-3.3
0.8
-0.6
-0.5
-0.1
0.0
4.7
1.4
---
-0.6
1987
-0.6
0.3
0.5
0.9
0.3
-0.1
2.4
-0.3
-1.8
-0.8
0.7
-0.2
---
-0.2
1988
0.2
0.7
-1.6
0.0
0.2
0.4
2.2
2.9
-3.4
-0.4
1.4
0.3
---
0.0
1989
0.8
-1.8
-0.5
0.6
-0.9
0.1
-0.5
-0.7
-0.2
0.2
0.8
0.4
---
-0.2
1990
0.6
-0.2
0.8
-1.0
-0.7
-0.6
0.0
0.3
-0.1
0.4
1.4
1.3
---
-0.3
1991
-1.7
-0.1
-0.1
-1.7
0.0
0.4
-0.8
-0.9
-0.1
0.5
-0.4
-0.1
---
0.0
1992
-1.3
-2.3
-1.3
-0.4
-1.1
-0.7
-0.2
-0.7
0.3
0.6
-0.6
1.0
---
-0.6
1993
-1.3
-1.3
-1.8
-2.0
-1.3
-2.7
-2.2
-4.1
-2.3
0.0
-3.4
0.8
---
-1.9
1994
-0.7
-1.1
-2.1
-0.1
-0.7
-1.3
-0.6
-0.5
-2.5
0.4
3.1
0.6
---
-0.9
1995
1.0
-1.6
0.0
2.5
0.0
-2.5
-0.9
0.0
-2.0
0.6
-0.5
1.1
---
-1.0
1996
1.4
1.0
-1.4
0.5
-1.4
-0.6
-1.6
0.3
0.5
-0.6
-6.2
-0.9
---
-0.7
1997
0.6
-1.7
2.6
-3.7
-0.3
-1.5
-1.2
-0.5
-1.2
-1.0
-0.2
0.6
---
-0.9
1998
-1.2
1.2
-0.6
1.5
2.2
0.0
-0.1
1.8
0.7
-0.7
1.3
0.6
---
0.5
1999
2.7
0.1
1.5
-0.9
-2.1
-0.9
1.3
-0.1
0.5
0.4
0.3
-0.6
---
-0.6
2000
-1.4
1.1
0.3
---
1.1
---
---
-1.8
0.5
0.8
-0.2
0.0
-5.3
-1.0
0.9
0.5
2001
0.4
0.0
-0.7
-1.1
-0.9
-1.0
-0.7
-1.2
-0.6
0.4
1.3
-1.3
-0.3
-0.6
2002
-0.2
3.4
-1.1
0.3
-0.7
-1.2
-0.3
0.5
1.6
-0.6
-3.1
0.1
0.9
-0.6
2003
-1.2
-1.7
0.6
-0.5
-0.2
2.7
0.9
-0.4
0.7
-1.0
1.4
0.1
0.5
0.8
2004 f
-1.5
0.2
-0.4
-1.1
-0.7
0.1
-0.7
0.4
0.7
-2.4
-0.2
-0.2
-0.2
-0.4
2005 f
-0.2
-0.9
0.0
-0.2
-1.1
0.0
-0.5
-0.1
0.6
-1.4
-0.8
-0.6
0.0
f = forecast
0.6
-0.4
CIHI 2005.
137
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table B.4.1
Provincial/Territorial Government Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Year
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
($’ 000,000)
1975
199.2
41.5
266.9
203.7
2,531.2
3,143.5
376.7
302.1
694.9
928.2
6.2
15.2
---
8,709.3
1976
219.0
45.4
302.7
242.4
2,972.5
3,612.5
449.3
364.1
811.6
1,082.7
8.8
19.0
---
10,129.9
1977
233.5
50.3
334.6
271.7
3,269.2
3,929.1
497.3
410.8
879.1
1,193.1
10.0
23.4
---
11,102.0
1978
258.3
56.4
370.0
299.1
3,661.8
4,229.4
524.9
445.8
1,020.5
1,363.8
11.4
28.1
---
12,269.4
1979
297.3
62.5
413.1
336.7
4,088.1
4,565.8
569.7
508.5
1,258.2
1,556.5
12.4
27.9
---
13,696.6
1980
336.8
72.6
474.5
395.1
4,607.8
5,164.6
652.8
604.5
1,510.2
1,932.3
13.6
29.3
---
15,794.0
1981
393.4
84.1
572.4
478.2
5,268.2
6,069.9
782.9
709.8
1,871.3
2,374.8
15.0
35.5
---
18,655.5
1982
461.9
98.5
662.7
579.6
6,101.1
7,104.3
915.1
859.0
2,426.3
2,720.3
22.4
51.0
---
22,002.1
1983
515.7
109.5
728.6
627.2
6,740.9
8,019.2
1,021.3
965.6
2,769.4
2,932.2
22.8
57.8
---
24,510.1
1984
534.6
116.5
800.3
671.5
7,165.5
8,826.6
1,102.1
1,022.9
2,843.5
3,074.8
23.5
62.0
---
26,243.9
1985
561.4
123.0
867.5
710.7
7,577.2
9,746.8
1,182.6
1,101.3
3,035.1
3,200.6
24.9
71.9
---
28,202.8
1986
611.2
131.7
917.0
759.2
7,715.3
10,995.1
1,269.6
1,223.4
3,316.8
3,443.3
27.6
91.2
---
30,501.5
1987
660.0
142.5
987.4
837.9
8,257.9
12,203.4
1,364.8
1,264.5
3,308.1
3,660.8
29.4
105.4
---
32,821.9
1988
699.4
153.7
1,071.6
900.8
8,996.9
13,583.0
1,464.7
1,349.3
3,427.8
3,978.3
33.4
147.1
---
35,806.2
1989
751.1
163.1
1,178.9
981.2
9,631.6
15,079.3
1,587.0
1,500.2
3,792.9
4,455.9
36.3
174.6
---
39,332.1
1990
836.0
173.7
1,263.6
1,057.2
10,250.4
16,195.9
1,742.8
1,636.4
4,043.8
5,043.6
38.6
187.9
---
42,469.7
1991
861.0
189.6
1,333.8
1,102.1
11,213.3
17,951.3
1,788.7
1,658.2
4,241.0
5,578.3
45.6
213.9
---
46,176.8
1992
881.0
196.2
1,356.8
1,142.4
11,617.6
18,810.3
1,867.8
1,635.9
4,506.3
6,060.7
49.1
213.6
---
48,337.8
1993
880.9
205.2
1,322.9
1,154.7
11,841.5
18,618.2
1,856.8
1,539.4
4,452.2
6,424.1
58.1
218.4
---
48,572.6
1994
902.6
200.4
1,280.1
1,189.3
12,007.4
18,753.5
1,861.9
1,560.5
4,103.5
6,740.9
71.5
214.0
---
48,885.6
1995
925.5
203.2
1,302.6
1,235.2
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
1996
926.0
213.2
1,317.7
1,234.4
11,587.3
18,696.5
1,922.8
1,637.4
4,091.3
7,186.1
67.6
215.3
---
49,095.6
1997
968.2
213.9
1,552.0
1,213.9
11,901.7
19,065.6
1,976.6
1,749.2
4,527.6
7,434.9
69.6
231.1
---
50,904.3
1998
1,050.3
228.8
1,656.5
1,269.5
12,924.6
20,121.8
2,102.8
1,855.2
4,896.0
7,758.4
74.2
249.7
---
54,187.7
1999
1,190.4
240.8
1,749.7
1,369.8
13,226.7
21,592.8
2,395.3
1,995.4
5,641.1
8,390.8
78.5
176.0
115.4
58,162.7
2000
1,246.8
258.7
1,788.1
1,466.6
14,136.6
23,941.2
2,630.8
2,092.9
6,214.9
9,164.8
83.9
158.2
136.3
63,319.8
2001
1,333.7
305.5
1,885.1
1,595.4
15,128.4
25,257.5
2,794.1
2,266.4
7,033.8
10,118.4
97.1
177.2
146.0
68,138.6
2002
1,423.3
344.8
2,061.4
1,678.9
15,904.2
27,252.2
2,962.2
2,391.8
7,730.9
10,763.6
102.1
199.5
170.2
72,985.0
2003
2004 f
1,498.1
1,554.4
354.9
360.9
2,271.0
2,438.1
1,793.0
1,924.0
16,578.4
17,654.3
30,403.3
32,710.0
3,218.8
3,395.6
2,533.4
2,701.5
8,280.4
9,211.3
11,028.4
11,238.9
103.8
115.4
201.7
210.6
234.5
233.3
78,499.8
83,748.3
2005 f
1,624.4
368.9
2,642.7
2,093.8
18,360.8
35,394.7
3,607.1
2,872.6
10,341.7
11,919.2
123.8
211.9
252.1
89,813.6
(annual percentage change)
1975
---
---
---
---
---
---
---
---
9.9
9.4
13.4
19.0
17.4
14.9
19.3
20.5
16.8
16.6
42.9
24.3
---
16.3
1977
6.6
10.8
10.5
12.1
10.0
8.8
10.7
12.8
8.3
10.2
13.3
23.4
---
9.6
1978
10.6
12.1
10.6
10.1
12.0
7.6
5.6
8.5
16.1
14.3
14.1
19.9
---
10.5
1979
15.1
10.9
11.7
12.6
11.6
8.0
8.5
14.0
23.3
14.1
8.5
-0.5
---
11.6
1980
13.3
16.1
14.9
17.3
12.7
13.1
14.6
18.9
20.0
24.1
10.0
4.9
---
15.3
1981
16.8
15.8
20.6
21.0
14.3
17.5
19.9
17.4
23.9
22.9
10.4
21.2
---
18.1
1982
17.4
17.1
15.8
21.2
15.8
17.0
16.9
21.0
29.7
14.5
49.2
43.8
---
17.9
1983
11.7
11.2
10.0
8.2
10.5
12.9
11.6
12.4
14.1
7.8
1.8
13.2
---
11.4
1984
3.7
6.4
9.8
7.1
6.3
10.1
7.9
5.9
2.7
4.9
3.1
7.3
---
7.1
1985
5.0
5.5
8.4
5.8
5.7
10.4
7.3
7.7
6.7
4.1
5.7
16.0
---
7.5
1986
8.9
7.1
5.7
6.8
1.8
12.8
7.4
11.1
9.3
7.6
10.9
26.9
---
8.2
1987
8.0
8.2
7.7
10.4
7.0
11.0
7.5
3.4
-0.3
6.3
6.6
15.7
---
7.6
1988
6.0
7.9
8.5
7.5
8.9
11.3
7.3
6.7
3.6
8.7
13.8
39.5
---
9.1
1989
7.4
6.1
10.0
8.9
7.1
11.0
8.3
11.2
10.7
12.0
8.5
18.7
---
9.8
1990
11.3
6.5
7.2
7.7
6.4
7.4
9.8
9.1
6.6
13.2
6.6
7.6
---
8.0
1991
3.0
9.2
5.6
4.2
9.4
10.8
2.6
1.3
4.9
10.6
18.1
13.8
---
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
0.0
4.6
-2.5
1.1
1.9
-1.0
-0.6
-5.9
-1.2
6.0
18.3
2.2
---
0.5
1994
2.5
-2.3
-3.2
3.0
1.4
0.7
0.3
1.4
-7.8
4.9
23.0
-2.0
---
0.6
1995
2.5
1.4
1.8
3.9
0.1
-1.1
2.2
2.2
-4.8
3.9
-3.8
3.1
---
0.1
1996
0.1
4.9
1.2
-0.1
-3.6
0.8
1.0
2.6
4.8
2.6
-1.7
-2.4
---
0.3
1997
4.6
0.3
17.8
-1.7
2.7
2.0
2.8
6.8
10.7
3.5
2.9
7.4
---
3.7
1998
8.5
7.0
6.7
4.6
8.6
5.5
6.4
6.1
8.1
4.3
6.6
8.1
---
6.5
1999
13.3
5.2
5.6
7.9
2.3
7.3
13.9
7.6
15.2
8.2
5.8
-29.5
---
7.3
2000
4.7
7.4
2.2
7.1
6.9
10.9
9.8
4.9
10.2
9.2
6.8
-10.1
18.1
8.9
2001
7.0
18.1
5.4
8.8
7.0
5.5
6.2
8.3
13.2
10.4
15.8
12.0
7.1
7.6
2002
6.7
12.9
9.4
5.2
5.1
7.9
6.0
5.5
9.9
6.4
5.2
12.6
16.6
7.1
2003
5.3
2.9
10.2
6.8
4.2
11.6
8.7
5.9
7.1
2.5
1.7
1.1
37.8
7.6
2004 f
3.8
1.7
7.4
7.3
6.5
7.6
5.5
6.6
11.2
1.9
11.1
4.4
-0.5
6.7
2005 f
4.5
2.2
8.4
8.8
4.0
8.2
6.2
6.3
12.3
6.1
7.3
0.6
8.0
7.2
1976
---
---
---
---
---
---
f = forecast
CIHI 2005.
139
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table B.4.2
Provincial/Territorial Government Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2005—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Year
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
Average
($’ per capita)
1975
357.93
352.59
322.89
300.87
399.86
377.83
367.52
329.31
384.21
371.34
281.70
355.89
---
376.32
1976
389.23
382.69
362.38
351.60
464.68
429.35
435.49
390.81
434.15
427.31
392.62
427.62
---
431.98
1977
413.02
419.05
398.43
390.52
508.29
461.94
479.07
434.77
451.35
464.30
437.49
523.77
---
467.93
1978
454.97
463.11
438.08
427.54
568.59
492.26
504.13
468.37
504.73
521.74
480.31
619.68
---
512.01
1979
521.39
508.31
486.44
478.79
632.20
527.07
549.20
529.90
599.83
584.48
515.50
610.55
---
565.93
1980
587.97
586.87
556.32
559.50
708.13
590.56
630.94
624.90
688.82
704.40
559.22
632.58
---
644.23
1981
684.49
679.49
669.77
677.01
804.58
688.88
755.38
727.33
815.66
840.95
628.28
746.47
---
751.62
1982
803.88
795.18
770.56
818.37
927.32
796.24
874.17
870.10
1,024.50
946.88
915.40
1,030.57
---
875.97
1983
889.85
872.94
838.29
876.77
1,020.99
886.91
962.48
963.78
1,158.55
1,009.21
965.33
1,132.08
---
966.22
1984
921.49
920.16
912.41
931.38
1,080.57
962.36
1,028.22
1,007.33
1,189.68
1,043.87
983.04
1,178.74
---
1,024.85
1985
969.11
963.16
980.11
982.04
1,136.74
1,048.32
1,092.73
1,073.93
1,263.05
1,076.10
1,020.22
1,320.82
---
1,091.32
1986
1,060.19
1,025.64
1,031.12
1,046.94
1,150.09
1,164.97
1,163.01
1,188.64
1,364.43
1,146.18
1,125.67
1,666.65
---
1,168.59
1987
1,147.48
1,108.04
1,105.10
1,151.22
1,217.52
1,265.35
1,242.92
1,224.38
1,358.38
1,200.20
1,142.60
1,915.62
---
1,240.96
1988
1,216.34
1,189.24
1,194.19
1,233.44
1,315.53
1,380.08
1,329.10
1,312.55
1,396.57
1,276.99
1,255.80
2,641.91
---
1,336.28
1989
1,303.10
1,254.08
1,304.30
1,334.56
1,390.10
1,491.89
1,438.04
1,471.92
1,520.06
1,393.40
1,337.46
3,061.59
---
1,441.70
1990
1,446.22
1,330.38
1,389.08
1,428.37
1,463.53
1,572.74
1,576.21
1,624.80
1,587.56
1,532.63
1,391.27
3,189.46
---
1,533.34
1991
1,485.76
1,455.09
1,457.56
1,478.27
1,587.25
1,721.43
1,612.05
1,653.75
1,635.78
1,653.57
1,578.60
3,510.43
---
1,647.32
1992
1,518.94
1,500.45
1,475.44
1,527.08
1,634.44
1,779.63
1,678.64
1,629.49
1,711.51
1,747.40
1,630.67
3,423.11
---
1,704.03
1993
1,518.87
1,553.24
1,431.70
1,542.11
1,654.93
1,741.91
1,661.38
1,528.88
1,669.10
1,800.79
1,913.85
3,437.35
---
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
1,630.96
1,511.50
1,403.36
1,644.78
1,664.98
1,694.03
1,685.66
1,573.35
1,427.96
1,855.19
2,257.88
3,313.42
---
1,670.06
1996
1,654.16
1,570.44
1,414.75
1,640.82
1,598.94
1,686.95
1,695.29
1,606.75
1,474.25
1,854.82
2,154.16
3,185.91
---
1,658.03
1997
1,757.15
1,571.56
1,664.36
1,613.06
1,636.05
1,698.00
1,739.72
1,718.15
1,599.84
1,882.96
2,187.86
3,411.81
---
1,702.06
1998
1,945.16
1,684.76
1,777.59
1,691.40
1,771.47
1,770.20
1,848.60
1,823.25
1,688.58
1,947.83
2,381.31
3,716.54
---
1,796.85
1999
2,231.68
1,766.59
1,873.69
1,824.87
1,806.11
1,876.60
2,096.54
1,966.46
1,910.13
2,091.76
2,550.17
4,329.50
4,303.32
1,913.00
2000
2,361.22
1,895.21
1,914.73
1,954.06
1,921.51
2,048.82
2,292.92
2,076.82
2,068.22
2,268.96
2,756.57
3,905.89
4,955.74
2,063.27
2001
2,555.02
2,235.16
2,021.76
2,127.56
2,045.21
2,122.90
2,426.92
2,266.09
2,301.09
2,480.95
3,223.59
4,339.80
5,190.47
2,196.51
2002
2003
2,739.98
2,890.07
2,518.06
2,585.83
2,205.82
2,425.86
2,237.56
2,387.76
2,136.01
2,212.71
2,251.87
2,480.56
2,563.35
2,771.09
2,401.67
2,547.63
2,480.77
2,621.50
2,615.43
2,655.99
3,389.07
3,398.80
4,808.86
4,779.11
5,923.07
8,048.33
2,326.39
2,479.43
2004 f
3,006.40
2,617.44
2,602.10
2,560.62
2,340.56
2,639.45
2,901.60
2,714.00
2,876.82
2,678.23
3,697.58
4,920.08
7,871.53
2,621.53
2005 f
3,148.33
2,664.26
2,814.83
2,785.89
2,430.05
2,824.56
3,076.68
2,885.66
3,201.31
2,802.09
3,953.95
4,915.40
8,363.31
2,790.26
(annual percentage change)
1975
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
8.3
1977
6.1
9.5
9.9
11.1
9.4
7.6
10.0
11.2
4.0
8.7
11.4
22.5
---
1978
10.2
10.5
10.0
9.5
11.9
6.6
5.2
7.7
11.8
12.4
9.8
18.3
---
9.4
1979
14.6
9.8
11.0
12.0
11.2
7.1
8.9
13.1
18.8
12.0
7.3
-1.5
---
10.5
1980
12.8
15.5
14.4
16.9
12.0
12.0
14.9
17.9
14.8
20.5
8.5
3.6
---
13.8
1981
16.4
15.8
20.4
21.0
13.6
16.6
19.7
16.4
18.4
19.4
12.3
18.0
---
16.7
1982
17.4
17.0
15.0
20.9
15.3
15.6
15.7
19.6
25.6
12.6
45.7
38.1
---
16.5
1983
10.7
9.8
8.8
7.1
10.1
11.4
10.1
10.8
13.1
6.6
5.5
9.8
---
10.3
1984
3.6
5.4
8.8
6.2
5.8
8.5
6.8
4.5
2.7
3.4
1.8
4.1
---
6.1
1985
5.2
4.7
7.4
5.4
5.2
8.9
6.3
6.6
6.2
3.1
3.8
12.1
---
6.5
1986
9.4
6.5
5.2
6.6
1.2
11.1
6.4
10.7
8.0
6.5
10.3
26.2
---
7.1
1987
8.2
8.0
7.2
10.0
5.9
8.6
6.9
3.0
-0.4
4.7
1.5
14.9
---
6.2
1988
6.0
7.3
8.1
7.1
8.0
9.1
6.9
7.2
2.8
6.4
9.9
37.9
---
7.7
1989
7.1
5.5
9.2
8.2
5.7
8.1
8.2
12.1
8.8
9.1
6.5
15.9
---
7.9
1990
11.0
6.1
6.5
7.0
5.3
5.4
9.6
10.4
4.4
10.0
4.0
4.2
---
6.4
1991
2.7
9.4
4.9
3.5
8.5
9.5
2.3
1.8
3.0
7.9
13.5
10.1
---
7.4
1992
2.2
3.1
1.2
3.3
3.0
3.4
4.1
-1.5
4.6
5.7
3.3
-2.5
---
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
3.8
0.6
1.6
3.8
-0.3
-2.3
1.7
1.8
-6.0
1.2
-6.2
0.9
---
-0.9
1996
1.4
3.9
0.8
-0.2
-4.0
-0.4
0.6
2.1
3.2
0.0
-4.6
-3.8
---
-0.7
1997
6.2
0.1
17.6
-1.7
2.3
0.7
2.6
6.9
8.5
1.5
1.6
7.1
---
2.7
1998
10.7
7.2
6.8
4.9
8.3
4.3
6.3
6.1
5.5
3.4
8.8
8.9
---
5.6
1999
14.7
4.9
5.4
7.9
2.0
6.0
13.4
7.9
13.1
7.4
7.1
16.5
---
6.5
2000
5.8
7.3
2.2
7.1
6.4
9.2
9.4
5.6
8.3
8.5
8.1
-9.8
15.2
7.9
2001
8.2
17.9
5.6
8.9
6.4
3.6
5.8
9.1
11.3
9.3
16.9
11.1
4.7
6.5
2002
7.2
12.7
9.1
5.2
4.4
6.1
5.6
6.0
7.8
5.4
5.1
10.8
14.1
5.9
2003
5.5
2.7
10.0
6.7
3.6
10.2
8.1
6.1
5.7
1.6
0.3
-0.6
35.9
6.6
2004 f
4.0
1.2
7.3
7.2
5.8
6.4
4.7
6.5
9.7
0.8
8.8
2.9
-2.2
5.7
2005 f
4.7
1.8
8.2
8.8
3.8
7.0
6.0
6.3
11.3
4.6
6.9
-0.1
6.2
f = forecast
6.4
CIHI 2005.
140
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table B.4.3
Provincial/Territorial Government Sector Health Expenditure as a Proportion of
Total Health Expenditure by Province/Territory and Canada, 1975 to 2005—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Year
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
Average
(percentage)
1975
75.3
70.2
69.8
73.4
74.9
71.1
69.0
68.5
70.0
67.1
38.8
43.5
---
71.4
1976
70.0
72.2
68.4
75.3
76.7
71.7
71.4
70.0
70.0
66.5
48.8
48.5
---
72.1
1977
64.3
73.2
71.3
75.7
77.8
71.1
70.4
69.9
69.1
65.1
54.0
47.4
---
71.9
1978
62.6
70.9
72.2
73.9
78.5
69.7
70.1
71.6
69.6
66.7
53.4
49.7
---
71.7
1979
62.8
64.7
72.1
71.6
79.4
67.9
69.2
72.3
70.6
68.0
51.7
47.4
---
71.4
1980
63.7
59.4
72.2
70.2
78.3
67.7
67.2
74.1
70.1
67.1
52.1
48.0
---
70.8
1981
63.3
61.7
72.6
70.2
76.5
68.2
67.9
74.8
71.3
69.2
53.3
48.1
---
71.0
1982
65.9
64.6
72.1
70.7
77.3
68.0
68.7
76.0
72.4
70.3
60.3
46.2
---
71.5
1983
66.7
66.6
72.5
70.1
77.7
67.7
69.1
76.8
76.5
70.6
59.9
46.8
---
72.0
1984
71.1
68.1
71.1
68.9
76.9
67.5
69.2
74.6
75.5
69.4
62.0
49.3
---
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
75.2
70.2
66.6
69.6
73.2
68.3
67.2
71.8
74.6
69.1
64.7
54.6
---
70.4
1987
74.9
70.2
63.3
70.2
73.3
68.3
68.9
71.5
73.5
68.6
65.6
58.2
---
70.1
1988
75.1
70.0
67.6
69.8
73.3
68.5
70.8
73.4
71.0
68.1
73.0
69.7
---
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
76.2
67.8
67.7
68.9
71.6
68.1
70.1
72.7
70.3
68.4
72.1
76.1
---
69.6
1991
74.7
67.6
67.7
67.6
71.7
68.5
69.4
71.5
70.0
68.6
72.9
76.5
---
69.7
1992
73.6
66.5
66.8
67.2
70.9
68.1
69.1
70.4
70.1
69.1
72.7
76.4
---
69.2
1993
72.9
65.8
65.3
66.4
70.1
66.2
67.5
66.9
68.3
69.1
73.0
76.1
---
67.9
1994
72.3
64.0
63.3
66.4
69.4
65.2
66.4
65.5
65.1
69.1
76.7
74.8
---
66.9
1995
73.0
62.1
63.2
67.9
69.3
63.3
65.3
65.4
64.2
69.4
72.5
74.8
---
66.1
1996
74.0
62.9
63.1
68.1
68.3
62.9
64.8
65.8
64.8
69.3
61.8
73.7
---
65.7
1997
74.3
62.9
65.7
65.4
67.1
61.9
63.8
65.9
64.0
68.7
67.8
75.3
---
64.9
1998
73.3
63.8
65.2
66.2
68.4
60.8
63.9
66.9
64.4
68.1
71.6
76.3
---
64.7
1999
75.6
63.7
65.7
66.0
66.7
61.0
64.9
67.2
65.0
68.4
72.3
76.2
81.0
64.6
2000
74.1
64.4
63.6
66.1
66.4
61.5
64.9
66.5
64.7
68.7
67.9
73.5
81.0
64.6
2001
74.1
64.4
62.9
64.6
65.4
60.4
64.6
65.6
63.9
69.1
67.9
72.0
79.3
63.9
2002
2003
2004 f
74.0
73.0
71.8
67.4
65.6
65.4
62.5
63.0
62.5
64.7
64.6
63.9
64.8
64.1
63.5
60.0
61.2
61.5
64.6
65.2
64.6
65.9
65.5
65.8
65.3
65.4
65.9
68.8
67.9
65.9
65.4
66.7
66.3
72.8
74.1
73.6
79.4
80.6
78.1
63.7
63.8
63.6
2005 f
71.5
64.5
62.5
63.8
62.7
61.5
64.2
65.6
66.4
64.9
65.3
72.0
77.9
63.3
---
---
(annual percentage change)
1975
---
---
---
---
---
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
1977
-8.1
1.3
4.2
0.5
1.5
-0.8
-1.3
-0.1
-1.3
-2.0
10.6
-2.3
---
-0.3
1978
-2.7
-3.1
1.2
-2.4
0.8
-2.1
-0.5
2.4
0.8
2.4
-1.1
4.7
---
-0.2
1979
0.3
-8.7
-0.1
-3.1
1.2
-2.6
-1.3
0.9
1.4
1.9
-3.3
-4.6
---
-0.4
1980
1.5
-8.3
0.1
-1.9
-1.4
-0.3
-2.9
2.5
-0.7
-1.3
0.9
1.3
---
-0.9
1981
-0.7
3.9
0.5
-0.1
-2.3
0.8
1.0
0.9
1.7
3.2
2.4
0.3
---
0.2
1982
4.0
4.8
-0.6
0.8
1.1
-0.2
1.2
1.6
1.5
1.5
13.0
-3.8
---
0.8
1983
1.2
3.0
0.6
-0.9
0.5
-0.5
0.5
1.0
5.6
0.4
-0.6
1.2
---
0.7
1984
6.7
2.3
-1.9
-1.8
-1.0
-0.3
0.2
-2.8
-1.2
-1.6
3.5
5.3
---
-0.8
1985
0.5
-0.4
-1.0
0.6
-1.8
0.1
-1.1
-3.4
-1.3
-0.6
0.9
5.3
---
-0.9
1986
5.3
3.5
-5.4
0.5
-3.1
1.2
-1.9
-0.3
0.0
0.1
3.4
5.3
---
-0.6
1987
-0.5
0.0
-5.0
0.9
0.1
0.0
2.6
-0.4
-1.4
-0.8
1.4
6.5
---
-0.3
1988
0.4
-0.2
6.8
-0.6
0.0
0.3
2.7
2.7
-3.5
-0.6
11.2
19.8
---
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
-2.1
-0.3
0.0
-1.9
0.1
0.7
-1.0
-1.6
-0.5
0.3
1.1
0.5
---
0.1
1992
-1.5
-1.5
-1.4
-0.6
-1.1
-0.7
-0.4
-1.6
0.2
0.7
-0.3
-0.2
---
-0.6
1993
-1.0
-1.0
-2.2
-1.2
-1.3
-2.8
-2.3
-4.9
-2.6
0.0
0.3
-0.4
---
-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
1.4
1.3
-0.2
0.2
-1.4
-0.5
-0.9
0.7
1.0
-0.1
-14.7
-1.4
---
-0.5
1997
0.4
0.0
4.1
-3.9
-1.8
-1.6
-1.5
0.1
-1.2
-0.9
9.7
2.1
---
-1.3
1998
-1.3
1.4
-0.8
1.1
2.0
-1.9
0.2
1.5
0.5
-0.9
5.6
1.3
---
-0.3
1999
3.1
-0.2
0.8
-0.2
-2.4
0.4
1.5
0.5
1.0
0.5
1.0
0.0
---
-0.1
2000
-2.0
1.1
-3.2
0.1
-0.4
0.8
0.0
-1.1
-0.4
0.3
-6.1
-3.6
0.0
0.0
2001
0.0
-0.1
-1.1
-2.3
-1.6
-1.8
-0.5
-1.3
-1.3
0.6
-0.1
-2.0
-2.1
-1.2
2002
-0.2
4.7
-0.7
0.2
-0.8
-0.8
0.0
0.5
2.1
-0.4
-3.7
0.1
-0.3
2003
-1.3
-2.6
0.9
-0.3
-1.1
2.0
1.0
-0.7
0.2
-1.3
1.9
1.8
1.5
0.3
2004 f
-1.7
-0.3
-0.8
-1.1
-1.0
0.6
-1.0
0.5
0.7
-2.9
-0.6
-0.7
-3.1
-0.4
2005 f
-0.3
-1.5
0.0
0.0
-1.3
-0.1
-0.5
-0.4
0.8
-1.5
-1.4
-2.1
-0.3
f = forecast
---
1.1
-0.5
CIHI 2005.
141
Series E
Provincial/Territorial Government Health
Expenditure, by Age and Sex, by
Province/Territory and Canada
(Selected Tables)
143
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table E.1.1
Estimate of Total Provincial and Territorial Government Health Expenditures, by Age and Sex,
by Province/Territory and Canada, 1998—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
22.8
6.3
54.7
35.8
448.8
686.8
71.9
53.0
194.0
207.6
3.3
17.7
---
1,802.7
1–4
17.3
5.0
30.1
27.3
254.3
471.4
43.7
53.4
128.5
160.5
3.1
14.1
---
1,208.8
5–14
45.1
12.2
66.4
55.2
541.7
881.9
95.2
116.0
290.8
362.1
7.1
25.3
---
2,498.9
15–44
247.8
59.3
392.3
315.8
3,028.5
5,482.7
536.8
510.8
1,537.5
2,203.7
30.5
109.5
---
14,455.1
45–64
222.3
45.5
339.9
265.6
2,799.3
4,166.9
404.3
331.0
963.0
1,531.0
14.7
42.1
---
11,125.6
65–74
158.5
33.7
277.8
206.9
2,369.6
3,327.7
295.3
249.4
669.5
1,120.6
6.9
19.4
---
8,735.4
75–84
199.4
41.5
309.6
225.1
2,273.0
3,235.8
384.5
309.2
711.3
1,317.3
5.0
14.5
---
9,026.3
85+
137.1
25.3
185.7
137.7
1,209.5
1,868.7
271.1
232.3
401.4
855.6
3.6
7.0
---
5,335.0
Total
1,050.3
228.8
1,656.5
1,269.5
12,924.6
20,121.8
2,102.8
1,855.2
4,896.0
7,758.4
74.2
249.7
---
54,187.7
Female
<1
10.6
3.0
23.7
15.5
205.6
317.9
32.0
24.4
87.8
95.2
1.5
8.2
---
825.5
1–4
7.8
2.2
13.6
12.2
118.7
231.1
20.5
24.8
59.8
71.9
1.4
6.5
---
570.6
1,188.9
5–14
21.4
6.0
31.2
26.1
259.1
418.8
45.6
55.8
139.1
170.0
3.4
12.3
---
15–44
155.3
37.7
250.8
198.7
1,789.5
3,460.6
324.2
304.0
934.6
1,339.0
18.7
69.4
---
8,882.3
45–64
110.6
22.9
168.6
133.3
1,375.5
2,125.3
204.6
166.5
491.9
762.8
7.4
21.6
---
5,591.0
65–74
75.1
17.2
137.5
103.5
1,179.3
1,654.1
146.6
123.3
324.9
540.1
2.6
8.6
---
4,312.8
75–84
116.6
23.8
182.9
129.8
1,338.7
1,870.1
226.8
176.4
413.3
759.8
3.1
8.7
---
5,250.0
85+
100.8
17.9
133.7
98.6
876.1
1,359.4
195.2
159.1
280.9
608.2
2.8
4.2
---
3,836.8
Total
598.2
130.7
941.9
717.8
7,142.4
11,437.3
1,195.5
1,034.3
2,732.3
4,346.9
41.0
139.5
---
30,457.9
Male
<1
12.2
3.2
31.0
20.2
243.2
368.9
39.9
28.6
106.2
112.4
1.8
9.5
---
977.3
1–4
9.6
2.8
16.5
15.1
135.5
240.2
23.2
28.7
68.7
88.7
1.7
7.6
---
638.2
1,309.9
5–14
23.6
6.2
35.1
29.0
282.6
463.1
49.6
60.2
151.7
192.1
3.7
13.0
---
15–44
92.5
21.7
141.5
117.1
1,239.0
2,022.1
212.6
206.8
602.8
864.7
11.8
40.1
---
5,572.8
45–64
111.6
22.5
171.3
132.3
1,423.9
2,041.7
199.7
164.5
471.0
768.2
7.3
20.5
---
5,534.6
65–74
83.4
16.6
140.4
103.5
1,190.3
1,673.6
148.7
126.0
344.6
580.5
4.3
10.8
---
4,422.6
75–84
82.8
17.8
126.7
95.3
934.3
1,365.7
157.7
132.8
298.0
557.5
1.9
5.9
---
3,776.3
85+
36.4
7.4
52.0
39.1
333.4
509.3
75.9
73.2
120.5
247.4
0.8
2.8
---
1,498.1
Total
452.0
98.1
714.7
551.7
5,782.2
8,684.6
907.3
820.9
2,163.6
3,411.5
33.2
110.2
---
23,729.8
5,217.97
($’ per capita)
Both Sexes
<1
4,377.30
4,142.79
5,576.96
4,519.01
5,829.76
5,114.50
4,988.74
4,165.92
5,152.06
4,805.32
8,363.46
12,926.70
---
1–4
760.43
736.32
695.40
802.49
727.19
792.27
690.45
963.96
808.31
843.08
1,780.68
2,390.49
---
791.46
5–14
1,251.23
1,225.73
1,075.29
1,127.49
1,167.53
1,136.70
1,150.63
1,470.07
1,336.71
1,397.22
2,880.20
3,596.42
---
1,223.02
15–44
5,889.42
6,018.93
5,605.24
5,517.10
5,455.50
6,274.21
6,413.38
6,965.22
6,573.88
7,207.06
11,885.08
19,221.46
---
6,253.84
45–64
7,588.67
6,321.64
6,749.07
6,568.44
6,897.02
6,989.30
7,197.45
6,863.31
7,074.76
7,118.02
9,203.80
19,239.33
---
7,000.65
65–74
9,308.35
7,293.08
8,524.29
7,950.51
8,935.31
8,223.74
7,320.11
6,618.08
8,240.65
7,987.64
14,012.24
27,869.68
---
8,311.12
75–84
20,100.16
13,518.60
14,711.07
13,867.28
16,408.00
14,734.25
14,360.73
11,850.32
15,693.36
15,791.40
27,607.60
54,919.38
---
15,283.57
85+
48,510.91
22,197.99
26,957.35
25,898.03
28,573.38
27,669.87
28,804.85
24,302.59
28,523.88
33,664.30
70,169.96
78,755.15
---
28,884.30
Total
1,945.16
1,684.76
1,777.59
1,691.40
1,771.47
1,770.20
1,848.60
1,823.25
1,688.58
1,947.83
2,381.31
3,694.87
---
1,796.83
4,889.87
Female
<1
4,194.43
3,985.96
4,966.62
4,067.88
5,495.55
4,840.53
4,565.60
3,881.73
4,733.92
4,500.60
7,937.01
12,149.89
---
1–4
702.07
685.89
644.93
748.93
695.28
795.06
663.46
915.59
775.46
779.08
1,721.23
2,292.17
---
766.73
5–14
1,219.51
1,223.86
1,036.33
1,097.60
1,144.86
1,108.05
1,129.30
1,452.60
1,314.03
1,348.07
2,888.17
3,579.51
---
1,194.19
15–44
7,391.82
7,639.98
7,197.01
7,060.24
6,603.17
7,966.83
7,937.73
8,471.04
8,223.65
8,846.27
14,715.19
25,233.35
---
7,796.74
45–64
7,458.87
6,322.03
6,582.07
6,458.16
6,577.23
6,958.48
7,170.48
6,852.40
7,210.74
7,032.75
10,268.51
21,628.12
---
6,895.61
65–74
8,446.63
6,972.10
7,771.90
7,351.54
8,059.75
7,604.37
6,749.69
6,219.84
7,666.56
7,367.19
11,915.56
26,480.60
---
7,635.46
75–84
20,277.36
12,599.20
14,259.23
13,307.58
15,407.77
14,127.05
14,087.85
11,560.00
15,361.86
15,475.38
31,034.80
69,323.41
---
14,703.38
85+
51,456.03
22,798.15
27,462.98
26,494.47
28,386.80
28,420.15
30,348.84
25,181.75
29,354.01
35,513.16
88,648.26
88,642.72
---
29,608.66
Total
2,198.15
1,889.35
1,982.41
1,895.29
1,929.66
1,985.23
2,084.34
2,022.56
1,900.55
2,171.04
2,710.04
4,314.75
---
1,999.86
5,531.47
Male
<1
4,549.75
4,301.09
6,153.89
4,939.75
6,145.76
5,376.75
5,388.76
4,442.69
5,557.80
5,097.40
8,775.06
13,688.83
---
1–4
815.32
782.63
743.43
851.83
757.66
789.61
716.18
1,009.99
839.25
903.23
1,836.03
2,482.41
---
814.96
5–14
1,281.32
1,227.33
1,112.50
1,155.81
1,189.25
1,163.95
1,171.01
1,486.67
1,358.20
1,443.86
2,871.68
3,613.28
---
1,250.46
15–44
4,375.14
4,381.47
4,009.38
4,014.53
4,350.39
4,598.67
4,956.40
5,506.41
5,006.03
5,596.82
9,072.74
13,633.81
---
4,746.57
45–64
7,713.35
6,320.75
6,919.92
6,685.98
7,239.68
7,024.42
7,228.51
6,884.21
6,945.85
7,204.29
8,347.19
17,253.69
---
7,112.63
65–74
10,255.59
7,675.36
9,420.48
8,659.15
10,018.88
8,947.03
7,983.55
7,062.99
8,870.55
8,670.20
15,521.46
29,091.32
---
9,099.72
75–84
19,767.05
15,041.94
15,400.75
14,706.27
18,114.21
15,663.06
14,724.35
12,226.61
16,184.89
16,216.39
23,080.62
41,679.38
---
16,166.28
85+
42,317.77
20,817.71
25,302.78
24,531.48
29,194.22
25,812.73
24,980.95
22,508.23
26,614.96
29,687.47
41,016.59
68,765.17
---
27,109.30
Total
1,688.05
1,472.37
1,564.55
1,483.71
1,608.58
1,549.20
1,608.84
1,621.86
1,480.12
1,722.21
2,071.00
3,125.99
---
1,589.68
Note: See methodology for age-sex distribution in Methodological Notes section of this report.
CIHI 2005.
145
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table E.1.2
Estimate of Total Provincial and Territorial Government Health Expenditures, by Age and Sex,
by Province/Territory and Canada, 1999—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
26.2
6.0
52.3
37.1
429.4
699.2
74.4
57.8
209.3
207.8
2.3
9.9
8.9
1,820.4
1–4
21.8
4.8
30.3
28.0
240.1
495.8
52.6
54.1
146.4
160.2
2.8
8.3
8.9
1,254.1
5–14
58.8
12.1
65.6
59.0
540.2
979.0
121.9
126.2
347.8
380.3
7.1
15.2
16.5
2,729.8
15–44
296.5
58.9
412.0
337.6
3,044.5
5,899.3
636.1
547.0
1,779.5
2,326.0
30.8
77.0
53.0
15,498.1
45–64
254.1
47.6
356.4
298.5
2,908.2
4,536.7
480.1
361.9
1,140.1
1,689.1
17.4
31.8
18.0
12,140.1
65–74
166.6
35.9
290.4
218.7
2,416.9
3,493.3
323.4
263.5
758.4
1,198.1
7.9
16.0
6.5
9,195.4
75–84
210.1
45.4
332.0
243.2
2,366.8
3,479.2
407.0
334.9
781.9
1,440.1
6.3
11.2
3.1
9,661.1
85+
156.3
30.0
210.8
147.6
1,280.8
2,010.3
299.8
250.0
477.7
989.1
3.9
6.8
0.7
5,863.8
Total
1,190.4
240.8
1,749.7
1,369.8
13,226.7
21,592.8
2,395.3
1,995.4
5,641.1
8,390.8
78.5
176.0
115.4
58,162.7
Female
<1
12.2
2.8
24.6
16.4
200.5
321.8
33.0
28.2
96.2
95.4
1.0
4.3
3.8
840.0
1–4
10.2
2.1
14.4
12.6
111.6
243.3
24.4
25.2
68.7
73.7
1.3
3.9
4.2
595.6
1,298.6
5–14
28.4
5.8
30.8
27.9
256.6
464.0
59.1
60.4
165.1
181.6
3.4
7.5
8.0
15–44
181.4
37.2
256.9
211.5
1,777.8
3,652.0
378.3
325.5
1,064.6
1,432.3
18.9
49.0
32.2
9,417.4
45–64
125.1
24.2
178.1
148.8
1,427.4
2,314.7
242.3
182.5
575.5
870.8
8.4
15.9
8.9
6,122.5
65–74
78.4
17.6
142.8
108.9
1,197.1
1,725.7
159.1
128.5
366.8
587.2
3.3
7.9
2.8
4,526.2
75–84
120.8
26.8
196.9
140.1
1,402.5
2,018.1
242.7
190.2
442.2
849.1
3.8
6.6
1.3
5,641.2
85+
107.0
21.3
155.9
104.3
930.2
1,465.3
218.0
171.3
329.7
709.8
3.1
4.7
0.4
4,220.9
Total
663.5
137.9
1,000.5
770.5
7,303.6
12,204.9
1,356.8
1,111.8
3,108.8
4,799.8
43.2
99.7
61.5
32,662.6
Male
<1
14.0
3.2
27.7
20.7
228.9
377.4
41.4
29.6
113.0
112.5
1.3
5.6
5.1
980.4
1–4
11.6
2.7
15.9
15.4
128.5
252.5
28.2
29.0
77.7
86.5
1.5
4.4
4.7
658.5
1,431.1
5–14
30.4
6.3
34.8
31.1
283.6
515.0
62.8
65.8
182.7
198.7
3.7
7.7
8.5
15–44
115.2
21.8
155.0
126.1
1,266.7
2,247.3
257.8
221.4
714.9
893.8
12.0
27.9
20.8
6,080.7
45–64
129.0
23.4
178.3
149.8
1,480.8
2,222.0
237.9
179.4
564.6
818.3
8.9
15.9
9.2
6,017.5
65–74
88.1
18.3
147.6
109.8
1,219.7
1,767.6
164.3
134.9
391.6
610.9
4.6
8.0
3.7
4,669.1
75–84
89.3
18.5
135.0
103.1
964.3
1,461.1
164.2
144.7
339.7
591.0
2.6
4.6
1.8
4,019.8
85+
49.3
8.7
54.9
43.3
350.6
545.0
81.8
78.7
148.1
279.2
0.8
2.1
0.3
1,642.9
Total
526.9
102.8
749.2
599.3
5,923.1
9,388.0
1,038.5
883.6
2,532.3
3,590.9
35.3
76.3
53.9
25,500.1
5,365.59
($’ per capita)
Both Sexes
<1
5,280.32
3,902.43
5,479.94
4,854.13
5,814.36
5,272.35
5,143.14
4,593.07
5,500.56
4,908.08
5,903.69
15,019.90
13,577.47
1–4
991.06
727.14
723.36
847.07
714.06
847.47
854.20
1,009.53
931.02
865.78
1,711.45
2,829.57
3,213.07
841.87
5–14
1,700.54
1,228.28
1,075.41
1,221.68
1,164.89
1,249.57
1,470.85
1,626.91
1,596.39
1,474.37
2,972.06
4,044.62
5,007.66
1,334.67
15–44
7,266.56
6,018.84
5,966.49
5,973.30
5,524.40
6,716.40
7,626.40
7,528.50
7,513.43
7,630.43
12,296.97
22,007.78
24,414.93
6,711.88
45–64
8,348.31
6,383.51
6,840.55
7,135.89
6,943.56
7,374.63
8,295.30
7,335.32
8,036.60
7,586.70
10,272.23
20,336.21
23,580.08
7,391.42
65–74
9,658.95
7,667.59
8,874.00
8,431.03
9,041.80
8,605.80
8,123.21
7,071.66
9,143.43
8,495.29
15,409.33
31,410.11
31,644.03
8,705.90
75–84
21,094.61
14,914.50
15,646.24
14,758.65
16,535.50
15,307.83
15,071.55
12,770.65
16,887.75
16,835.52
34,837.71
54,068.90
45,642.82
15,927.66
85+
52,980.55
25,335.13
29,257.60
26,786.79
29,154.67
28,665.50
30,869.75
25,015.98
32,214.72
36,853.39
70,185.17
98,213.32
52,864.53
30,468.80
Total
2,231.68
1,766.59
1,873.69
1,824.87
1,806.11
1,876.60
2,096.54
1,966.46
1,910.13
2,091.76
2,550.17
4,329.50
4,303.32
1,913.00
5,077.12
Female
<1
5,018.35
3,780.68
5,294.55
4,431.18
5,575.06
4,951.59
4,707.90
4,613.52
5,197.08
4,641.94
5,250.80
13,420.62
12,207.48
1–4
949.17
657.50
706.23
795.35
680.18
849.22
810.55
961.99
898.38
820.92
1,687.32
2,753.64
3,140.12
819.45
5–14
1,680.43
1,206.82
1,033.44
1,190.26
1,134.16
1,215.00
1,459.88
1,598.84
1,558.44
1,448.06
2,967.08
4,017.04
5,003.05
1,302.90
15–44
8,885.26
7,575.92
7,444.75
7,603.74
6,621.02
8,385.00
9,305.55
9,168.03
9,268.14
9,478.45
15,019.77
28,764.64
30,858.87
8,285.22
45–64
8,105.68
6,399.33
6,720.51
6,966.81
6,623.65
7,342.39
8,250.91
7,338.58
8,091.33
7,739.35
10,925.86
22,406.10
24,763.79
7,305.75
65–74
8,717.99
7,127.35
8,076.40
7,768.98
8,150.70
7,957.46
7,468.88
6,561.65
8,523.22
8,037.43
14,803.25
32,940.24
34,271.38
8,018.16
75–84
20,857.39
14,405.31
15,295.63
14,156.68
15,647.79
14,801.08
14,938.30
12,398.39
16,154.49
16,850.36
37,232.38
67,050.41
49,932.23
15,417.10
85+
53,167.70
26,250.68
30,540.03
26,961.34
29,012.18
29,636.48
32,612.32
25,717.44
32,488.93
39,309.78
94,935.02
114,771.95
76,365.15
31,280.85
Total
2,462.52
1,983.45
2,100.51
2,032.73
1,966.37
2,094.03
2,355.36
2,179.95
2,124.67
2,378.76
2,877.33
5,091.40
4,819.13
2,127.66
5,640.18
Male
<1
5,531.54
4,017.14
5,655.52
5,250.49
6,041.49
5,580.64
5,551.55
4,573.74
5,788.27
5,158.78
6,570.26
16,510.99
14,811.66
1–4
1,030.80
791.70
739.67
894.52
746.36
845.78
895.91
1,054.84
961.95
908.08
1,733.97
2,899.87
3,282.06
863.23
5–14
1,719.23
1,248.68
1,115.58
1,251.37
1,194.27
1,282.47
1,481.41
1,653.46
1,632.31
1,499.30
2,976.29
4,071.96
5,011.85
1,364.90
15–44
5,624.76
4,433.75
4,476.92
4,378.86
4,471.26
5,068.69
6,023.48
5,942.30
5,854.28
5,806.77
9,527.73
15,556.06
18,518.58
5,176.63
45–64
8,585.77
6,365.92
6,963.85
7,311.54
7,284.67
7,411.66
8,342.38
7,341.66
7,987.97
7,435.69
9,732.73
18,617.94
22,533.12
7,483.70
65–74
10,691.69
8,279.49
9,814.97
9,221.88
10,134.15
9,353.12
8,870.68
7,635.37
9,815.31
8,992.36
15,819.51
30,108.77
29,894.73
9,499.21
75–84
21,371.35
15,714.14
16,138.88
15,656.55
18,040.85
16,056.14
15,218.44
13,264.15
17,952.64
16,780.71
31,130.48
42,332.89
42,939.92
16,689.33
85+
52,748.85
23,049.39
25,610.32
26,380.81
29,673.35
26,234.03
26,630.63
23,623.10
31,580.68
31,526.81
35,572.54
73,190.14
38,777.34
28,473.59
Total
1,996.05
1,540.67
1,637.54
1,612.80
1,641.19
1,653.41
1,833.34
1,750.74
1,699.46
1,801.28
2,238.89
3,621.06
3,835.20
1,694.08
Note: See methodology for age-sex distribution in Methodological Notes section of this report.
CIHI 2005.
146
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table E.1.3
Estimate of Total Provincial and Territorial Government Health Expenditures, by Age and Sex,
by Province/Territory and Canada, 2000—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
26.5
5.9
49.2
38.6
427.8
753.3
83.1
59.6
233.0
215.0
2.1
8.6
13.4
1,916.2
1–4
20.7
5.2
28.1
27.4
232.5
517.8
66.0
52.0
157.5
167.7
2.7
6.6
9.4
1,293.4
5–14
56.8
13.1
65.4
60.0
547.2
1,092.5
133.8
122.2
373.3
412.9
7.3
13.0
17.1
2,914.7
15–44
299.0
62.5
410.1
353.2
3,115.1
6,427.6
694.6
552.3
1,925.2
2,476.0
31.5
68.5
62.9
16,478.5
45–64
274.7
52.5
385.3
327.2
3,143.2
5,120.8
535.9
385.1
1,296.3
1,881.8
19.0
29.4
21.3
13,472.4
65–74
185.9
38.4
289.1
234.0
2,620.8
3,851.9
344.2
274.0
837.5
1,289.3
9.1
14.2
7.5
9,995.9
75–84
224.3
48.2
336.3
266.2
2,627.0
3,942.8
437.1
358.9
864.4
1,586.5
7.3
10.1
3.6
10,712.7
85+
158.9
32.8
224.7
160.0
1,422.9
2,234.6
336.1
288.8
527.6
1,135.7
4.9
7.9
1.1
6,536.0
Total
1,246.8
258.7
1,788.1
1,466.6
14,136.6
23,941.2
2,630.8
2,092.9
6,214.9
9,164.8
83.9
158.2
136.3
63,319.8
Female
<1
12.5
2.7
23.4
17.5
198.2
342.2
37.9
27.1
109.5
99.5
0.9
3.8
5.8
880.9
1–4
9.5
2.3
13.4
12.3
107.8
246.9
35.8
24.3
73.3
76.5
1.3
3.2
4.4
611.0
1,386.7
5–14
27.2
6.3
31.4
28.7
262.8
519.4
65.0
57.5
177.4
193.2
3.5
6.3
8.1
15–44
182.3
38.7
256.5
220.3
1,806.5
3,967.2
409.7
326.7
1,148.8
1,469.7
19.1
43.5
39.1
9,928.2
45–64
132.5
26.5
190.9
162.1
1,543.6
2,611.1
271.5
194.6
654.1
919.9
9.3
14.2
10.3
6,740.7
65–74
86.4
19.2
142.4
118.3
1,300.1
1,895.9
169.7
132.2
403.4
607.7
4.4
7.0
3.2
4,890.0
75–84
131.0
28.6
205.0
154.6
1,556.1
2,295.2
262.2
201.9
483.7
907.4
4.4
5.4
1.5
6,237.1
85+
113.4
23.0
164.2
113.3
1,034.1
1,617.7
247.0
201.2
364.5
814.2
3.7
5.0
0.5
4,702.0
Total
694.9
147.4
1,027.1
827.2
7,809.3
13,495.7
1,498.7
1,165.4
3,414.7
5,088.2
46.7
88.4
72.9
35,376.6
1,035.3
Male
<1
14.0
3.2
25.8
21.0
229.7
411.1
45.3
32.5
123.5
115.4
1.1
4.8
7.7
1–4
11.1
3.0
14.7
15.1
124.7
270.9
30.2
27.8
84.2
91.1
1.4
3.4
4.9
682.4
5–14
29.6
6.9
34.1
31.3
284.4
573.0
68.8
64.6
195.9
219.7
3.8
6.7
9.0
1,528.0
15–44
116.7
23.8
153.6
132.9
1,308.7
2,460.4
284.8
225.6
776.4
1,006.3
12.3
25.0
23.7
6,550.3
45–64
142.2
25.9
194.3
165.1
1,599.5
2,509.7
264.4
190.5
642.2
961.9
9.7
15.2
11.0
6,731.7
65–74
99.5
19.2
146.7
115.7
1,320.7
1,956.0
174.5
141.8
434.1
681.6
4.7
7.2
4.3
5,105.9
75–84
93.2
19.5
131.3
111.5
1,070.9
1,647.6
174.9
157.1
380.7
679.1
2.9
4.6
2.1
4,475.6
85+
45.5
9.8
60.5
46.6
388.8
616.8
89.1
87.6
163.1
321.4
1.2
2.9
0.6
1,834.0
Total
551.9
111.3
761.0
639.3
6,327.3
10,445.5
1,132.1
927.5
2,800.2
4,076.6
37.1
69.8
63.4
27,943.2
5,652.04
($’ per capita)
Both Sexes
<1
5,237.60
3,940.99
5,154.82
5,043.78
5,825.63
5,619.31
5,766.56
4,810.51
6,184.96
5,180.22
5,766.96
12,860.29
17,767.86
1–4
974.71
812.06
690.00
853.84
722.13
899.36
1,096.15
1,004.39
1,011.32
935.22
1,745.36
2,360.78
3,408.91
890.69
5–14
1,711.73
1,352.07
1,091.08
1,265.59
1,182.24
1,380.13
1,615.02
1,610.21
1,711.72
1,611.72
3,193.57
3,465.80
5,120.72
1,424.51
15–44
7,532.00
6,452.38
5,997.24
6,331.11
5,697.30
7,246.30
8,363.69
7,742.99
8,045.09
8,148.14
12,826.56
19,891.38
28,484.12
7,131.50
45–64
8,690.57
6,806.30
7,130.73
7,547.43
7,285.14
8,078.92
9,002.01
7,641.71
8,729.15
8,167.89
10,923.10
18,334.33
26,593.68
7,944.50
65–74
10,631.68
8,120.63
8,791.10
9,059.43
9,721.23
9,447.81
8,714.37
7,466.20
9,893.63
9,068.39
17,084.67
27,480.35
36,941.43
9,406.65
75–84
22,373.79
15,792.10
15,642.52
15,807.29
17,666.88
16,713.50
16,012.01
13,667.45
18,015.20
18,033.18
36,930.71
47,972.45
58,442.54
17,116.25
85+
50,834.78
26,981.24
29,612.12
27,989.57
30,828.85
30,761.30
32,274.82
28,008.74
33,799.21
39,962.31
76,228.76
111,244.90
77,049.65
32,443.22
Total
2,361.22
1,895.21
1,914.73
1,954.06
1,921.51
2,048.82
2,292.92
2,076.82
2,068.22
2,268.96
2,756.57
3,905.89
4,955.74
2,063.27
5,329.84
Female
<1
5,053.09
3,599.80
4,963.52
4,781.33
5,574.14
5,223.12
5,373.94
4,450.19
5,934.11
4,938.08
5,198.37
11,416.68
15,914.01
1–4
920.15
726.73
676.63
800.69
687.52
872.38
1,222.58
964.32
968.65
878.06
1,713.20
2,325.22
3,347.68
861.56
5–14
1,678.92
1,312.95
1,067.23
1,244.06
1,162.47
1,345.14
1,605.00
1,558.71
1,672.62
1,550.41
3,157.38
3,400.94
5,029.53
1,389.80
15–44
9,166.69
7,983.39
7,511.58
8,025.02
6,793.95
9,039.67
10,139.11
9,368.29
9,914.61
9,766.13
15,556.39
25,933.51
36,526.14
8,743.04
45–64
8,279.24
6,747.15
6,952.82
7,345.20
6,961.82
8,031.26
8,973.54
7,655.94
8,810.49
7,887.86
11,512.98
19,314.44
27,278.01
7,790.34
65–74
9,480.82
7,692.69
8,065.86
8,478.00
8,802.17
8,748.45
8,061.13
6,873.63
9,224.45
8,302.26
18,708.28
28,969.15
38,044.17
8,647.65
75–84
22,378.03
15,314.53
15,669.43
15,249.29
16,801.08
16,253.94
16,007.11
13,133.23
17,083.77
17,596.64
39,277.36
52,158.31
58,967.48
16,564.30
85+
53,138.17
26,813.46
30,495.11
28,295.54
30,707.22
31,680.33
34,281.17
29,133.04
34,168.55
42,244.76
98,411.88
121,240.92
86,958.77
33,267.55
Total
2,599.69
2,112.27
2,155.17
2,181.02
2,093.43
2,281.35
2,590.87
2,300.79
2,295.40
2,502.58
3,137.40
4,522.20
5,554.99
2,283.49
5,958.54
Male
<1
5,413.20
4,279.03
5,341.50
5,285.66
6,061.61
5,997.98
6,141.91
5,158.60
6,425.72
5,408.87
6,329.26
14,278.12
19,475.48
1–4
1,026.70
891.83
702.67
902.68
755.00
925.46
976.37
1,042.23
1,051.63
989.28
1,776.94
2,395.00
3,466.16
918.49
5–14
1,742.55
1,389.60
1,113.93
1,285.91
1,201.14
1,413.47
1,624.80
1,658.99
1,748.71
1,669.73
3,227.14
3,528.66
5,206.13
1,457.54
15–44
5,861.58
4,891.93
4,469.10
4,672.85
4,647.57
5,479.88
6,669.55
6,172.73
6,283.50
6,550.19
10,035.43
14,103.89
20,997.78
5,561.81
45–64
9,097.51
6,863.70
7,312.56
7,750.37
7,628.49
8,132.49
9,033.03
7,636.69
8,654.15
8,448.72
10,434.13
17,532.90
26,066.08
8,106.46
65–74
11,891.41
8,594.97
9,643.09
9,747.38
10,838.44
10,246.05
9,460.16
8,117.27
10,614.29
9,886.41
15,789.73
26,168.60
36,222.44
10,274.34
75–84
22,265.58
16,562.94
15,576.74
16,655.36
19,109.07
17,384.95
15,963.25
14,396.00
19,369.10
18,621.95
33,404.52
43,861.56
58,228.14
17,936.32
85+
45,895.22
27,581.85
27,353.07
27,316.13
31,229.33
28,466.03
27,580.36
25,803.77
32,910.11
35,217.05
45,271.77
98,539.39
69,116.22
30,484.91
Total
2,116.74
1,668.25
1,664.16
1,722.18
1,744.68
1,810.40
1,989.96
1,850.47
1,845.49
2,032.18
2,391.26
3,331.31
4,409.16
1,838.77
Note: See methodology for age-sex distribution in Methodological Notes section of this report.
CIHI 2005.
147
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table E.1.4
Estimate of Total Provincial and Territorial Government Health Expenditures, by Age and Sex,
by Province/Territory and Canada, 2001—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
29.2
6.5
49.5
38.6
436.4
769.4
82.9
60.7
259.1
236.4
2.2
9.9
12.9
1,993.5
1–4
20.0
7.5
29.6
28.8
228.1
512.0
69.0
53.9
172.3
174.3
3.3
7.6
11.0
1,317.4
5–14
53.3
17.9
70.5
63.3
520.6
1,136.0
130.3
129.3
412.6
473.1
8.8
14.7
18.6
3,048.9
15–44
301.2
76.8
420.2
378.2
3,288.3
6,632.2
699.8
593.0
2,154.4
2,714.5
36.1
76.3
68.8
17,439.6
45–64
301.5
64.3
411.1
363.6
3,399.3
5,471.8
585.7
429.6
1,505.5
2,051.7
23.3
33.3
22.5
14,663.2
65–74
202.2
41.8
301.8
248.7
2,789.5
4,059.5
372.8
298.1
985.6
1,414.1
10.2
15.1
7.2
10,746.6
75–84
241.4
55.5
354.9
290.4
2,905.9
4,268.5
484.5
392.5
968.3
1,773.5
7.7
12.2
3.7
11,759.0
85+
185.0
35.3
247.5
183.8
1,560.3
2,408.1
369.0
309.3
576.2
1,280.9
5.6
8.0
1.3
7,170.2
Total
1,333.7
305.5
1,885.1
1,595.4
15,128.4
25,257.5
2,794.1
2,266.4
7,033.8
10,118.4
97.1
177.2
146.0
68,138.6
Female
<1
12.2
2.9
23.3
17.1
199.5
354.3
37.8
27.9
122.5
109.2
1.0
4.6
5.6
917.8
1–4
8.8
2.8
13.8
13.0
106.0
237.8
38.5
25.1
80.0
81.2
1.6
3.5
4.9
616.9
5–14
25.4
8.7
34.1
30.4
248.6
545.3
62.8
60.9
197.3
220.6
4.3
7.3
9.0
1,454.6
15–44
185.0
47.0
265.4
235.1
1,908.4
4,084.5
417.9
350.9
1,277.9
1,600.3
21.4
47.3
41.5
10,482.4
45–64
146.8
31.2
202.2
182.3
1,666.7
2,782.8
300.3
216.0
760.4
1,019.8
11.3
15.7
10.7
7,346.1
65–74
93.0
20.2
147.0
124.0
1,394.2
2,003.7
185.2
142.4
477.2
680.0
4.9
7.3
2.9
5,282.1
75–84
137.0
33.4
214.4
168.9
1,711.8
2,483.8
288.8
220.2
547.3
1,030.7
4.7
6.8
1.7
6,849.4
85+
135.8
25.6
182.8
129.6
1,129.3
1,739.4
271.3
215.1
401.3
930.4
3.4
5.0
0.5
5,169.5
Total
744.0
171.7
1,083.0
900.3
8,364.4
14,231.6
1,602.7
1,258.5
3,863.9
5,672.2
52.6
97.3
76.7
38,118.9
1,075.7
Male
<1
17.0
3.5
26.2
21.5
236.9
415.1
45.1
32.9
136.5
127.2
1.2
5.3
7.3
1–4
11.2
4.7
15.8
15.9
122.1
274.2
30.5
28.8
92.3
93.1
1.7
4.2
6.1
700.5
5–14
27.9
9.2
36.5
32.9
272.0
590.7
67.5
68.4
215.3
252.4
4.5
7.5
9.6
1,594.3
15–44
116.2
29.8
154.8
143.2
1,379.9
2,547.7
281.9
242.1
876.4
1,114.1
14.7
29.0
27.3
6,957.2
45–64
154.7
33.1
208.9
181.3
1,732.6
2,689.1
285.4
213.5
745.1
1,031.9
12.0
17.6
11.8
7,317.1
65–74
109.2
21.6
154.7
124.7
1,395.3
2,055.7
187.6
155.7
508.4
734.1
5.3
7.9
4.3
5,464.5
75–84
104.4
22.1
140.5
121.5
1,194.1
1,784.7
195.7
172.3
421.0
742.8
3.0
5.4
2.1
4,909.6
85+
49.2
9.8
64.7
54.2
430.9
668.8
97.7
94.2
174.9
350.5
2.1
2.9
0.8
2,000.7
Total
589.7
133.8
802.1
695.2
6,763.9
11,025.9
1,191.4
1,007.9
3,169.9
4,446.2
44.5
79.8
69.3
30,019.7
5,998.45
($’ per capita)
Both Sexes
<1
6,230.82
4,654.04
5,556.09
5,350.97
6,083.31
5,773.34
5,941.82
5,136.93
6,987.95
5,809.53
6,821.04
14,834.76
20,610.97
1–4
974.80
1,203.90
751.39
921.67
736.35
890.59
1,168.97
1,068.34
1,119.55
999.99
2,238.37
2,810.86
3,801.21
923.31
5–14
1,667.93
1,870.19
1,197.21
1,362.66
1,127.28
1,419.27
1,577.41
1,751.20
1,893.16
1,855.37
3,969.61
3,945.00
5,518.39
1,488.85
15–44
7,808.81
8,008.44
6,238.74
6,861.39
6,045.87
7,374.39
8,462.73
8,468.20
8,912.28
8,953.36
15,220.66
22,111.08
30,363.20
7,526.88
45–64
9,329.59
8,034.67
7,386.91
8,164.38
7,627.69
8,354.58
9,557.91
8,304.63
9,670.87
8,597.95
12,706.07
19,722.97
26,708.36
8,361.29
65–74
11,506.78
8,744.98
9,093.51
9,605.64
10,260.34
9,886.26
9,490.55
8,217.74
11,438.57
9,813.50
18,369.58
28,960.25
35,168.81
10,032.59
75–84
23,300.03
17,801.13
16,288.58
16,905.98
18,793.75
17,364.41
17,482.22
14,855.63
19,396.94
19,505.46
36,364.54
56,346.06
57,005.49
18,140.02
85+
58,479.48
28,796.02
31,220.51
31,214.65
32,426.52
32,198.26
35,047.96
29,454.00
35,232.59
42,884.59
77,968.24
111,885.97
82,690.41
34,374.80
Total
2,555.02
2,235.16
2,021.76
2,127.56
2,045.21
2,122.90
2,426.92
2,266.09
2,301.09
2,480.95
3,223.59
4,339.80
5,190.47
2,196.51
5,663.58
Female
<1
5,370.70
4,489.88
5,356.13
4,798.00
5,747.24
5,430.28
5,503.59
4,852.22
6,739.67
5,541.32
6,451.47
13,892.26
19,376.94
1–4
876.42
909.66
721.18
865.87
705.10
839.30
1,344.79
1,027.20
1,071.69
957.17
2,129.49
2,569.11
3,482.88
885.24
5–14
1,630.24
1,846.75
1,176.94
1,348.76
1,101.25
1,394.76
1,551.60
1,698.35
1,861.20
1,778.32
4,013.82
3,963.81
5,537.14
1,455.42
15–44
9,554.96
9,746.98
7,909.02
8,662.48
7,223.77
9,196.27
10,400.36
10,242.57
10,938.50
10,652.20
17,829.91
28,044.72
37,707.75
9,216.28
45–64
8,934.25
7,613.15
7,102.70
8,054.37
7,284.97
8,288.97
9,640.52
8,289.74
9,773.14
8,439.12
13,296.37
19,943.85
26,672.68
8,211.77
65–74
10,192.95
7,966.28
8,328.18
8,908.67
9,384.94
9,221.68
8,876.73
7,519.46
10,736.64
9,222.14
20,102.76
30,038.40
36,826.17
9,304.35
75–84
22,644.20
17,637.52
16,209.48
16,367.80
17,839.92
16,948.85
17,314.82
14,247.63
18,675.15
19,394.55
40,128.73
65,526.21
63,788.00
17,620.48
85+
62,678.78
29,457.20
32,602.24
31,365.02
32,172.29
33,145.81
37,162.34
30,517.98
35,797.15
46,079.72
81,061.32
110,404.28
64,823.02
35,353.15
Total
2,809.39
2,453.43
2,275.01
2,373.77
2,230.73
2,364.21
2,761.31
2,503.31
2,555.36
2,761.13
3,551.13
4,935.07
5,703.33
2,434.65
6,317.14
Male
<1
7,043.09
4,799.05
5,747.27
5,890.89
6,398.30
6,102.35
6,366.37
5,405.92
7,226.87
6,061.38
7,177.16
15,754.81
21,662.44
1–4
1,068.35
1,487.12
780.01
972.89
765.79
940.45
1,003.13
1,107.01
1,164.64
1,040.59
2,350.41
3,049.59
4,107.05
959.66
5–14
1,703.15
1,892.22
1,216.77
1,375.71
1,152.19
1,442.71
1,602.21
1,801.27
1,923.35
1,928.43
3,930.27
3,926.87
5,501.69
1,520.72
15–44
6,011.00
6,220.69
4,553.33
5,093.19
4,921.05
5,583.70
6,615.24
6,750.86
7,010.96
7,269.24
12,488.48
16,391.42
23,529.36
5,883.31
45–64
9,722.13
8,455.05
7,679.58
8,274.04
7,990.12
8,426.65
9,478.29
8,328.42
9,575.30
8,757.68
12,216.86
19,567.44
26,789.94
8,518.54
65–74
12,934.60
9,629.25
9,971.41
10,415.68
11,319.29
10,636.33
10,193.06
8,983.31
12,186.23
10,435.43
17,015.97
28,066.81
34,155.63
10,856.90
75–84
24,152.21
17,973.44
16,369.33
17,712.98
20,374.33
17,959.55
17,719.49
15,693.30
20,417.52
19,614.84
31,442.21
47,926.57
52,627.05
18,902.04
85+
49,306.80
27,248.48
27,900.05
30,972.52
33,255.72
29,908.54
30,068.57
27,331.66
33,968.00
36,008.96
73,967.01
113,304.76
97,066.26
32,062.43
Total
2,293.11
2,006.12
1,757.59
1,875.62
1,854.48
1,875.79
2,086.93
2,026.32
2,052.18
2,196.60
2,906.89
3,783.35
4,720.42
1,953.85
Note: See methodology for age-sex distribution in Methodological Notes section of this report.
CIHI 2005.
148
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table E.1.5
Estimate of Total Provincial and Territorial Government Health Expenditures, by Age and Sex,
by Province/Territory and Canada, 2002—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
29.4
7.1
56.6
43.6
451.8
828.3
84.4
66.5
289.8
258.4
2.7
10.9
17.1
2,146.8
1–4
24.2
8.9
32.9
29.0
231.4
532.9
68.9
55.1
191.1
175.1
3.2
8.4
11.6
1,372.7
5–14
54.9
21.8
76.5
63.8
543.2
1,200.1
131.5
129.5
454.3
478.8
8.6
17.5
20.6
3,201.2
15–44
312.3
86.9
465.7
384.6
3,310.6
6,988.9
719.2
609.1
2,384.5
2,832.4
36.1
84.7
79.3
18,294.3
45–64
325.1
72.6
452.5
388.9
3,478.9
5,951.1
638.7
462.7
1,698.3
2,250.5
25.0
38.2
26.5
15,809.1
65–74
213.6
46.2
324.2
262.6
2,829.0
4,358.1
393.0
319.8
1,044.0
1,490.0
11.4
15.8
8.4
11,316.0
75–84
263.0
62.2
383.2
307.8
3,466.9
4,725.7
524.2
419.0
1,055.7
1,900.3
9.1
14.4
4.8
13,136.2
85+
200.7
39.1
269.6
198.7
1,592.4
2,667.0
402.3
330.0
613.2
1,378.1
6.1
9.6
1.9
7,708.7
Total
1,423.3
344.8
2,061.4
1,678.9
15,904.2
27,252.2
2,962.2
2,391.8
7,730.9
10,763.6
102.1
199.5
170.2
72,985.0
Female
<1
13.1
3.5
26.5
20.0
206.0
385.2
37.7
31.5
134.5
116.9
1.5
5.7
8.6
990.8
1–4
8.7
3.1
15.6
13.0
107.7
245.9
38.8
25.8
90.1
81.6
1.6
4.1
5.4
641.4
5–14
26.0
9.2
36.8
30.4
259.2
575.5
64.2
61.4
216.1
223.3
4.3
8.8
10.3
1,525.5
15–44
192.7
52.2
289.3
239.9
1,921.5
4,283.1
431.9
363.9
1,413.5
1,681.9
21.5
51.3
48.1
10,991.0
45–64
157.8
36.7
225.9
192.4
1,691.9
3,007.5
326.6
232.7
851.2
1,135.1
12.2
18.4
13.0
7,901.5
65–74
100.7
22.6
157.3
130.2
1,307.1
2,148.8
195.9
151.8
503.5
720.6
5.6
7.8
3.4
5,455.2
75–84
152.5
36.9
228.8
178.1
1,992.0
2,735.2
309.7
235.8
589.3
1,101.0
5.3
8.0
2.1
7,574.7
85+
147.3
27.8
199.7
139.6
1,153.1
1,924.9
295.8
229.7
423.4
993.5
4.0
6.1
0.7
5,545.4
Total
798.9
192.0
1,180.0
943.6
8,638.5
15,306.1
1,700.5
1,332.6
4,221.6
6,054.0
56.1
110.2
91.5
40,625.6
1,156.1
Male
<1
16.3
3.6
30.1
23.6
245.8
443.1
46.7
35.0
155.3
141.5
1.3
5.2
8.5
1–4
15.6
5.9
17.3
15.9
123.7
287.0
30.1
29.3
101.0
93.5
1.5
4.3
6.2
731.3
5–14
28.9
12.6
39.8
33.4
283.9
624.7
67.4
68.1
238.2
255.5
4.3
8.7
10.4
1,675.7
15–44
119.6
34.7
176.4
144.7
1,389.1
2,705.8
287.3
245.2
970.9
1,150.5
14.6
33.4
31.2
7,303.3
45–64
167.3
35.9
226.6
196.5
1,787.0
2,943.6
312.1
230.0
847.1
1,115.4
12.7
19.8
13.5
7,907.6
65–74
112.9
23.6
166.9
132.4
1,522.0
2,209.3
197.1
168.0
540.5
769.4
5.8
8.0
5.0
5,860.8
75–84
110.4
25.3
154.4
129.6
1,474.9
1,990.6
214.6
183.2
466.4
799.3
3.7
6.3
2.7
5,561.5
85+
53.4
11.3
69.8
59.1
439.3
742.1
106.5
100.4
189.8
384.5
2.2
3.5
1.3
2,163.3
Total
624.4
152.8
881.4
735.3
7,265.7
11,946.1
1,261.6
1,059.2
3,509.3
4,709.6
46.1
89.3
78.7
32,359.5
6,555.43
($’ per capita)
Both Sexes
<1
6,244.20
5,401.96
6,526.29
6,223.98
6,233.69
6,436.56
6,172.66
5,568.68
7,669.29
6,533.36
8,377.57
17,228.65
25,115.13
1–4
1,222.34
1,495.50
865.94
948.54
769.03
935.14
1,190.51
1,123.43
1,239.93
1,030.18
2,276.43
3,157.85
4,173.52
978.42
5–14
1,772.33
2,341.52
1,322.09
1,396.84
1,178.18
1,485.52
1,597.67
1,787.31
2,088.62
1,892.47
3,968.79
4,650.67
6,002.99
1,563.33
15–44
8,263.88
9,125.43
6,969.00
7,064.37
6,120.45
7,677.83
8,722.46
8,821.76
9,743.68
9,357.43
15,406.07
24,211.09
34,265.19
7,871.87
45–64
9,805.86
8,770.37
7,870.93
8,410.96
7,533.16
8,755.16
10,102.08
8,718.01
10,363.24
9,058.08
13,034.80
21,074.48
29,800.49
8,680.68
65–74
12,082.95
9,465.10
9,675.67
10,039.96
10,361.60
10,524.15
10,083.68
8,900.83
11,916.24
10,236.82
19,249.30
29,414.07
39,291.18
10,488.91
75–84
24,769.27
19,605.87
17,423.39
17,665.48
21,599.97
18,417.48
18,583.30
15,821.23
20,271.41
20,187.76
39,435.00
62,551.16
73,258.02
19,555.78
85+
61,504.87
32,366.21
33,076.01
32,533.90
31,982.15
34,379.71
37,427.85
30,207.09
36,037.28
44,126.64
89,510.10
136,005.19
103,203.67
35,658.76
Total
2,739.98
2,518.06
2,205.82
2,237.56
2,136.01
2,251.87
2,563.35
2,401.67
2,480.77
2,615.43
3,389.07
4,808.86
5,923.07
2,326.39
6,200.86
Female
<1
5,579.54
5,201.10
6,196.79
5,950.16
5,833.71
6,135.56
5,667.10
5,404.90
7,246.90
6,097.75
9,919.85
17,861.55
25,756.37
1–4
897.80
1,054.55
839.57
880.66
737.47
876.76
1,375.42
1,082.96
1,199.84
986.30
2,258.81
3,057.06
4,013.45
935.30
1,723.26
2,001.32
1,297.46
1,373.28
1,150.59
1,457.16
1,592.23
1,745.76
2,045.42
1,816.35
4,082.57
4,786.92
6,172.10
1,526.89
15–44
10,155.12
10,901.32
8,697.43
8,954.74
7,308.35
9,527.29
10,768.59
10,757.58
11,956.55
11,196.87
18,094.34
30,194.77
42,596.79
9,631.16
45–64
9,339.71
8,675.15
7,681.27
8,180.74
7,141.62
8,641.57
10,168.45
8,702.06
10,411.04
9,017.59
13,780.07
21,651.44
30,762.87
8,510.91
65–74
10,983.69
8,861.46
8,906.21
9,329.97
8,778.15
9,834.44
9,499.28
8,074.72
11,154.79
9,708.16
21,285.18
31,772.81
42,619.76
9,567.68
75–84
24,827.45
19,101.53
17,182.79
17,009.13
20,212.08
17,971.84
18,287.27
15,278.36
19,404.34
20,158.60
42,496.18
70,043.72
79,727.24
18,928.19
85+
65,498.15
32,868.82
34,720.26
32,648.10
31,706.40
35,508.29
39,484.78
31,243.57
36,234.48
47,061.13
101,877.28
131,766.38
81,715.61
36,618.45
Total
3,028.08
2,734.59
2,475.54
2,485.08
2,289.42
2,499.87
2,919.10
2,660.58
2,739.53
2,918.27
3,770.71
5,497.79
6,635.96
2,565.71
5–14
Male
<1
6,904.93
5,612.48
6,847.39
6,475.46
6,613.80
6,723.26
6,651.37
5,724.99
8,077.03
6,943.05
7,070.55
16,585.63
24,496.06
6,893.22
1–4
1,531.82
1,914.98
891.27
1,012.43
798.78
991.72
1,014.36
1,161.64
1,278.01
1,071.83
2,295.45
3,259.40
4,322.04
1,019.65
5–14
1,818.46
2,661.61
1,345.66
1,418.87
1,204.47
1,512.65
1,602.64
1,826.55
2,129.27
1,964.42
3,858.09
4,520.03
5,843.90
1,598.01
15–44
6,314.68
7,280.13
5,220.98
5,208.54
4,986.42
5,857.82
6,768.24
6,942.22
7,674.19
7,527.37
12,578.27
18,501.99
26,460.59
6,159.32
45–64
10,271.53
8,859.06
8,068.42
8,644.48
7,945.27
8,876.15
10,039.01
8,743.90
10,321.04
9,098.34
12,404.99
20,604.62
28,849.47
8,858.28
65–74
13,276.44
10,120.25
10,531.98
10,846.83
12,284.99
11,296.29
10,737.13
9,811.67
12,723.08
10,787.58
17,617.82
27,436.57
37,377.98
11,526.67
75–84
24,537.64
20,225.68
17,717.52
18,609.96
23,780.95
19,042.71
19,020.49
16,544.08
21,474.44
20,174.08
35,468.82
55,213.89
69,097.29
20,443.34
85+
52,629.31
31,057.73
29,068.25
32,459.46
32,931.15
31,683.26
32,590.50
28,050.11
35,669.16
37,872.97
73,595.29
142,865.72
111,206.70
33,423.66
Total
2,442.63
2,290.21
1,925.02
1,983.98
1,978.39
1,997.91
2,201.69
2,139.70
2,227.65
2,307.60
3,017.60
4,164.56
5,265.72
2,082.52
Note: See methodology for age-sex distribution in Methodological Notes section of this report.
CIHI 2005.
149
NATIONAL HEALTH EXPENDITURE TRENDS D A T A T A B L E S
Table E.1.6
Estimate of Total Provincial and Territorial Government Health Expenditures, by Age and Sex,
by Province/Territory and Canada, 2003—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
29.0
7.7
60.4
47.5
474.8
950.5
80.4
70.4
308.8
266.1
2.3
9.3
17.7
2,325.0
1–4
22.4
7.6
35.3
30.0
233.2
577.7
70.1
60.3
198.3
165.3
3.5
9.5
18.1
1,431.0
5–14
53.2
23.5
82.3
66.7
538.9
1,337.7
145.3
137.7
467.9
426.9
7.8
15.2
33.5
3,336.6
15–44
325.1
85.9
495.2
401.2
3,403.1
7,757.1
733.4
646.3
2,507.8
2,845.6
34.9
82.1
109.3
19,427.1
45–64
358.6
76.9
511.4
426.5
3,801.2
6,759.6
722.2
504.9
1,894.1
2,486.6
26.2
40.9
37.1
17,646.3
65–74
222.8
48.9
358.7
280.3
3,046.3
4,777.3
461.2
337.0
1,112.8
1,478.6
13.0
18.2
11.1
12,166.1
75–84
279.6
64.1
426.2
328.2
3,329.5
5,295.5
586.3
430.0
1,145.5
1,937.8
9.9
15.8
5.7
13,854.1
85+
207.3
40.3
301.6
212.5
1,751.3
2,947.9
419.9
346.8
645.3
1,421.7
6.2
10.8
2.1
8,313.7
Total
1,498.1
354.9
2,271.0
1,793.0
16,578.4
30,403.3
3,218.8
2,533.4
8,280.4
11,028.4
103.8
201.7
234.5
78,499.8
1,072.7
Female
<1
13.6
3.9
27.2
22.5
216.4
437.6
36.6
32.9
142.9
125.0
1.1
4.6
8.5
1–4
9.4
2.8
16.7
13.9
108.3
268.3
39.1
28.7
92.1
77.0
2.0
5.5
9.3
673.0
25.3
8.4
39.0
31.2
256.5
643.7
71.0
65.3
223.1
201.8
4.0
7.8
16.8
1,594.0
15–44
197.7
52.4
307.2
247.0
1,970.8
4,701.9
423.0
378.3
1,476.8
1,698.3
21.0
50.5
63.1
11,588.0
45–64
177.6
39.8
257.7
210.9
1,853.9
3,405.5
360.9
253.6
963.0
1,261.8
12.8
19.4
18.0
8,834.9
65–74
105.3
24.1
174.3
137.8
1,527.0
2,349.8
229.5
163.1
538.3
711.2
6.2
8.5
4.1
5,979.1
75–84
162.4
37.7
251.1
189.4
1,949.3
3,046.2
348.7
243.9
640.4
1,113.4
5.7
8.8
2.3
7,999.4
85+
154.3
29.3
224.0
151.0
1,264.4
2,137.4
309.8
241.8
441.1
1,022.9
4.2
6.9
0.7
5,988.0
Total
845.6
198.6
1,297.2
1,003.6
9,146.5
16,990.5
1,818.6
1,407.4
4,517.8
6,211.5
57.0
112.0
122.9
43,729.1
1,252.3
5–14
Male
<1
15.4
3.8
33.2
25.0
258.5
512.9
43.8
37.5
166.0
141.1
1.2
4.7
9.2
1–4
12.9
4.7
18.6
16.1
124.9
309.4
30.9
31.7
106.2
88.3
1.4
4.0
8.9
758.1
5–14
27.9
15.0
43.3
35.5
282.5
694.0
74.3
72.5
244.8
225.0
3.9
7.3
16.7
1,742.5
15–44
127.4
33.5
188.0
154.3
1,432.3
3,055.2
310.4
268.0
1,030.9
1,147.3
13.9
31.6
46.2
7,839.1
45–64
181.1
37.0
253.7
215.7
1,947.3
3,354.1
361.3
251.3
931.1
1,224.7
13.5
21.4
19.1
8,811.4
65–74
117.5
24.8
184.4
142.5
1,519.4
2,427.5
231.7
173.9
574.4
767.4
6.8
9.8
6.9
6,187.0
75–84
117.3
26.4
175.1
138.8
1,380.1
2,249.3
237.6
186.1
505.0
824.3
4.2
7.1
3.3
5,854.6
85+
53.0
11.1
77.6
61.5
486.8
810.5
110.1
105.0
204.1
398.8
2.0
3.8
1.3
2,325.7
Total
652.5
156.4
973.8
789.4
7,431.8
13,412.8
1,400.2
1,126.0
3,762.6
4,817.0
46.8
89.7
111.7
34,770.6
($’ per capita)
Both Sexes
<1
6,156.83
5,795.86
6,985.87
6,750.29
6,585.84
7,402.99
5,809.73
6,008.79
7,944.21
6,623.38
6,792.07
15,100.98
24,934.87
7,077.70
1–4
1,141.48
1,307.67
954.60
1,010.54
784.08
1,035.31
1,231.89
1,245.82
1,284.87
992.23
2,534.27
3,563.82
6,734.50
1,036.81
5–14
1,777.67
2,601.23
1,450.48
1,486.30
1,179.04
1,652.78
1,773.88
1,938.11
2,168.54
1,705.19
3,652.10
4,057.71
9,648.97
1,638.81
15–44
8,714.32
9,071.29
7,452.89
7,454.64
6,316.33
8,473.91
8,885.50
9,431.45
10,193.33
9,400.18
14,816.06
23,081.50
46,450.04
8,350.01
45–64
10,435.88
9,061.77
8,611.65
8,920.99
7,957.17
9,577.84
11,113.26
9,259.98
11,044.68
9,660.03
13,146.57
21,370.46
41,160.72
9,346.64
65–74
12,425.66
9,817.51
10,593.18
10,670.49
11,067.08
11,453.02
11,893.58
9,484.32
12,525.81
10,046.24
20,596.83
32,856.00
48,219.73
11,189.97
75–84
26,047.03
20,059.83
19,208.01
18,526.22
19,835.35
19,814.88
20,376.41
16,228.66
21,202.85
19,925.62
41,055.48
64,413.47
81,986.49
19,908.27
85+
60,855.60
33,214.03
35,922.33
33,585.91
33,211.69
36,678.63
38,014.77
30,935.75
36,256.02
43,354.65
93,762.73
171,159.17
107,883.31
36,890.20
Total
2,890.07
2,585.83
2,425.86
2,387.76
2,212.71
2,480.56
2,771.09
2,547.63
2,621.50
2,655.99
3,398.80
4,779.11
8,048.33
2,479.43
6,710.14
Female
<1
5,717.71
5,663.30
6,384.41
6,560.97
6,182.79
7,004.22
5,449.62
5,716.45
7,563.36
6,429.91
6,798.46
13,764.53
25,309.31
1–4
975.18
1,006.59
914.21
965.94
749.43
978.97
1,409.44
1,213.38
1,225.17
950.69
2,946.89
4,097.50
7,194.23
997.87
1,736.96
1,875.08
1,408.49
1,431.97
1,147.71
1,626.00
1,777.34
1,890.79
2,128.98
1,659.11
3,763.42
4,276.57
9,918.03
1,604.47
15–44
10,559.64
10,983.64
9,279.92
9,307.56
7,522.45
10,393.69
10,520.26
11,253.11
12,397.68
11,310.59
17,586.03
29,237.27
54,947.57
10,136.07
45–64
10,140.76
9,230.03
8,469.95
8,647.86
7,578.29
9,423.23
10,926.82
9,237.83
11,256.59
9,666.31
13,520.90
21,764.37
40,814.61
9,181.31
65–74
11,339.04
9,278.67
9,817.67
9,900.17
10,241.45
10,695.93
11,203.55
8,745.05
11,754.82
9,483.15
21,498.11
32,891.65
49,498.14
10,436.30
75–84
26,293.72
19,291.25
18,763.09
17,799.16
18,982.25
19,318.27
20,298.84
15,825.08
20,426.74
19,895.57
45,470.81
71,460.49
87,271.12
19,388.48
85+
65,402.03
34,197.54
37,974.48
34,289.71
32,943.43
38,218.46
40,356.37
31,857.71
36,261.01
46,265.73
112,539.92
156,143.24
93,099.39
38,044.30
Total
3,209.49
2,818.08
2,714.94
2,639.85
2,409.82
2,739.49
3,106.63
2,812.79
2,890.61
2,966.71
3,774.92
5,482.75
8,740.05
2,736.24
5–14
Male
<1
6,602.90
5,938.30
7,571.26
6,930.13
6,965.93
7,781.00
6,148.77
6,290.98
8,304.21
6,804.82
6,786.00
16,674.39
24,601.37
7,426.16
1–4
1,303.45
1,595.62
993.96
1,052.27
816.81
1,089.70
1,062.61
1,276.67
1,341.54
1,031.54
2,114.36
3,022.05
6,313.64
1,074.02
5–14
1,815.70
3,290.68
1,490.48
1,537.69
1,208.87
1,678.45
1,770.53
1,982.88
2,205.76
1,748.69
3,541.87
3,846.58
9,393.05
1,671.51
15–44
6,820.18
7,085.82
5,599.68
5,629.09
5,166.35
6,580.97
7,322.30
7,663.66
8,127.93
7,500.95
11,935.94
17,287.70
38,454.18
6,609.96
45–64
10,731.97
8,881.88
8,761.65
9,198.29
8,355.51
9,741.29
11,309.65
9,291.36
10,841.12
9,651.68
12,796.12
21,138.26
41,218.11
9,519.84
65–74
13,600.72
10,399.32
11,451.12
11,533.67
12,043.32
12,296.28
12,662.73
10,303.28
13,346.80
10,631.47
19,860.89
32,831.00
48,074.11
12,030.19
75–84
25,573.87
21,250.39
19,798.88
19,575.07
21,177.04
20,499.61
20,439.73
16,778.50
22,275.19
19,910.12
35,711.36
57,546.47
78,609.45
20,634.05
85+
50,569.45
31,130.86
31,070.30
31,835.84
34,158.01
33,080.38
32,580.94
29,038.04
36,273.50
37,236.71
72,095.12
234,299.88
108,303.36
34,229.29
Total
2,559.91
2,340.90
2,124.54
2,129.25
2,010.33
2,215.32
2,430.18
2,279.10
2,357.92
2,339.96
3,030.87
4,119.34
7,403.53
2,217.66
Note: See methodology for age-sex distribution in Methodological Notes section of this report.
CIHI 2005.
150
www.cihi.ca
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www.icis.ca
À l’avant-garde de l’information sur la santé
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