National Health Expenditure Trends, 1975 to 2013

National Health Expenditure Trends, 1975 to 2013
National Health Expenditure Trends, 1975 to 2013
Spending and Health Workforce
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Table of Contents
Acknowledgements ...................................................................................................................... ix
Summary ...................................................................................................................................... xi
Highlights .................................................................................................................................... xiii
Introduction ................................................................................................................................... 1
1.0 Overview ................................................................................................................................ 3
1.1 Total Health Expenditure ................................................................................................ 3
1.2 Total Health Expenditure per Capita ............................................................................... 8
1.3 Total Health Expenditure and Economic Growth .......................................................... 10
2.0 Total Health Expenditure by Source of Finance .................................................................. 12
2.1 Public-Sector Health Expenditure by Source of Finance .............................................. 15
2.2 Private-Sector Health Expenditure by Source of Finance............................................. 18
3.0 Total Health Expenditure by Use of Funds .......................................................................... 22
3.1 Hospitals ....................................................................................................................... 26
3.2 Drugs ............................................................................................................................ 29
3.3 Physicians ..................................................................................................................... 32
3.4 Other Professionals ...................................................................................................... 34
3.5 Other Institutions ........................................................................................................... 39
3.6 Administration ............................................................................................................... 40
3.7 Public Health ................................................................................................................. 41
3.8 Other Health Spending ................................................................................................. 42
4.0 Health Expenditure in the Provinces and Territories ............................................................ 43
Trends in the Provinces and Territories ............................................................................... 47
5.0 Provincial and Territorial Government Health Expenditure by Age and Sex ....................... 51
5.1 Standardization for Age and Sex .................................................................................. 51
5.2 Population Aging ........................................................................................................... 53
5.3 Issues to Monitor in Future ........................................................................................... 57
6.0 Provincial and Territorial Government Health Expenditures and Fiscal Position ................. 59
7.0 International Comparisons ................................................................................................... 64
Comparability of Health Expenditure Across Countries ....................................................... 64
Comparability of Health Expenditure Over Time .................................................................. 64
OECD Definition of Total Health Expenditure ...................................................................... 65
Total Health Expenditure ..................................................................................................... 66
Health Expenditure by Source of Finance ........................................................................... 68
National Health Expenditure Trends, 1975 to 2013
8.0 Methodological Notes .......................................................................................................... 81
8.1 Concepts and Definitions .............................................................................................. 81
8.2 Major Data Limitations .................................................................................................. 87
8.3 Collection and Non-Response ...................................................................................... 88
8.4 Major Changes From Previous Years ......................................................................... 108
8.5 Sources of Data .......................................................................................................... 111
9.0 Data Tables........................................................................................................................ 114
Series A—Summary Data, Canada .................................................................................. 117
Series B—Total Health Expenditure by Source of Finance, by Province/Territory
and Canada (Selected Tables) .......................................................................................... 143
Series E—Provincial/Territorial Government Health Expenditure, by Age and Sex,
by Province/Territory and Canada (Selected Tables) ........................................................ 157
References................................................................................................................................ 161
Comprehensive versions of data tables, series A to G, are available on the CD-ROM at the
back of this report. They are also available online at www.cihi.ca.
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National Health Expenditure Trends, 1975 to 2013
List of Figures
Figure 1:
Total Health Expenditure, Canada, 1975 to 2013....................................................... 3
Figure 2:
Total Health Expenditure, Annual Growth Rates in Constant 1997 Dollars,
Canada, 1976 to 2013 ................................................................................................ 4
Figure 3:
Average Annual Growth in Total Health Expenditures per Capita and
GDP per Capita, 2000 to 2011 ................................................................................... 5
Figure 4:
Cost Driver Shares of Average Annual Growth in Public-Sector Health
Spending, 2000 to 2011, Compared With Annual Growth in 2012 and 2013 ............. 6
Figure 5:
Total Health Expenditure per Capita, Canada, 1975 to 2013 ..................................... 8
Figure 6:
Total Health Expenditure per Capita, Annual Growth Rates in Constant 1997
Dollars, Canada, 1976 to 2013 ................................................................................... 9
Figure 7:
Total Health Expenditure as a Percentage of Gross Domestic Product,
Canada, 1975 to 2013 .............................................................................................. 10
Figure 8:
Total Health Expenditure and Nominal GDP, Annual Growth, Canada,
1976 to 2013 ............................................................................................................. 11
Figure 9:
Total Health Expenditure by Source of Finance, 2011 (Billions of Dollars and
Percentage Share) ................................................................................................... 12
Figure 10: Health Expenditure by Source of Finance, Canada, 1975 to 2013........................... 13
Figure 11: Public- and Private-Sector Shares of Total Health Expenditure, 1975 to 2013 ........ 14
Figure 12: Distribution of Private-Sector Health Expenditure by Source of Finance,
Canada, 1988 and 2011 (Millions of Dollars and Percentage Share)....................... 18
Figure 13: Share of Private-Sector Health Expenditure by Source of Finance, Canada,
1988 to 2011 ............................................................................................................. 19
Figure 14: Private-Sector Health Expenditure per Capita, Source of Finance, Canada,
1988, 1998 and 2011 ................................................................................................ 20
Figure 15: Total Health Expenditure by Use of Funds, Canada, 2011 (Billions of Dollars
and Percentage Share) ............................................................................................ 22
Figure 16: Public and Private Shares of Total Health Expenditure, by Use of Funds,
Canada, 2011 ........................................................................................................... 23
Figure 17: Total Health Expenditure, Share of Selected Use of Funds, Canada,
1975 to 2013 ............................................................................................................. 24
Figure 18: Total Expenditure per Capita, Selected Use of Funds, Canada, 1975 to 2013 ........ 25
Figure 19: Total Expenditure per Capita, Selected Use of Funds, Canada, 1976 to 2013 ........ 27
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National Health Expenditure Trends, 1975 to 2013
Figure 20: Drugs by Source of Finance and Type, Canada, 2011 (Billions of Dollars
and Percentage Share) ............................................................................................ 29
Figure 21: Prescribed Drug Expenditure, Private-Sector Share, Canada, 1975 to 2013........... 30
Figure 22: Private Prescribed Drug Expenditure, Shares by Source of Finance,
Canada, 1988 to 2011 .............................................................................................. 31
Figure 23: Public-Sector Physician Expenditure per Capita, Share of Total Health
Expenditure, Canada, 1975 to 2013 ......................................................................... 33
Figure 24: Dental and Vision Care Services Expenditure, Total per Capita, Canada,
1975 to 2013 ............................................................................................................. 35
Figure 25: Professionals Expenditure by Source of Finance and Type, Canada, 2011
(Billions of Dollars and Percentage Share) ............................................................... 36
Figure 26: Other Professionals Expenditure, Percentage Share of Total Private
Spending, by Type, Canada, 1975 to 2013 .............................................................. 37
Figure 27: Private Dental Expenditures, Shares by Source of Finance, Canada,
1988 to 2011 ............................................................................................................. 38
Figure 28: Other Institutions Health Expenditure per Capita, Canada 1975 to 2013 ................. 39
Figure 29: Public-Sector Other Institutions Expenditure as a Percentage of Total
Other Institutions Expenditure, Canada, 2000 to 2013 ............................................. 40
Figure 30: Public Health Spending as a Percentage of Total Health Expenditure,
Canada, 1975 to 2013 .............................................................................................. 42
Figure 31: Public- and Private-Sector Health Expenditure per Capita, 1988 to 2013,
by Province and Territory, Constant 1997 Dollars .................................................... 48
Figure 32: Age Distribution, Canada, 2000 and 2011 ................................................................ 53
Figure 33: Total Provincial/Territorial Government Health Expenditure, by Age and Sex,
Canada, 2011 ........................................................................................................... 54
Figure 34: Provincial/Territorial Government Health Expenditure per Capita, by Age
Group, Canada, 2011 ............................................................................................... 55
Figure 35: Share of Provincial/Territorial Government Health Expenditure, by Age
Group, Canada, 2000 and 2011 ............................................................................... 56
Figure 36: Contribution of Aging to Average Annual Growth for Hospitals, Physicians,
Drugs and Other Institutions, Canada, 2000 to 2011 ............................................... 57
Figure 37: Contribution of Population Growth and Aging to Average Annual Growth in
Provincial/Territorial Government Health Spending, by Province/Territory
and Canada, 2000 to 2011 ....................................................................................... 58
Figure 38: Provincial/Territorial Government Health Expenditure per Capita in
Constant 1997 Dollars, Canada, 1975 to 2013 ........................................................ 59
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National Health Expenditure Trends, 1975 to 2013
Figure 39: Provincial/Territorial Government Revenue, Constant Dollar Indices
(1993 = 100), Canada, 1993 to 2012........................................................................ 60
Figure 40: Provincial/Territorial Debt Charges as a Proportion of Total Provincial/
Territorial Expenditure and Revenue, Canada, 1993 to 2012 .................................. 61
Figure 41: Provincial/Territorial Government Health Expenditure as a Proportion
of Total Provincial/Territorial Government Expenditure and Programs,
Canada, 1993 to 2012 .............................................................................................. 62
Figure 42: Public-Sector Spending Growth (Health, Transportation/Communications,
Education and Social Services) Compared With Revenue and Debt Charges,
Average Annual Real per Capita Expenditure Growth, Canada, 1998 to 2009 ........ 63
Figure 43: Total Health Expenditure as a Percentage of GDP, 30 Selected
Countries, 2011 ........................................................................................................ 66
Figure 44: Total Health Expenditure per Capita, U.S. Dollars, 30 Selected
Countries, 2011 ........................................................................................................ 67
Figure 45: Total Health Expenditure, Public and Private Share, 30 Selected
Countries, 2011 ........................................................................................................ 69
Figure 46: Public-Sector Health Expenditure as a Percentage of GDP, 30 Selected
Countries, 2011 ........................................................................................................ 70
Figure 47: Public-Sector Health Expenditure per Capita, U.S. Dollars, 30 Selected
Countries, 2011 ........................................................................................................ 71
Figure 48: Percentage of Total Health Expenditure Financed by the Public Sector,
by Source of Finance, 30 Selected Countries, 2011 ................................................ 73
Figure 49: Percentage of Total Health Expenditure Financed by the Private Sector, by
Source of Finance, 30 Selected Countries, 2011 ..................................................... 75
Figure 50: Expenditure on Services Provided by Hospitals, per Capita,
U.S. Dollars, 2011 .................................................................................................... 77
Figure 51: Total Expenditure on Drugs, per Capita, U.S. Dollars, 2011 .................................... 78
Figure 52: Expenditure on Services Provided by Offices of Physicians, per Capita,
U.S. Dollars, 2011 .................................................................................................... 80
Figure 53: Composition of Total Health Expenditures, by Source of Finance ........................... 81
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National Health Expenditure Trends, 1975 to 2013
List of Tables
Table 1:
Distribution of Public-Sector Health Expenditure by Source of Finance,
Canada, 1975 and 2011 ........................................................................................... 15
Table 2:
Quebec Drug Insurance Fund, 1997 to 2013 ........................................................... 17
Table 3:
Private-Sector Health Expenditure by Source of Finance and Use of Funds,
Canada, 2011 (Millions of Dollars and Percentage Share)....................................... 21
Table 4:
Hospital Expenditure Summary by Sector of Finance, Canada, 2011...................... 26
Table 5:
Health Expenditure Summary, by Province/Territory and Canada, 2013 ................. 44
Table 6:
Total Health Expenditure per Capita and Share, Selected Use of Funds,
by Province/Territory and Canada, 2013 .................................................................. 46
Table 7:
Total Provincial/Territorial Government Health Expenditure per Capita,
Standardized for Age and Sex, by Province/Territory and Canada,
2008 to 2011 ............................................................................................................. 52
Table 8:
Differences From Previously Reported Provincial Government–Sector Data
by Province/Territory and Canada, 1990 to 2010 ($ Millions)................................. 108
Table 9:
Differences From Previously Reported Private-Sector Data, by
Province/Territory and Canada, 1998 to 2010 ($ Millions) ..................................... 109
Table 10: Differences From Previously Reported Federal Direct–Sector Data,
by Province/Territory and Canada, 2009 to 2010 ($ Millions)................................. 109
Table 11: Differences From Previously Reported Social Security Fund–Sector Data,
by Province/Territory and Canada, 1997 to 2010 ($ Millions)................................. 110
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National Health Expenditure Trends, 1975 to 2013
List of Data Tables
Series A—Summary Data, Canada
1
Total Health Expenditure, Canada, 1975 to 2013—Summary ............................. 118
2.1–2.3
Total Health Expenditure by Source of Finance, Canada,
1975 to 2013—Current Dollars ............................................................................ 119
2.4–2.5
Total Health Expenditure by Source of Finance, Canada,
1975 to 2013—Constant Dollars .......................................................................... 122
3.1.1–3.1.3 Total Health Expenditure by Use of Funds, Canada,
1975 to 2013—Current Dollars ............................................................................ 124
3.2.1–3.2.3 Private-Sector Health Expenditure by Use of Funds, Canada,
1975 to 2013—Current Dollars ............................................................................ 130
3.3.1–3.3.3 Public-Sector Health Expenditure by Use of Funds, Canada,
1975 to 2013—Current Dollars ............................................................................ 136
Series B—Total Health Expenditure by Source of Finance, by Province/Territory
and Canada (Selected Tables)
1.1–1.2
Total Health Expenditure, by Province/Territory and Canada,
1975 to 2013—Current Dollars ............................................................................ 144
1.3
Total Health Expenditure as a Percentage of (Provincial/Territorial)
GDP, by Province/Territory and Canada, 1975 to 2013—Current Dollars........... 146
2.1–2.2
Private-Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2013—Current Dollars ............................................................................ 147
2.3
Private-Sector Health Expenditure as a Proportion of Total Health
Expenditure, by Province/Territory and Canada, 1975 to 2013—
Current Dollars ..................................................................................................... 149
3.1–3.2
Public-Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2013—Current Dollars ............................................................................ 150
3.3
Public-Sector Health Expenditure as a Proportion of Total Health
Expenditure, by Province/Territory and Canada, 1975 to 2013—
Current Dollars ..................................................................................................... 152
4.1–4.2
Provincial/Territorial Government Sector Health Expenditure, by
Province/Territory and Canada, 1975 to 2013—Current Dollars ......................... 153
4.3
Provincial/Territorial Government Sector Health Expenditure as a
Proportion of Total Health Expenditure, by Province/Territory and
Canada, 1975 to 2013—Current Dollars ............................................................. 155
Series E—Provincial Government Health Expenditure, by Age and Sex,
by Province/Territory and Canada (Selected Tables)
1.1
Estimate of Total Provincial and Territorial Government Health
Expenditures, by Age and Sex, by Province/Territory and Canada,
2011—Current Dollars ......................................................................................... 158
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National Health Expenditure Trends, 1975 to 2013
List of Data Tables on CD-ROM
Series A—Summary Data, Canada
Series B—Total Health Expenditure by Source of Finance, by Province/Territory and Canada
Series C—Health Expenditure by Use of Funds, by Source of Finance, Canada
Series D—Health Expenditure by Use of Funds, by Source of Finance, by Province/Territory
Series D1—Total Health Expenditure by Use of Funds, by Province/Territory
Series D2—Private-Sector Health Expenditure by Use of Funds, by Province/Territory
Series D3—Public-Sector Health Expenditure by Use of Funds, by Province/Territory
Series D4—Provincial/Territorial Government Health Expenditure by Use of Funds,
by Province/Territory
Series E—Provincial Government Health Expenditure, by Age and Sex, by Province/Territory
and Canada
Series F—Provincial/Territorial Government Health Expenditure, by Province/Territory
and Canada
Series G—Drug Expenditure by Type, by Source of Finance and as a Share of Public, Private
and Total Health Expenditures, by Province/Territory and Canada, 1985 to 2013
Appendix A—Gross Domestic Product at Market Prices
Appendix B—Price Indices, by Province/Territory and Canada
Appendix C—Population, Population by Age and Sex, by Province/Territory and Canada
Appendix D—Total Provincial/Territorial Government Programs and Expenditures,
by Province/Territory and Canada
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National Health Expenditure Trends, 1975 to 2013
Acknowledgements
The Canadian Institute for Health Information (CIHI) wishes to acknowledge the following
individuals for their contribution to National Health Expenditure Trends, 1975 to 2013:
• Christopher Kuchciak, Manager, Health Expenditures, CIHI
• Gilles Fortin, Program Consultant, CIHI
• Ruolz Ariste, Program Consultant, CIHI
• Jean He, Program Lead, CIHI
• Yiqun Yang, Senior Analyst, CIHI
• Jian Gao, Senior Analyst, CIHI
• Dawn Liew, Analyst, CIHI
• Vicky Wang, Analyst, CIHI
• Winnie Au, Analyst, CIHI
• Ali Himada, Student, CIHI
• Chloe Nyitray, Student, CIHI
It is only through the contribution of many individuals and organizations that the production of
National Health Expenditure Trends, 1975 to 2013 is possible. CIHI expresses its gratitude to
the following:
The National Health Expenditure Expert Advisory Group for its advice and constructive
comments related to national health expenditures:
• John Horne, PhD, Royal Roads University
• Richard Plain, PhD, University of Alberta
• Robert G. Evans, PhD, University of British Columbia
• Hu Lu, PhD, Health Canada
• Claudia Sanmartin, PhD, Statistics Canada
• Jeremiah Hurley, PhD, McMaster University
• François Béland, ministère de la Santé et des Services sociaux du Québec
• Livio Di Matteo, PhD, Lakehead University
• Michael Wolfson, PhD, University of Ottawa
• Michael Hunt, Director, Health Spending and Strategic Initiatives, CIHI
• Brent Diverty, Vice President, Programs, CIHI
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
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National Health Expenditure Trends, 1975 to 2013
• The provincial and territorial workers’ compensation boards and the Commission de la santé
et de la sécurité du travail du Québec
• The Nielsen Company Canada
• The insurance industry, whose participation has enhanced our understanding of
expenditures in the private sector:
– The Canadian Life and Health Insurance Association Inc.
– Medavie Blue Cross
– Croix Bleue du Québec
– Green Shield Canada
– Manitoba Blue Cross
– Saskatchewan Blue Cross
– Group Medical Services
– Alberta Blue Cross
– Pacific Blue Cross
• Association of Faculties of Medicine of Canada
• Provincial and territorial health ministries for providing age and sex distributions for their
respective drug subsidy and additional health benefit programs:
– Newfoundland and Labrador Medical Services Commission, Department of Health and
Community Services
– Prince Edward Island Department of Health and Wellness
– Medavie Blue Cross, facilitated by the Nova Scotia Department of Health, Insured
Programs Management and Clinical Rationalization
– New Brunswick Ministry of Health
– Régie de l’assurance maladie du Québec, facilitated by the ministère de la Santé et des
Services sociaux du Québec
– Ontario Ministry of Health and Long-Term Care, Ontario Health Insurance Program and
Drug Programs Branch
– Manitoba Ministry of Health
– Saskatchewan Health, Saskatchewan Drug Plan and Extended Benefits Branch and
Saskatchewan Medical Services Branch
– Alberta Ministry of Health
– British Columbia Ministry of Health, Medical Services Plan and PharmaCare Planning
and Special Projects
– Yukon Department of Health and Social Services
– Northwest Territories Department of Health and Social Services
Please note that the analyses and conclusions in the present document do not necessarily
reflect those of the individuals or organizations mentioned above.
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National Health Expenditure Trends, 1975 to 2013
Summary
National Health Expenditure Trends, 1975 to 2013 is the 17th edition of this annual publication.
It provides an overview of how much is spent on health care every year, what and whom that
money is used for, and where it comes from. It features comparative expenditure data at the
provincial/territorial and international levels, as well as Canadian health spending trends from
1975 to the present.
In 2013, total health spending is expected to reach an all-time high of $211 billion, or
$5,988 per person. The rate of growth in health spending, however, is slowing and has
not kept pace with inflation and population growth for the first time in nearly 15 years.
• Health spending is expected to increase by 2.6% this year, after rising at an average
of 7% per year from 2000 to 2010.
• After accounting for inflation and for population changes, health spending will actually
decrease by 0.1% in 2012 and by 0.2% in 2013.
• The recent trend may indicate the start of a “bending of the spending curve.”
• Since 2010, health spending growth has been less than growth in the overall economy. As a
result, the health expenditure–to-GDP ratio declined from 11.6% in 2009 to 11.2% in 2013.
In 2013, total spending on drugs will grow to an estimated $34.5 billion. This growth (2.4%)
comes mostly from the private sector, with no growth in drug spending reported by the
public sector.
• Drugs account for a declining share of total health dollars. The share has edged down from
its peak of 16.8% of total health spending in 2010 to 16.3% in 2013.
• The growth in spending on hospitals and physicians is also slowing, but physician
compensation remains the fastest-growing category of health spending.
– In 2013, spending on hospitals is expected to reach $62.6 billion (2.6% growth).
– In 2013, spending on physicians is expected to reach $31.4 billion (3.6% growth).
Health spending per person varies among provinces and ranges from a high of $7,132
(Newfoundland and Labrador) to a low of $5,531 (Quebec). On average, spending is
highest for the youngest and eldest Canadians.
• In 2013, total health spending per person is expected to be highest in Newfoundland
and Labrador ($7,132) and Alberta ($6,787) and lowest in Quebec ($5,531) and
British Columbia ($5,775).
• Health spending by provincial and territorial governments in 2011 was higher for infants
younger than 1 ($9,632 average per person) and seniors age 65 and older ($11,794), than
for Canadians between the ages of 1 and 64 ($2,341).
– Spending for older seniors (age 80 and older) was more than three times that for younger
seniors (age 65 to 69): $20,387 versus $6,431.
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National Health Expenditure Trends, 1975 to 2013
Highlights
Slower growth in Canada’s health expenditure
• Total health expenditure in Canada, in current dollars, i was $200.1 billion in 2011 and
is forecast to have reached $205.9 billion in 2012 and $211.2 billion in 2013.
• In current dollars, total health expenditure per capita in Canada was $5,803 in 2011.
Forecasts for 2012 and 2013 are $5,902 and $5,988, amounting to respective growth
rates of 1.7% and 1.4%. When adjusted for inflation and for population changes, real
rates of increase are expected to decrease by 0.1% in 2012 and by 0.2% in 2013.
• Total health expenditure in Canada was 11.4% of gross domestic product (GDP) in 2011.
It is forecast to be 11.3% in 2012 and 11.2% in 2013.
Health-spending split between public and private sectors
unchanged for more than a decade
• In 2011, at the pan-Canadian level, hospitals and physicians were mainly financed by
the public sector, while drugs and other professionals were primarily financed by the
private sector. ii
• Since 1997, the public-sector share of total health expenditure has remained relatively stable
at around 70%. In 2011, the public sector spent $140.8 billion on health care, accounting for
70.4% of total health expenditure. It is forecast to be $144.6 billion in 2012 and $148.2 billion
in 2013, accounting for 70.2% and 70.1% of total health spending, respectively.
• In 2011, the private sector spent $59.3 billion on health care. The annual growth rates are
forecast to be 3.4% and 2.9% in 2012 and 2013, respectively. Both are higher than publicsector annual growth rates, which are forecast to be 2.7% in 2012 and 2.5% in 2013.
Slower growth in hospitals, drugs and physician services
• In 2013, hospitals, which make up the largest component of health care spending, are
forecast to have grown by 2.6% from 2012 to reach $62.6 billion, reflecting 29.6% of total
health expenditure.
• In 2013, drugs, which account for the second-largest category, are forecast to have grown
by 2.4% from 2012 to reach $34.5 billion, amounting to 16.3% of total health care spending.
• During the same period, spending on physicians is forecast to have increased by 3.6%,
reaching $31.4 billion, which represents 14.8% of total health care spending.
i.
ii.
All figures are in current dollars (unadjusted for inflation) unless otherwise stated.
See Section 8.1 for category definitions.
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National Health Expenditure Trends, 1975 to 2013
Health care cost drivers
• The major cost drivers of health care spending in the past decade were compensation of
health care providers, increased use of services and an evolution in the types of services
provided and used.
• Physician spending has been among the fastest-growing categories in recent years; this is
partly attributable to increases in physician fee schedules.
• Canadians used more health care in some areas, including increased medical procedures,
volume of drugs sold and use of physician services.
• The emergence of new drugs and new diagnostic and surgical tools also contributed to
growth in health care costs.
• Population aging has been a relatively modest contributor to costs. However, the impacts of
aging on health care spending varied considerably by province. It was more significant in the
Atlantic provinces and Quebec, for example, than in Ontario and the western provinces.
• Weaker prospects for economic growth combined with fiscal deficits and fewer savings from
debt service charges could have a dampening effect on the future growth of health spending.
• As the percentage of the population age 80 and older increases, decision-makers will be
faced with the challenge of determining the levels of hospital care, long-term institutional care
and community care for older Canadians that balance access, quality and appropriateness of
care on the one hand and cost on the other.
• Managing health-specific price inflation for core medicare goods and services, including
doctors, nurses, other health care professionals and advanced diagnostics, will be a challenge.
Variations in provincial/territorial spending on health
• Total health expenditure per capita varies among the provinces. In 2013, Newfoundland and
Labrador and Alberta are forecast to spend more per person on health care than any other
province, at $7,132 and $6,787, respectively. Quebec and British Columbia are forecast to
have the lowest health expenditure per capita, at $5,531 and $5,775, respectively.
• In 2013, total health expenditure as a percentage of provincial GDP is forecast to have
ranged from 8.3% in Alberta to 16.6% in Prince Edward Island. For the territories, the health
expenditure–to-territorial GDP ratio was 20.9% for Nunavut, 12.6% for Yukon and 9.0% for
the Northwest Territories.
• Similar to previous years, per capita health care spending by provincial and territorial
governments was highest for infants and seniors. In 2011, the latest available year for data
broken down by age group, Canadians younger than age 1 cost an estimated $9,632 per
person. For youths age 1 to 14, per person average spending on health was $1,377; it
was $2,552 per capita for those age 15 to 64. Compared to other age groups, per person
spending for seniors increased prominently: $6,431 for those age 65 to 69, $8,631 for
those 70 to 74, $11,740 for those 75 to 79 and $20,387 for those 80 and older.
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National Health Expenditure Trends, 1975 to 2013
• During 2013, provincial and territorial government health expenditures are forecast to reach
$138.3 billion, which accounts for 65.5% of total health expenditures in Canada.
• Provincial government per capita health expenditure growth varied among the provinces.
In 2013, the highest annual growth rates were forecast to be 2.9% in Quebec and 2.5% in
Alberta. Nova Scotia and Newfoundland and Labrador were forecast to have the lowest
annual growth in 2013, at -0.5% and -0.4%, respectively.
Canada’s health care per capita spending in the top quartile
• Among 30 countries that had comparable accounting systems in the Organisation for
Economic Co-operation and Development (OECD) in 2011, the latest year for which data
is available, spending per person on health care remained highest in the United States
(US$8,508). Canada was in the top quartile of countries in terms of per person spending on
health, spending US$4,522, which was similar to several other OECD countries, including
Germany (US$4,495), Denmark (US$4,448) and Austria (US$4,546). The lowest per capita
expenditures were seen in Turkey (US$906) and Mexico (US$977).
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National Health Expenditure Trends, 1975 to 2013
Introduction
Both the public and private sectors finance Canada’s health system. Public-sector funding
includes payments by governments at the federal, provincial/territorial and municipal levels
and by workers’ compensation boards and other social security schemes. Private-sector
funding consists primarily of health expenditures by households and private insurance firms.
The Canadian Institute for Health Information (CIHI) tracks health care spending by each
source of finance in the National Health Expenditure Database (NHEX). This database
contains a historical series of macro-level health expenditure statistics by province and territory.
CIHI assumed responsibility from Health Canada for the national health accounts, including
NHEX, in 1995.
National Health Expenditure Trends, 1975 to 2013 is CIHI’s 17th 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 2013; 2011 figures, which
are now considered to be “actual” rather than a forecast; and an outlook for 2012 and 2013;
• An update of provincial/territorial government health expenditure by age and sex, including
expenditure data standardized for age and sex;
• Updated data tables to 2013; and
• International comparisons.
Summary-level data tables appear at the end of the publication. More than 300 detailed data
tables by calendar and fiscal year are available in Microsoft Excel on the CD-ROM affixed to
the inside of the back cover of this document or on CIHI’s website at www.cihi.ca.
Due to the redesign of the Survey of Household Spending (SHS) by Statistics Canada in
2010, private prescription drug estimates from 2009 and earlier years should not be compared
with those of 2010 and 2011. These were effectively two different surveys before and after
the methodology redesign. The differences in survey design are responsible for the spike in
private prescribed drug spending observed in 2010. See Section 8.0: Methodological Notes
for further details.
1
National Health Expenditure Trends, 1975 to 2013
1.0 Overview
1.1 Total Health Expenditure
2011 and Outlook for 2012 and 2013
Total health expenditures in Canada were $200.1 billion in 2011. Expenditures are forecast to
be $205.9 billion in 2012 and $211.2 billion in 2013, an annual increase of 2.9% and 2.6%,
respectively. In the last decade, total health expenditure in Canada doubled from close to
$100 billion to just more than $200 billion, largely due to investment by federal, provincial and
territorial governments after a period of fiscal restraint from the early to mid-1990s (Figure 1).
When adjusted for inflation, total health expenditures rose to $136.8 billion in 2011, which
represents a 0.7% increase when compared to 2010. In constant dollar terms (1997 dollars),
the rates of growth are 1.1% in 2012 and 0.9% in 2013.
Figure 1: Total Health Expenditure, Canada, 1975 to 2013
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
3
National Health Expenditure Trends, 1975 to 2013
Trends—1975 to 2011
As the following figure illustrates, there have been three distinct phases in the growth of
total health expenditure since 1975: a growth phase from 1975 to 1991; a short period of
retrenchment and disinvestment from 1991 to 1996, when governments dealt with fiscal
deficits; and a growth phase that averaged 4.0% per year from 1996 until 2011, during
which time health care became a top priority for Canadians. During this latter period, major
investments were made in health care, including spending on physicians, drugs, hospitals and
advanced diagnostics. However, growth in total health expenditure has moderated since 2005.
Figure 2: Total Health Expenditure, Annual Growth Rates in Constant 1997 Dollars,
Canada, 1976 to 2013
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
Growth in Health Care Spending and the Economy
When viewing Canada’s recent health spending trends in the larger global context, Canada’s
experience parallels that of other countries in the Organisation for Economic Co-operation and
Development (OECD). The most obvious similarity is the positive correlation between growth in
health care spending and growth in the economy between 2000 and 2011. Figure 3 illustrates
this by comparing Canada with other OECD countries in 2011. Almost all countries are above the
45-degree line; this means that, except for Iceland, the rates of increase in spending in OECD
countries were above the rates at which their respective economies grew from 2000 to 2011.
Canada is above the trend line of OECD countries, indicating that Canada invested more of its
economic growth in health care than the OECD average.
4
National Health Expenditure Trends, 1975 to 2013
Figure 3: Average Annual Growth in Total Health Expenditures per Capita and GDP per Capita,
2000 to 2011
Notes
Country abbreviations are as follows: Australia, AUS; Austria, AUT; Belgium, BEL; Canada, CAN; Czech Republic, CZE;
Denmark, DNK; Estonia, EST; Finland, FIN; France, FRA; Germany, DEU; Hungary, HUN; Iceland, ISL; Israel, ISR; Japan, JPN;
Korea, KOR; Luxembourg, LUX; Mexico, MEX; the Netherlands, NLD; New Zealand, NZL; Norway, NOR; Poland, POL; Portugal, PRT;
Slovak Republic, SVK; Slovenia, SVN; Spain, ESP; Sweden, SWE; Switzerland, CHE; Turkey, TUR; United Kingdom, GBR; United
States, USA.
2010 data was used for Australia, Japan and Mexico; 2008 data was used for Turkey.
Source
Organisation for Economic Co-operation and Development. OECD Health Data 2013 (June edition). Paris, France: OECD; 2013.
Health Care Cost Drivers Overview
In November 2011, CIHI published a special report, titled Health Care Cost Drivers: The Facts.,
which shed light on the underlying factors influencing health care costs. 1 The report examined
growth in public-sector health spending from 1998 to 2008 in relation to macroeconomic factors
such as fiscal capacity and growth in gross domestic product (GDP). As well, the major
spending categories of hospitals, drugs and physicians were analyzed. The analysis used a
common analytical framework that focused on price effects, demographics (population growth
and aging) and other effects, such as volume and mix of services, technology and innovation.
Public-sector health expenditure in Canada increased by 6.7% per year in the 11-year period
from 2000 to 2011 (the latest period for which data is available). Forecasts for 2012 and 2013
show a slowing of this rate of growth, to 2.7% and 2.5%, respectively (Figure 4).
5
National Health Expenditure Trends, 1975 to 2013
Price effects have been a significant driver of overall health spending. Since no ideal measure
of inflation for the entire health care sector exists, economy-wide inflation was used for the
purpose of the cost drivers study. General inflation averaged 2.6 percentage points of growth
per year from 2000 to 2011.
Population growth added on average 1.1 percentage points per year to public-sector health
care spending, while population aging, at 0.9 percentage points per year, added even less
to the total growth. Demographic factors, at a combined 2.0% (both population growth and
population aging), have been a relatively modest contributor to the growth of 6.7% per year
in health spending. However, both population growth and aging vary considerably among
provinces and territories (see Figure 37 in Section 5.3).
The other category includes all other factors as a residual, such as changes in technology,
increases in service utilization and health-sector inflation above the rate of general inflation.
Figure 4: Cost Driver Shares of Average Annual Growth in Public-Sector Health Spending,
2000 to 2011, Compared With Annual Growth in 2012 and 2013
Notes
f: forecast.
Age and sex data is available up to 2011.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; gross domestic product, Statistics Canada.
6
National Health Expenditure Trends, 1975 to 2013
Issues to Monitor in the Future
Weaker prospects for economic growth combined with fiscal deficits and fewer savings from
debt service charges could have a dampening effect on the future growth of public-sector
health spending.
As the percentage of the population age 80 and older increases, decision-makers will be faced
with the challenge of determining the best ways to provide care for older adults.
Price inflation has been a significant cost driver. Managing health-specific price inflation for core
medicare goods and services, including doctors, nurses, other health care professionals and
advanced diagnostics, will be a challenge.
Health care system policy- and decision-makers will continue to be challenged to innovate and
reform how health care is provided. The provision of health care in Canada continues to evolve.
A few examples of the continuing transformation of the Canadian health care system include
the introduction of interprofessional collaboration to provide team-based care, expansion in the
scope of practice for some non-physician providers, increased focus on patient-centred care,
emphasis on integration and continuity of care, shifting to ambulatory and home care, ensuring
the affordability of drugs and providing incentives to health care providers to meet the needs of
their patient populations.
7
National Health Expenditure Trends, 1975 to 2013
1.2 Total Health Expenditure per Capita
2011 and Outlook for 2012 and 2013
Total health expenditure per capita in Canada increased to $5,803 in 2011, continuing the trend
since 1998, when health expenditure growth outpaced population growth and inflation.
Forecasts for 2012 and 2013 are expected to be $5,902 and $5,988 (Figure 5).
Figure 5: Total Health Expenditure per Capita, Canada, 1975 to 2013
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
8
National Health Expenditure Trends, 1975 to 2013
Trends—1975 to 2011
Total health expenditure per capita in Canada in constant (1997) dollars declined by an annual
average rate of two-tenths of one percent during the early to mid-1990s. During subsequent
years, the average growth rate rebounded. Total spending on health care per capita increased
by an average rate of 2.9% a year from 1996 to 2011 (Figure 6).
The rates of increase after adjusting for inflation and population growth are expected to have
declined by 0.1% in 2012 and 0.2% in 2013.
Figure 6: Total Health Expenditure per Capita, Annual Growth Rates in Constant 1997 Dollars,
Canada, 1976 to 2013
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
9
National Health Expenditure Trends, 1975 to 2013
1.3 Total Health Expenditure and Economic Growth
2011 and Outlook for 2012 and 2013
Total health expenditure in Canada was 11.4% of GDP in 2011. It is forecast to be 11.3% in
2012 and 11.2% in 2013 (Figure 7).
During the past decade, total health expenditure increased by an average of $9.2 billion yearly.
Similar to total health expenditure, GDP also grew during the same time period, with the
exception of 2009 due to the economic downturn. The decline in GDP in 2009 is reflected in a
higher total health expenditure–to-GDP ratio for that year. In 2013, GDP is expected to grow
faster than health expenditures, resulting in a lower total health spending–to-GDP ratio than in
2011 and 2012.
Figure 7: Total Health Expenditure as a Percentage of Gross Domestic Product,
Canada, 1975 to 2013
Note
See Table A.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
As in other G7 countries, growth in Canada’s health care spending per capita has exceeded
economic growth over the last decade, resulting in an increasing share of GDP devoted to
health. Between 2000 and 2011, the health spending–to-GDP ratio in Canada increased from
9.2% to 11.4%. Similar growth was seen in other countries. For example, health spending as a
percentage of GDP in the U.S. increased from 13.7% to 17.7% in the same period. The ratio in
France went up from 10.1% to 11.6%, and in the U.K. it increased from 7.0% to 9.4%.
10
National Health Expenditure Trends, 1975 to 2013
Trends—1975 to 2013
Total health expenditure as a proportion of GDP was 7.0% in 1975. During the late 1970s, total
health expenditures increased at rates that were almost identical to the rate of growth in GDP.
The two rates of growth diverged during the early 1980s. GDP fell during the 1982 recession
and did not recover to its pre-recession level until 1984 (Figure 8). Health expenditure continued
to grow during this time. Consequently, the ratio of total health expenditure to GDP increased
sharply, from 6.8% in 1979 to 8.3% in 1983.
Figure 8: Total Health Expenditure and Nominal GDP, Annual Growth, Canada, 1976 to 2013
Note
See Table A.1 and Appendix A.1.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; gross domestic product, Statistics Canada.
Canada experienced another recession from 1990 until 1992. The ratio of total health expenditure
to GDP increased significantly, reaching 10.0% for the first time in 1992 (Figure 7). Total health
expenditures then grew more slowly than GDP between 1993 and 1997 (Figure 8); consequently,
the health-to-GDP ratio fell each year in that period until it reached 8.9% in 1997. Health
expenditure grew faster than or close to GDP from 1998 to 2010 (except 2007), with the result
that the health–to-GDP ratio has trended upwards for the last decade, finally peaking at 11.6% in
both 2009 and 2010. This ratio declined to 11.4% in 2011.
11
National Health Expenditure Trends, 1975 to 2013
2.0 Total Health Expenditure by Source
of Finance
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.
As shown in Figure 9, provincial and territorial government spending on health accounted for
65.3% of total health expenditure in 2011. Another 5.1% came from other parts of the public
sector: federal direct government, municipal government and social security funds. The private
sector was made up of three spending categories, the largest of which was out-of-pocket
spending (14.7%), followed by private health insurance (11.8%) and non-consumption, iii which
accounted for 3.1% of total health spending.
Figure 9: Total Health Expenditure by Source of Finance, 2011 (Billions of Dollars and
Percentage Share)
Source
National Health Expenditure Database, Canadian Institute for Health Information.
iii. Non-consumption expenditure includes a number of heterogeneous components, such as hospital non-patient revenue, capital
expenditures for privately owned facilities and health research.
12
National Health Expenditure Trends, 1975 to 2013
2011 and Outlook for 2012 and 2013
In 2011, governments and government agencies in Canada (the public sector) spent $140.8 billion
on health care (Figure 10). Public-sector expenditure is forecast to be $144.6 billion in 2012 and
$148.2 billion in 2013. The growth rates associated with these forecasted increases are 2.7%
and 2.5%, respectively. In 2011, the private sector spent $59.3 billion. Private-sector expenditure
is forecast to reach $61.3 billion in 2012 and $63 billion in 2013, with expected growth rates of
3.4% in 2012 and 2.9% in 2013.
Since 1997, the public-sector share of total health expenditure has remained relatively stable at
around 70%. It accounted for 70.4% of total expenditure in 2011 and is forecast to account for
70.2% in 2012 and 70.1% in 2013.
Figure 10: Health Expenditure by Source of Finance, Canada, 1975 to 2013
Note
See Table A.2.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
13
National Health Expenditure Trends, 1975 to 2013
Trends—1975 to 2011
The average annual rate of growth in public-sector health expenditure between 1975 and 1991
was 11.0%. There was a pronounced change in public-sector expenditure trends following the
1990-to-1992 recession.
During this period, governments introduced fiscal restraint measures, which affected spending
for health and social programs. Private-sector growth rates were considerably higher than the
public-sector rates during this period and, as a result, the private-sector share of total health
expenditure increased to 29.9% by 1997; it has remained stable since then. The private-sector
share is estimated to be 29.9% in 2013 (Figure 11).
Figure 11: Public- and Private-Sector Shares of Total Health Expenditure, 1975 to 2013
Note
See Table A.2.2.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
14
National Health Expenditure Trends, 1975 to 2013
2.1 Public-Sector Health Expenditure by Source of Finance
Health expenditures by governments and government agencies (the public sector) are financed
by three levels of government—provincial and territorial governments; federal government direct
health care spending; and municipal government—and by workers’ compensation boards and
the Quebec Drug Insurance Fund. The distribution of public-sector expenditure among these
four sources of finance is shown in Table 1. Provincial/territorial government expenditure was
$8.7 billion in 1975, accounting for 93.6% of public-sector expenditure. The other public sources
together totalled $0.6 billion, or 6.4% of the public sector in 1975. The provincial/territorial
government share of public-sector spending declined in 1997, when the Quebec Drug Insurance
Fund was introduced, as the portion that is self-financed by premiums was included in the social
security funds sector. By 2011, provincial/territorial government expenditure was $130.7 billion,
accounting for 92.8% of public-sector expenditure.
Table 1: Distribution of Public-Sector Health Expenditure by Source of Finance,
Canada, 1975 and 2011
1975
2011
$ Millions
(%)
8,709.3
Federal Direct
Social Security Funds*
Provincial/Territorial Governments
Municipal Governments
Total Expense
$ Millions
(%)
93.6
130,695.4
92.8
398.3
4.3
6,670.6
4.8
121.1
1.3
2,566.3
1.8
71.6
0.8
867.6
0.6
9,300.3
100.0
140,799.9
100.0
Notes
* This includes workers’ compensation boards and premiums to the Quebec Drug Insurance Fund.
See tables B.4.1, B.6.1, B.7.1 and B.8.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
Federal Transfers
National health expenditures are reported based on the principle of responsibility for payment
rather than on the original source of the funds. It is for this reason that federal health transfers
to the provinces are included in the provincial government sector. There are now four major
programs: the Canada Health Transfer (CHT), Canada Social Transfer (CST), Equalization
and Territorial Formula Financing (TFF).
In September 2004, first ministers signed a 10-year plan to strengthen the health care system.
This agreement included $41.3 billion in new federal spending, beginning in 2004–2005.
It included funding for the financial recommendations in the report of the Commission on the
Future of Health Care in Canada, wait times, additions to the Medical Equipment Fund, an
increase to the CHT and improvements to Aboriginal and northern health.
The increases in federal transfers were reflected primarily in increased expenditures by the
provincial and territorial governments over the past several years.
15
National Health Expenditure Trends, 1975 to 2013
Direct Federal Health Expenditure
In 2011, federal government departments and agencies provided direct health care services
to Canadians worth $6.7 billion, accounting for 3.3% of total health expenditure (including the
public and private sectors). Forecasts indicate that the share of federal direct spending will be
3.1% in 2012 and 2.9% in 2013.
Federal departments that had the largest shares of total federal direct health expenditure in
2011 were Health Canada, which funded 82.5%, the Department of Veterans Affairs (7.6%),
the Solicitor General of Canada (4.4%) and the Department of National Defence (3.3%);
several minor departments totalled 2.3%. The Canadian Institutes of Health Research, which is
included under Health Canada, accounted for 15.4% of total federal direct health expenditure.
Social Security Funds
Workers’ compensation boards are included under social security funds, along with a portion of
the Quebec Drug Insurance Fund. Both workers’ compensation boards and the Quebec Drug
Insurance Fund meet the conditions of social security funds. Social security funds are financially
autonomous social insurance schemes that are imposed and controlled by a government
authority. They generally involve compulsory contributions by employees, employers or both,
and the government authority determines the terms on which benefits are paid to recipients.
Workers’ compensation boards operate under provincial and territorial statute and are
considered agencies of the provincial/territorial governments. They are financed through
compulsory contributions by employers, who pay a percentage of their total payroll depending
on the accident experience of each category of employer.
On January 1, 1997, the government of Quebec created a basic drug insurance plan with the
objective of ensuring the population of Quebec has access to drugs as required by health status.
All residents of Quebec must be covered by drug insurance, whether by private group insurance
or by the public plan administered by the Régie de l’assurance maladie du Québec (RAMQ).
The Drug Insurance Fund was the chosen mechanism to pay all drug and pharmaceutical
service costs provided to subscribers iv insured by the RAMQ, as well as their children. Since
July 1, 2002, the Drug Insurance Fund has also covered persons age 65 or older and social
assistance recipients insured by the RAMQ. Accordingly, the public plan has been financed,
since July 1, 2002, both by the expenditure allocated to this program by the Quebec government
(provincial government sector) and by the amounts collected by the Drug Insurance Fund as
premiums and proceeds (social security funds sector). The premiums are paid by the subscribers
of the Quebec Drug Insurance Fund and by persons age 65 or older insured by this plan.
The premium component of the Quebec drug program is considered to be a social security
scheme, while the remaining portion of the program that is paid through the ministère de la
Santé et des Services sociaux (MSSS) is included as a provincial government expenditure.
iv. Subscribers are defined as Quebec residents younger than age 65 who do not receive social assistance benefits and who do
not have access to private group insurance.
16
National Health Expenditure Trends, 1975 to 2013
Table 2 presents estimates from 1997 to 2013 for the Quebec Drug Insurance Fund.
The premiums are calculated as the difference between the total Drug Insurance Fund,
extracted from RAMQ annual reports, and the fund financed by the MSSS, extracted from
Quebec public accounts.
Table 2: Quebec Drug Insurance Fund, 1997 to 2013 (Millions of Dollars)
Year
Financed Through Premiums
Financed by ministère
de la Santé et des Services
sociaux du Québec
1997
169.2
700.2
1998
213.7
779.5
993.2
1999
259.0
922.0
1,181.0
2000
309.8
1,136.4
1,446.2
2001
361.9
1,314.9
1,676.8
2002
446.0
1,426.7
1,872.7
2003
582.1
1,534.6
2,116.7
2004
619.0
1,674.5
2,293.6
2005
620.5
1,796.9
2,417.5
2006
670.3
1,954.3
2,624.5
2007
689.1
2,187.8
2,877.0
2008
768.4
2,303.6
3,071.9
2009
808.8
2,378.7
3,187.5
2010
846.4
2,393.2
3,239.6
2011
853.4
2,445.5
3,298.9
f
852.0
2,576.2
3,428.3
f
928.4
2,503.8
3,432.1
2012
2013
Total
869.4
Note
f: forecast.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
17
National Health Expenditure Trends, 1975 to 2013
2.2 Private-Sector Health Expenditure by Source of Finance
Private-sector expenditure in the national health accounts has three distinct components:
household out-of-pocket expenditure, commercial and not-for-profit insurance expenditure and
non-consumption expenditure. The distribution of private health expenditure among these three
sources of finance is shown in Figure 12.
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 2011, the proportion dropped to 49.6%, as
expenditure by insurance firms grew more rapidly. The share of non-consumption expenditure
dropped from 12.7% to 10.5% during the same period (Figure 12).
Figure 12: Distribution of Private-Sector Health Expenditure by Source of Finance,
Canada, 1988 and 2011 (Millions of Dollars and Percentage Share)
Note
Private-sector data was revised following a methodology review in the early 1990s. The revised private-sector data incorporated
information estimated directly from insurance, out-of-pocket and non-consumption sources for 1988 and subsequent years. See
Section 8.0: Methodological Notes for further details.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
18
National Health Expenditure Trends, 1975 to 2013
Figure 13 presents the trend for private-sector health expenditure by source of finance from
1988 to 2011. The share of private health insurance in private-sector health expenditure
increased from 1988 to 2011, while the share of out-of-pocket expenditure dropped. During
the same period, the share of non-consumption remained relatively stable.
Figure 13: Share of Private-Sector Health Expenditure by Source of Finance, Canada, 1988 to 2011
Source
National Health Expenditure Database, Canadian Institute for Health Information.
Private health insurance expenditure per capita has grown more rapidly than the other sources
of finance (Figure 14). Over more than two decades, private health insurance expenditure per
capita increased from $139.4 in 1988 to $686.3 in 2011 (7.2% annual growth); out-of-pocket
health expenditure per capita increased from $277.5 to $853.3 (5.0% annual growth); and
non-consumption expenditure per capita increased from $60.7 to $179.9 (4.8% annual growth)
during the same period.
19
National Health Expenditure Trends, 1975 to 2013
Figure 14: Private-Sector Health Expenditure per Capita, Source of Finance,
Canada, 1988, 1998 and 2011
Source
National Health Expenditure Database, Canadian Institute for Health Information.
Table 3 presents the distribution of expenditure financed by insurance, households (out-ofpocket expenditure) and non-consumption in 2011. Of more than $59 billion financed by the
private sector, almost half was paid by households and individuals out of pocket for health
care goods and services, while less than 40% was made up of health insurance claims paid
to individuals by commercial and not-for-profit insurance firms. The remaining 10.5% of total
private-sector health care spending was non-consumption expenditure.
Drug expenditure in the private sector was $21 billion in 2011, accounting for 35.4% of total
private-sector spending. Prescribed drugs accounted for the largest portion of spending on
drugs, at nearly $16 billion in 2011. More than 59% of prescribed drugs were paid for by
insurance companies. Over-the-counter drugs and personal health supplies were paid for out
of pocket by Canadians.
The second-largest share of private-sector spending was on dental care services. Canadians
spent $11.2 billion on private dental care in 2011, of which about $6.6 billion was paid for by
insurance firms and $4.6 billion by households. When looking at expenditures on private vision
care services ($4.0 billion), only 21% was paid for by insurance companies, while 79% was paid
for out of pocket.
Of more than $5.2 billion spent on hospital services by the private sector in 2011, households
and insurance firms together spent $2.3 billion providing income to hospitals for patient services. v
v.
20
Income to hospitals for patient services includes charges for preferred accommodation, care of non-residents, chronic care
copayments, uninsured services and other patient services.
National Health Expenditure Trends, 1975 to 2013
Non-patient revenue earned from investments, food services, real estate, parking, rentals,
donations and other sources provided the remaining $2.9 billion of the private-sector expenditure.
Table 3: Private-Sector Health Expenditure by Source of Finance and Use of Funds,
Canada, 2011 (Millions of Dollars and Percentage Share)
Households
(Out of Pocket)
($ Millions)
Hospital
(%)
Insurance
($ Millions)
Non-Consumption
(%)
($ Millions)
(%)
26.7
2,896.9
55.5
Total
($ Millions)
($)
5,216.9
100.0
6,051.4
100.0
2.2
390.5
100.0
6,632.6
59.2
11,208.2
100.0
851.6
21.2
4,022.7
100.0
56.2
1,119.7
43.8
2,559.2
100.0
6,440.8
40.4
9,503.4
59.6
15,944.2
100.0
Over-the-Counter Drugs
2,915.2
100.0
2,915.2
100.0
Personal Health
Supplies
2,153.7
100.0
2,153.7
100.0
2,026.6
100.0
3,789.8
100.0
1,280.5
100.0
929.3
17.8
6,051.4
100.0
382.0
97.8
8.5
Dental Care
4,575.6
40.8
Vision Care
3,171.1
78.8
Other—Other
Professionals
1,439.5
Prescribed Drugs
Other Institutions*
Physician Care
1,390.7
Other Professionals
Drugs
Capital
2,026.6
Administration
3,789.8
100.0
100.0
Other Health Spending
Health Research*
1,280.5
100.0
Other Health
Care Goods
848.3
86.3
134.2
13.7
982.5
100.0
Other Health
Care Services
516.8
68.6
236.7
31.4
753.5
100.0
Total Expense
29,423.6
49.6
23,667.2
39.9
59,294.8
100.0
6,204.0
10.5
Note
* Estimated for 2011. See Section 8.1 for definitions.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
21
National Health Expenditure Trends, 1975 to 2013
3.0 Total Health Expenditure by Use of Funds
Health dollars are used to purchase health care goods and services, to provide capital
investment, to administer public and private insurance plans as well as public health programs,
and to fund research. These uses are grouped into nine major categories (uses of funds)
throughout most of the national health expenditure data series. Data table series A.3.1 to A.3.3
reports national estimates for 13 categories.
Hospitals make up the largest component of health care spending, accounting for 29.5% of total
health expenditures in 2011. Drugs represent the second-largest share (16.5%), while physicians
make up the third-largest share (14.6%) (Figure 15).
Figure 15: Total Health Expenditure by Use of Funds, Canada, 2011 (Billions of Dollars
and Percentage Share)
Note
See tables C.1.1 and C.1.2 and Section 8.1 for definitions.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
22
National Health Expenditure Trends, 1975 to 2013
Figure 16 presents the public and private shares of the nine major uses of funds at the national
level in 2011. Hospitals and physicians are financed mainly by the public sector, while drugs
and other professionals are financed primarily by the private sector.
Figure 16: Public and Private Shares of Total Health Expenditure, by Use of Funds, Canada, 2011
Note
See tables C.1.1, C.2.1 and C.3.1 and Section 8.1 for definitions.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
23
National Health Expenditure Trends, 1975 to 2013
Figure 17 presents how shares of health care expenditure have changed over time for the three
largest spending categories: hospitals, physicians and drugs. In 1975, hospital spending
accounted for almost half of total health spending. There has been a notable decreasing trend
in hospitals’ share of spending over the years. However, hospital spending still takes the largest
share of total health care funding; this trend has been stable since 2001. In contrast, drug
expenditures’ share has been increasing since the mid-1980s, and it has accounted for the
second-largest share since 1997, after hospital spending. The growth of drug spending has been
stable since 2004. Physician spending as a percentage of total health expenditure edged down
in the early 1990s. From 1991 to 2005, physician spending’s share dropped from 15.2% to 13.2%.
Since 2006, physician spending as a share of total health care spending has increased.
Figure 17: Total Health Expenditure, Share of Selected Use of Funds, Canada, 1975 to 2013
Note
See Table A.3.1.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
24
National Health Expenditure Trends, 1975 to 2013
Figure 18 shows per capita spending on hospitals, drugs and physicians in Canada. In 2011,
Canadians spent $1,710 per person on hospitals, $956 on drugs and $848 on physicians.
Forecasts for 2013 are $1,773, $977 and $889 per person on hospitals, drugs and
physicians, respectively.
Figure 18: Total Expenditure per Capita, Selected Use of Funds, Canada, 1975 to 2013
Note
See Table C.1.3.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
25
National Health Expenditure Trends, 1975 to 2013
3.1 Hospitals
In 2011, Canadians spent $59.0 billion on hospitals, accounting for 29.5% of total health
expenditure. Hospital spending is forecast to be $61.0 billion in 2012 and $62.6 billion in 2013,
representing 29.6% of total health expenditure for both forward-looking years.
Public-sector spending accounts for more than 90% of total hospital expenditure. Provincial
and territorial governments are by far the major financing sources of hospitals (89.9%), as
shown in Table 4.
Table 4: Hospital Expenditure Summary by Sector of Finance, Canada, 2011
Provincial/
Territorial
Total Expenditure ($ Millions)
Expenditure per Capita
Share of Total
Other Public*
Private
Total
$53,034.8
$725.8
$5,216.9
$58,977.4
$1,538.0
$21.0
$151.3
$1,710.3
89.9%
1.2%
8.9%
100.00%
Notes
* The other public category includes federal government direct, municipal governments, workers’ compensation boards and the
Quebec Drug Insurance Fund.
See tables C.4.1, C.4.3, C.5.1, C.5.3, C.2.1 and C.2.3.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
From the mid-1970s to the early 1990s, as shown in Figure 19, the growth rate in public-sector
hospital expenditure was slightly lower than that in public-sector health expenditure. In the mid1990s, public-sector hospital expenditure decreased, while public-sector health expenditure
continued to grow, albeit at a very diminished pace. Hospitals were particularly affected at that
time by fiscal restraint measures, as federal and provincial/territorial governments focused on
reducing or eliminating budget deficits. This was a period of hospital consolidation, restructuring
and bed closures. There was systematic shifting from inpatient to outpatient care, especially to
day surgery procedures and ambulatory clinics in hospital settings. These measures resulted in
a sharp fall in the hospital share of public-sector health expenditure. Over the last 11 years, the
two growth rates have been similar and the hospital share of public-sector health expenditure
has been relatively stable.
26
National Health Expenditure Trends, 1975 to 2013
Figure 19: Total Expenditure per Capita, Selected Use of Funds, Canada, 1976 to 2013
Source
National Health Expenditure Database, Canadian Institute for Health Information.
Hospital Spending Cost Drivers
In the context of the health care cost drivers project, public-sector hospital spending was
analyzed with a focus on the most recent 10 years for which comprehensive data was available
(1998 to 2008). The analysis used the common analytical framework consisting of price effects,
population growth and aging, as well as other effects. 2
The estimated average annual growth rate for public-sector hospitals in this decade was 6.7%,
which can be broken down as 2.8% for price effects (as measured by Statistics Canada’s GDP
deflator), 1.0% for population growth, 1.0% for population aging and 1.9% for other effects.
Price inflation has also been a major factor in the growth of hospital costs.
27
National Health Expenditure Trends, 1975 to 2013
The health care sector in general is labour intensive, and hospitals are no exception.
Compensation constitutes 60% of total hospital costs, and the single largest component of the
workforce in hospitals is nurses. Compensation of the hospital workforce has also grown faster
than compensation in non-health sectors. Increases in hospital employees’ wages have exceeded
increases in the Industrial Composite wage rates and the health and social sector component
reported in Statistics Canada’s Survey of Employment, Payrolls and Hours. The hourly paid
hospital employees wage index increased by an average of 3.4% per year between 1998 and
2008. As for general wage costs in the health sector, between 1998 and 2008, nominal hourly
wages grew at an average annual rate of 3.1% in the health and social assistance sector,
compared with 2.5% in the general economy. This could be due, in part, to the increased
demand for health professionals in hospitals.
Other effects include the volume and mix of services and the effects of technology and
innovation. These factors are difficult to estimate explicitly in the hospital sector, since there
have been myriad changes in models of care during the last decade. Some of these changes
have tended to reduce costs (for example, the shift from inpatient to ambulatory care) while
others have tended to increase costs (for example, higher average resource requirements for
inpatient care).
The following issues will affect hospital expenditure trends in the future. The first three can be
seen as cost drivers, while the fourth suggests that administrative action to limit the effects of
cost drivers may be more difficult in the future:
• Hospital inflation outpacing general inflation
• Growing impact of technological changes
• Expansion of hospital services, such as hip and knee replacements and diagnostic imaging
• Limited opportunities for further cost savings from shifting care from an inpatient to an
outpatient setting
28
National Health Expenditure Trends, 1975 to 2013
3.2 Drugs
Retail sales vi of prescribed and non-prescribed drugs together constituted the second-largest
category of health expenditure in 2011, at $33.0 billion. Spending on drugs is forecast to have
increased by another 2.1% in 2012, to $33.7 billion, and by 2.4% in 2013, to $34.5 billion.
Prescribed drugs amounted to 84.6% of total expenditure on drugs in 2011 (Figure 20), of which
36.3% is attributed to the public sector and 48.3% to the private sector.
Figure 20: Drugs by Source of Finance and Type, Canada, 2011 (Billions of Dollars and
Percentage Share)
Notes
Non-prescribed drugs include over-the-counter (OTC) drugs and personal health supplies (PHS).
See tables A.3.1.1, A.3.2.1 and A.3.3.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
vi. The drug category does not include drugs dispensed in hospitals and, generally, in other institutions. These are included in the
categories of hospitals and other institutions.
29
National Health Expenditure Trends, 1975 to 2013
As shown in Figure 21, the private sector accounted for 79.5% of expenditure for prescribed
drugs in 1975. This share decreased to 52.4% by 1992 and has remained relatively stable
since. In 2013, it is expected to be 58.4%.
Figure 21: Prescribed Drug Expenditure, Private-Sector Share, Canada, 1975 to 2013
Notes
See tables A.3.2.1 and A.3.3.1.
The spike in private prescribed drug spending observed in 2010 is due to the redesign of Survey of Household Spending (SHS)
by Statistics Canada in 2010. See Section 8.0: Methodological Notes for further details.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
30
National Health Expenditure Trends, 1975 to 2013
Private prescribed drug expenditures are split between households (out of pocket) and private
health insurance. As shown in Figure 22, private health insurance accounts for a bigger share,
and its overall trend is to increase over time. The share of out-of-pocket expenditure decreased
from 44.5% in 1988 to 40.4% in 2011.
Figure 22: Private Prescribed Drug Expenditure, Shares by Source of Finance,
Canada, 1988 to 2011
Note
The spike in households’ (Out of Pocket) prescribed drug spending observed starting from 2010 is due to the redesign of Survey of
Household Spending (SHS) by Statistics Canada in 2010. See Section 8.0: Methodological Notes for further details.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
Drivers of Retail Prescription Drug Spending
Over the past two decades, pharmaceuticals have been one of the fastest-growing components
of health system spending in Canada. However, between 2007 and 2009, drug spending grew
more slowly than hospital spending, physician spending and total health care spending. In 2011,
CIHI released a report looking at factors that influenced retail prescription drug expenditure in
the latest 10 years. 3
The study vii examined the cost drivers of retail prescription drugs between 1998 and 2007, the
latest year for which data was available. During this period, the average annual growth rate was
10.1%. Increased volume of use and changes in the mix of treatments being used were the largest
contributors, accounting for average annual growth of 6.2% and 2.0%, respectively. Both volume
and mix effects were due in part to changes in treatment guidelines, increased disease prevalence
and the uptake of new drugs.
vii.
It should be noted that the drug cost drivers report used multiple data sources to examine overall drug spending. For further
details on the data sources, see its appendices A and B.
31
National Health Expenditure Trends, 1975 to 2013
Population growth and aging had a more modest impact on spending during the study period,
each accounting for average annual growth of 1.0%, while price changes did not have a
significant role.
Cholesterol-lowering drugs, cancer drugs and immunosuppressants accounted for roughly onethird of overall growth in drug spending; the growth of cancer drugs and immunosuppressants
was due in part to the uptake of newer biologic drugs. Trends in drug development suggest that
these classes may continue to drive spending in the years to come. Although these therapeutic
categories historically accounted for less than 10% of all approved drugs on the market, they
account for 20% of drugs approved in the past decade and nearly 30% of drugs under clinical
development today.
Some cost savings may also be available in the future due to the increased availability of generic
drugs. In 2009, drugs whose patents were set to expire between 2010 and 2014 accounted for
nearly $8.7 billion in wholesale purchases. This was equal to more than one-third (38.2%) of all
wholesale spending on prescription drugs in Canada.
In addition to a high number of generic products recently coming, or about to come, to market,
there has been a trend recently for public drug programs to regulate generic prices as a
percentage of the equivalent brand name product (these prices are often applied by private
drug programs as well).
3.3 Physicians
Physician services constituted the third-largest category of total health expenditure in 2011, at
$29.3 billion, representing 14.6% of total health expenditure. In 2013, this category is forecast to
have grown by 3.6% from 2012 to reach $31.4 billion, reflecting 14.8% of total health expenditure.
Public-sector expenditure on physicians has remained above 98% of total physician expenditure
since 1975. viii Public-sector physician health expenditure per capita in Canada was $837 in 2011.
Forecasts for 2012 and 2013 are expected to be $856 and $877 (Figure 23), with growth rates of
2.3% and 2.5%, respectively.
As Figure 23 illustrates, public-sector physician spending as a percentage of total health expenditure
declined from 1992 to 2004. This share increased from 13.0% in 2005 to 14.4% in 2011.
viii. Households account for almost all private spending for physician services. Insurance for supplementary charges to patients for
medically necessary services is discouraged under the Canada Health Act.
32
National Health Expenditure Trends, 1975 to 2013
Figure 23: Public-Sector Physician Expenditure per Capita, Share of Total Health Expenditure,
Canada, 1975 to 2013
Note
See Table C.3.3.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
Physician Spending Cost Drivers
Physician expenditure in Canada has increased steadily since 1975, with the exception of a
few years during the 1990s. It was one of the fastest-growing categories of health expenditure
in the last seven years (except 2010), outpacing growth in spending on hospitals or drugs. CIHI
presented the results of an analysis of physician cost drivers in 2011. This report 4 focused on
the period 1998 to 2008, the most recent 10 years for which comprehensive data was available.
The key points from the analysis are summarized below:
• Total public-sector spending on physicians increased at an average annual rate of 6.8%
between 1998 and 2008.
• Physician fee increases (average annual increase of 3.6%) were the main cost driver during
this period, accounting for approximately one-half of annual growth in expenditure.
• Physician fees have grown faster than wages for other health and social services workers.
• Population growth and aging accounted for combined average annual increases of 1.6%
in expenditure.
• Physician supply per 1,000 Canadians grew more rapidly from 2004 to 2008, despite the
relatively low supply level in Canada compared with that in other OECD countries.
33
National Health Expenditure Trends, 1975 to 2013
A number of factors identified in the study have the potential to affect future trends in
expenditure for physicians’ services.
• Increases in physician fees have been above rates of inflation. Many provinces have
multi-year contracts with physicians.
• Utilization increased at accelerated rates between 2003 and 2008. Higher expenditure per
physician combined with an increasing physician supply could have added to these rates
of growth in the few years following 2008.
• The scope of practice of non-physician health professionals is changing. Governments are
examining whether other professionals (such as pharmacists or nurse practitioners) can
complement physician services.
3.4 Other Professionals
The broad category of other professionals ix includes care primarily provided by dental and vision
care professionals. The category of other professionals accounted for $19.5 billion, or 9.8%, of
total expenditures in 2011, and has maintained the highest percentage of private spending of all
the major categories (91%).
In 2011, total per capita health expenditure on dental services in Canada, including the public
and private sectors, was $346 (Figure 24). The private sector, which makes up the largest
component of spending on dental services, grew annually at an average rate of 4.7% from
2000 to 2011. Private spending reached $325 per person in 2011, reflecting 57.3% of total
expenditure on other professionals.
During the same period, total per capita spending on vision care grew at an average annual rate
of 3.8% to reach $126 in 2011, which represents 22.3% of total other professionals spending.
Expenditures on dental services grew faster than those on vision care in the last decade. From
2000 to 2010, the average annual growth rate for dental services in Canada was 5.2%, while for
vision care it was 4.3%.
ix. Care provided by nurses in hospitals is included in hospital expenditures.
34
National Health Expenditure Trends, 1975 to 2013
Figure 24: Dental and Vision Care Services Expenditure, Total per Capita, Canada, 1975 to 2013
Note
The decreases in dental and vision care services spending observed starting from 2010 are due to the redesign of the Survey
of Household Spending (SHS) by Statistics Canada in 2010. See Section 8.0: Methodological Notes for further details.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
CIHI’s Health Personnel Database shows that between 2000 and 2011, the number of dentists
and dental hygienists increased by 48.0%, from 32,182 to 47,643; this growth rate was almost
four times that of the Canadian population. Growth in the number of optometrists, from 3,584
to 5,062, more than tripled the growth rate of the Canadian population.
35
National Health Expenditure Trends, 1975 to 2013
Dental care and vision care are the major discrete categories of expenditure in the private
sector for other professional services (Figure 25). The remaining subcategory (other) includes
professionals such as chiropractors, massage therapists, physiotherapists, podiatrists
and psychologists.
Figure 25: Professionals Expenditure by Source of Finance and Type, Canada, 2011
(Billions of Dollars and Percentage Share)
Note
See tables A.3.2.1 and A.3.3.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
36
National Health Expenditure Trends, 1975 to 2013
As shown in Figure 26, dental care accounted for 71.6% of private-sector expenditure for other
professionals in 1975. This share is expected to decrease to 61.7% in 2013. The share of vision
care in the private sector for other professional services is forecast to increase from 19.9% in
1975 to 23.3% in 2013.
Figure 26: Other Professionals Expenditure, Percentage Share of Total Private Spending,
by Type, Canada, 1975 to 2013
Source
National Health Expenditure Database, Canadian Institute for Health Information.
37
National Health Expenditure Trends, 1975 to 2013
For dental services, the shares of private insurance and of household (out-of-pocket) spending
were almost equal in 1988. The share of household spending decreased to 40.8%, and that of
private health insurance increased to 59.2%, in 2011 (Figure 27).
Figure 27: Private Dental Expenditures, Shares by Source of Finance, Canada, 1988 to 2011
Note
The decrease in dental expenditures observed starting from 2010 is due to the redesign of the Survey of Household Spending
(SHS) by Statistics Canada in 2010. See Section 8.0: Methodological Notes for further details.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
38
National Health Expenditure Trends, 1975 to 2013
3.5 Other Institutions
In 2011, the category of other institutions, which includes nursing homes and residential care
facilities, accounted for 10.4% of total health expenditures, or $20.8 billion. Other institutions’
share of total health expenditure is forecast to be 10.5% in both 2012 and 2013.
Other institutions’ health expenditure per capita increased during the period from 1975 to 2013
(Figure 28). It was $49 in 1975, increased more than tenfold to $602 in 2011, and is forecast to
be $620 in 2012 and $632 in 2013. The annual growth rate was 2.8% in 2011 and is expected
to be 2.9% in 2012 and 1.9% in 2013.
Figure 28: Other Institutions Health Expenditure per Capita, Canada 1975 to 2013
Note
See Table C.1.3.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
Public expenditure is the main source of finance for other institutions. In many provinces, public
responsibility is split between provincial and/or regional authorities; funding is often provided
by both health and social services departments. In 2011, the public share of other institutions
was 70.9%.
39
National Health Expenditure Trends, 1975 to 2013
Despite the growth trend in spending on other institutions, the public-sector share of total other
institutions expenditure is expected to drop to 69.6% in 2013 from 75.5% in 2000 (Figure 29).
Figure 29: Public-Sector Other Institutions Expenditure as a Percentage of Total Other Institutions
Expenditure, Canada, 2000 to 2013
Source
National Health Expenditure Database, Canadian Institute for Health Information.
3.6 Administration
Prior to 2005, NHEX included a category of public health and administration in public-sector
expenditure estimates. A study published in June 2002 examined the feasibility of breaking
out the category into separate components for public health expenditure and administrative
expenditure. 5 A complete review of provincial estimates was carried out during the feasibility
study to create separate subcategories for public health and certain public and private
administration costs. The review identified two key factors that limit the degree of comparability
of estimates from public sources and therefore are responsible for significant variation between
the estimates of some provinces.
These factors are the following:
1. The degree of provincial/territorial detail for certain items in the public health subcategory
was quite variable. Levels of detail for administrative costs also vary from province to
province in public sources.
2. In the absence of a consistent reporting framework, the ability to produce consistent
inter-provincial/-territorial comparisons is limited.
40
National Health Expenditure Trends, 1975 to 2013
Results of the review were presented in the 2005 edition of National Health Expenditure Trends.
Following consultation with the NHEX Expert Advisory Group, the original category of public health
and administration was redefined and separated. The data tables were revised back to 1975.
Administration includes infrastructure costs to operate health departments, as well as
prepayment administration (the administrative expenses of providing health insurance by
governments and private health insurance companies). Administrative expenses for non-insured
services are included under the relevant category of service. For example, administrative costs
of operating hospitals are included under the hospital category, and administrative costs of
operating long-term care programs are included under the other institutions category.
In 1975, administration accounted for 2.9% of total public-sector expenditure and 2.5% of total
private-sector expenditure. The public- and private-sector trends have differed over time. While
the public-sector share gradually declined to 1.8% in 2011, the private-sector share rose to 6.4%.
3.7 Public Health
NHEX captures public health spending by governments and government agencies and includes
expenditures for items such as food and drug safety, health inspections, health promotion
activities, community mental health programs, public health nursing, measures to prevent the
spread of communicable disease and occupational health to promote and enhance health and
safety at the workplace. The decision to broaden the definition of public health beyond the ambit
of health promotion, disease prevention and health inspection is consistent with the definition of
prevention and public health services used by the OECD in its manual, A System of Health
Accounts (SHA). The SHA is the framework that Canada’s health accounts are based on.
In 1975, public health accounted for 3.3% of total expenditure. Growth in this category has
generally been higher than in other categories throughout the series. During the period when
governments practised policies of retrenchment in health care spending, particularly from
1992 to 1996, growth in public health was at least double the growth in total health expenditure.
This relative difference resulted in the share of total expenditure increasing to 5.2% in 2011.
The share is expected to be 5.2% in 2012 and 5.1% in 2013 (Figure 30).
41
National Health Expenditure Trends, 1975 to 2013
Figure 30: Public Health Spending as a Percentage of Total Health Expenditure,
Canada, 1975 to 2013
Note
See Table A.3.1.2.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
3.8 Other Health Spending
In 2011, other health expenditures accounted for $12.0 billion, or 6.0% of total health
expenditure. In 2012 and 2013, it is expected that other health spending will have grown
by 2.0% and 2.1%, respectively.
The subcategory with the greatest impact on the category of other health spending is health
research, which accounted for 1.7% of total health expenditure in 2011 for Canada. x The
remaining categories include medical transportation, hearing aids and appliances, voluntary
health associations and explicitly identified home care. xi
Public-sector sources accounted for 75.0% of other health expenditures in 2011, most of which
was for health research, medical transportation and home care.
x. Research funded by pharmaceutical companies is funded from drug sales and included in the drugs category.
xi. Certain services that are identified by data sources as home care are included under the broad category of other health spending.
Private nursing care in the home, however, would be included in the 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.
42
National Health Expenditure Trends, 1975 to 2013
4.0 Health Expenditure in the Provinces
and Territories
Health expenditure per capita varies among provinces/territories because of different age
distributions. xii Population density and geography also affect health expenditure, particularly in
the case of the territories. Other factors that affect health expenditure include population health
needs, the manner in which health care is delivered (including the balance between institutional
and ambulatory care) and differences in the remuneration of health care workers across the
country. The manner in which health care is financed is also an important consideration,
including the degree of public coverage and private insurance for services not included in the
Canada Health Act.
Health expenditure per capita is highest in the territories because of, among other things,
their large geographical areas and low population densities (Table 5). In 2013, total health
expenditure per capita in Newfoundland and Labrador is expected to reach $7,132, followed
by Alberta ($6,787). The lowest per person expenditures are forecast for Quebec ($5,531),
followed by British Columbia ($5,775).
In 2013, total health expenditure as a percentage of provincial GDP is expected to range from
8.3% in Alberta to 16.6% in Prince Edward Island. For the territories, the health expenditure–
to-territorial GDP ratio is forecast to be 20.9% for Nunavut, 12.6% for Yukon and 9.0% for the
Northwest Territories.
The public sector is forecast to be responsible for 70.1% of Canadian health expenditure in
2013. The public sector’s share is expected to be the highest in the territories and the lowest
in Ontario (67.7%).
Provincial and territorial governments’ health expenditure per capita is expected to average
$3,920 in 2013. The highest per capita spending among the provinces is projected to be in
Newfoundland and Labrador ($5,249) and Alberta ($4,662), while the lowest is forecast to be
in Quebec ($3,651) and British Columbia ($3,722).
Private-sector expenditure is expected to be $1,787 per capita in 2013. Among the provinces,
Nova Scotia ($2,059) and New Brunswick ($2,029) are forecast to have the highest spending,
while Quebec ($1,588) and Saskatchewan ($1,592) are forecast to have the lowest.
xii.
Provincial/territorial comparisons in this discussion are based on figures that are not adjusted for variations in age and sex.
For age-sex standardized comparisons see the discussion in the next section.
43
44
Provincial/Territorial
Government
Total
Expenditure
Exp. per
Capita
($ Billions)
($)
Exp. as
Percent
of GDP Expenditure
(%)
($ Billions)
Exp. per
Capita
Total Public Sector*
Exp. per
Capita
Growth
From
2012
Expenditure
($ Billions)
Private Sector
Exp. per
Capita
Exp. per
Capita
Growth
From
2012
Exp. as
Percent
of Total
($)
(%)
(%)
-0.4
76.5
($)
(%)
-0.4
2.8
5,458
Expenditure
Exp. per
Capita
Exp. per
Capita
Growth
From
2012
Exp. as
Percent of
Total
($ Billions)
($)
(%)
%
0.9
1,673
4.9
23.5
N.L.
3.6
7,132
10.6
2.7
5,249
P.E.I.
0.9
6,354
16.6
0.6
4,245
2.1
0.7
4,695
2.1
73.9
0.2
1,659
2.9
26.1
N.S.
6.2
6,514
16.1
3.9
4,124
-0.5
4.2
4,456
-0.6
68.4
2.0
2,059
6.8
31.6
N.B.
4.9
6,474
14.8
3.2
4,167
0.4
3.4
4,445
0.3
68.7
1.5
2,029
5.1
31.3
Que.
44.9
5,531
12.2
29.6
3,651
2.9
32.0
3,944
2.8
71.3
12.9
1,588
2.8
28.7
Ont.
79.7
5,835
11.5
50.9
3,723
0.7
54.0
3,952
0.5
67.7
25.7
1,883
0.3
32.3
Man.
8.5
6,633
14.1
5.6
4,381
2.3
6.3
4,888
1.7
73.7
2.2
1,745
4.0
26.3
Sask.
7.2
6,626
8.9
5.0
4,566
2.2
5.5
5,034
1.8
76.0
1.7
1,592
3.5
24.0
Alta.
26.8
6,787
8.3
18.4
4,662
2.5
19.6
4,951
2.1
72.9
7.3
1,836
1.0
27.1
B.C.
27.1
5,775
11.8
17.5
3,722
1.0
18.7
3,978
0.8
68.9
8.4
1,797
2.0
31.1
Y.T.
0.4
9,979
12.6
0.3
6,910
10.9
0.3
7,994
8.9
80.1
0.1
1,985
3.7
19.9
N.W.T.
0.5
10,686
9.0
0.3
7,105
0.2
0.4
8,838
-0.2
82.7
0.1
1,849
6.0
17.3
Nun.
0.4
13,152
20.9
0.4
10,499
1.1
0.4
12,204
0.9
92.8
0.0
947
9.9
7.2
211.2
5,988
11.2
138.3
3,920
1.5
148.2
4,200
1.3
70.1
63.1
1,787
1.7
29.9
Canada
Notes
f: forecast.
* Total public sector includes provincial/territorial, federal direct and municipal governments; workers’ compensation boards; and the Quebec Drug Insurance Fund.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
National Health Expenditure Trends, 1975 to 2013
Table 5: Health Expenditure Summary, by Province/Territory and Canada, 2013f
National Health Expenditure Trends, 1975 to 2013
The figures in Table 6 present total health expenditures in 2013 by selected use of funds for
each jurisdiction. For hospital spending, Newfoundland and Labrador and Alberta are forecast to
spend more per capita than any other province, at $2,597 and $2,379, respectively. Quebec and
Ontario are projected to have the lowest per capita spending on hospitals, at $1,466 and
$1,676, respectively.
For the drug category, the highest per capita spending among the provinces is projected to be
in New Brunswick ($1,181) and Nova Scotia ($1,080), while the lowest is forecast to be British
Columbia ($761) and Manitoba ($879).
For physician spending, the highest per capita spending among the provinces is projected to be
in Alberta ($986) and Ontario ($942), while the lowest is forecast to be in Prince Edward Island
($765) and Quebec ($788).
The shares of each spending category out of total health expenditure for each jurisdiction are
also shown in Table 6.
45
Hospitals
Drugs
Exp. per
Capita
Exp. as
Percentage
of Provincial
Total
N.L.
2,597
P.E.I.
Physicians
Exp. per
Capita
Exp. as
Percentage
of Provincial
Total
36.4
1,020
1,972
31.0
N.S.
2,011
N.B.
Que.
Other Professionals
Exp. per
Capita
Exp. as
Percentage
of Provincial
Total
Exp. per
Capita
14.3
927
13.0
480
944
14.9
765
12.0
30.9
1,080
16.6
818
2,146
33.1
1,181
18.2
1,466
26.5
1,068
19.3
Ont.
1,676
28.7
1,010
Man.
1,942
29.3
Sask.
1,892
Alta.
B.C.
Exp. per
Capita
Exp. as
Percentage
of Provincial
Total
6.7
891
12.5
486
7.6
906
14.3
12.6
653
10.0
874
13.4
789
12.2
532
8.2
747
11.5
788
14.2
476
8.6
769
13.9
17.3
942
16.1
568
9.7
601
10.3
879
13.2
899
13.6
624
9.4
808
12.2
28.6
880
13.3
911
13.8
640
9.7
796
12.0
2,379
35.1
933
13.7
986
14.5
773
11.4
519
7.7
1,750
30.3
761
13.2
844
14.6
742
12.8
370
6.4
Y.T.
2,951
29.6
716
7.2
905
9.1
600
6.0
1,797
18.0
N.W.T.
4,238
39.7
719
6.7
1,186
11.1
651
6.1
837
7.8
Nun.
4,502
34.2
704
5.4
1,450
11.0
566
4.3
1,274
9.7
Canada
1,773
29.6
977
16.3
889
14.8
597
10.0
632
10.5
Note
f: forecast.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
Exp. as
Percentage
of Provincial
Total
Other Institutions
National Health Expenditure Trends, 1975 to 2013
46
Table 6: Total Health Expenditure per Capita and Share, Selected Use of Funds, by Province/Territory and Canada, 2013f
National Health Expenditure Trends, 1975 to 2013
Trends in the Provinces and Territories
The figures in this section present health expenditure per capita at constant prices. This is to
standardize for both population growth and inflation, which have varied by province/territory
during the last two decades. xiii
The 1990s witnessed policies of health system reform and public expenditure restraint in virtually
all jurisdictions. Public-sector expenditure per capita declined across the board at some time
during this period, although the timing and duration of expenditure reductions varied. Quebec,
Saskatchewan and Alberta experienced sharp declines, while Ontario experienced declines in
each of the four years from 1993 to 1996. Public investment in health care near the end of the
1990s contributed to significant increases in growth rates of public-sector health expenditure
across Canada. Meanwhile, the private sector experienced parallel growth in all provinces.
xiii. The indices used to measure inflation are the implicit price index for government current expenditure in the public sector and
the consumer price index—health component in the private sector from Statistics Canada. Both indices track prices separately
in each province and territory. See Section 8.3: Collection and Non-Response for more details.
47
National Health Expenditure Trends, 1975 to 2013
Figure 31: Public- and Private-Sector Health Expenditure per Capita, 1988 to 2013,
by Province and Territory, Constant 1997 Dollars
(cont’d on next page)
Note
See tables B.2.5 and B.3.5.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; population and price indices, Statistics Canada.
48
National Health Expenditure Trends, 1975 to 2013
Figure 31: Public- and Private-Sector Health Expenditure per Capita, 1988 to 2013,
by Province and Territory, Constant 1997 Dollars (cont’d)
(cont’d on next page)
Note
See tables B.2.5 and B.3.5.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; population and price indices, Statistics Canada.
49
National Health Expenditure Trends, 1975 to 2013
Figure 31: Public- and Private-Sector Health Expenditure per Capita, 1988 to 2013,
by Province and Territory, Constant 1997 Dollars (cont’d)
Note
See tables B.2.5 and B.3.5.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; population and price indices, Statistics Canada.
50
National Health Expenditure Trends, 1975 to 2013
5.0 Provincial and Territorial Government Health
Expenditure by Age and Sex
CIHI has been collecting actual utilization data since 1996 from national and provincial/territorial
administrative databases for the major categories of service delivered by provincial and territorial
governments. The estimates for five major categories—hospitals, physicians, drugs, other
institutions and other professionals—are presented in the Series E data tables of this report.
5.1 Standardization for Age and Sex
Similarities in provincial and territorial government per capita health expenditures arise in large
part because of universal coverage for medically necessary hospital and physician services
under the Canada Health Act. However, each jurisdiction has different population age and sex
profiles, which could lead to systematic differences in total expenditure (even if per capita
expenditure were virtually the same for each age and sex group). Standardizing expenditure to
a common population distribution provides a means of measuring differences that result from
utilization and prices.
Total provincial/territorial government expenditure per capita, standardized for age and sex,
is compared in Table 7. The data shows both actual and standardized expenditures from
2008 to 2011 (the latest year for which age–sex data is available). Standardized expenditures
were calculated by multiplying the male and female population of Canada in each of 19 age
groups by the expenditure per capita for each age group in each province and territory and
dividing the product by the population of Canada.
Percentage differences between actual and standardized expenditure tend to be most
pronounced in Alberta and the territories. Alberta and the territories have lower-than-average
percentages of their populations older than 65, which accounts for their increases in per capita
expenditure when standardized to the national population. Ontario shows little difference
between actual and standardized expenditure, due to its large share of the total population.
Most other provinces show lower expenditure per capita when data is standardized.
51
2008
2009
2010
2011
Actual
($)
Standardized
($)
Percentage
Change
Actual
($)
Standardized
($)
Percentage
Change
Actual
($)
Standardized Percentage
($)
Change
N.L.
3,930
3,877
-1.4%
4,328
4,275
-1.2%
4,763
4,692
-1.5%
5,061
4,958
-2.0%
P.E.I.
3,252
3,108
-4.4%
3,635
3,504
-3.6%
3,920
3,795
-3.2%
4,291
4,174
-2.7%
N.S.
3,459
3,263
-5.7%
3,522
3,308
-6.1%
3,836
3,611
-5.9%
4,073
3,843
-5.6%
N.B.
3,516
3,330
-5.3%
3,710
3,507
-5.5%
3,887
3,667
-5.7%
4,104
3,872
-5.6%
Que.
3,023
2,948
-2.5%
3,215
3,128
-2.7%
3,325
3,226
-3.0%
3,443
3,338
-3.1%
Ont.
3,297
3,331
1.0%
3,479
3,509
0.9%
3,600
3,631
0.9%
3,657
3,689
0.9%
Man.
3,672
3,614
-1.6%
3,944
3,904
-1.0%
4,066
4,051
-0.4%
4,194
4,211
0.4%
Sask.
3,694
3,520
-4.7%
3,844
3,697
-3.8%
4,058
3,929
-3.2%
4,287
4,193
-2.2%
Alta.
3,845
4,217
9.7%
3,971
4,425
11.4%
4,432
4,966
12.1%
4,486
5,045
12.5%
B.C.
3,333
3,255
-2.3%
3,397
3,320
-2.3%
3,523
3,444
-2.2%
3,618
3,532
-2.4%
Y.T.
4,663
6,282
34.7%
5,360
7,004
30.7%
5,420
7,271
34.1%
5,846
8,035
37.5%
N.W.T.
6,374
9,176
44.0%
6,663
9,700
45.6%
6,555
9,787
49.3%
7,200
10,778
49.7%
Nun.
8,500
14,397
69.4%
9,199
15,284
66.1%
9,599
15,805
64.6%
10,235
17,478
70.8%
Canada 3,352
3,352
—
3,520
3,520
—
3,691
3,691
—
3,790
3,790
—
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Population, Statistics Canada.
Actual
($)
Standardized Percentage
($)
Change
National Health Expenditure Trends, 1975 to 2013
52
Table 7: Total Provincial/Territorial Government Health Expenditure per Capita, Standardized for Age and Sex, by Province/Territory
and Canada, 2008 to 2011
National Health Expenditure Trends, 1975 to 2013
5.2 Population Aging
Canada’s population is growing; 6 this growth is a function of changing birth, mortality,
immigration and emigration rates. Although these factors are largely outside the control of
health system decision-makers, the implications of a growing population in terms of potential
demand for health care services in the future need to be considered.
Population aging describes a shift in the age structure of the population. Like many
industrialized countries, Canada is undergoing a demographic shift. As seen in Figure 32, the
largest concentration of the population is in the middle age groups (30s to 50s); however, the
baby-boom cohort, Canada’s largest population group in recent history, is beginning to turn 65.
Figure 32: Age Distribution, Canada, 2000 and 2011
Source
Population, Statistics Canada.
One perception is that future demands for health care by an aging population will strain
governments’ ability to fund services covered under the Canada Health Act. However, some
Canadian studies suggest that the effects of population growth and aging will be manageable
within the context of a growing economy.
53
National Health Expenditure Trends, 1975 to 2013
The distribution of provincial/territorial government health expenditure by age and sex xiv is
shown in Figure 33. More was spent on seniors’ health care than on that for other age groups,
as is clearly seen in the shape of the curves. More was spent on females age 25 to 34 and age
80 and older than on males of the same age ranges. This is because females tend to have
longer life expectancy and because of higher costs during childbearing years.
Figure 33: Total Provincial/Territorial Government Health Expenditure, by Age and Sex,
Canada, 2011
Note
See Table E.1.1.
Source
National Health Expenditure Database, Canadian Institute for Health Information.
xiv. Missing data was estimated for this analysis. A detailed explanation of the method and data sources used to distribute provincial/
territorial government health expenditure by age and sex is available in the Methodological Notes section of this report.
54
National Health Expenditure Trends, 1975 to 2013
As a consequence of the population shift and baby boomers turning 65, there is a concern that
an aging population will lead to greater demands for health care services and acceleration in
the growth of health spending. However, seniors are a diverse group. As shown in Figure 34,
provincial and territorial government health spending varies among the senior age groups.
On average, health care spending per person is highest for those age 80 and older.
Figure 34: Provincial/Territorial Government Health Expenditure per Capita, by Age Group,
Canada, 2011
Source
National Health Expenditure Database, Canadian Institute for Health Information.
Older seniors consume more health care dollars largely as a consequence of two factors: the
cost of health care in the last few months of life, and the minority of the population with chronic
illnesses that tends to require more intensive medical attention with age. Survey data shows a
stronger correlation between the presence of multiple chronic diseases and higher utilization of
health services than between age and utilization.
55
National Health Expenditure Trends, 1975 to 2013
As seen in Figure 32 and Figure 35, while Canadians older than age 65 account for more than
14% of the population, they consume 45% of provincial and territorial government health care
dollars. xv However, the share spent on Canadian seniors has not changed much over the last
decade or so—from 44% in 2000 to 45% in 2011. During the same time period, the percentage
of seniors in the population grew from 12.5% to 14.5%.
Figure 35: Share of Provincial/Territorial Government Health Expenditure, by Age Group,
Canada, 2000 and 2011
Source
National Health Expenditure Database, Canadian Institute for Health Information.
xv. Program design also plays a small role. For example, most provincial and territorial drug plans target seniors for coverage.
56
National Health Expenditure Trends, 1975 to 2013
5.3 Issues to Monitor in Future
As the percentage of the population age 80 and older increases, decision-makers will be faced
with the challenge of determining the levels of hospital care, long-term institutional care and
community care for older Canadians that balance access, quality and appropriateness of care
on the one hand and cost on the other.
Figure 36 shows that the effects of aging have varied slightly across categories in the
provincial/territorial government sector and that aging is not the dominant factor. Aging
contributed an average annual rate of growth of only 0.6% to physician spending and
contributed 2.2% per year on average to the growth in spending on other institutions.
Figure 36: Contribution of Aging to Average Annual Growth for Hospitals, Physicians,
Drugs and Other Institutions, Canada, 2000 to 2011
Source
National Health Expenditure Database, Canadian Institute for Health Information.
57
National Health Expenditure Trends, 1975 to 2013
Even though population aging has been a very modest cost driver overall (contributing an
annual average growth of only 0.9%), the effects of population aging vary across Canada.
As can be seen in Figure 37, there is a noticeable east–west gradient in Canada, in which the
impact of aging is more significant in the Atlantic region and Quebec than in Ontario and
Western Canada. The different demographic profiles across provinces/territories are a product
of numerous factors, including immigration and interprovincial migration. The influx of workingage individuals into a province or territory usually lessens the importance of population aging
as a health care cost driver.
Figure 37: Contribution of Population Growth and Aging to Average Annual Growth
in Provincial/Territorial Government Health Spending, by Province/Territory
and Canada, 2000 to 2011
Source
National Health Expenditure Database, Canadian Institute for Health Information.
58
National Health Expenditure Trends, 1975 to 2013
6.0 Provincial and Territorial Government
Health Expenditures and Fiscal Position
In 2013, provincial and territorial government health expenditures are forecast to reach $138.3
billion, which accounts for 65.5% of total health expenditures in Canada and just more than 93%
of expenditures by all levels of government (federal direct sector, provincial government sector
and municipal government sector).
Provincial and territorial government health expenditure per capita in constant (1997) dollars
decreased during each of the four years from 1993 to 1996 (Figure 38). Expenditure per capita
in constant dollars grew more rapidly from 1997 to 2010 than at any other time since 1975.
Growth is expected to decrease in the few years beyond 2010.
Figure 38: Provincial/Territorial Government Health Expenditure per Capita in
Constant 1997 Dollars, Canada, 1975 to 2013
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Statistics Canada.
59
National Health Expenditure Trends, 1975 to 2013
Provincial and Territorial Government Financial Trends
This section uses financial trend data from Statistics Canada’s Financial Management System
(FMS) to explore the relationship between health expenditures by the provincial/territorial
governments and their fiscal position, as expressed by levels of expenditure relative to revenues.
From 1998 to 2009, public-sector health spending, along with other major sectors such as
transportation, communications and education, grew faster than the rate of revenue growth
of provincial, territorial and federal governments. This was a result of a lower debt burden.
This section further explores fiscal trends. The data used here consists of general government
revenues and expenditures. xvi General government expenditure is consistent with expenditures
reported in the public accounts, which are also the source of data used in the NHEX series.
Revenue and Expenditure
Provincial and territorial revenues reported in the FMS accounts include own-source revenue
from taxation, investments and other sources. Transfers from other levels of government are
the second major category of revenue; they include statutory subsidies, equalization payments,
the CHT and the CST. Own-source revenues at constant (1993) price levels have fluctuated
over the years (Figure 39). Transfers decreased in constant dollars in the mid-1990s and then
increased in subsequent years.
Figure 39: Provincial/Territorial Government Revenue, Constant Dollar Indices (1993 = 100),
Canada, 1993 to 2012
Note
Financial Management System data is estimated for 2009, 2010, 2011 and 2012.
Sources
Financial Management System, Statistics Canada; provincial public accounts, budgets, main estimates.
xvi.
60
General government revenues and expenditures are the largest component of the series for total provincial and territorial
government revenues and expenditures. The remaining three components are non-autonomous pension plans, universities and
colleges, and health and social service institutions. For this analysis, fiscal year data has been converted to calendar year data.
National Health Expenditure Trends, 1975 to 2013
In interpreting this trend data, it is important to note that transfers in FMS include all
intergovernmental transfers, including at various times the CHST, Established Programs
Funding and Canada Assistance Plan. The CHST replaced the latter two transfer mechanisms
in 1996–1997, which in turn was replaced by the CHT and the CST in 2004–2005. Amounts
transferred under these programs are often the main focus of discussion about funding
for health and social programs. Federal, provincial and territorial cost-sharing arrangements
for health also include the value of tax points, which would be included as provincial and
territorial government own-source revenue in the FMS accounts. As a consequence, it is
not possible to define clearly the relative shares of health funding provided by federal and
provincial/territorial levels of government.
Provincial and territorial debt charges were 13.8% of total expenditures and 15.8% of revenues
in 1993. During the next three years, debt charges increased to peak at 15.3% of expenditures
in 1996 (Figure 40). During the 10 years that followed, the improving fiscal balance, combined
with lower interest rates, led to lower debt charges, reaching 8.1% of expenditures and 8.8%
of revenues in 2009. Since then, debt charges increased to 8.4% of expenditures and 9.0% of
revenue, respectively, in 2012.
Figure 40: Provincial/Territorial Debt Charges as a Proportion of Total Provincial/Territorial
Expenditure and Revenue, Canada, 1993 to 2012
Note
Financial Management System data is estimated for 2009, 2010, 2011 and 2012.
Sources
Financial Management System, Statistics Canada; provincial public accounts, budgets, main estimates.
61
National Health Expenditure Trends, 1975 to 2013
Health Expenditure and Total Program Expenditure
Health expenditures were equivalent to 28.2% of total provincial and territorial government
expenditures and 32.8% of program expenditures (total expenditure less debt charges) in 1993.
Health expenditures decreased slightly as a percentage of government expenditures during the
next two years (Figure 41). Following strong growth of health expenditures over the last decade,
combined with more modest rates of growth in total expenditures, the shares of total and program
expenditures allocated to health increased to 34.7% and 37.9%, respectively, in 2012.
Figure 41: Provincial/Territorial Government Health Expenditure as a Proportion of Total
Provincial/Territorial Government Expenditure and Programs, Canada, 1993 to 2012
Note
Financial Management System data is estimated for 2009, 2010, 2011 and 2012.
Sources
National Health Expenditure Database, Canadian Institute for Health Information; Financial Management System, Statistics Canada;
provincial public accounts, budgets, main estimates.
62
National Health Expenditure Trends, 1975 to 2013
When general inflation and population growth are accounted for, public-sector health spending
grew at an annual average of 3.7% from 1998 until 2009, more than triple the rate of revenue
growth of the provincial, territorial and federal governments. However, spending in other major
sectors, including transportation, communications and education, also exceeded revenue
growth (Figure 42). This was a result of the fiscal dividend that governments earned as a result
of eliminating deficits and bringing down debt loads in the 1990s, thereby reducing—very
substantially—the interest they had to pay on outstanding debt in the years following. However,
not all of the fiscal dividend was invested in government programs such as health care. Some
of the dividend was returned to Canadians in the form of major tax cuts, thus also explaining the
relatively weak growth of government revenues during the period.
The decline in interest rates reduced government debt service costs and allowed for investments
in new programs, expansion of existing programs—including health care—and tax reduction. xvii
However, in the wake of the global recession and the return of large public-sector fiscal deficits,
combined with lower GDP growth, the foundation for a fiscal dividend is crumbling.
Figure 42: Public-Sector Spending Growth (Health, Transportation/Communications, Education
and Social Services) Compared With Revenue and Debt Charges, Average Annual
Real per Capita Expenditure Growth, Canada, 1998 to 2009
Source
Financial Management System, Statistics Canada.
xvii. Balanced budgets after the mid-1990s opened up a fiscal dividend that enabled provinces to spend more on health, even while
lowering income and corporate taxes.
63
National Health Expenditure Trends, 1975 to 2013
7.0 International Comparisons
Comparability of Health Expenditure Across Countries
For the last 13 annual updates of the health database maintained by the Organisation for
Economic Co-operation 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 2013 is at varying levels of comparability. 7 This section shows
health expenditure information for the 30 countries that most closely follow the health care
boundary proposed in the OECD manual. The OECD states that the data for those countries is
believed to be fairly comparable, although some deviations from SHA definitions may still exist
among the sub-aggregate variables of total health expenditure. xviii The 30 countries are Australia,
Austria, Belgium, Canada, the Czech Republic, Denmark, Estonia, Finland, France, Germany,
Hungary, Iceland, Israel, Japan, Korea, Luxembourg, Mexico, the Netherlands, New Zealand,
Norway, Poland, Portugal, the Slovak Republic, Slovenia, Spain, Sweden, Switzerland, Turkey,
the United Kingdom, and the United States.
Comparability of Health Expenditure Over Time
Since the early 2000s, countries adopted the SHA to report their data for the most recent years.
Many countries have yet to revise their series for earlier years. Breaks in series thus appear in
most countries in the mid-1990s to early 2000s.
The data presented in OECD Health Data 2013 is based on the SHA starting in the following years:
• Australia: 1998
• Austria: 1990
• Belgium: 2003
• Canada: 1975
• Czech Republic: 2000
• Denmark: 2003
• Estonia: 1999
• Finland: 1995
• France: 1995
• Germany: 1992
• Hungary: 1998
• Iceland: 2003
• Israel: 2006
xviii.
64
See International Comparisons: Data Comprehensiveness and Boundaries of Health Care in the Methodological Notes.
National Health Expenditure Trends, 1975 to 2013
• Japan: 1995
• Korea: 1980
• Luxembourg: 1999
• Mexico: 1999
• The Netherlands: 1998
• New Zealand: 2004
• Norway: 1997
• Poland: 2002
• Portugal: 2000
• Slovak Republic: 2005
• Slovenia: 2002
• Spain: 1999
• Sweden: 2001
• Switzerland: 1995
• Turkey: 1999
• United Kingdom: 1997
• United States: 1999
Due to the change in reporting standards, this section on international comparisons focuses on
2011 data, the most recent year for which data is available.
OECD Definition of Total Health Expenditure
Total expenditure on health is defined by the OECD as the sum of expenditure on activities
that—through application of medical, paramedical and nursing knowledge and technology—
have the goals of
• Promoting health and preventing disease;
• Curing illness and reducing premature mortality;
• Caring for persons affected by chronic illness who require nursing care;
• Caring for persons with health-related impairments and disabilities who require nursing care;
• Assisting patients to die with dignity;
• Providing and administering public health; and
• Providing and administering health programs, health insurance and other funding arrangements.
Activities such as food and hygiene control, health research and development and training of
health workers are considered health-related but are not included in total health expenditure.
65
National Health Expenditure Trends, 1975 to 2013
Total Health Expenditure
Total Health Expenditure as a Percentage of GDP—2011
Canada is among five countries with the highest ratio of total health expenditure to GDP. The
OECD GDP figures are standardized for international comparability; consequently, the health
expenditure–to-GDP ratios reported by the OECD may differ from those reported by the national
health accounts of member countries. Specific to Canada, the GDP estimate published by
Statistics Canada contains an amount for financial intermediation services indirectly measured
(FISIM). Statistics Canada removes the FISIM from the GDP estimate provided to the OECD.
In addition, there is a time lag between both Statistics Canada’s revision of the Canadian GDP
and CIHI’s revision of national health expenditure data and its publication in OECD reports.
In 2011, the United States had the highest ratio of total health expenditure to GDP, at 17.7%,
while Canada was at 11.2% (Figure 43).
Figure 43: Total Health Expenditure as a Percentage of GDP, 30 Selected Countries, 2011
Notes
* Data for 2010.
‡ Data for 2008.
Source
Organisation for Economic Co-operation and Development. OECD Health Data 2013 (June edition). Paris, France: OECD; 2013.
66
National Health Expenditure Trends, 1975 to 2013
Total Health Expenditure per Capita xix—2011
Canada, with spending of US$4,522 per person in 2011, was among the six countries with the
highest per capita spending on health. The United States had the highest health expenditure per
individual, at US$8,508 in 2011. Spending was similar in Canada, Austria (US$4,546), Germany
(US$4,495) and Denmark (US$4,448) (Figure 44).
Figure 44: Total Health Expenditure per Capita, U.S. Dollars, 30 Selected Countries, 2011
Notes
* Data for 2010.
‡ Data for 2008.
Source
Organisation for Economic Co-operation and Development. OECD Health Data 2013 (June edition). Paris, France: OECD; 2013.
xix. Health expenditure per capita was converted to U.S. dollars using purchasing power parities (PPPs) for GDP, which are
designed to eliminate differences in price levels between countries—that is, PPPs equalize the purchasing power of different
currencies. See OECD Health Data.
67
National Health Expenditure Trends, 1975 to 2013
Health Expenditure by Source of Finance
Total Health Expenditure by Source of Finance—2011
Expenditure by the public sector represented more than 80% of total health expenditure in
Norway, Denmark, Luxembourg, the Czech Republic, the United Kingdom, New Zealand,
Sweden, Japan and Iceland. Expenditure by the public sector also accounted for more than
80% of current expenditure (excluding capital expenditure) in the Netherlands. The share of
total health expenditure funded by the public sector was 70.4% in Canada. The country with
the lowest public-sector share was Mexico, at 47.3%, followed by the United States, at 47.8%.
These two countries thus had the highest shares of total health expenditure funded by the
private sector.
68
National Health Expenditure Trends, 1975 to 2013
Figure 45: Total Health Expenditure, Public and Private Share, 30 Selected Countries, 2011
Notes
* Data for 2010.
‡ Data for 2008
§ Current expenditure (capital excluded).
** Public and private shares do not add up to 100% due to the “rest of the world” financing. Rest of the world equals 0.5% of total
expenditure in Poland, 1.4% in Estonia and 1.3% in Israel.
Source
Organisation for Economic Co-operation and Development. OECD Health Data 2013 (June edition). Paris, France: OECD; 2013.
69
National Health Expenditure Trends, 1975 to 2013
Public-Sector Health Expenditure as a Percentage of GDP—2011
With regard to public-sector spending on health as a percentage of GDP in 2011, Canada fell
within the first half of countries. Public-sector health expenditure accounted for 9.5% of the
Netherlands’ GDP, the highest proportion among the countries. The ratios of public-sector
spending to GDP were similar for Canada, Norway, the United Kingdom and Japan (Figure 46).
Figure 46: Public-Sector Health Expenditure as a Percentage of GDP, 30 Selected Countries, 2011
Notes
* Data for 2010.
‡ Data for 2008.
§ Current expenditure (capital excluded).
Source
Organisation for Economic Co-operation and Development. OECD Health Data 2013 (June edition). Paris, France: OECD; 2013.
70
National Health Expenditure Trends, 1975 to 2013
Public-Sector Health Expenditure per Capita—2011
Norway had the highest public-sector per capita health spending, at US$4,813, followed by
the United States (US$4,066). Canada was within the top 10 countries, with public-sector
health spending at US$3,183 per person (Figure 47).
Figure 47: Public-Sector Health Expenditure per Capita, U.S. Dollars, 30 Selected Countries, 2011
Notes
* Data for 2010.
‡ Data for 2008.
§ Current expenditure (capital excluded).
Source
Organisation for Economic Co-operation and Development. OECD Health Data 2013 (June edition). Paris, France: OECD; 2013.
71
National Health Expenditure Trends, 1975 to 2013
Public-Sector Sources of Finance—2011
Figure 48 shows 30 selected countries in descending order according to the share of total
health expenditure financed by the public sector, general government.
The public sector includes two subsectors: 1) general governments, including central,
state/regional and local government authorities; and 2) social security funds, which are social
insurance schemes covering the entire community or large sections of the community and that
are imposed and controlled by government units.
Generally, the level of public-sector financing appears to be unrelated to the choice of subsectors
through which the countries provide funding. Expenditures by the public sector represented more
than 80% of total health expenditure in Denmark, the United Kingdom, Norway, Luxembourg, the
Czech Republic, Iceland, Sweden, Japan and New Zealand. They also represented more than
80% of current expenditure (excluding capital expenditure) in the Netherlands. In the United
Kingdom, Sweden, Denmark and Australia, general governments financed all of the public-sector
spending. Canada falls within a group of countries with a public-sector share ranging between
65% and 80% of total health expenditure. In 10 of these countries (France, Germany, Slovenia,
Estonia, Belgium, Poland, Austria, Slovak Republic, Hungary and Turkey), social security funds
were the principal source of public-sector financing, in contrast to Canada, where 1.4% of health
expenditures were financed by social security funds. In Canada, social security funds include
the health care spending by workers’ compensation boards and the Quebec Drug Insurance
Fund component of the MSSS drug subsidy program.
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National Health Expenditure Trends, 1975 to 2013
Figure 48: Percentage of Total Health Expenditure Financed by the Public Sector,
by Source of Finance, 30 Selected Countries, 2011
Notes
* Data for 2010.
‡ Data for 2008.
§ Current expenditure (capital excluded).
Source
Organisation for Economic Co-operation and Development. OECD Health Data 2013 (June edition). Paris, France: OECD; 2013.
73
National Health Expenditure Trends, 1975 to 2013
Private-Sector Sources of Finance—2011
Figure 49 shows 30 selected countries in descending order according to the share of total health
expenditure financed by out-of-pocket payments from households. In 25 countries, private-sector
funding of total health expenditure is broken down between out-of-pocket payments, private
insurance and all other private funds (for example, non-government organizations and
corporations). However, this breakdown is available only for current expenditure (excluding
capital expenditure) in Turkey, Austria, the Netherlands, Norway and the United Kingdom.
Approximately half of total health expenditure was financed by the private sector in Mexico
(52.7%) and in the United States (52.2%). Almost all private-sector health expenditures in
Mexico were out-of-pocket payments (49% of total health expenditure), by far the highest
proportion of any country. By contrast, in the United States, private insurance accounted for
more than half of private-sector health expenditure (33.8% of total health expenditure), also by
far the largest proportion of any country. Canada is included in a group of 10 countries (with
Finland, Spain, Slovenia, Portugal, Turkey, Poland, Australia, Slovak Republic and Hungary)
where the private sector funded between 25% and 35% of total health expenditure. In Canada,
out-of-pocket payments and private insurance accounted for 14.7% and 12.3% of total
health expenditure, respectively.
74
National Health Expenditure Trends, 1975 to 2013
Figure 49: Percentage of Total Health Expenditure Financed by the Private Sector, by Source
of Finance, 30 Selected Countries, 2011
Notes
* Data for 2010.
‡ Data for 2008.
§ Current expenditure (capital excluded).
Source
Organisation for Economic Co-operation and Development. OECD Health Data 2013 (June edition). Paris, France: OECD; 2013.
75
National Health Expenditure Trends, 1975 to 2013
Health Expenditure by Use of Funds
Hospitals—2011
Similar to the situation in Canada, hospitals in other OECD countries occupy a prominent place
in health care provision. On average, hospitals account for more than one-third of all health
spending in OECD countries. Figure 50 shows countries in descending order of per capita
expenditure on hospital services in 2011. Canada, with spending of US$1,298 per person, fell
within the middle of the countries, near Germany, Luxembourg, Belgium and Spain. There were
large differences in hospital spending per capita. The United States had the highest spending
(US$2,730), at more than twice the OECD average. Mexico had the lowest spending (US$149).
While hospital spending in Canada includes remuneration of physicians on hospital payrolls,
it excludes payments made directly by the provincial/territorial medical care insurance plans
to physicians for services provided in hospitals. This exclusion results in an under-estimation
of hospital spending in Canada as, under the SHA, all expenditures for physicians’ services
provided in hospitals are to be recorded under the hospital category. There exists a similar
under-estimation in the United States, where independently billed physicians’ fees are excluded
from inpatient hospital expenditure. The variation in hospital spending per capita across OECD
countries reflects, among other factors, the extent to which long-term care is provided in
hospitals rather than in residential long-term care facilities.
76
National Health Expenditure Trends, 1975 to 2013
Figure 50: Expenditure§ on Services Provided by Hospitals, per Capita, U.S. Dollars, 2011
Notes
* Data for 2010.
† Data for 2009.
‡ Data for 2008.
§ Current expenditure (capital excluded).
Source
Organisation for Economic Co-operation and Development. OECD Health Data 2013 (June edition). Paris, France: OECD; 2013.
77
National Health Expenditure Trends, 1975 to 2013
Drugs—2011
Drugs include prescribed and non-prescribed drugs (often referred to as over-the-counter drugs)
as well as other medical non-durables (or personal health supplies) such as bandages,
syringes, elastic stockings and knee supports, and contraceptive devices. Drugs consumed in
hospitals are excluded as, under the SHA, they are considered intermediate consumption in the
production of hospital care. Drugs constitute a large category of health expenditure across
OECD countries, accounting for, on average, almost a fifth of total health spending. Figure 51
shows that Canada had the second-highest expenditure on drugs per capita, after the United
States, in 2011.
Figure 51: Total Expenditure§ on Drugs, per Capita, U.S. Dollars, 2011
Notes
* Data for 2010.
† Data for 2009.
‡ Data for 2008.
§ Current expenditure (capital excluded).
Source
Organisation for Economic Co-operation and Development. OECD Health Data 2013 (June edition). Paris, France: OECD; 2013.
78
National Health Expenditure Trends, 1975 to 2013
Physicians—2011
Figure 52 shows per capita expenditures for 26 OECD countries on services provided by offices
of physicians, defined as establishments of health practitioners who hold the degree of doctor of
medicine or a corresponding qualification and who are primarily engaged in the independent
practice of medicine.
Canada had the third-highest spending per capita on offices of physicians, after the United States
and Switzerland, and just before Germany and Japan. Canadian expenditure includes payments
made directly by the provincial/territorial medical care insurance plans to physicians for services
provided in hospitals, resulting in an over-estimation as, under the SHA, all expenditures for
physicians’ services provided in hospitals are to be recorded under the hospital category. In
Switzerland and Japan, a high proportion of the expenditure on offices of physicians was for drugs
(16.3% and 12.5%, respectively), while this proportion was nil or negligible in other countries.
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National Health Expenditure Trends, 1975 to 2013
Figure 52: Expenditure§ on Services Provided by Offices of Physicians, per Capita,
U.S. Dollars, 2011
Notes
* Data for 2010.
† Data for 2009.
§ Current expenditure (capital excluded).
Source
Organisation for Economic Co-operation and Development. OECD Health Data 2013 (June edition). Paris, France: OECD; 2013.
80
National Health Expenditure Trends, 1975 to 2013
8.0 Methodological Notes
8.1 Concepts and Definitions
Mandate of the National Health Expenditure Database (NHEX)
The mandate of NHEX is twofold:
1. To support the development and evaluation of health programs in Canada by all levels
of government and within the private sector.
2. To compile information on health expenditures that will accurately portray the importance
of health care as a component of national expenditure.
Variables and Concepts
Health expenditure—includes any type of expenditure for which the primary objective is to
improve or prevent the deterioration of health status.
This definition allows economic activities to be measured according to primary purpose and
secondary effects. Activities that are undertaken with the direct purpose of improving or
maintaining health are included. Other activities are not included, even though they may impact
health. For example, funds aligning with housing and income support policies which have social
welfare goals as their primary purpose are not considered to be health expenditures, yet they
are recognized as powerful factors in determining population health.
Figure 53: Composition of Total Health Expenditures, by Source of Finance*
Note
* The remaining funds in the Quebec Drug Insurance Fund are financed through the Consolidated Revenue Fund
(these expenditures are captured under the provincial government sector).
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National Health Expenditure Trends, 1975 to 2013
Source of Finance (Sectors)
National health expenditures are reported based on the principle of responsibility for payment
rather than on the original source of the funds. It is for this reason, for example, that federal
health transfers to the provinces/territories are included in the provincial government sector,
since it is the responsibility of provincial/territorial governments to expend federal transfers on
health services. The exception to this principle is that provincial government health transfers to
municipal governments are included in the provincial government sector.
Public sector—includes health care spending by governments and government agencies. xx It is
subdivided into four levels, as described below:
1. The provincial government sector includes health spending from provincial/territorial
government funds, federal health transfers to the provinces/territories and provincial
government health transfers to municipal governments.
2. The federal direct sector refers to direct health care spending by the federal government in
relation to health care services for special groups, such as Aboriginal Peoples, the Canadian
Forces and veterans, as well as expenditures for health research, health promotion and
health protection. Federal direct health expenditure does not include federal health transfers
to the provinces.
3. The municipal government sector expenditure includes health care spending by municipal
governments for institutional services; public health; capital construction and equipment;
and dental services provided by municipalities in the provinces of Nova Scotia, Manitoba
and British Columbia. Designated funds transferred by provincial governments for health
purposes are not included in the municipal sector but are included with provincial
government expenditure.
4. Social security funds are social insurance programs that are imposed and controlled by a
government authority. They generally involve compulsory contributions by employees,
employers or both, and the government authority determines the terms on which benefits
are paid to recipients. Social security funds are distinguished from other social insurance
programs, the terms of which are determined by mutual agreement between individual
employers and their employees. In Canada, social security funds include the health care
spending by workers’ compensation boards, as well as the premiums paid by the
subscribers of the Quebec Drug Insurance Fund and by persons age 65 or older insured
by this plan.
Health spending by workers’ compensation boards includes what the provincial boards
commonly refer to as medical aid. Non–health related items often reported by the workers’
compensation boards as medical aid expenditure, such as funeral expenses, travel,
clothing, etc., are removed.
xx. Statistics Canada (Public Sector Statistics Division) publishes estimates of government health expenditure as part of its
comprehensive reporting system of all government expenditures, the Financial Management System (FMS). The FMS publicsector health spending estimates are lower than those reported by CIHI because different classification methods are applied
and a narrower definition of health expenditure is used in the FMS.
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National Health Expenditure Trends, 1975 to 2013
On January 1, 1997, the government of Quebec created a basic drug insurance plan with
the objective of ensuring the population of Quebec has access to drugs as required by
health status. All residents of Quebec must be covered by drug insurance, whether by
private group insurance or by the public plan administered by the RAMQ. The Drug
Insurance Fund is the chosen mechanism to pay all drug and pharmaceutical service costs
provided to subscribers insured by the RAMQ, as well as their children. Since July 1, 2002,
the public plan has been financed both by the expenditure allocated to this program by the
Quebec government (provincial government sector) and by the amounts collected by the
Drug Insurance Fund as premiums and proceeds (social security funds sector).
Private sector—includes out-of-pocket expenditures made by individuals for health care goods
and services; the health insurance claims paid to individuals by commercial and not-for-profit
insurance firms, as well as the cost of administering those claims; non-patient revenues received
by health care institutions, such as donations and investment income; private spending on healthrelated capital construction and equipment; and health research funded by private sources.
Use of Funds (Categories)
Hospitals—institutions where patients are accommodated on the basis of medical need and
are provided with continuing medical care and supporting diagnostic and therapeutic services.
Hospitals are licensed or approved as hospitals by a provincial/territorial government, or are
operated by the government of Canada, and include those providing acute care, extended and
chronic care, rehabilitation and convalescent care, psychiatric care, as well as nursing stations
or outpost hospitals.
Other institutions—include residential care types of facilities (for the chronically ill or disabled,
who reside at the institution more or less permanently) and which are approved, funded or
licensed by provincial or territorial departments of health and/or social services. Residential
care facilities include homes for the aged (including nursing homes); facilities for persons
with physical disabilities, developmental delays, psychiatric disabilities and alcohol and
drug problems; and facilities for emotionally disturbed children. Facilities solely of a custodial
or domiciliary nature and facilities for transients or delinquents are excluded.
Physicians—expenditures include primarily professional fees paid by provincial/territorial
medical care insurance plans to physicians in private practice. Fees for services rendered
in hospitals are included when paid directly to physicians by the plans. Also included are other
forms of professional incomes (salaries, sessional, capitation).
The physician expenditure category does not include the remuneration of physicians on the
payrolls of hospitals or public-sector health agencies; these are included in the appropriate
category, for example, hospitals or other health spending. Physician expenditures generally
represent amounts that flow through provincial/territorial medical care plans. Provinces/territories
differ in terms of what the medical care plans cover. CIHI has not attempted to make adjustments
to physician expenditures to reflect these differences because only a few provinces, to date, can
net out these differences from their data.
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National Health Expenditure Trends, 1975 to 2013
Other professionals—services at the aggregate level represent expenditures for the services
of privately practising dentists, denturists, chiropractors, optometrists, massage therapists,
osteopaths, physiotherapists, podiatrists, psychologists, private duty nurses and naturopaths.
Discrete identification of many of the professions included under other professionals is often
possible only when they are reported by provincial medical care insurance plans.
This category has been disaggregated at the Canada level in the data tables to provide
information on the following subcategories:
• Dental services—expenditures for professional fees of dentists (includes dental assistants
and hygienists) and denturists, as well as the cost of dental prostheses, including false teeth,
and laboratory charges for crowns and other dental appliances.
• Vision care services—expenditures for the professional services of optometrists and
dispensing opticians, as well as expenditures for eyeglasses and contact lenses.
• Other—expenditures for chiropractors, massage therapists, osteopaths, physiotherapists,
podiatrists, psychologists, private duty nurses and naturopaths.
Drugs—at the aggregate level, include expenditures on prescribed drugs and non-prescribed
products purchased in retail stores. Estimates represent the final costs to consumers including
dispensing fees, markups and appropriate taxes. This category has been disaggregated at the
Canada level in the data tables to provide information on the following subcategories:
• Prescribed drugs—substances considered to be drugs under the Food and Drugs Act and
which are sold for human use as the result of a prescription from a health professional.
• Non-prescribed drugs—include two subcomponents: over-the-counter drugs and personal
health supplies.
– Over-the-counter drugs—therapeutic drug products not requiring a prescription.
– Personal health supplies—include items used primarily to promote or maintain health, for
example, oral hygiene products, diagnostic items such as diabetic test strips and medical
items such as incontinence products.
The drug category does not include drugs dispensed in hospitals and, generally, in other
institutions. These are included with the category of hospitals or other institutions. The
classification system is consistent with international standards developed by the OECD.
Capital—includes expenditures on construction, machinery, equipment and some software
of hospitals, clinics, first-aid stations and residential care facilities. It is based on full-cost or
cash-basis accounting principles.
Public health—by governments and government agencies, includes expenditures for items
such as food and drug safety, health inspections, health promotion activities, community mental
health programs, public health nursing, measures to prevent the spread of communicable
disease and occupational health to promote and enhance health and safety at the workplace in
public-sector agencies.
84
National Health Expenditure Trends, 1975 to 2013
Administration—expenditures related to the cost of providing health insurance programs by
the government and private health insurance companies and all costs for the infrastructure to
operate health departments. The administrative costs of operating hospitals, drug programs,
long-term care programs and other non-insured health services are not included under the
category of administration, but rather are included under the category of service, for example,
hospitals, other institutions and drugs.
Other health spending—at the aggregate level includes expenditures on home care, medical
transportation (ambulances), hearing aids, other appliances and prostheses, health research
and miscellaneous health care. Some of the subcategories of the aggregate category are
defined as follows:
• Health research—expenditures for research activities designed to further knowledge of the
determinants of health, health status or methods of providing health care, evaluation of
health care delivery or of public health programs. The category does not include research
carried out by hospitals or drug companies in the course of product development. These
amounts would be included with either the hospital or drug category.
• Other—expenditures for items such as home care, medical transportation (ambulances),
hearing aids, other appliances, training of health workers and voluntary health associations.
The definition of home care that is currently used in NHEX is based on the definition used by
the OECD, under which only the health professional component of home care is intended to
be included. The portion that is commonly referred to as home support is considered to be a
social service expenditure rather than a health expenditure and is excluded when it can be
identified. A home care feasibility study at CIHI investigated the feasibility of developing a set
of estimates that identify both the health professional and the home support components of
home care. The process of updating the data collected in this study is under way in order to
assess the feasibility of reporting this set of estimates.
Other Terms
Federal transfers—refer to the total of various federal, provincial and territorial health financing
arrangements that may be used to fund the delivery of health and health-related services. They
include at various times the Canada Health Transfer, Canada Social Transfer, Health Reform
Transfer, Canada Health and Social Transfer, Canada Assistance Plan, Established Programs
Financing, Equalization, Territorial Formula Financing and Health Resource Fund, which
supported provincial capital health expenditures from the mid-1970s to the early 1980s, and
transfers by the Department of Indian and Northern Affairs to the territorial governments for the
medical care and hospital insurance plans on behalf of Aboriginal People. More recently, several
other targeted transfer mechanisms were created, including the Diagnostic/Medical Equipment
Fund, the Public Health and Immunization Fund and the Wait Times Reduction Fund.
In April 2004, the federal government restructured its transfers into five major programs: the
Canada Health Transfer, Canada Social Transfer, Health Reform Transfer, Equalization and
Territorial Formula Financing. Effective April 1, 2004, the Canada Health and Social Transfer
was restructured to enhance the transparency and accountability of federal support for health.
85
National Health Expenditure Trends, 1975 to 2013
The Canada Health and Social Transfer was replaced by the Canada Health Transfer and the
Canada Social Transfer. In 2005–2006, the Health Reform Transfer was rolled into the Canada
Health Transfer program.
• Canada Health Transfer (CHT)—is provided to each province and territory in support
of health care. CHT funding is provided through cash payments and tax transfers and
supports the government of Canada’s commitment to the five principles of the Canada
Health Act.
• Canada Social Transfer (CST)—provides support to the provinces and territories for postsecondary education, social assistance and social services, including early childhood
development and early learning and child care.
• Health Reform Transfer (HRT)—provides provinces and territories support for health care
reforms targeted to primary health care, home care and catastrophic drug coverage. The
HRT was integrated into the CHT starting in 2005–2006.
• Equalization—ensures that less prosperous provinces have sufficient revenue to provide
reasonably comparable levels of public services at reasonably comparable levels of taxation.
Equalization payments are unconditional; provinces can spend them according to their
respective priorities. Eligibility to receive equalization funding is determined by a formula
measuring each province’s revenue-raising capacity against a five-province standard.
Currently, six provinces receive equalization: Prince Edward Island, Nova Scotia, New
Brunswick, Quebec, Ontario and Manitoba.
• Territorial Formula Financing (TFF)—ensures that territorial governments can provide
reasonably comparable levels of public services at reasonably comparable levels of taxation,
taking into account the higher costs in the North. The transfers are based on a formula that fills
the gap between the expenditure requirements and revenue-raising capacity of the territories.
• Diagnostic/Medical Equipment Fund—to improve access to publicly funded diagnostic
services, the government of Canada provides provinces and territories with targeted funding
that supports specialized staff training and equipment.
• Wait Times Reduction Fund—to improve access to health care services, the government of
Canada provides provinces and territories with targeted funding to assist in reducing wait times.
• Public Health and Immunization Fund—to improve public health capacities, the government
of Canada provides provinces and territories with targeted funding to support
immunization programs.
• Canada Health and Social Transfer (CHST)—on April 1, 1996, the CHST replaced federal
transfers for social assistance under the CAP and for health and post-secondary education
under EPF. The CHST was a block fund provided in the form of both cash transfers and tax
point transfers to all provinces/territories in support of health, post-secondary education,
social assistance and social service programs. Provinces/territories allocated the CHST to
health and other social programs according to their particular priorities while upholding the
criteria and conditions of the Canada Health Act. In 1996–1997, CHST transfers were
allocated among the provinces and territories in the same proportions as provincial/territorial
entitlements under the combined EPF and CAP transfers in 1995–1996. 8
86
National Health Expenditure Trends, 1975 to 2013
• Canada Assistance Plan (CAP)—introduced in 1966 by the federal government to share in
eligible costs incurred by the provinces and territories in providing social assistance and
welfare services to persons in need or persons likely to become in need if these services
were not provided. The 1994 budget limited 1995–1996 CAP transfers for all provinces/
territories to 1994–1995 levels. 9
• 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 PostSecondary Education and Health Contributions Act, 1977 (EPF Act). Under the act, provinces
and territories were entitled to equal per capita federal health contribution increases according
to a fixed formula (escalator). Health contributions to the provinces/territories consisted of both
cash and an equalized tax transfer. The February 26, 1991, federal budget extended a freeze
at 1989–1990 levels to 1994–1995. Legislation later provided for EPF entitlements to grow in
1995–1996 in accordance with the escalator, less three percentage points.
Gross domestic product (GDP) 10—is the sum of gross value-added originating within the
boundaries of Canada, regardless of the ownership of the factors of production. Gross domestic
product can be valued either at factor cost or at market prices. In this publication, GDP is valued
at market prices and is expressed in terms of the prices actually paid by the purchaser. It
includes all indirect taxes, such as sales and excise taxes, customs duties and property taxes,
and also reflects the impact of subsidy payments.
Implicit price indices—see Methodological Notes, Calculation of Constant Dollars.
Purchasing power parity (PPP)7—purchasing power parities are the rates of currency
conversion that equalize the purchasing power of different currencies. This means that a given
sum of money, when converted into different currencies at the PPP rates, will buy the same
basket of goods and services in all countries. Thus PPPs are the rates of currency conversion
that eliminate differences in price levels between countries.
8.2 Major Data Limitations
Data contained in NHEX is estimated. The data is collected from diverse sources and includes
varying classes of financial information. The data is collected and classified according to
methods established by a review committee. CIHI analysts and external experts continue to
improve the comprehensiveness, accuracy and currency of the data to provide the most
complete and objective estimates possible. A series of feasibility studies (for example, on home
care, public health and administration) were conducted to determine the advisability and
possibility of expanding estimates in NHEX for a number of priority issues. The research papers
for these feasibility studies are available on CIHI’s website (www.cihi.ca). Notwithstanding,
national health expenditure data is estimated and should be used accordingly.
87
National Health Expenditure Trends, 1975 to 2013
Most private-sector expenditures are estimated from survey data. Prior to 1996, the Family
Expenditure Survey by Statistics Canada, 11 an important source of private-sector data, was not
carried out annually; therefore, trend data has been imputed for years between surveys. Privatesector data was revised following a methodology review in the early 1990s. The revised privatesector 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.
In 2010, the Survey of Household Spending (SHS), formerly the Family Expenditure Survey,
underwent a major redesign by Statistics Canada. This impacts out-of-pocket health expenditure
in NHEX. For more details, see General Methods—Private Sector in Section 8.3: Collection
and Non-Response.
8.3 Collection and Non-Response
The following notes briefly describe some of the major technical points associated with the
compilation of the health expenditure estimates. Additional information can be obtained by
contacting the National Health Expenditure section by phone at 613-241-7860, by fax at
613-241-8120 or by email at [email protected]
Hierarchy of Classification
National health expenditures in Canada are based on a system of classification that is consistent
with international standards developed by the OECD for reporting health expenditures.
National health expenditures are grouped within the broad categories of personal health care or
other expenditures:
• Personal health care consists of expenditure for health goods and services used by individuals.
• Other expenditures consist of expenditures on behalf of society, such as public health;
expenditures made as investments for purposes of future consumption, such as capital
expenditures; the administrative expenses of planning and managing the health care system;
and research.
Personal health expenditures are classified within categories that describe the type of health
care used. Certain categories overlap. The hierarchy of classification that is used to allocate
overlapping categories of expenditure is as follows:
• Institutional setting—health care services consumed in hospitals or other institutions are
allocated to the institutional category if the institution purchases the services on behalf of its
patients. For example, physician services and drugs paid through hospital budgets are
classified as hospital expenditures. This allocates expenditure to the supplier actually paid
by patients or their agents in the form of government or insurance companies. It also reflects
data availability.
• Self-employed provider of service—for example, all expenses of physicians’ practices are
considered to be expenditures for physician services, even though some of these expenses
would be for employment of other health professionals, drugs or personal health supplies.
• Type of good and service—drugs, personal health supplies and appliances are examples.
88
National Health Expenditure Trends, 1975 to 2013
An exception to the hierarchy of classification is eye care, in which optometrist services,
eyeglasses and contact lenses sold by optometrists are combined as one category: vision
care services.
The definitions and methods used in the preparation of this report are for the most part based
on those adopted in 1994 by the National Health Expenditure Methodology Review Committee.
This committee included representation from Health Canada, Statistics Canada, the MSSS, the
Canadian Medical Association and the Canadian Healthcare Association.
International Comparisons: Data Comprehensiveness and Boundaries
of Health Care
The OECD manual A System of Health Accounts provides a comprehensive framework for
reporting expenditures on the entire field of health care activities and proposes common
functional boundaries of health care for international comparisons. However, member countries
do not yet fully report comprehensive data. Also, they may include expenditures that fall outside
the boundaries of health care as defined by the OECD. For OECD Health Data 2013, countries
were asked to provide notes on their departures from OECD/SHA boundaries. Country notes
are presented below. For each country, the list below shows, under Excludes, expenditures that
should have been included in total health expenditure but were not. It shows, under Includes,
expenditures that should have been excluded from total health expenditure but were included.
Australia
Excludes
• Health expenditure on health services provided by the Australian Defence Force, some
school health expenditure and some expenditure incurred by corrective services institutions.
• All expenditure for residential aged care facilities in welfare (social) services, about 30% of
which have a health purpose.
Austria
Excludes
• Expenditure by the public sector on occupational health.
Belgium
Excludes
• Expenditure by corporations on occupational health services.
• Total spending on glasses and other vision product purchases that are financed entirely out
of pocket.
• Expenditure on all other industries as secondary producers of health care.
• Capital expenditures.
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National Health Expenditure Trends, 1975 to 2013
Canada
Includes
• Expenditure of Canadian hospitals for care provided to non-Canadians.
• Revenues of Canadian hospitals from ancillary operations (gift shops, parking lots, etc.). Only
profit used to subsidize patient care should be included; however, while hospital revenues
from ancillary operations are reported, profit cannot be determined from available data.
• Expenditure of inpatient facilities for alcohol/drug addiction, except for private-sector
expenditure after 1999.
• Expenditure by the private sector in some long-term residential care facilities providing
mainly room and board and social services (for example, facilities for mental retardation,
emotionally disturbed children) until 1998.
• Such items as oral hygiene (for example, dentifrice, dental floss, toothbrushes, oral
antiseptics), medicated shampoos, antiperspirants, etc.
Excludes
• Expenditure on school health made by provincial ministries of education.
• Expenditure by private insurers for out-of-country care provided to Canadians.
• Private-sector expenditure on occupational health care.
• Expenditures of voluntary health associations (societies dedicated to prevention and
treatment of major diseases such as arthritis, cancer, diabetes, cerebral palsy, lung, kidney,
liver and heart diseases, etc.).
• Expenditure by public and private insurance plans for motor vehicle insurance for health
services not covered by the public programs for health care (such as services of
physiotherapists, chiropractors, etc.).
• Expenditure on the systematic evaluation of health care delivery or of public health
programs (non-biomedical research). In Canada, this expenditure is included under health
research and development, a health-related function, rather than under health administration
and insurance.
Czech Republic
There are problems determining the boundaries for health care, health-related care and
non-health care.
Includes
• Some health-related functions (for example, training of health workers and health research).
Excludes
• Some health care expenditure in social services institutions (for example, for long-term
nursing care) other than health personnel salaries.
• Some out-of-pocket expenditure (out-of-pocket expenditure is probably underestimated).
90
National Health Expenditure Trends, 1975 to 2013
Denmark
Private investments in medical facilities are not available. Therefore, there is no estimate of total
private expenditure on health. Expenditures on other non-medical durables, as well as public
expenditures on therapeutic appliances, are likely to be underestimated.
Excludes
• Parts of private health expenditure, such as occupational health services, and expenditure
by non-profit institutions serving households, such as the Red Cross and philanthropic and
charitable institutions.
Estonia
Excludes
• Private expenditures for day and home long-term care.
Includes
• Spending on pharmaceutical and other medical non-durables consumed by foreigners.
Finland
Includes
• Expenditure on environmental health.
Excludes
• Private capital formation of health care provider institutions.
• Some inpatient long-term nursing care expenditure (only long-term care within health centre
hospitals is included).
• Hearing and medico-technical devices and all other miscellaneous medical durables.
France
Excludes
• Residential mental retardation facilities, mental health and substance abuse facilities and all
other residential care facilities.
• Inpatient long-term care expenditure by private sector.
• Expenditure on blood and organ banks.
• Retail sales and other suppliers of hearing aids.
91
National Health Expenditure Trends, 1975 to 2013
Germany
Excludes
• Expenditure for military health and prison health.
• Capital formation for ambulatory providers.
Hungary
Excludes
• Private services provided abroad and financed by (voluntary) insurance enterprises.
Iceland
Includes
• Public expenditure for services provided to European Economic Area citizens temporarily
present in Iceland.
Excludes
• The lack of adequate information hinders the estimation of capital formation in the
private sector.
Israel
Includes
• Food and hygiene control and research in hospitals.
Excludes
• Health services provided by hospitals at military bases.
• Services for the frail elderly in geriatric centres and homes for the aged, which are defined as
welfare services.
• Some expenditures on services provided by market clinics or private physicians and nurses,
which were purchased by enterprises and institutions that are not affiliated with the health
industry (for example, manufacturing establishments) instead of being purchased by households.
Japan
Excludes
• Some expenditure by central and local governments on administration of health care services.
• Some expenditure made out of pocket or by private insurance agents on medical services
not covered by national medical insurance schemes.
• Expenditures made by private insurance companies to supplement copayments on health
services covered by the national medical insurance schemes.
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National Health Expenditure Trends, 1975 to 2013
• Expenditure made on health insurance to cover medical expenses for residents of Japan
while travelling abroad.
• Expenditures made by non-profit institutions to finance health care to disadvantaged citizens.
• Nursing and residential care facilities. Medical care services at long-term care welfare facilities
for the elderly exist, but no estimation is made for these services because no data is available.
• Providers of ambulatory health care. No calculation is made for medical treatments not
covered by insurance (judo-orthopedy, massage, acupuncture, etc.), because no data is
available.
• Retail sales and other providers of medical goods. No estimation is made, except for
glasses, hearing aids, mercury thermometers and mercurial column blood pressure gauges.
Korea
Data for administration expenditure by private insurance is not available.
Luxembourg
Total, public and private health care expenditure includes aggregate health care costs covered
by the Grand Duchy of Luxembourg, including expenditure on frontier-zone workers and
residents insured by international institutions. Therefore, the health care expenditure per
inhabitant of Luxembourg cannot be correctly calculated by dividing the health care expenditure
by the resident population of Luxembourg.
Mexico
Includes
• Figures for total expenditure also include health-related expenditure; consequently for
international comparison these items have to be deducted from total expenditure.
The Netherlands
Capital expenditure is available in total, but there is no breakdown according to financing
sources. As a result, health expenditures broken down by financing sources refer to current
expenditures only.
New Zealand
Excludes
• Expenditures for capital items in OECD reporting.
Norway
No departures from OECD/SHA boundaries reported.
Poland
No departures from OECD/SHA boundaries reported.
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National Health Expenditure Trends, 1975 to 2013
Portugal
Excludes
• Health expenditures of the military forces, workers of the ministry of justice and police forces.
Slovak Republic
Excludes
• Private expenditures on joint examination and therapeutic units.
• Data on expenditure on private investment, private prevention and administration, etc.
Slovenia
Excludes
• Expenditure on long-term nursing care provided at home and paid for exclusively by
beneficiaries.
Spain
Excludes
• Health care incurred by industries in their production process (occupational health care).
• Much private investment in medical facilities (includes only hospital capital expenditure).
• Much prevention and public health expenditure (includes only public expenditure and
non-profit institutions serving households [NPISH] expenditure).
Sweden
No departures from OECD/SHA boundaries reported.
Switzerland
Includes
• Investments in figures for medical services. Thus, the sum of personal and collective health
expenditure is greater than the reported total current expenditure.
Excludes
• Other medical non-durables and medico-technical devices, including wheelchairs.
• Administration of social insurance.
• Outpatient care centres, ambulance services, blood and organ banks and providers of all
other ambulatory services.
• Retail sales, other suppliers of optical glasses, other vision products, other suppliers of
hearing aids and other suppliers of medical appliances.
• All other providers of health care.
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National Health Expenditure Trends, 1975 to 2013
Turkey
The Turkish NHA covers Turkish residents’ expenditures for purchases of health care abroad.
However the purchase of health care domestically by non-residents is not estimated separately
and deducted from the total, as this is accepted as non-feasible and should not significantly
change the results.
United Kingdom
Excludes
• Non-NHS expenditure on nursing care in nursing homes, occupational health care and
household production of health care.
United States
No departures from OECD/SHA boundaries reported.
General Methods
The following is intended as a general overview of the methods applied to calculate estimates
of health expenditure in Canada. More detailed information can be obtained by contacting the
National Health Expenditure section by phone at 613-241-7860, by fax at 613-241-8120 or
by email at [email protected]
Provincial/Territorial Government
Data is extracted annually from provincial/territorial government public accounts. Programs
and/or program items are classified into health expenditure categories according to accepted
and standardized methods and definitions used in estimating national health expenditure. Data
from the public accounts is supplemented with information from provincial/territorial government
department annual reports and annual statistical reports when available, as well as information
provided by provincial/territorial government department officials. Total provincial government
health spending figures include spending for health services reported by the provincial/territorial
ministry responsible for health as well as by other departments that report spending on health
according to national health accounts definitions.
Adjustments for regional health authority and/or hospital deficits or surpluses are not made in
NHEX unless the provincial government assumes them. Once assumed by the provincial
government, they are allocated to the years when the regional health authority and/or hospitals
accumulated them.
During the preparation of this report, CIHI’s estimates of provincial/territorial government health
expenditure were submitted to provincial/territorial departments of health for review.
Figures identified as forecasts are based on the growth rates of major programs reported in
provincial/territorial government main estimates and budgets.
95
National Health Expenditure Trends, 1975 to 2013
The variations seen in administration, prevention and promotion, and health research in
2006–2007 for Saskatchewan are due to methodological changes in its accounting system.
The methodological changes involved reclassifying Saskatchewan’s health expenditure data.
On April 1, 1999, Nunavut was formed from the eastern part of the Northwest Territories. The
Northwest Territories expenditures for calendar year 1999 include expenditures for Nunavut
for one-quarter of the fiscal year ending March 31, 1999, prior to the formation of Nunavut.
Consequently, expenditure data for the Northwest Territories is not comparable before and
after calendar year 1999.
Private Sector
Private-sector data was revised in 1995, following a methodology review that began in the early
1990s. Private-sector data under the revised methodology incorporated information estimated
directly from new sources for 1988 and subsequent years.
Expenditure amounts prior to 1988 were estimated using trend data. Therefore, readers should
exercise caution when using the private-sector expenditure data for small provinces and for
years prior to 1988.
Health insurance claims by category and premiums are collected from eight not-for-profit
insurance companies and the Canadian Life and Health Insurance Association, which surveys
its member companies. The difference between claims and premiums is allocated to the
category of prepayment administration, which relates to the cost of providing health insurance
programs. Currently, health care spending data by insurance companies providing casualty
insurance is not included in the estimates.
Out-of-pocket health expenditures are based on data from the Survey of Household Spending
(SHS), formerly the Family Expenditure Survey, fielded by Statistics Canada. Only category
data from Section P of the survey on direct costs for health care is used; the SHS categories of
other medicines, drugs and pharmaceuticals (that is, not prescribed by a doctor) and hospital
care are replaced with data from other sources as described below. National health expenditure
estimates are equal to the average expenditure per household for each category multiplied by
the estimated number of households.
The SHS is an annual survey that began in 1996. Prior to 1996, full surveys that included both
urban and rural areas were carried out in 1986 and 1992. In 1990, a survey was conducted that
included only metropolitan areas. In years when complete surveys are carried out, data is
available for the 10 provinces and for 17 urban centres. The urban centres include Yellowknife
and Whitehorse, which are used to derive estimates of expenditure in the territories. Metropolitan
expenditures per household tend to be somewhat higher than provincial estimates. All relevant
categories were updated in complete survey years. In years when only urban surveys were
carried out, the percentage changes in urban expenditures within each province or territory
were used to update category estimates from complete survey years.
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National Health Expenditure Trends, 1975 to 2013
Between 1992 and 1996, when no surveys were conducted, provincial growth rates of the
Statistics Canada variables of personal expenditure on medical care and dental care, drug and
drug sundries, and other health care were used to impute missing years. Starting in 2000, the
SHS is conducted in the territories only every second year. For 2000, 2002 and each year
thereafter, out-of-pocket estimates in the territories for physicians, dental care, eye care and
other professional services, prescribed drugs and other health goods and services are
estimated by CIHI. The SHS category of other medicines, drugs and pharmaceuticals is
replaced with information purchased from the Nielsen Company, which tracks consumer sales
of non-prescribed drugs sold in Canada at retail. Each year, the Nielsen Company reports retail
sales data for two consistent years for more than 50 non-prescribed drug categories. Data is
reported by sales channel, xxi total dollar sales volume and regional sales distribution for five
regions that include nine provinces. Newfoundland and Labrador and the territories are not
included. The data is processed by classifying the non-prescribed drug categories as either
over-the-counter drugs or personal health supplies. Regional sales amounts are separated into
nine provinces, and estimates for Newfoundland and Labrador and the territories are calculated
using provincial distributions of direct costs for health care from the SHS. Lastly, appropriate
provincial and federal sales taxes are incorporated into the estimates.
In 2010, the SHS underwent a major redesign by Statistics Canada: the reference period for
prescribed drugs changed from 12 months to 3 months, and the result was annualized by
multiplying by 4. One of the objectives of the redesign was to better adapt collection methods and
reference periods. The 2010 growth rates of out-of-pocket prescribed drugs exceeded 30% for
most provinces and were almost 50% in some provinces. To mitigate the impact of this change,
a smoothing method was used last year to adjust prescribed drugs and other professionals. This
year, a decision was made to use 2010 and 2011 SHS data from Statistics Canada without any
mitigation. As a result, there is a break in the series of out-of-pocket prescribed drugs spending
across the provinces in 2010, which ultimately impacts private prescribed drugs spending across
the provinces. The average annual growth rate for SHS data was used to forecast 2012 and 2013
numbers for both prescribed drugs and other professionals.
The SHS category of hospital care is not used; instead the out-of-pocket component of hospital
care is estimated based on revenues from patient services from Statistics Canada’s Annual
Return of Health Care Facilities (HS-2) prior to 1994–1995 and the Canadian MIS Database
(CMDB) thereafter.
Private-sector estimates of other institutions are derived from data from Statistics Canada’s
Residential Care Facilities Survey (RCF). Data used from the survey includes income to
facilities from co-insurance or self-pay of residents, differential for preferred accommodation
and sundry earnings.
The non-consumption component of the private sector includes non-patient revenue to hospitals,
including ancillary operations, donations, investment income, etc. This data is derived from
Statistics Canada’s HS-2 prior to 1994–1995 and the CMDB thereafter.
xxi.
As a general rule, Statistics Canada definitions govern the classification of stores by class of trade. Sales channels include
drug stores, food stores with pharmacies, grocery banners, mass merchandisers and warehouse clubs, which are estimated
from the Nielsen Company’s household panel data.
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National Health Expenditure Trends, 1975 to 2013
The non-consumption portion of the private sector also includes expenditures for biomedical
and health care research by Canadian faculties of medicine derived from medical education
statistics published by the Association of Faculties of Medicine of Canada. Included are
amounts for research funded by national and provincial not-for-profit foundations such as the
Heart and Stroke Foundation of Canada, the National Cancer Institute of Canada and the
Canadian Cancer Society, to name only a few. In addition, funding from local sources, internal
university sources, university and unaffiliated hospitals and foreign sources are also included.
The sum of these amounts is provincially distributed according to the reported distribution of
total amounts spent on research by the various faculties of medicine across the country.
Capital expenditure in the private sector is also included as a non-consumption component
category. Additional information on the calculation of capital can be found in the Calculation
Methods section under Capital Expenditure and in the Forecasting Method section.
Federal Direct
Data on federal direct health care spending is estimated from information provided by federal
government organizations supplemented with information from the national public accounts.
Federal government health care spending is generally provided according to the province in
which the expenditure was made. Some data, however, is provided only at the national level;
in these cases it is distributed by the appropriate provincial/territorial population.
Historically, public health and administration in the federal direct sector have been reported as
one combined category. In an attempt to break out the category into separate components for
public health and administration, an analysis of more detailed data available from 1988 to 2003
was undertaken. The estimated distribution between the categories during this period was
applied to the historical data from 1975 to 1987 to produce separate estimates for public health
and administration for the entire time series.
Municipal Government
Municipal government health care spending up to 2009 is based on information provided by the
Public Sector Statistics Division (PSSD), formerly known as the Public Institutions Division, of
Statistics Canada.
Social Security Funds
In Canada, social security funds include the health care spending by workers’ compensation
boards and the Drug Insurance Fund component of the MSSS drug subsidy program. The
workers’ compensation board data is derived from special tabulations from each provincial and
territorial workers’ compensation board of its medical aid expenditures. Income replacement and
occupational rehabilitation are not included. Items included as medical aid that do not meet the
national health expenditure definition of health expenditures, such as funeral expenses, clothing
expenses, hotel accommodation and non-medical transportation, are excluded.
98
National Health Expenditure Trends, 1975 to 2013
The workers’ compensation boards’ data is supplemented after 1996 with the portion of the
RAMQ’s drug program that is not funded by the MSSS. See the definition of social security
funds in the Concepts and Definitions section of this report for additional information.
Calculation Methods
Calculation of Average Annual Rate of Growth
The average annual rate of growth is the constant annual rate necessary for a value at the
beginning of a period to grow to a value at the end of a period over the number of compounding
years in the period. The formula used to calculate the average annual rate of growth is
e
(ln(value at end of period) − ln(value at beginning of period)) ∕ T
−1
where the constant e equals 2.718, which is the base of the natural logarithm, and T equals the
number of years in the period.
Calculation of Calendar Year
Some information sources provide data in fiscal years. Calendar year data was calculated by
adding three-quarters of one fiscal year to one-quarter of the previous fiscal year.
Calculation of Constant Dollars
Real health expenditure and real per capita health expenditure are presented in constant (1997)
dollars. Constant dollar expenditure was calculated using price indices for public and private
expenditures in each province and territory. The indices are the implicit price indices (IPIs) for
government current expenditure, which are used to deflate public-sector health care spending,
and the health component of the consumer price index (CPI), which is used to deflate privatesector health care spending. Statistics Canada developed both sets of indices. A more complete
explanation of the methodology for calculating implicit price indices is available in Statistics
Canada publications. 12
In the health expenditure series, public and private expenditures are adjusted separately in each
province using the appropriate index. Adjusted values are summed to obtain Canada totals at
constant dollar values. Consequently, the overall implicit price index of the health expenditure
series reflects the mix of public and private expenditures reported in NHEX.
The government current expenditure index was forecast for the latest year in this report for
the provinces and territories. The forecasts are based on The Conference Board of Canada’s
forecasts of this index for Canada, Ontario and Quebec and CIHI’s forecasts for the
remaining provinces.
The CPI (health) index was forecast to December of the latest year in this report based on the
average of the monthly index up to April of the same year, which was the latest information
available prior to the publication of this report.
99
National Health Expenditure Trends, 1975 to 2013
Calculation of TOTAL Health Expenditure as a Percentage of Gross
Domestic Product
The GDP at market prices xxii was used to express total health expenditure as a percentage of
GDP. National GDP figures for Canada were used rather than the sum of provincial/territorial
GDP to calculate the total health expenditure–to-GDP ratio for Canada.
The GDP figures provided by Statistics Canada were revised (upward) in 2001 as part of its
overall revision to the methods for measuring the nation’s economic activity. Revised GDP
figures for Canada were available from 1975 to 2000. Revised provincial and territorial GDP
figures were available from Statistics Canada from 1981 to 1999. No attempt was made by CIHI
to estimate provincial GDP prior to 1981. Forecasts of GDP figures at both the national and
provincial/territorial levels for the latest year were prepared by CIHI by applying The Conference
Board of Canada’s latest available forecasted growth rate of GDP to the previous year’s GDP
figures from Statistics Canada.
Calculation of per Capita Dollars
Per capita health expenditures were calculated using the most recent revised population
estimates from the Demography Division of Statistics Canada. This takes into account the
results of the census adjustment for net census under-count, non-permanent residents and
returning Canadians. Population figures for the latest year are projections from the Demography
Division of Statistics Canada.
Calculation of TOTAL Health Expenditure
Total health expenditure refers to the sum of the public and private sectors. Canada refers
to the sum of the 10 provinces and 3 territories. Total health care spending in constant
(1997) dollars is the sum of public-sector health care spending in constant (1997) dollars and
private-sector health care spending in constant (1997) dollars. Canada average is the sum
of provincial/territorial expenditures divided by the sum of provincial/territorial data of another
variable, such as population.
Capital Expenditure
Prior to a major methodology review in 1995, several categories in the private sector were
estimated using a residual method, whereby public-sector spending was subtracted from an
estimated total. The remainder was allocated entirely to the private sector. Following a major
methodology review in the early 1990s, capital expenditure remained the only category that
was estimated this way. In 1998, the method of calculating capital expenditure was reviewed
and revised. Capital expenditure for the private sector and provincial and municipal government
sectors is now estimated from information obtained from the Investment, Science and Technology
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
xxii.
100
Information provided by the National Accounts and Environment Division of Statistics Canada.
National Health Expenditure Trends, 1975 to 2013
twofold: capital expenditure in all sectors is based on full-cost or cash-basis accounting principles,
and capital is the only category of expenditure in which spending is categorized as private or
public based on ownership of the facility in which the investment is made. This convention has
been adopted due to data limitations.
Forecasting Methods
Provincial government–sector health spending forecasts are based on the growth rates of a
consistent set of major health programs of provincial health departments reported in provincial
main estimates and budgets. In the case of territorial government forecasts of the Northwest
Territories and Nunavut, estimates were based on amounts reported in their main estimates.
In other sectors, figures for these two territories were calculated by developing a forecast for
the Northwest Territories including Nunavut. The share of Nunavut spending in the last year
of actual data of the combined total of the Northwest Territories and Nunavut was used as a
proxy to break out the forecasts for the Northwest Territories and Nunavut for the latest years.
The 2011 figures for capital expenditure in the provincial government sector, the municipal
government sector and the private sector are estimated based on actual figures from the
Investment, Science and Technology Division of Statistics Canada. The 2012 capital figures are
based on preliminary actual data, while 2013 capital data is based on intentions.
Forecasts for federal direct health care spending are based on information from the national
public accounts and the Treasury Board of Canada’s Main Estimates. Forecasts for workers’
compensation boards, municipal government and the private sector were made entirely based
on econometric analysis of time series trends. For each specific category, such as drugs and
other institutions, up to 40 different univariate forecasting specifications were evaluated, and the
best one (based on the root mean square error of prediction) was selected. The functional forms
studied included the exponential smoothing family (simple, double, Holt, Brown, Winters,
damped trend, etc.), time trends, ARIMA specifications, etc. Logarithmic transformations were
used when the data warranted their use. A LOESS smoothing technique was used as well to
help in generating better forecasts in some cases by capturing recent information in the series.
Forecasts of health expenditures are identified in the figures by special symbols and in the data
tables by the letter “f.”
Gross domestic product figures at both the national and provincial/territorial levels were forecast
for 2012 and 2013 by CIHI by applying The Conference Board of Canada’s forecasted growth
rate of GDP of this year to the previous year’s GDP figures from Statistics Canada.
The government current expenditure price index forecasts are based on The Conference Board
of Canada’s latest forecasts of this index for Canada, Ontario and Quebec and CIHI’s forecasts
of the remaining provinces.
The CPI (health) index was forecast to December of the latest year based on the average of the
monthly index up to April of the same year, which was the latest information available prior to
the publication of this report.
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National Health Expenditure Trends, 1975 to 2013
Age and Sex Distribution Methods
The Series E data tables present provincial government health expenditure for selected categories
of spending by sex and age groupings. Total provincial/territorial government expenditure by
age, sex and province/territory is available for 1998 onwards. The five categories presented are
hospitals, other institutions, physicians, other professionals and drugs. The method of distributing
the five categories and total is explained below. The data reported in Series E of the data tables is
not age–sex standardized.
Hospitals
The distribution of provincial government hospital expenditure by age and sex is based
on information from CIHI’s Discharge Abstract Database (DAD) xxiii and Hospital Morbidity
Database (HMDB). The CIHI Case Mix Group (CMG) grouping methodology was used to
group patient discharge information into homogenous groups, based on clinical and resource
utilization characteristics. Currently, the CMG can only be grouped back by a maximum of five
years. Therefore, for the period from 1995–1996 to 1996–1997, the 2001 methodology was
employed, while for the period 1997–1998 to 2002–2003, the 2002 methodology was used.
The 2003 CMG methodology was used for 2003–2004 to 2005–2006. After the grouper
redevelopment, the CMG+ methodology has been in place since 2006. Thus the 2006 CMG+
methodology was used for 2006–2007 and the 2012 CMG+ grouper was used for the period
2007–2008 to 2012–2013.
Based on the CMG grouping methodology, patients are assigned to a group according to
diagnosis and surgical procedures. Within each group patients are further classified into a
complexity level xxiv based on the number and type of comorbid diagnoses and age. Once the
patient is grouped, a Resource Intensity Weight (RIW) xxv is assigned. The assigned RIWs
were then aggregated to generate total weighted cases by age and sex.
The provincial government hospital expenditure estimate for each province is allocated to a
given age group based on the weighted cases in that age group relative to total weighted cases.
Weighted case information from the DAD and the HMDB is for acute inpatient care only.
Weighted cases for the majority of hospital-based ambulatory care (day surgery, emergency
departments and clinics) are currently limited to some facilities in a couple of provinces.
Nevertheless, acute inpatient weighted cases are used as a proxy to distribute the national
health expenditure estimate of hospital expenditure financed by provincial governments, which
includes inpatient and ambulatory care.
xxiii. 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.
xxiv. Following extensive consultation with experts in the field, it is believed that this data has not been substantially affected by
recent concerns regarding complexity.
xxv. RIWs are resource allocation algorithms developed by CIHI for estimating the relative hospital resources used for a typical
case. See http://www.cihi.ca/CIHI-ext-portal/internet/en/document/standards+and+data+submission/standards/case+mix/
casemix_ri for more information.
102
National Health Expenditure Trends, 1975 to 2013
CIHI investigated the reasonableness of using the acute inpatient data as a proxy to distribute
comprehensive provincial government hospital expenditures by comparing 1998–1999 weighted
cases calculated from Alberta’s Ambulatory Care data set with the Alberta acute inpatient
weighted cases from the DAD/HMDB. The analysis showed that the distribution of ambulatory
care weighted cases differs from inpatient weighted cases primarily in the senior age groups.
The impact of including the ambulatory care weighted cases with the inpatient weighted cases
is to lower per capita spending in the senior age groups from what it would have been based on
the inpatient weighted cases only.
Data from the DAD/HMDB covers 11 jurisdictions across Canada; the territories are combined
due to the small number of facilities. Yukon, the Northwest Territories and Nunavut (1999
onward) were distributed according to a combined territorial distribution and further distributed
based on population. Data for Prince Edward Island and Saskatchewan from the DAD for
1995–1996 to 1997–1998 represents about 85% of total acute hospitalizations within each
province; however, from 1998–1999 onward the DAD represents 100% coverage in these two
provinces. Data for 2002–2003 to 2006–2007 in Quebec, as well as for 2003–2004 in Manitoba,
was unavailable and has been estimated based on an analysis of the historical series.
Caution should be exercised when comparing age and sex expenditure estimates across
provinces, particularly with respect to Manitoba. Hospital utilization data in Manitoba is reported
to CIHI differently than in other provinces and territories. In addition to acute inpatient care,
Manitoba’s weighted cases include chronic, rehabilitative and long-term hospital care, which
results in higher weights applied to senior age groups and ultimately higher spending in those
age groups.
Physicians
The distribution of provincial government physician expenditure by age and sex is based on
information from CIHI’s National Physician Database (NPDB). The NPDB contains data on the
socio-demographic and billing activities of fee-for-service physicians, as well as on the age and
sex of patients. NPDB data is used as a proxy to distribute all physicians’ services expenditure
from NHEX. NHEX includes primarily professional fees, paid by provincial medical care
insurance plans to physicians in private practice, but it also includes alternative payment
methods such as salaries, sessional and capitation payments.
Fiscal year 1996–1997 data was unavailable from the NPDB for Nova Scotia and was estimated
using growth rates in the population by age and sex applied to the 1995–1996 fee-for-service
data from the NPDB. Data for 1995–1996 was also unavailable from the NPDB for New
Brunswick. Similar to Nova Scotia, it was estimated using growth rates in the population by age
and sex applied to 1994–1995 fee-for-service data from the NPDB. Yukon fee-for-service data
from 1995–1996 onward was used to estimate the Northwest Territories by applying Yukon
fee-for-service per capita spending by age and sex to the Northwest Territories population for
1995–1996 onward. Similar to the Northwest Territories, Nunavut for 1999–2000 onward was
estimated using Yukon data. Data was collected in fiscal year and converted to calendar
year (see Calculation Methods).
Data provided by the NPDB for the latest year is a preliminary estimate.
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National Health Expenditure Trends, 1975 to 2013
Other Institutions
Statistics Canada’s Residential Care Facilities Survey (RCF) was used to estimate the
provincial/territorial age and sex distribution for other institutions. Facilities for delinquents,
transients and others were excluded from the age–sex distribution. Only facilities financed to
provide a level of care for type II or higher were considered for the estimation. These levels of
care require a minimum of at least one and a half hours a day of medical and/or professional
nursing supervision. Patient counts by age and sex and by predominant level of care within
each facility were used to create the distributions.
In order for a facility’s patient count to be included it was also necessary for the facility to report
both income from provincial/territorial government sources and days of care for provincial
government–funded clients. Within a particular facility type, patient counts by age and sex were
weighted based on the predominant level of care. Weights were generated using the estimated
cost per patient for a particular type of care relative to type II. That is, type II care was the basis
and had a weight of one. Once patient counts by age and sex, level of care and facility type
were assigned weights, the patient counts were aggregated to create total weighted provincial or
territorial patient counts. A distribution across age and sex was generated and then applied to the
appropriate provincial/territorial NHEX figure for other institutions. The age groups from the RCF
(<10, 11 to 17, 18 to 44, 45 to 64, 65 to 69, 70 to 74, 75 to 79, 80 to 84 and 85+) were expanded
into five-year age groups by CIHI using population, as well as DAD/HMDB weighted cases.
At the time of publication data was unavailable for Quebec for all years. The weighted patient
counts for Canada (minus Quebec) from the RCF were used as a proxy for Quebec’s
distribution of other institutions expenditure.
Drugs
Provincial government prescribed drug expenditure primarily includes drugs that are dispensed
through provincial drug subsidy programs. The level of coverage under these programs varies
across the country. Universal drug plans with first dollar coverage to all residents are currently
not available in any province. Most provincial government plans provide prescribed drugs to
seniors and welfare recipients. British Columbia, Saskatchewan and Manitoba provide some
coverage to all residents with an assortment of substantial individual deductibles and
copayments. Similarly, Quebec instituted a universal plan in 1997 that requires Quebec
residents to be covered under the provincial plan if a private group plan, usually available
through an employer, is not available.
CIHI requested drug claims that were paid in a given year by age and sex from each provincial
drug subsidy program. Some data from 2005–2006 was obtained from CIHI’s National
Prescription Drug Utilization Information System (NPDUIS) Database. Drug claim information
by age and sex is currently unavailable from Nunavut only.
The Newfoundland and Labrador Prescription Drug Program (NLPDP) supplied expenditure
data by age and sex from 2007–2008 onward. Data collected from the NLPDP consists of five
main plans (the Foundation Plan, 65Plus Plan, Access Plan, Assurance Plan and Select Needs
Plan) and prescription drug claims paid by the Department of Health and Community Services.
104
National Health Expenditure Trends, 1975 to 2013
Data from Nova Scotia consists of the Seniors Pharmacare Program and prescription drug
claims paid by the Department of Community Services through the Income Assistance Program
and Family Benefits Program. Data from the Special Drug Program was unavailable; expenditure
for this plan was distributed using data from the Department of Community Services.
Data collected from the New Brunswick Prescription Drug Program consists of 10 different drug
plans: Seniors Plan (A), Cystic Fibrosis Plan (B), Social Development (Individuals in Licensed
Residential Facilities) (E), Social Development (F), Children in Care (G), Multiple Sclerosis (H),
Organ Transplant (R), Human Growth Hormone (T), HIV (U) and Nursing Home (V). However,
there is no data available for Special Authorization (SA) (for drugs not normally covered under
the provincial formulary). Beginning in October 1996, claims under SA are included in six other
plans (A, B, G, R, T and V) if the claimant is a beneficiary of one of these plans. In September
1997, this was expanded to include plans E and F. Minor plans for which age–sex data was not
available were distributed using the overall distribution of plans for which data was available.
The MSSS supplied data on its drug subsidy program in calendar year. The plans included
coverage for seniors, income security recipients and others. Data for 1997 onward also included
a general client group representing recipients whose drug claims are paid through the selffinanced 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. xxvi
The Ontario Drug Benefits program (ODB) supplied age–sex data, which included combined
prescription drug claims paid by the Ministry of Health and Long-Term Care and the Ministry of
Community Services, as well as data for the Trillium Drug Program, which was implemented in
April 1995. The Special Drug Program does not have an age–sex profile; its expenditure was
therefore applied to the ODB distribution.
Manitoba was unable to provide data for 1996–1997 because of the Drug Programs Information
Network (DPIN) conversion from a calendar year to a fiscal year system. This resulted in a
15-month year from January 1996 to April 1997. The Department of Health’s Pharmacare
plan supplied data on drug claims paid for 1997–1998 onward. Data for the Ministry of Family
Services, Employment and Income Assistance Division’s drug plan was supplied for 1997–1998
onward. The figures reported for Manitoba in 1997 are based on fiscal year data for 1997–1998.
Data supplied by the Saskatchewan Drug Plan and Extended Benefits Branch was reported by
calendar year.
Alberta Health provided expenditure data by age and sex on its prescription drug programs
from 1995–1996 onward. Data was supplied for all four of Alberta’s prescription drug plans:
Seniors, Widow’s Pension, Regular and Palliative Care. Alberta Human Resources and
Employment provided data for its prescription drug expenditure under the Employment
and Income Assistance programs (formerly under Alberta Family and Social Services) for
1995–1996 to 1998–1999 and 2000–2001 onward. The age–sex distribution for 1999–2000
Alberta Human Resources and Employment’s drug plan is based on 1998–1999 data.
xxvi.
See the definition of social security funds in the Variables and Concepts section of this report for more information.
105
National Health Expenditure Trends, 1975 to 2013
British Columbia’s Ministry of Health Services supplied claims paid by age and sex of the client
in calendar year from 1996 onward for each plan administered by the PharmaCare program.
NHEX drug plan expenditures for British Columbia were converted to calendar year and then
applied to the distribution of the appropriate data supplied by the province.
Yukon Department of Health and Social Services supplied drug expenditure claims for three
administered drug plans: Seniors, Child Drug Plan and Chronic Care Drug Plan. Data from
1995–1996 to 2004–2005 was provided for each plan, with the exception of the Child Drug
Plan, which was implemented in 1997–1998. The Northwest Territories Department of Health
and Social Services supplied data by age and sex for prescription drug claims paid for Extended
Health Benefits.
The provincial government drug estimate at the program level is allocated to a given age group
based on the value of claims paid in that age group relative to total claims paid. In provinces
with more than one program, the age–sex–distributed programs were combined to represent a
total estimate for the province. Most data was collected in fiscal year and converted to calendar
year (see Calculation Methods).
Other Professionals
Expenditure for the category of other professionals accounted for less than 1% of total provincial/
territorial health expenditure in recent years. Provincial/territorial governments provide a variety
of health services delivered by health professionals other than physicians, including primarily
dentists, optometrists, chiropractors and physiotherapists.
All provinces provide various programs for seniors and children, as well as programs for income
assistance recipients. However, the services provided vary considerably across Canada. For
instance, Ontario, British Columbia and Quebec provide physiotherapy services to residents,
while other provinces do not. Chiropractic services are provided through provincial insurance
plans from Ontario west to British Columbia, but nowhere else in Canada. Target populations,
copayments and deductibles also vary from province to province. CIHI requested from each
province data for claims that were paid for by provincial/territorial governments in a given year,
by age, sex and type of service provided by other health care professionals. Details of data
availability and estimation methods are described below.
Data was unavailable from Prince Edward Island, New Brunswick and Nunavut. The remaining
provinces and territories were able to supply data by age and sex for approximately 75% or
more of other professional services. When a province or territory was unable to supply 100%
of services, CIHI estimated the age and sex distribution for these services by using data from
programs from other provinces with similar coverage and eligibility levels.
The provincial government expenditure estimates for other professionals at the program level are
allocated to a given age group based on the value of claims paid in that age group relative to total
claims paid. In provinces with more than one program, the age–sex–distributed programs were
combined to represent a total estimate for the provinces’ other professionals expenditure. Most
data was collected in fiscal year and converted to calendar year (see Calculation Methods).
106
National Health Expenditure Trends, 1975 to 2013
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 distribution of drug subsidy programs for Nunavut was
estimated for 1998 onward using the distribution of drug subsidy programs in the Northwest
Territories. The age–sex distributions of the category of other professionals in Prince Edward
Island, New Brunswick and Nunavut (1999 onward) were estimated for 1998 onward. The age–
sex distributions of these provinces were based on the distributions in other provinces of other
health care provider programs that had similar beneficiaries and copayment plans. Dental
expenditure by age and sex in Prince Edward Island was based on Newfoundland and Labrador
Dental Health Plan clients age 3 to 16. Similarly, New Brunswick’s dental expenditure for the
Youth Income Assistance Plan was based on clients up to age 17 from the Newfoundland and
Labrador dental plan. New Brunswick’s age and sex distribution for the Income Assistance
Optometry Plan was based on Saskatchewan Health’s Supplementary Health Optometry plan.
As was the case with Nunavut’s drug expenditure, Nunavut’s other professionals category
expenditure was based on the age–sex distribution for the Northwest Territories. Quebec’s
physiotherapy expenditure was distributed across a combined age–sex distribution of Ontario
and British Columbia’s fee-for-service physiotherapy plans.
Capital expenditure was estimated for all provinces and territories using the general provincial/
territorial populations by age and sex. This method was used based on two criteria: 1) capital
investments in health care institutions typically last for decades, and those who do not use
institutional services in a given year may use them in the future; and 2) given the uncertainty
of illness, the availability of facilities has a value for all who potentially would use them if the
need arose.
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.
107
National Health Expenditure Trends, 1975 to 2013
8.4 Major Changes From Previous Years
In the process of compiling the national health expenditure series from year to year, new
information becomes available, methods and concepts are refined and data sources are
improved. The data is revised to incorporate these enhancements.
Revision History
Provincial Government Sector
Historical revisions were made for Ontario from 2004 onward due to a spending category
review. The public health category in Newfoundland and Labrador was revised back to 2005.
Spending on premiums and co-pays was removed from the Nova Scotia Senior Pharmcare
Program starting in 2006. Historical refinements were made for Quebec back to 1990 and for
Alberta back to 2009.
Table 8: Differences From Previously Reported Provincial Government–Sector Data
by Province/Territory and Canada, 1990 to 2010 ($ Millions)
108
Year
N.L.
P.E.I.
N.S.
N.B.
Que.
1990
—
—
—
—
66.6
1991
—
—
—
—
1992
—
—
—
1993
—
—
—
1994
—
—
1995
—
1996
1997
Ont.
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun. Canada
—
—
—
—
—
—
—
—
66.6
147.6
—
—
—
—
—
—
—
—
147.6
—
103.8
—
—
—
—
—
—
—
—
103.8
—
19.1
—
—
—
—
—
—
—
—
19.1
—
—
48.2
—
—
—
—
—
—
—
—
48.2
—
—
—
151.0
—
—
—
—
—
—
—
—
151.0
—
—
—
—
368.3
—
—
—
—
—
—
—
—
368.3
—
—
—
—
7.0
—
—
—
—
—
—
—
—
7.0
1998
—
—
—
—
-16.9
—
—
—
—
—
—
—
—
-16.9
1999
—
—
—
—
103.9
—
—
—
—
—
—
—
—
103.9
2000
—
—
—
—
32.4
—
—
—
—
—
—
—
—
32.4
2001
—
—
—
—
-15.4
—
—
—
—
—
—
—
—
-15.4
2002
—
—
—
—
-66.2
—
—
—
—
—
—
—
—
-66.2
2003
—
—
—
—
-124.3
—
—
—
—
—
—
—
—
-124.3
2004
—
—
—
—
-188.3 -475.8
—
—
—
—
—
—
—
-664.1
2005
1.2
—
—
—
-274.9 -162.0
—
—
—
—
—
—
—
-435.7
2006
0.6
—
-32.2
—
-60.8
-3.7
—
—
—
—
—
—
—
-96.1
2007
1.2
—
-45.0
—
73.8
7.2
—
—
—
—
—
—
—
37.2
2008
1.3
—
-48.2
—
53.9
50.1
—
—
—
—
—
—
—
57.0
2009
1.0
—
-49.1
—
22.4
42.8
—
—
-5.4
—
—
—
—
11.6
2010
0.9
—
-49.6
—
16.5
6.8
—
—
-6.2
—
—
—
—
-31.6
National Health Expenditure Trends, 1975 to 2013
Private Sector
From 1998 onward, adjustments were made to certain provinces with regard to insurance
spending. The changes in 2010 across jurisdictions were mainly due to the SHS methodology
revision by Statistics Canada.
Table 9: Differences From Previously Reported Private-Sector Data, by Province/Territory
and Canada, 1998 to 2010 ($ Millions)
Year
N.L.
P.E.I.
1998
—
—
1999
—
2000
—
2001
N.S.
N.B.
Que.
Ont.
Man. Sask.
Alta.
B.C.
—
—
-0.1
—
—
—
—
—
-0.1
—
—
—
—
-0.1
—
—
—
—
—
-0.2
2002
—
—
—
—
2003
—
—
—
2004
—
—
2005
—
—
2006
—
2007
2008
Y.T.
N.W.T. Nun. Canada
—
—
—
—
—
—
-0.1
—
—
—
—
—
—
—
-0.1
—
—
—
—
—
—
—
-0.1
—
—
—
—
—
—
—
—
-0.2
-0.1
—
—
—
—
—
—
—
—
-0.2
—
-0.1
—
—
—
—
—
—
—
—
-0.1
—
—
-0.2
—
—
—
—
—
—
—
—
-0.2
—
—
-0.2
—
—
1.7
—
—
—
—
—
1.5
—
—
—
-0.2
—
—
2.6
—
—
—
—
—
2.4
—
—
—
—
-0.2
—
—
3.8
—
—
—
—
—
3.6
—
—
—
—
-0.2
—
—
5.0
—
—
—
—
—
4.8
2009
—
—
—
—
-5.5
-2.1
—
6.7
—
—
—
—
—
-0.9
2010
-3.0
2.0
18.3
8.0
81.7
70.0
28.9
27.8
43.0
77.6
—
—
—
354.3
Federal Direct Sector
The historical revisions shown in Table 10 are largely due to methodological changes to several
federal departments, which date back to 2009.
Table 10: Differences From Previously Reported Federal Direct–Sector Data, by Province/Territory
and Canada, 2009 to 2010 ($ Millions)
Year
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man. Sask. Alta.
2009
—
—
—
—
2.3
2.6
0.1
0.1
2010
0.1
—
-2.3
-8.4
-21.1
-19.5
-3.0
-7.1
B.C.
Y.T.
N.W.T.
Nun. Canada
0.2
0.6
—
—
—
5.8
-8.6
-12.0
—
—
—
-82.1
109
National Health Expenditure Trends, 1975 to 2013
Social Security Fund Sector
New data for Ontario was available in 2010. Historical revisions were made to Quebec starting
from 1997 based upon updated data from the MSSS. Historical refinements were also made to
Manitoba starting from 1998 as the result of a spending category review.
Table 11: Differences From Previously Reported Social Security Fund–Sector Data,
by Province/Territory and Canada, 1997 to 2010 ($ Millions)
Year
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
1997
—
—
—
1998
—
—
—
1999
—
—
2000
—
2001
Man. Sask.
Alta.
B.C.
Y.T.
—
0.1
—
—
—
0.2
—
0.1
—
—
-3.4
—
—
—
—
-18.0
—
—
—
—
2002
—
—
—
2003
—
—
—
2004
—
—
2005
—
2006
2007
N.W.T. Nun. Canada
—
—
—
—
—
—
0.1
—
—
—
—
—
—
0.3
0.1
—
—
—
—
—
—
-3.3
—
0.1
—
—
—
—
—
—
-17.8
-5.6
—
0.2
—
—
—
—
—
—
-5.4
—
12.8
—
0.1
—
—
—
—
—
—
12.9
—
4.3
—
0.1
—
—
—
—
—
—
4.4
—
—
3.5
—
0.1
—
—
—
—
—
—
3.7
—
—
—
1.8
—
0.1
—
—
—
—
—
—
1.9
—
—
—
—
1.3
—
0.2
—
—
—
—
—
—
1.4
—
—
—
—
-23.0
—
0.2
—
—
—
—
—
—
-22.8
2008
—
—
—
—
-6.3
—
0.2
—
—
—
—
—
—
-6.1
2009
—
—
—
—
1.6
—
0.2
—
—
—
—
—
—
1.8
2010
—
—
—
—
1.7
-13.9
0.1
—
—
—
—
—
—
-12.0
Age and Sex Expenditure Data
Changes to the age–sex distributions from the previous publication occurred due to methodology
revisions and new information from data sources. For more detailed information please contact
the NHEX section by telephone at 613-241-7860 or by email at [email protected]
Economic and Demographic Data
Statistics Canada recently revised its population estimates back to 2007. The estimates in this
report are now based on the latest released data of July 2013.
110
National Health Expenditure Trends, 1975 to 2013
8.5 Sources of Data
National health expenditure estimates are compiled based on information from the
following sources.
Provincial Government Sector
• Provincial public accounts and main estimates.
• Provincial departments of health annual reports and statistical supplements where available.
• Annual reports of various foundations, agencies and commissions.
• Special tabulations and specific information from various provincial departments reporting
health expenditures.
• Federal transfers as a part of provincial government spending:
– EPF, CHT, CST—Federal–Provincial Relations Division, Federal Department of Finance.
– CAP—Cost Shared Programs Division, Human Resources and Development Canada.
– Contributions to the governments of the Northwest Territories and Yukon—Public
Accounts of Canada, Department of Indian Affairs and Northern Development.
– Health Resource Fund—Health Canada.
Federal Direct Sector
• Public Accounts of Canada.
• Main Estimates of Treasury Board of Canada.
• Special tabulations/information from
– Health Canada;
– Department of Veterans Affairs;
– Department of National Defence;
– Public Safety Canada;
– Statistics Canada;
– Citizenship and Immigration Canada; and
– Several organizations that are responsible for administering research funds from the
federal government, such as the Canada Foundation for Innovation, Canadian Health
Services Research Foundation and Canadian Institute for Advanced Research.
Municipal Government Sector
• Special tabulation purchased from the Public Sector Statistics Division of Statistics Canada.
111
National Health Expenditure Trends, 1975 to 2013
Social Security Funds Sector
• Special tabulations on medical aid spending provided by the provincial/territorial workers’
compensation boards.
• Annual reports of provincial/territorial workers’ compensation boards.
• Special tabulations from the MSSS.
Private Sector
• Private insurance component:
– The not-for-profit portion is captured from special tabulations provided by the not-for-profit
insurance companies.
– The commercial portion is captured by a special tabulation provided by the Canadian Life
and Health Insurance Association.
• Out-of-pocket component:
– Survey of Household Spending, Statistics Canada, except for the following categories:
o Hospital accommodation—(adjusted revenues from patient services) Annual Return
of Health Care Facilities, fielded by Statistics Canada to 1994–1995, and the CMDB,
administered by CIHI from 1995–1996 onward.
o Other institutions—Residential Care Facilities Survey fielded by Statistics Canada.
o Over-the-counter drugs and personal health supplies—Market Review of
Selected Drug Categories at Retail, a special tabulation purchased from the Nielsen
Company Canada.
• Non-consumption component:
– Hospital accommodation—(adjusted revenues from non-patient services) Annual Return
of Health Care Facilities, Part 2, fielded by Statistics Canada to 1994–1995, and the
CMDB, from 1995–1996 onward.
– Capital expenditures—the Investment, Science and Technology Division, Statistics Canada.
– Health research—the Association of Faculties of Medicine of Canada, Canadian Medical
Education Statistics, Expenditure for Biomedical and Health Care Research of Canadian
Faculties of Medicine by Source of Funds.
Age and Sex Data
• CIHI’s DAD and HMDB.
• CIHI’s NPDB and NPDUIS Database.
• Special tabulations provided by provincial/territorial government departments responsible
for administering drug and other health benefit programs.
• Statistics Canada’s Residential Care Facility Survey.
112
National Health Expenditure Trends, 1975 to 2013
Economic and Demographic Data
• Gross domestic product:
– CANSIM data tables, Statistics Canada.
– Purchased from The Conference Board of Canada (GDP growth rates) for the latest year.
• Population—the Demography Division, Statistics Canada.
• Provincial government expenditure—special tabulation purchased from the Public Sector
Statistics Division of Statistics Canada. Since 2009, data has been extracted and estimated
from provincial public accounts, budgets and main estimates.
• Price indices:
– Income and Expenditure Accounts Division and Prices Division, Statistics Canada.
– Purchased from The Conference Board of Canada for the latest year.
113
National Health Expenditure Trends, 1975 to 2013
9.0 Data Tables
This section provides summary-level expenditure data. These data tables are organized
as follows:
Due to the redesign of the Survey of Household Spending (SHS) by Statistics Canada in 2010,
private prescription drug estimates from 2009 and earlier years should not be compared with
those of 2010 and 2011. These were effectively two different surveys before and after the
methodology redesign. The differences in survey design are responsible for the spike in
private prescribed drug spending observed in 2010. See Section 8.0: Methodological Notes
for further details.
Series
A—Summary Data, Canada
B—Total Health Expenditure, by Source of Finance, by Province/Territory and Canada
(Selected Tables)
E—Provincial/Territorial Government Health Expenditure, by Age and Sex, by Province/Territory
and Canada (Selected Tables)
The CD-ROM affixed to the back cover of this report contains more comprehensive data tables
in Microsoft Excel. The data tables on the CD are organized as follows:
Series available on CD-ROM
A—Summary Data, Canada
B—Total Health Expenditure, by Source of Finance, by Province/Territory and Canada
C—Health Expenditure, by Use of Funds, by Source of Finance, Canada
D—Health Expenditure, by Use of Funds, by Source of Finance, by Province/Territory
E—Provincial/Territorial Government Health Expenditure, by Age and Sex, by Province/Territory
and Canada
F—Provincial/Territorial Government Health Expenditure, by Province/Territory and Canada
G—Drug Expenditure by Type, by Source of Finance and as a Share of Public, Private and
Total Health Expenditures, by Province/Territory and Canada
Each series generally follows the order below except as indicated. In addition, tables in series A.3,
C, D, E, F.2 and F.3 are not available in constant dollar values.
114
National Health Expenditure Trends, 1975 to 2013
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 subseries also include a table of annual percentage changes.
In all tables, forecasts are denoted with the letter “f”; the symbol “—” denotes data that is either
unavailable or not applicable.
115
Series A
Summary Data, Canada
National Health Expenditure Trends, 1975 to 2013
Table A.1
Total Health Expenditure, Canada, 1975 to 2013—Summary
Year
Total Health Expenditure in Current Dollars
Total
Per Capita
($’ 000,000)
($)
Total Health Expenditure in Constant 1997 Dollars
Total
Per Capita
($’ 000,000)
($)
Total Health Expenditure as a % of GDP
(%)
1975
1976
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
39,684.0
40,766.5
41,609.5
42,940.6
44,203.5
1,714.7
1,738.5
1,753.8
1,791.9
1,826.5
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
1,434.9
46,676.2
48,797.9
51,097.5
53,090.2
55,046.8
1,903.9
1,966.0
2,034.3
2,092.9
2,149.6
7.1
7.3
8.1
8.3
8.2
1985
1986
1987
1988
1989
39,842.4
43,338.1
46,789.2
50,960.1
56,096.2
1,541.7
1,660.4
1,769.0
1,901.8
2,056.2
57,476.0
60,275.6
61,934.0
64,633.6
67,577.6
2,224.1
2,309.3
2,341.7
2,412.1
2,477.0
8.2
8.5
8.4
8.3
8.5
1990
1991
1992
1993
1994
61,092.9
66,437.4
69,853.6
71,519.1
73,159.6
2,205.7
2,370.1
2,462.5
2,493.5
2,522.8
69,868.2
72,756.4
74,206.2
74,725.6
75,308.7
2,522.5
2,595.5
2,616.0
2,605.3
2,596.9
9.0
9.7
10.0
9.8
9.5
1995
1996
1997
1998
1999
74,237.4
75,082.3
78,741.5
84,067.3
90,463.9
2,533.5
2,535.6
2,632.8
2,787.6
2,975.4
75,681.1
76,123.1
78,741.5
82,841.9
87,588.5
2,582.8
2,570.8
2,632.8
2,747.0
2,880.8
9.2
9.0
8.9
9.2
9.2
2000
2001
2002
2003
2004
98,603.5
107,187.4
115,039.7
123,573.9
131,537.2
3,213.0
3,455.3
3,666.9
3,901.2
4,111.2
92,079.4
98,053.5
102,229.0
107,032.9
111,941.6
3,000.4
3,160.8
3,258.5
3,379.0
3,498.7
9.2
9.7
10.0
10.2
10.2
2005
2006
2007
2008
2009
140,296.8
150,745.7
160,262.4
172,060.5
182,104.7
4,341.9
4,627.5
4,867.1
5,164.2
5,399.4
115,607.7
120,888.6
124,932.1
128,390.6
131,019.8
3,577.8
3,711.0
3,794.2
3,853.5
3,884.7
10.2
10.4
10.2
10.5
11.6
2010
2011
2012 f
2013 f
193,342.2
200,094.7
205,874.5
211,211.4
5,665.4
5,802.5
5,902.3
5,987.6
135,887.8
136,807.9
138,284.5
139,515.1
3,981.9
3,967.3
3,964.5
3,955.1
11.6
11.4
11.3
11.2
1976*
1980*
15.2
16.3
13.7
14.8
2.7
5.6
1.4
4.2
-----
1985
1986
1987
1988
1989
8.4
8.8
8.0
8.9
10.1
7.4
7.7
6.5
7.5
8.1
4.4
4.9
2.8
4.4
4.6
3.5
3.8
1.4
3.0
2.7
-----------
1990
1991
1992
1993
1994
8.9
8.7
5.1
2.4
2.3
7.3
7.5
3.9
1.3
1.2
3.4
4.1
2.0
0.7
0.8
1.8
2.9
0.8
-0.4
-0.3
-----------
1995
1996
1997
1998
1999
1.5
1.1
4.9
6.8
7.6
0.4
0.1
3.8
5.9
6.7
0.5
0.6
3.4
5.2
5.7
-0.5
-0.5
2.4
4.3
4.9
-----------
2000
2001
2002
2003
2004
9.0
8.7
7.3
7.4
6.4
8.0
7.5
6.1
6.4
5.4
5.1
6.5
4.3
4.7
4.6
4.2
5.3
3.1
3.7
3.5
-----------
2005
2006
2007
2008
2009
6.7
7.4
6.3
7.4
5.8
5.6
6.6
5.2
6.1
4.6
3.3
4.6
3.3
2.8
2.0
2.3
3.7
2.2
1.6
0.8
-----------
2010
2011
2012 f
2013 f
6.2
3.5
2.9
2.6
4.9
2.4
1.7
1.4
3.7
0.7
1.1
0.9
2.5
-0.4
-0.1
-0.2
---------
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
118
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table A.2.1
Total Health Expenditure by Source of Finance, Canada, 1975 to 2013—Current Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
1976
1977
1978
1979
8,709.3
10,129.9
11,102.0
12,269.4
13,696.6
398.3
439.7
475.2
485.6
512.8
71.6
105.8
114.2
111.7
156.0
121.1
141.9
153.1
173.8
186.8
9,300.3
10,817.2
11,844.6
13,040.5
14,552.3
2,899.2
3,232.6
3,605.4
4,066.3
4,617.4
12,199.4
14,049.8
15,450.0
17,106.8
19,169.7
1980
1981
1982
1983
1984
15,794.1
18,655.5
22,002.1
24,510.2
26,244.0
582.1
692.7
854.8
994.9
1,106.1
234.0
275.4
250.8
222.2
214.5
231.7
319.0
339.1
352.7
392.3
16,841.8
19,942.6
23,446.8
26,080.0
27,956.9
5,456.5
6,334.1
7,312.3
7,958.6
8,786.3
22,298.4
26,276.7
30,759.1
34,038.6
36,743.1
1985
1986
1987
1988
1989
28,202.8
30,501.5
32,821.9
35,806.2
39,332.1
1,157.7
1,260.8
1,349.7
1,522.8
1,686.6
273.1
310.2
404.6
303.5
326.4
462.0
457.0
479.5
531.1
566.8
30,095.5
32,529.4
35,055.7
38,163.7
41,911.9
9,746.9
10,808.7
11,733.5
12,796.4
14,184.3
39,842.4
43,338.1
46,789.2
50,960.1
56,096.2
1990
1991
1992
1993
1994
42,536.3
46,324.4
48,441.6
48,591.6
48,933.8
1,970.4
2,110.0
2,199.9
2,280.9
2,519.8
364.6
374.7
396.9
383.7
446.1
644.4
721.4
703.2
684.8
685.7
45,515.8
49,530.5
51,741.7
51,941.0
52,585.4
15,577.1
16,906.9
18,112.0
19,578.1
20,574.2
61,092.9
66,437.4
69,853.6
71,519.1
73,159.6
1995
1996
1997
1998
1999
49,087.4
49,448.4
51,150.2
54,374.7
58,433.7
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
718.0
769.0
911.6
1,001.4
1,131.4
52,867.3
53,171.8
55,208.5
59,169.4
63,283.4
21,370.1
21,910.5
23,533.1
24,897.9
27,180.6
74,237.4
75,082.3
78,741.5
84,067.3
90,463.9
2000
2001
2002
2003
2004
63,664.9
68,524.0
73,419.1
79,200.3
84,363.7
3,614.5
4,261.3
4,140.5
4,699.9
4,764.4
690.3
775.8
825.4
921.5
1,056.8
1,298.8
1,409.6
1,507.3
1,726.9
1,836.6
69,268.5
74,970.8
79,892.4
86,548.6
92,021.5
29,335.0
32,216.6
35,147.3
37,025.3
39,515.7
98,603.5
107,187.4
115,039.7
123,573.9
131,537.2
2005
2006
2007
2008
2009
90,368.4
96,555.0
103,514.5
111,683.9
118,703.3
4,919.6
5,255.9
5,677.4
6,350.1
6,923.8
1,008.8
1,032.5
962.4
868.4
938.8
1,949.1
2,097.1
2,188.1
2,381.0
2,442.9
98,245.9
104,940.6
112,342.5
121,283.4
129,008.8
42,050.8
45,805.1
47,919.9
50,777.0
53,095.8
140,296.8
150,745.7
160,262.4
172,060.5
182,104.7
2010
2011
2012 f
2013 f
125,950.9
130,695.4
134,673.5
138,272.1
6,571.1
6,670.6
6,380.7
6,212.0
962.4
867.6
820.9
809.8
2,548.6
2,566.3
2,701.3
2,865.5
136,032.9
140,799.9
144,576.3
148,159.4
57,309.3
59,294.8
61,298.1
63,052.0
193,342.2
200,094.7
205,874.5
211,211.4
1976*
1980*
16.3
15.3
10.4
13.5
47.6
50.0
17.2
24.0
16.3
15.7
11.5
18.2
15.2
16.3
1985
1986
1987
1988
1989
7.5
8.2
7.6
9.1
9.8
4.7
8.9
7.1
12.8
10.8
27.3
13.6
30.4
-25.0
7.6
17.8
-1.1
4.9
10.8
6.7
7.6
8.1
7.8
8.9
9.8
10.9
10.9
8.6
9.1
10.8
8.4
8.8
8.0
8.9
10.1
1990
1991
1992
1993
1994
8.1
8.9
4.6
0.3
0.7
16.8
7.1
4.3
3.7
10.5
11.7
2.8
6.0
-3.3
16.2
13.7
11.9
-2.5
-2.6
0.1
8.6
8.8
4.5
0.4
1.2
9.8
8.5
7.1
8.1
5.1
8.9
8.7
5.1
2.4
2.3
1995
1996
1997
1998
1999
0.3
0.7
3.4
6.3
7.5
5.8
-2.3
8.5
7.1
4.1
-11.5
-11.9
-8.4
140.3
-26.2
4.7
7.1
18.5
9.8
13.0
0.5
0.6
3.8
7.2
7.0
3.9
2.5
7.4
5.8
9.2
1.5
1.1
4.9
6.8
7.6
2000
2001
2002
2003
2004
9.0
7.6
7.1
7.9
6.5
14.6
17.9
-2.8
13.5
1.4
22.1
12.4
6.4
11.6
14.7
14.8
8.5
6.9
14.6
6.3
9.5
8.2
6.6
8.3
6.3
7.9
9.8
9.1
5.3
6.7
9.0
8.7
7.3
7.4
6.4
2005
2006
2007
2008
2009
7.1
6.8
7.2
7.9
6.3
3.3
6.8
8.0
11.8
9.0
-4.5
2.3
-6.8
-9.8
8.1
6.1
7.6
4.3
8.8
2.6
6.8
6.8
7.1
8.0
6.4
6.4
8.9
4.6
6.0
4.6
6.7
7.4
6.3
7.4
5.8
2010
2011
2012 f
2013 f
6.1
3.8
3.0
2.7
-5.1
1.5
-4.3
-2.6
2.5
-9.8
-5.4
-1.4
4.3
0.7
5.3
6.1
5.4
3.5
2.7
2.5
7.9
3.5
3.4
2.9
6.2
3.5
2.9
2.6
($’ 000,000)
Year
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2013.
119
National Health Expenditure Trends, 1975 to 2013
Table A.2.2
Total Health Expenditure by Source of Finance, Canada, 1975 to 2013—Current Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
1976
1977
1978
1979
71.4
72.1
71.9
71.7
71.4
3.3
3.1
3.1
2.8
2.7
0.6
0.8
0.7
0.7
0.8
1.0
1.0
1.0
1.0
1.0
76.2
77.0
76.7
76.2
75.9
23.8
23.0
23.3
23.8
24.1
100.0
100.0
100.0
100.0
100.0
1980
1981
1982
1983
1984
70.8
71.0
71.5
72.0
71.4
2.6
2.6
2.8
2.9
3.0
1.0
1.0
0.8
0.7
0.6
1.0
1.2
1.1
1.0
1.1
75.5
75.9
76.2
76.6
76.1
24.5
24.1
23.8
23.4
23.9
100.0
100.0
100.0
100.0
100.0
1985
1986
1987
1988
1989
70.8
70.4
70.1
70.3
70.1
2.9
2.9
2.9
3.0
3.0
0.7
0.7
0.9
0.6
0.6
1.2
1.1
1.0
1.0
1.0
75.5
75.1
74.9
74.9
74.7
24.5
24.9
25.1
25.1
25.3
100.0
100.0
100.0
100.0
100.0
1990
1991
1992
1993
1994
69.6
69.7
69.3
67.9
66.9
3.2
3.2
3.1
3.2
3.4
0.6
0.6
0.6
0.5
0.6
1.1
1.1
1.0
1.0
0.9
74.5
74.6
74.1
72.6
71.9
25.5
25.4
25.9
27.4
28.1
100.0
100.0
100.0
100.0
100.0
1995
1996
1997
1998
1999
66.1
65.9
65.0
64.7
64.6
3.6
3.5
3.6
3.6
3.5
0.5
0.5
0.4
0.9
0.6
1.0
1.0
1.2
1.2
1.3
71.2
70.8
70.1
70.4
70.0
28.8
29.2
29.9
29.6
30.0
100.0
100.0
100.0
100.0
100.0
2000
2001
2002
2003
2004
64.6
63.9
63.8
64.1
64.1
3.7
4.0
3.6
3.8
3.6
0.7
0.7
0.7
0.7
0.8
1.3
1.3
1.3
1.4
1.4
70.2
69.9
69.4
70.0
70.0
29.8
30.1
30.6
30.0
30.0
100.0
100.0
100.0
100.0
100.0
2005
2006
2007
2008
2009
64.4
64.1
64.6
64.9
65.2
3.5
3.5
3.5
3.7
3.8
0.7
0.7
0.6
0.5
0.5
1.4
1.4
1.4
1.4
1.3
70.0
69.6
70.1
70.5
70.8
30.0
30.4
29.9
29.5
29.2
100.0
100.0
100.0
100.0
100.0
2010
2011
2012 f
2013 f
65.1
65.3
65.4
65.5
3.4
3.3
3.1
2.9
0.5
0.4
0.4
0.4
1.3
1.3
1.3
1.4
70.4
70.4
70.2
70.1
29.6
29.6
29.8
29.9
100.0
100.0
100.0
100.0
1976*
1980*
1.0
-0.9
-4.1
-2.4
28.2
28.9
1.7
6.6
1.0
-0.5
-3.2
1.6
-----
1985
1986
1987
1988
1989
-0.9
-0.6
-0.3
0.2
-0.2
-3.5
0.1
-0.8
3.6
0.6
17.4
4.4
20.8
-31.1
-2.3
8.6
-9.1
-2.8
1.7
-3.1
-0.7
-0.6
-0.2
0.0
-0.2
2.3
1.9
0.5
0.1
0.7
-----------
1990
1991
1992
1993
1994
-0.7
0.1
-0.5
-2.0
-1.6
7.3
-1.5
-0.8
1.3
8.0
2.6
-5.5
0.8
-5.6
13.6
4.4
2.9
-7.3
-4.9
-2.1
-0.3
0.1
-0.6
-2.0
-1.0
0.8
-0.2
1.9
5.6
2.7
-----------
1995
1996
1997
1998
1999
-1.1
-0.4
-1.4
-0.4
-0.1
4.3
-3.4
3.5
0.3
-3.2
-12.8
-12.8
-12.7
125.1
-31.4
3.2
5.9
13.0
2.9
5.0
-0.9
-0.6
-1.0
0.4
-0.6
2.4
1.4
2.4
-0.9
1.4
-----------
2000
2001
2002
2003
2004
0.0
-1.0
-0.2
0.4
0.1
5.2
8.5
-9.5
5.7
-4.8
12.0
3.4
-0.9
3.9
7.7
5.3
-0.2
-0.4
6.7
-0.1
0.4
-0.4
-0.7
0.8
-0.1
-1.0
1.0
1.7
-1.9
0.3
-----------
2005
2006
2007
2008
2009
0.4
-0.6
0.8
0.5
0.4
-3.2
-0.6
1.6
4.2
3.0
-10.5
-4.7
-12.3
-16.0
2.1
-0.5
0.1
-1.9
1.4
-3.1
0.1
-0.6
0.7
0.6
0.5
-0.2
1.4
-1.6
-1.3
-1.2
-----------
2010
2011
2012 f
2013 f
-0.1
0.3
0.2
0.1
-10.6
-1.9
-7.0
-5.1
-3.4
-12.9
-8.0
-3.8
-1.7
-2.7
2.3
3.4
-0.7
0.0
-0.2
-0.1
1.7
0.0
0.5
0.3
---------
(percentage distribution of $’ 000,000)
Year
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
120
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table A.2.3
Total Health Expenditure by Source of Finance, Canada, 1975 to 2013—Current Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
1976
1977
1978
1979
376.3
432.0
467.9
512.0
565.9
17.2
18.8
20.0
20.3
21.2
3.1
4.5
4.8
4.7
6.4
5.2
6.0
6.5
7.3
7.7
401.9
461.3
499.2
544.2
601.3
125.3
137.9
152.0
169.7
190.8
527.1
599.1
651.2
713.9
792.1
1980
1981
1982
1983
1984
644.2
751.6
876.0
966.2
1,024.8
23.7
27.9
34.0
39.2
43.2
9.5
11.1
10.0
8.8
8.4
9.5
12.9
13.5
13.9
15.3
687.0
803.5
933.5
1,028.1
1,091.7
222.6
255.2
291.1
313.7
343.1
909.5
1,058.7
1,224.6
1,341.8
1,434.9
1985
1986
1987
1988
1989
1,091.3
1,168.6
1,241.0
1,336.3
1,441.7
44.8
48.3
51.0
56.8
61.8
10.6
11.9
15.3
11.3
12.0
17.9
17.5
18.1
19.8
20.8
1,164.6
1,246.3
1,325.4
1,424.3
1,536.3
377.2
414.1
443.6
477.6
519.9
1,541.7
1,660.4
1,769.0
1,901.8
2,056.2
1990
1991
1992
1993
1994
1,535.7
1,652.6
1,707.7
1,694.2
1,687.4
71.1
75.3
77.6
79.5
86.9
13.2
13.4
14.0
13.4
15.4
23.3
25.7
24.8
23.9
23.6
1,643.3
1,767.0
1,824.0
1,810.9
1,813.3
562.4
603.1
638.5
682.6
709.5
2,205.7
2,370.1
2,462.5
2,493.5
2,522.8
1995
1996
1997
1998
1999
1,675.2
1,669.9
1,710.3
1,803.0
1,921.9
91.0
88.0
94.6
100.4
103.7
13.5
11.8
10.7
25.4
18.6
24.5
26.0
30.5
33.2
37.2
1,804.2
1,795.7
1,846.0
1,962.0
2,081.4
729.3
739.9
786.9
825.6
894.0
2,533.5
2,535.6
2,632.8
2,787.6
2,975.4
2000
2001
2002
2003
2004
2,074.5
2,208.9
2,340.2
2,500.3
2,636.8
117.8
137.4
132.0
148.4
148.9
22.5
25.0
26.3
29.1
33.0
42.3
45.4
48.0
54.5
57.4
2,257.1
2,416.8
2,546.6
2,732.3
2,876.1
955.9
1,038.5
1,120.3
1,168.9
1,235.0
3,213.0
3,455.3
3,666.9
3,901.2
4,111.2
2005
2006
2007
2008
2009
2,796.7
2,964.0
3,143.7
3,352.1
3,519.5
152.3
161.3
172.4
190.6
205.3
31.2
31.7
29.2
26.1
27.8
60.3
64.4
66.5
71.5
72.4
3,040.5
3,221.4
3,411.8
3,640.2
3,825.1
1,301.4
1,406.1
1,455.3
1,524.0
1,574.3
4,341.9
4,627.5
4,867.1
5,164.2
5,399.4
2010
2011
2012 f
2013 f
3,690.7
3,790.0
3,861.0
3,919.8
192.6
193.4
182.9
176.1
28.2
25.2
23.5
23.0
74.7
74.4
77.4
81.2
3,986.1
4,083.1
4,144.9
4,200.1
1,679.3
1,719.5
1,757.4
1,787.4
5,665.4
5,802.5
5,902.3
5,987.6
1976*
1980*
14.8
13.8
9.0
12.0
45.7
48.1
15.6
22.4
14.8
14.2
10.0
16.7
13.7
14.8
1985
1986
1987
1988
1989
6.5
7.1
6.2
7.7
7.9
3.7
7.8
5.6
11.4
8.8
26.1
12.5
28.7
-26.0
5.6
16.7
-2.1
3.5
9.3
4.8
6.7
7.0
6.3
7.5
7.9
9.9
9.8
7.1
7.6
8.9
7.4
7.7
6.5
7.5
8.1
1990
1991
1992
1993
1994
6.5
7.6
3.3
-0.8
-0.4
15.1
5.8
3.0
2.5
9.3
10.0
1.5
4.7
-4.4
15.0
12.0
10.6
-3.7
-3.7
-1.0
7.0
7.5
3.2
-0.7
0.1
8.2
7.2
5.9
6.9
3.9
7.3
7.5
3.9
1.3
1.2
1995
1996
1997
1998
1999
-0.7
-0.3
2.4
5.4
6.6
4.7
-3.3
7.4
6.2
3.3
-12.4
-12.8
-9.4
138.3
-26.8
3.6
6.0
17.4
8.9
12.1
-0.5
-0.5
2.8
6.3
6.1
2.8
1.5
6.3
4.9
8.3
0.4
0.1
3.8
5.9
6.7
2000
2001
2002
2003
2004
7.9
6.5
5.9
6.8
5.5
13.6
16.6
-3.9
12.4
0.4
21.0
11.2
5.2
10.6
13.5
13.7
7.4
5.7
13.5
5.3
8.4
7.1
5.4
7.3
5.3
6.9
8.6
7.9
4.3
5.7
8.0
7.5
6.1
6.4
5.4
2005
2006
2007
2008
2009
6.1
6.0
6.1
6.6
5.0
2.2
6.0
6.9
10.5
7.7
-5.5
1.5
-7.8
-10.8
6.8
5.1
6.7
3.2
7.5
1.4
5.7
5.9
5.9
6.7
5.1
5.4
8.0
3.5
4.7
3.3
5.6
6.6
5.2
6.1
4.6
2010
2011
2012 f
2013 f
4.9
2.7
1.9
1.5
-6.2
0.5
-5.4
-3.7
1.3
-10.8
-6.5
-2.5
3.1
-0.3
4.1
4.9
4.2
2.4
1.5
1.3
6.7
2.4
2.2
1.7
4.9
2.4
1.7
1.4
($’ per capita)
Year
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2013.
121
National Health Expenditure Trends, 1975 to 2013
Table A.2.4
Total Health Expenditure by Source of Finance, Canada, 1975 to 2013—Constant Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
1976
1977
1978
1979
27,834.3
28,659.5
28,970.1
29,826.1
30,367.9
1,272.1
1,247.3
1,243.4
1,184.5
1,140.9
230.4
304.7
304.7
277.9
354.1
389.4
403.8
402.6
425.3
417.5
29,726.3
30,615.2
30,920.8
31,713.8
32,280.4
9,957.7
10,151.2
10,688.7
11,226.8
11,923.1
39,684.0
40,766.5
41,609.5
42,940.6
44,203.5
1980
1981
1982
1983
1984
31,774.8
33,201.3
35,100.5
37,028.8
38,230.8
1,174.0
1,236.2
1,370.6
1,503.6
1,609.6
482.4
501.6
410.0
342.1
318.2
469.8
572.2
544.4
537.8
574.5
33,901.0
35,511.3
37,425.5
39,412.3
40,733.1
12,775.2
13,286.6
13,672.1
13,677.9
14,313.7
46,676.2
48,797.9
51,097.5
53,090.2
55,046.8
1985
1986
1987
1988
1989
39,681.7
41,604.7
42,868.1
45,077.1
47,023.6
1,629.3
1,719.5
1,764.7
1,918.1
2,017.2
389.1
423.9
526.9
382.4
389.3
650.9
624.6
627.2
670.1
677.5
42,351.0
44,372.7
45,787.0
48,047.6
50,107.7
15,125.0
15,902.9
16,147.0
16,585.9
17,469.9
57,476.0
60,275.6
61,934.0
64,633.6
67,577.6
1990
1991
1992
1993
1994
48,261.0
50,459.2
51,262.6
50,762.8
50,343.7
2,237.4
2,304.4
2,336.9
2,393.3
2,599.6
413.7
409.0
420.6
401.3
461.7
731.8
785.5
745.3
716.6
707.1
51,643.8
53,958.0
54,765.4
54,274.0
54,112.1
18,224.5
18,798.4
19,440.8
20,451.6
21,196.6
69,868.2
72,756.4
74,206.2
74,725.6
75,308.7
1995
1996
1997
1998
1999
49,942.7
50,127.7
51,150.2
53,760.5
56,893.3
2,718.3
2,642.4
2,828.0
2,992.0
3,065.2
403.6
353.2
318.7
754.3
551.7
731.6
780.0
911.6
991.9
1,101.8
53,796.1
53,903.3
55,208.5
58,498.8
61,612.1
21,885.0
22,219.8
23,533.1
24,343.1
25,976.4
75,681.1
76,123.1
78,741.5
82,841.9
87,588.5
2000
2001
2002
2003
2004
59,433.4
62,822.0
65,090.6
68,222.1
71,426.3
3,369.1
3,900.2
3,663.6
4,046.1
4,024.9
647.5
716.5
736.4
799.5
896.6
1,210.9
1,290.5
1,333.9
1,476.8
1,553.5
64,660.8
68,729.2
70,824.5
74,544.5
77,901.3
27,418.5
29,324.3
31,404.5
32,488.4
34,040.3
92,079.4
98,053.5
102,229.0
107,032.9
111,941.6
2005
2006
2007
2008
2009
73,917.4
76,641.7
79,584.7
81,256.9
82,933.2
4,014.1
4,159.6
4,351.5
4,615.6
4,835.1
824.4
820.2
741.5
630.2
657.8
1,593.0
1,671.4
1,680.8
1,739.7
1,703.5
80,349.0
83,292.8
86,358.6
88,242.4
90,129.6
35,258.7
37,595.8
38,573.6
40,148.2
40,890.2
115,607.7
120,888.6
124,932.1
128,390.6
131,019.8
2010
2011
2012 f
2013 f
85,799.0
86,048.9
86,538.8
86,892.7
4,465.4
4,362.6
4,061.2
3,862.8
657.8
571.4
530.0
509.3
1,739.8
1,692.4
1,736.9
1,807.5
92,662.0
92,675.3
92,866.8
93,072.3
43,225.8
44,132.6
45,417.7
46,442.9
135,887.8
136,807.9
138,284.5
139,515.1
1976*
1980*
3.0
4.6
-2.0
2.9
32.2
36.2
3.7
12.5
3.0
5.0
1.9
7.1
2.7
5.6
1985
1986
1987
1988
1989
3.8
4.8
3.0
5.2
4.3
1.2
5.5
2.6
8.7
5.2
22.3
8.9
24.3
-27.4
1.8
13.3
-4.0
0.4
6.8
1.1
4.0
4.8
3.2
4.9
4.3
5.7
5.1
1.5
2.7
5.3
4.4
4.9
2.8
4.4
4.6
1990
1991
1992
1993
1994
2.6
4.6
1.6
-1.0
-0.8
10.9
3.0
1.4
2.4
8.6
6.3
-1.1
2.8
-4.6
15.0
8.0
7.3
-5.1
-3.9
-1.3
3.1
4.5
1.5
-0.9
-0.3
4.3
3.1
3.4
5.2
3.6
3.4
4.1
2.0
0.7
0.8
1995
1996
1997
1998
1999
-0.8
0.4
2.0
5.1
5.8
4.6
-2.8
7.0
5.8
2.4
-12.6
-12.5
-9.8
136.7
-26.9
3.5
6.6
16.9
8.8
11.1
-0.6
0.2
2.4
6.0
5.3
3.2
1.5
5.9
3.4
6.7
0.5
0.6
3.4
5.2
5.7
2000
2001
2002
2003
2004
4.5
5.7
3.6
4.8
4.7
9.9
15.8
-6.1
10.4
-0.5
17.4
10.7
2.8
8.6
12.1
9.9
6.6
3.4
10.7
5.2
4.9
6.3
3.0
5.3
4.5
5.6
7.0
7.1
3.5
4.8
5.1
6.5
4.3
4.7
4.6
2005
2006
2007
2008
2009
3.5
3.7
3.8
2.1
2.1
-0.3
3.6
4.6
6.1
4.8
-8.0
-0.5
-9.6
-15.0
4.4
2.5
4.9
0.6
3.5
-2.1
3.1
3.7
3.7
2.2
2.1
3.6
6.6
2.6
4.1
1.8
3.3
4.6
3.3
2.8
2.0
2010
2011
2012 f
2013 f
3.5
0.3
0.6
0.4
-7.6
-2.3
-6.9
-4.9
0.0
-13.1
-7.2
-3.9
2.1
-2.7
2.6
4.1
2.8
0.0
0.2
0.2
5.7
2.1
2.9
2.3
3.7
0.7
1.1
0.9
Year
(in 1997 $’ 000,000)
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
122
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table A.2.5
Total Health Expenditure by Source of Finance, Canada, 1975 to 2013—Constant Dollars
Provincial
Government
Federal
Direct
Municipal
Government
Social
Security Funds
Total of
Public Sector
Private
Sector
Total
D
A+B+C+D
E
F
E+F
G
A
B
C
1975
1976
1977
1978
1979
1,202.7
1,222.2
1,221.0
1,244.7
1,254.8
55.0
53.2
52.4
49.4
47.1
10.0
13.0
12.8
11.6
14.6
16.8
17.2
17.0
17.7
17.3
1,284.4
1,305.6
1,303.2
1,323.4
1,333.8
430.3
432.9
450.5
468.5
492.7
1,714.7
1,738.5
1,753.8
1,791.9
1,826.5
1980
1981
1982
1983
1984
1,296.1
1,337.7
1,397.5
1,459.7
1,492.9
47.9
49.8
54.6
59.3
62.9
19.7
20.2
16.3
13.5
12.4
19.2
23.1
21.7
21.2
22.4
1,382.8
1,430.7
1,490.0
1,553.7
1,590.7
521.1
535.3
544.3
539.2
559.0
1,903.9
1,966.0
2,034.3
2,092.9
2,149.6
1985
1986
1987
1988
1989
1,535.5
1,594.0
1,620.8
1,682.3
1,723.6
63.0
65.9
66.7
71.6
73.9
15.1
16.2
19.9
14.3
14.3
25.2
23.9
23.7
25.0
24.8
1,638.8
1,700.0
1,731.2
1,793.1
1,836.7
585.3
609.3
610.5
619.0
640.3
2,224.1
2,309.3
2,341.7
2,412.1
2,477.0
1990
1991
1992
1993
1994
1,742.4
1,800.1
1,807.1
1,769.9
1,736.0
80.8
82.2
82.4
83.4
89.6
14.9
14.6
14.8
14.0
15.9
26.4
28.0
26.3
25.0
24.4
1,864.6
1,924.9
1,930.6
1,892.3
1,866.0
658.0
670.6
685.3
713.0
730.9
2,522.5
2,595.5
2,616.0
2,605.3
2,596.9
1995
1996
1997
1998
1999
1,704.4
1,692.9
1,710.3
1,782.7
1,871.3
92.8
89.2
94.6
99.2
100.8
13.8
11.9
10.7
25.0
18.1
25.0
26.3
30.5
32.9
36.2
1,835.9
1,820.4
1,846.0
1,939.8
2,026.5
746.9
750.4
786.9
807.2
854.4
2,582.8
2,570.8
2,632.8
2,747.0
2,880.8
2000
2001
2002
2003
2004
1,936.6
2,025.1
2,074.8
2,153.7
2,232.4
109.8
125.7
116.8
127.7
125.8
21.1
23.1
23.5
25.2
28.0
39.5
41.6
42.5
46.6
48.6
2,107.0
2,215.6
2,257.5
2,353.3
2,434.8
893.4
945.3
1,001.0
1,025.6
1,063.9
3,000.4
3,160.8
3,258.5
3,379.0
3,498.7
2005
2006
2007
2008
2009
2,287.6
2,352.7
2,417.0
2,438.9
2,459.0
124.2
127.7
132.2
138.5
143.4
25.5
25.2
22.5
18.9
19.5
49.3
51.3
51.0
52.2
50.5
2,486.7
2,556.9
2,622.7
2,648.5
2,672.3
1,091.2
1,154.1
1,171.5
1,205.0
1,212.4
3,577.8
3,711.0
3,794.2
3,853.5
3,884.7
2010
2011
2012 f
2013 f
2,514.1
2,495.3
2,481.0
2,463.3
130.8
126.5
116.4
109.5
19.3
16.6
15.2
14.4
51.0
49.1
49.8
51.2
2,715.2
2,687.5
2,662.4
2,638.5
1,266.6
1,279.8
1,302.1
1,316.6
3,981.9
3,967.3
3,964.5
3,955.1
1976*
1980*
1.6
3.3
-3.2
1.6
30.5
34.5
2.4
11.1
1.6
3.7
0.6
5.8
1.4
4.2
1985
1986
1987
1988
1989
2.9
3.8
1.7
3.8
2.5
0.3
4.5
1.3
7.3
3.3
21.2
7.9
22.7
-28.4
0.0
12.3
-5.0
-0.9
5.5
-0.7
3.0
3.7
1.8
3.6
2.4
4.7
4.1
0.2
1.4
3.5
3.5
3.8
1.4
3.0
2.7
1990
1991
1992
1993
1994
1.1
3.3
0.4
-2.1
-1.9
9.2
1.8
0.2
1.3
7.4
4.7
-2.3
1.6
-5.6
13.8
6.4
6.1
-6.2
-4.9
-2.4
1.5
3.2
0.3
-2.0
-1.4
2.8
1.9
2.2
4.0
2.5
1.8
2.9
0.8
-0.4
-0.3
1995
1996
1997
1998
1999
-1.8
-0.7
1.0
4.2
5.0
3.5
-3.8
6.0
4.9
1.6
-13.5
-13.4
-10.7
134.8
-27.5
2.4
5.5
15.7
7.9
10.2
-1.6
-0.8
1.4
5.1
4.5
2.2
0.5
4.9
2.6
5.8
-0.5
-0.5
2.4
4.3
4.9
2000
2001
2002
2003
2004
3.5
4.6
2.5
3.8
3.7
8.9
14.5
-7.1
9.4
-1.5
16.3
9.5
1.6
7.5
11.0
8.9
5.4
2.2
9.6
4.1
4.0
5.2
1.9
4.2
3.5
4.6
5.8
5.9
2.5
3.7
4.2
5.3
3.1
3.7
3.5
2005
2006
2007
2008
2009
2.5
2.8
2.7
0.9
0.8
-1.2
2.8
3.5
4.8
3.5
-8.9
-1.3
-10.6
-16.0
3.1
1.5
4.1
-0.5
2.3
-3.3
2.1
2.8
2.6
1.0
0.9
2.6
5.8
1.5
2.9
0.6
2.3
3.7
2.2
1.6
0.8
2010
2011
2012 f
2013 f
2.2
-0.7
-0.6
-0.7
-8.7
-3.3
-8.0
-5.9
-1.2
-14.0
-8.3
-5.0
0.9
-3.7
1.5
2.9
1.6
-1.0
-0.9
-0.9
4.5
1.0
1.7
1.1
2.5
-0.4
-0.1
-0.2
(in 1997 $’ per capita)
Year
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2013.
123
National Health Expenditure Trends, 1975 to 2013
Table A.3.1.1—Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars
Year
Hospitals
Other
Institutions
Physicians
A
B
C
Dental Services
Other Professionals
Vision Care
Services
Other
Subtotal
D
($’ 000,000)
1975
1976
1977
1978
1979
5,454.9
6,357.3
6,792.8
7,382.0
8,114.1
1,125.0
1,368.6
1,577.0
1,851.8
2,171.7
1,839.9
2,071.0
2,284.4
2,566.7
2,857.1
741.7
869.1
1,034.6
1,191.3
1,374.5
226.1
260.1
295.8
336.0
365.8
128.4
145.5
162.6
186.3
219.2
1,096.2
1,274.7
1,493.0
1,713.5
1,959.5
1980
1981
1982
1983
1984
9,334.4
11,030.7
13,092.8
14,417.6
15,344.8
2,539.6
2,889.9
3,384.8
3,741.6
3,915.5
3,287.5
3,824.8
4,420.8
5,052.7
5,525.9
1,592.0
1,811.8
2,072.7
2,225.7
2,402.3
414.4
513.6
609.8
715.0
829.4
255.4
303.7
357.3
411.6
452.2
2,261.7
2,629.1
3,039.8
3,352.4
3,683.8
1985
1986
1987
1988
1989
16,260.3
17,637.2
18,951.1
20,400.3
22,270.1
4,105.9
4,087.3
4,329.2
4,738.7
5,141.3
6,045.7
6,674.8
7,342.8
7,942.1
8,506.7
2,711.3
2,959.6
3,203.6
3,494.0
3,820.7
925.9
1,002.2
1,075.6
1,184.2
1,302.3
496.4
562.0
634.3
715.6
833.8
4,133.6
4,523.8
4,913.5
5,393.8
5,956.7
1990
1991
1992
1993
1994
22,768.5
24,204.6
25,190.2
25,289.0
24,757.4
6,681.8
7,636.6
8,143.7
8,203.3
8,358.4
9,178.8
10,105.4
10,343.4
10,403.5
10,635.5
4,128.5
4,449.7
4,667.6
4,908.2
5,199.9
1,413.2
1,502.6
1,557.6
1,605.7
1,700.2
941.9
1,062.6
1,149.5
1,193.3
1,226.6
6,483.6
7,014.9
7,374.7
7,707.1
8,126.7
1995
1996
1997
1998
1999
24,231.5
24,245.4
24,635.3
25,866.1
27,228.9
8,610.7
8,696.6
8,966.3
9,382.8
9,974.7
10,615.6
10,771.3
11,224.8
11,771.1
12,408.4
5,468.4
5,648.1
5,880.0
6,261.4
6,754.3
1,778.4
1,831.8
2,189.8
2,278.1
2,349.2
1,266.6
1,310.2
1,516.9
1,509.1
1,707.7
8,513.3
8,790.0
9,586.7
10,048.7
10,811.3
2000
2001
2002
2003
2004
29,615.4
31,528.2
33,952.2
36,213.8
38,882.3
10,821.1
11,504.3
12,251.4
12,930.0
14,205.2
13,220.9
14,149.9
15,199.2
16,281.1
17,316.4
7,175.0
7,761.1
8,244.2
8,473.0
8,972.0
2,576.6
2,761.1
2,799.8
2,681.6
3,062.4
1,794.3
2,009.9
2,027.3
2,065.3
2,165.0
11,545.9
12,532.1
13,071.3
13,219.9
14,199.4
2005
2006
2007
2008
2009
40,927.7
43,660.8
46,513.2
49,810.4
53,166.5
14,651.6
15,722.9
16,685.7
17,573.9
18,879.7
18,556.6
20,047.2
21,553.0
23,779.9
25,673.6
9,821.6
10,366.1
11,110.8
11,838.2
12,140.3
3,182.5
3,443.8
3,769.7
3,925.8
4,223.9
2,187.1
2,520.2
2,533.7
2,863.8
2,862.7
15,191.2
16,330.1
17,414.3
18,627.9
19,226.9
2010
2011
2012 f
2013 f
56,786.8
58,977.4
60,997.1
62,554.2
19,990.9
20,768.6
21,620.3
22,276.5
27,445.0
29,252.7
30,264.5
31,355.9
11,874.6
11,921.9
12,327.1
12,583.0
3,913.1
4,355.1
4,622.1
4,821.1
3,054.6
3,272.6
3,456.5
3,667.9
18,842.3
19,549.7
20,405.7
21,072.0
1976*
1980*
16.5
15.0
21.7
16.9
12.6
15.1
17.2
15.8
15.0
13.3
13.3
16.5
16.3
15.4
1985
1986
1987
1988
1989
6.0
8.5
7.4
7.6
9.2
4.9
-0.5
5.9
9.5
8.5
9.4
10.4
10.0
8.2
7.1
12.9
9.2
8.2
9.1
9.3
11.6
8.2
7.3
10.1
10.0
9.8
13.2
12.9
12.8
16.5
12.2
9.4
8.6
9.8
10.4
1990
1991
1992
1993
1994
2.2
6.3
4.1
0.4
-2.1
30.0
14.3
6.6
0.7
1.9
7.9
10.1
2.4
0.6
2.2
8.1
7.8
4.9
5.2
5.9
8.5
6.3
3.7
3.1
5.9
13.0
12.8
8.2
3.8
2.8
8.8
8.2
5.1
4.5
5.4
1995
1996
1997
1998
1999
-2.1
0.1
1.6
5.0
5.3
3.0
1.0
3.1
4.6
6.3
-0.2
1.5
4.2
4.9
5.4
5.2
3.3
4.1
6.5
7.9
4.6
3.0
19.5
4.0
3.1
3.3
3.4
15.8
-0.5
13.2
4.8
3.3
9.1
4.8
7.6
2000
2001
2002
2003
2004
8.8
6.5
7.7
6.7
7.4
8.5
6.3
6.5
5.5
9.9
6.5
7.0
7.4
7.1
6.4
6.2
8.2
6.2
2.8
5.9
9.7
7.2
1.4
-4.2
14.2
5.1
12.0
0.9
1.9
4.8
6.8
8.5
4.3
1.1
7.4
2005
2006
2007
2008
2009
5.3
6.7
6.5
7.1
6.7
3.1
7.3
6.1
5.3
7.4
7.2
8.0
7.5
10.3
8.0
9.5
5.5
7.2
6.5
2.6
3.9
8.2
9.5
4.1
7.6
1.0
15.2
0.5
13.0
0.0
7.0
7.5
6.6
7.0
3.2
2010
2011
2012 f
2013 f
6.8
3.9
3.4
2.6
5.9
3.9
4.1
3.0
6.9
6.6
3.5
3.6
-2.2
0.4
3.4
2.1
-7.4
11.3
6.1
4.3
6.7
7.1
5.6
6.1
-2.0
3.8
4.4
3.3
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
124
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table A.3.1.1—Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars (cont'd)
Prescribed
Drugs
Drugs
Non-Prescribed
Drugs
Subtotal
Capital
E
F
Public Health
Administration
G
($’ 000,000)
Other Health Spending
Health
Research
Other
H
Subtotal
J
Grand Total
A+B+C+D
+E+F+G+H+J
771.7
883.4
987.9
1,052.7
1,162.9
305.6
316.0
324.5
392.8
495.5
1,077.3
1,199.4
1,312.4
1,445.5
1,658.4
536.1
544.1
563.7
672.2
725.2
406.8
510.6
598.5
615.4
707.0
343.6
361.9
408.3
406.7
451.8
93.7
105.4
129.4
150.4
173.7
226.0
256.7
290.3
302.5
351.3
319.7
362.1
419.7
452.9
524.9
12,199.4
14,049.8
15,450.0
17,106.8
19,169.7
1,298.4
1,677.1
1,924.1
2,107.1
2,255.6
586.3
655.0
715.0
845.9
1,058.6
1,884.6
2,332.1
2,639.1
2,953.0
3,314.2
990.7
1,111.2
1,394.8
1,436.6
1,504.1
845.4
1,006.1
1,149.7
1,241.4
1,376.5
512.3
631.5
693.3
763.6
897.6
202.5
231.2
258.0
297.3
336.9
439.5
590.2
686.1
782.4
843.7
642.1
821.3
944.1
1,079.7
1,180.6
22,298.4
26,276.7
30,759.1
34,038.6
36,743.1
2,566.5
3,018.0
3,293.1
3,736.8
4,262.9
1,235.9
1,399.0
1,621.7
1,784.9
1,975.6
3,802.3
4,417.1
4,914.9
5,521.7
6,238.5
1,651.2
1,801.4
1,871.8
1,901.7
2,092.8
1,515.7
1,570.2
1,661.0
1,786.6
1,953.6
966.1
1,030.6
1,060.1
1,225.5
1,525.0
381.8
453.7
453.0
508.0
589.1
979.8
1,142.1
1,291.9
1,541.7
1,822.4
1,361.6
1,595.8
1,744.9
2,049.7
2,411.5
39,842.4
43,338.1
46,789.2
50,960.1
56,096.2
4,871.6
5,466.4
6,097.1
6,600.3
6,760.0
2,058.7
2,236.6
2,418.1
2,576.0
2,764.0
6,930.3
7,703.1
8,515.2
9,176.3
9,524.0
2,123.7
2,027.5
2,058.0
2,016.9
2,272.8
2,231.4
2,415.8
2,578.8
2,691.5
2,971.0
1,689.3
1,790.0
1,863.4
2,132.3
2,389.8
681.7
716.6
822.6
805.9
811.5
2,323.8
2,823.0
2,963.7
3,093.0
3,312.6
3,005.6
3,539.6
3,786.2
3,899.0
4,124.1
61,092.9
66,437.4
69,853.6
71,519.1
73,159.6
7,399.9
7,604.6
8,532.0
9,451.1
10,240.3
2,788.4
2,846.7
2,976.8
3,171.3
3,358.8
10,188.3
10,451.3
11,508.7
12,622.4
13,599.2
2,263.1
2,160.0
2,122.0
2,301.5
3,508.9
3,136.7
3,277.7
3,420.9
4,295.3
4,419.2
2,447.3
2,463.6
2,508.5
2,454.3
2,784.2
798.1
799.4
1,075.0
1,291.4
1,324.3
3,432.8
3,426.9
3,693.3
4,033.6
4,404.9
4,230.9
4,226.4
4,768.3
5,325.0
5,729.2
74,237.4
75,082.3
78,741.5
84,067.3
90,463.9
11,724.6
13,166.6
14,750.9
16,413.7
17,855.8
3,420.3
3,536.4
3,684.7
3,762.2
3,930.2
15,144.8
16,703.0
18,435.6
20,176.0
21,785.9
3,965.5
4,508.7
4,933.0
5,601.6
5,510.0
4,896.5
5,628.3
5,851.0
6,909.1
7,016.6
3,110.0
3,731.2
4,171.1
4,648.0
4,899.0
1,580.0
2,072.7
2,057.6
2,320.0
2,476.6
4,703.4
4,829.0
5,117.3
5,274.6
5,245.8
6,283.4
6,901.7
7,174.9
7,594.6
7,722.4
98,603.5
107,187.4
115,039.7
123,573.9
131,537.2
19,109.8
20,798.6
21,954.7
23,358.6
24,757.2
4,083.7
4,263.7
4,439.9
4,515.7
4,756.5
23,193.5
25,062.2
26,394.6
27,874.2
29,513.7
6,596.7
7,240.7
7,255.4
8,167.3
8,758.7
7,854.9
8,508.7
9,097.8
9,532.9
9,862.6
5,086.1
5,134.3
5,554.5
5,769.4
5,801.3
2,552.2
2,893.6
3,121.0
3,606.3
3,596.4
5,686.3
6,145.1
6,672.9
7,318.3
7,625.3
8,238.5
9,038.7
9,793.9
10,924.6
11,221.7
140,296.8
150,745.7
160,262.4
172,060.5
182,104.7
27,548.5
27,908.5
28,626.6
29,290.8
4,839.6
5,068.9
5,034.1
5,176.1
32,388.1
32,977.4
33,660.7
34,466.9
10,100.7
9,824.9
9,668.3
9,754.7
9,892.7
10,426.6
10,627.6
10,781.9
5,978.2
6,270.8
6,343.6
6,409.6
3,459.3
3,352.9
3,360.7
3,391.9
8,458.2
8,693.7
8,926.1
9,147.8
11,917.5
12,046.7
12,286.8
12,539.7
193,342.2
200,094.7
205,874.5
211,211.4
14.5
11.7
3.4
18.3
11.3
13.6
1.5
36.6
25.5
19.6
5.3
13.4
12.5
16.6
13.6
25.1
13.2
22.3
15.2
16.3
13.8
17.6
9.1
13.5
14.1
16.7
13.2
15.9
10.1
10.7
14.7
16.2
11.3
12.3
13.0
9.8
9.1
3.9
1.6
10.0
10.1
3.6
5.8
7.6
9.3
7.6
6.7
2.9
15.6
24.4
13.3
18.8
-0.2
12.1
16.0
16.1
16.6
13.1
19.3
18.2
15.3
17.2
9.3
17.5
17.7
8.4
8.8
8.0
8.9
10.1
14.3
12.2
11.5
8.3
2.4
4.2
8.6
8.1
6.5
7.3
11.1
11.2
10.5
7.8
3.8
1.5
-4.5
1.5
-2.0
12.7
14.2
8.3
6.7
4.4
10.4
10.8
6.0
4.1
14.4
12.1
15.7
5.1
14.8
-2.0
0.7
27.5
21.5
5.0
4.4
7.1
24.6
17.8
7.0
3.0
5.8
8.9
8.7
5.1
2.4
2.3
9.5
2.8
12.2
10.8
8.4
0.9
2.1
4.6
6.5
5.9
7.0
2.6
10.1
9.7
7.7
-0.4
-4.6
-1.8
8.5
52.5
5.6
4.5
4.4
25.6
2.9
2.4
0.7
1.8
-2.2
13.4
-1.7
0.2
34.5
20.1
2.6
3.6
-0.2
7.8
9.2
9.2
2.6
-0.1
12.8
11.7
7.6
1.5
1.1
4.9
6.8
7.6
14.5
12.3
12.0
11.3
8.8
1.8
3.4
4.2
2.1
4.5
11.4
10.3
10.4
9.4
8.0
13.0
13.7
9.4
13.6
-1.6
10.8
14.9
4.0
18.1
1.6
11.7
20.0
11.8
11.4
5.4
19.3
31.2
-0.7
12.8
6.8
6.8
2.7
6.0
3.1
-0.5
9.7
9.8
4.0
5.9
1.7
9.0
8.7
7.3
7.4
6.4
7.0
8.8
5.6
6.4
6.0
3.9
4.4
4.1
1.7
5.3
6.5
8.1
5.3
5.6
5.9
19.7
9.8
0.2
12.6
7.2
11.9
8.3
6.9
4.8
3.5
3.8
0.9
8.2
3.9
0.6
3.1
13.4
7.9
15.5
-0.3
8.4
8.1
8.6
9.7
4.2
6.7
9.7
8.4
11.5
2.7
6.7
7.4
6.3
7.4
5.8
11.3
1.3
2.6
2.3
1.7
4.7
-0.7
2.8
9.7
1.8
2.1
2.4
15.3
-2.7
-1.6
0.9
0.3
5.4
1.9
1.5
3.0
4.9
1.2
1.0
-3.8
-3.1
0.2
0.9
10.9
2.8
2.7
2.5
6.2
1.1
2.0
2.1
6.2
3.5
2.9
2.6
(annual percentage change)*
Canadian Institute for Health Information, 2013.
125
National Health Expenditure Trends, 1975 to 2013
Table A.3.1.2—Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars
Other Professionals
Vision Care
Services
Hospitals
Other
Institutions
A
B
1975
1976
1977
1978
1979
44.7
45.2
44.0
43.2
42.3
9.2
9.7
10.2
10.8
11.3
15.1
14.7
14.8
15.0
14.9
6.1
6.2
6.7
7.0
7.2
1.9
1.9
1.9
2.0
1.9
1.1
1.0
1.1
1.1
1.1
9.0
9.1
9.7
10.0
10.2
1980
1981
1982
1983
1984
41.9
42.0
42.6
42.4
41.8
11.4
11.0
11.0
11.0
10.7
14.7
14.6
14.4
14.8
15.0
7.1
6.9
6.7
6.5
6.5
1.9
2.0
2.0
2.1
2.3
1.1
1.2
1.2
1.2
1.2
10.1
10.0
9.9
9.8
10.0
1985
1986
1987
1988
1989
40.8
40.7
40.5
40.0
39.7
10.3
9.4
9.3
9.3
9.2
15.2
15.4
15.7
15.6
15.2
6.8
6.8
6.8
6.9
6.8
2.3
2.3
2.3
2.3
2.3
1.2
1.3
1.4
1.4
1.5
10.4
10.4
10.5
10.6
10.6
1990
1991
1992
1993
1994
37.3
36.4
36.1
35.4
33.8
10.9
11.5
11.7
11.5
11.4
15.0
15.2
14.8
14.5
14.5
6.8
6.7
6.7
6.9
7.1
2.3
2.3
2.2
2.2
2.3
1.5
1.6
1.6
1.7
1.7
10.6
10.6
10.6
10.8
11.1
1995
1996
1997
1998
1999
32.6
32.3
31.3
30.8
30.1
11.6
11.6
11.4
11.2
11.0
14.3
14.3
14.3
14.0
13.7
7.4
7.5
7.5
7.4
7.5
2.4
2.4
2.8
2.7
2.6
1.7
1.7
1.9
1.8
1.9
11.5
11.7
12.2
12.0
12.0
2000
2001
2002
2003
2004
30.0
29.4
29.5
29.3
29.6
11.0
10.7
10.6
10.5
10.8
13.4
13.2
13.2
13.2
13.2
7.3
7.2
7.2
6.9
6.8
2.6
2.6
2.4
2.2
2.3
1.8
1.9
1.8
1.7
1.6
11.7
11.7
11.4
10.7
10.8
2005
2006
2007
2008
2009
29.2
29.0
29.0
28.9
29.2
10.4
10.4
10.4
10.2
10.4
13.2
13.3
13.4
13.8
14.1
7.0
6.9
6.9
6.9
6.7
2.3
2.3
2.4
2.3
2.3
1.6
1.7
1.6
1.7
1.6
10.8
10.8
10.9
10.8
10.6
2010
2011
2012 f
2013 f
29.4
29.5
29.6
29.6
10.3
10.4
10.5
10.5
14.2
14.6
14.7
14.8
6.1
6.0
6.0
6.0
2.0
2.2
2.2
2.3
1.6
1.6
1.7
1.7
9.7
9.8
9.9
10.0
1976*
1980*
1.2
-1.1
5.6
0.5
-2.3
-1.1
1.8
-0.4
-0.1
-2.6
-1.6
0.2
1.0
-0.8
1985
1986
1987
1988
1989
-2.3
-0.3
-0.5
-1.2
-0.8
-3.3
-8.5
-1.9
0.5
-1.4
0.9
1.5
1.9
-0.7
-2.7
4.1
0.4
0.3
0.1
-0.7
3.0
-0.5
-0.6
1.1
-0.1
1.2
4.1
4.6
3.6
5.8
3.5
0.6
0.6
0.8
0.3
1990
1991
1992
1993
1994
-6.1
-2.2
-1.0
-1.9
-4.3
19.3
5.1
1.4
-1.6
-0.4
-0.9
1.2
-2.6
-1.8
-0.1
-0.8
-0.9
-0.2
2.7
3.6
-0.4
-2.2
-1.4
0.7
3.5
3.7
3.7
2.9
1.4
0.5
-0.1
-0.5
0.0
2.1
3.1
1995
1996
1997
1998
1999
-3.5
-1.1
-3.1
-1.7
-2.2
1.5
-0.1
-1.7
-2.0
-1.2
-1.6
0.3
-0.6
-1.8
-2.0
3.6
2.1
-0.7
-0.3
0.2
3.1
1.8
14.0
-2.6
-4.2
1.8
2.3
10.4
-6.8
5.2
3.2
2.1
4.0
-1.8
0.0
2000
2001
2002
2003
2004
-0.2
-2.1
0.3
-0.7
0.9
-0.5
-2.2
-0.8
-1.8
3.2
-2.2
-1.5
0.1
-0.3
-0.1
-2.5
-0.5
-1.0
-4.3
-0.5
0.6
-1.4
-5.5
-10.8
7.3
-3.6
3.0
-6.0
-5.2
-1.5
-2.0
-0.2
-2.8
-5.8
0.9
2005
2006
2007
2008
2009
-1.3
-0.7
0.2
-0.3
0.9
-3.3
-0.1
-0.2
-1.9
1.5
0.5
0.5
1.1
2.8
2.0
2.6
-1.8
0.8
-0.8
-3.1
-2.6
0.7
3.0
-3.0
1.7
-5.3
7.2
-5.4
5.3
-5.6
0.3
0.0
0.3
-0.4
-2.5
2010
2011
2012 f
2013 f
0.6
0.4
0.5
0.0
-0.3
0.4
1.2
0.4
0.7
3.0
0.6
1.0
-7.9
-3.0
0.5
-0.5
-12.7
7.5
3.2
1.7
0.5
3.5
2.7
3.4
-7.7
0.3
1.4
0.7
Year
Physicians
Dental Services
Other
C
(percentage distribution of $’ 000,000)
Subtotal
D
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
126
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table A.3.1.2—Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars (cont'd)
Prescribed
Drugs
Drugs
Non-Prescribed
Drugs
Subtotal
Capital
E
F
Public Health
Administration
Other Health Spending
Health
Research
Other
G
H
(percentage distribution of $’ 000,000)
Subtotal
J
Grand Total
A+B+C+D
+E+F+G+H+J
6.3
6.3
6.4
6.2
6.1
2.5
2.2
2.1
2.3
2.6
8.8
8.5
8.5
8.4
8.7
4.4
3.9
3.6
3.9
3.8
3.3
3.6
3.9
3.6
3.7
2.8
2.6
2.6
2.4
2.4
0.8
0.8
0.8
0.9
0.9
1.9
1.8
1.9
1.8
1.8
2.6
2.6
2.7
2.6
2.7
100.0
100.0
100.0
100.0
100.0
5.8
6.4
6.3
6.2
6.1
2.6
2.5
2.3
2.5
2.9
8.5
8.9
8.6
8.7
9.0
4.4
4.2
4.5
4.2
4.1
3.8
3.8
3.7
3.6
3.7
2.3
2.4
2.3
2.2
2.4
0.9
0.9
0.8
0.9
0.9
2.0
2.2
2.2
2.3
2.3
2.9
3.1
3.1
3.2
3.2
100.0
100.0
100.0
100.0
100.0
6.4
7.0
7.0
7.3
7.6
3.1
3.2
3.5
3.5
3.5
9.5
10.2
10.5
10.8
11.1
4.1
4.2
4.0
3.7
3.7
3.8
3.6
3.5
3.5
3.5
2.4
2.4
2.3
2.4
2.7
1.0
1.0
1.0
1.0
1.1
2.5
2.6
2.8
3.0
3.2
3.4
3.7
3.7
4.0
4.3
100.0
100.0
100.0
100.0
100.0
8.0
8.2
8.7
9.2
9.2
3.4
3.4
3.5
3.6
3.8
11.3
11.6
12.2
12.8
13.0
3.5
3.1
2.9
2.8
3.1
3.7
3.6
3.7
3.8
4.1
2.8
2.7
2.7
3.0
3.3
1.1
1.1
1.2
1.1
1.1
3.8
4.2
4.2
4.3
4.5
4.9
5.3
5.4
5.5
5.6
100.0
100.0
100.0
100.0
100.0
10.0
10.1
10.8
11.2
11.3
3.8
3.8
3.8
3.8
3.7
13.7
13.9
14.6
15.0
15.0
3.0
2.9
2.7
2.7
3.9
4.2
4.4
4.3
5.1
4.9
3.3
3.3
3.2
2.9
3.1
1.1
1.1
1.4
1.5
1.5
4.6
4.6
4.7
4.8
4.9
5.7
5.6
6.1
6.3
6.3
100.0
100.0
100.0
100.0
100.0
11.9
12.3
12.8
13.3
13.6
3.5
3.3
3.2
3.0
3.0
15.4
15.6
16.0
16.3
16.6
4.0
4.2
4.3
4.5
4.2
5.0
5.3
5.1
5.6
5.3
3.2
3.5
3.6
3.8
3.7
1.6
1.9
1.8
1.9
1.9
4.8
4.5
4.4
4.3
4.0
6.4
6.4
6.2
6.1
5.9
100.0
100.0
100.0
100.0
100.0
13.6
13.8
13.7
13.6
13.6
2.9
2.8
2.8
2.6
2.6
16.5
16.6
16.5
16.2
16.2
4.7
4.8
4.5
4.7
4.8
5.6
5.6
5.7
5.5
5.4
3.6
3.4
3.5
3.4
3.2
1.8
1.9
1.9
2.1
2.0
4.1
4.1
4.2
4.3
4.2
5.9
6.0
6.1
6.3
6.2
100.0
100.0
100.0
100.0
100.0
14.2
13.9
13.9
13.9
2.5
2.5
2.4
2.5
16.8
16.5
16.4
16.3
5.2
4.9
4.7
4.6
5.1
5.2
5.2
5.1
3.1
3.1
3.1
3.0
1.8
1.7
1.6
1.6
4.4
4.3
4.3
4.3
6.2
6.0
6.0
5.9
100.0
100.0
100.0
100.0
-0.6
-4.0
-10.2
1.7
-3.3
-2.3
-11.9
17.5
9.0
2.8
-8.5
-2.5
-2.3
0.3
-1.4
7.6
-1.7
5.2
-----
4.9
8.1
1.1
4.2
3.6
7.7
4.1
7.4
1.1
0.5
5.8
6.8
3.1
3.2
2.6
1.2
0.3
-3.8
-6.7
0.0
1.5
-4.8
-2.0
-1.2
-0.7
-0.7
-1.9
-4.7
6.1
13.0
4.5
9.2
-7.5
3.0
5.4
7.1
7.2
4.8
9.6
7.4
6.4
7.7
1.3
7.9
6.9
-----------
4.9
3.2
6.1
5.7
0.1
-4.3
-0.1
2.8
4.0
4.9
2.0
2.2
5.1
5.3
1.5
-6.8
-12.2
-3.5
-4.3
10.2
4.9
-0.4
1.5
1.9
7.9
1.7
-2.6
-1.0
11.8
9.6
6.3
-3.3
9.2
-4.3
-1.6
17.1
11.7
-0.2
1.9
4.7
14.4
8.3
1.7
0.6
3.4
-----------
7.9
1.6
7.0
3.8
0.7
-0.6
0.9
-0.3
-0.2
-1.6
5.4
1.4
5.0
2.7
0.1
-1.9
-5.6
-6.3
1.6
41.7
4.0
3.3
-0.5
17.6
-4.4
0.9
-0.5
-2.9
-8.4
5.4
-3.1
-1.0
28.2
12.5
-4.7
2.1
-1.3
2.8
2.3
1.5
1.1
-1.2
7.6
4.6
0.0
-----------
5.0
3.3
4.4
3.6
2.2
-6.6
-4.9
-2.9
-4.9
-1.9
2.2
1.5
2.8
1.9
1.4
3.7
4.6
1.9
5.7
-7.6
1.7
5.7
-3.1
9.9
-4.6
2.5
10.4
4.2
3.7
-1.0
9.5
20.7
-7.5
5.0
0.3
-2.0
-5.6
-1.3
-4.0
-6.6
0.6
1.0
-3.1
-1.5
-4.5
-----------
0.3
1.3
-0.7
-0.9
0.1
-2.6
-2.8
-2.0
-5.3
-0.5
-0.2
0.6
-0.9
-1.6
0.0
12.2
2.2
-5.7
4.8
1.3
5.0
0.8
0.6
-2.4
-2.2
-2.7
-6.0
1.8
-3.3
-5.0
-3.4
5.5
1.5
7.6
-5.8
1.6
0.6
2.1
2.2
-1.6
0.0
2.1
1.9
3.9
-2.9
-----------
4.8
-2.1
-0.3
-0.3
-4.2
1.2
-3.5
0.2
3.4
-1.6
-0.8
-0.2
8.6
-6.0
-4.4
-1.7
-5.5
1.8
-0.9
-1.1
-2.9
1.4
-1.7
-1.5
-9.4
-6.3
-2.6
-1.6
4.5
-0.7
-0.2
-0.1
0.0
-2.3
-0.9
-0.5
---------
(annual percentage change)*
Canadian Institute for Health Information, 2013.
127
National Health Expenditure Trends, 1975 to 2013
Table A.3.1.3—Part 1
Total Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars
Year
Hospitals
Other
Institutions
Physicians
A
B
C
Dental Services
Other Professionals
Vision Care
Services
Other
Subtotal
D
($’ per capita)
1975
1976
1977
1978
1979
235.7
271.1
286.3
308.1
335.3
48.6
58.4
66.5
77.3
89.7
79.5
88.3
96.3
107.1
118.1
32.0
37.1
43.6
49.7
56.8
9.8
11.1
12.5
14.0
15.1
5.5
6.2
6.9
7.8
9.1
47.4
54.4
62.9
71.5
81.0
1980
1981
1982
1983
1984
380.7
444.4
521.3
568.4
599.2
103.6
116.4
134.8
147.5
152.9
134.1
154.1
176.0
199.2
215.8
64.9
73.0
82.5
87.7
93.8
16.9
20.7
24.3
28.2
32.4
10.4
12.2
14.2
16.2
17.7
92.3
105.9
121.0
132.2
143.9
1985
1986
1987
1988
1989
629.2
675.7
716.5
761.3
816.3
158.9
156.6
163.7
176.8
188.5
233.9
255.7
277.6
296.4
311.8
104.9
113.4
121.1
130.4
140.0
35.8
38.4
40.7
44.2
47.7
19.2
21.5
24.0
26.7
30.6
160.0
173.3
185.8
201.3
218.3
1990
1991
1992
1993
1994
822.0
863.5
888.0
881.7
853.7
241.2
272.4
287.1
286.0
288.2
331.4
360.5
364.6
362.7
366.8
149.1
158.7
164.5
171.1
179.3
51.0
53.6
54.9
56.0
58.6
34.0
37.9
40.5
41.6
42.3
234.1
250.3
260.0
268.7
280.2
1995
1996
1997
1998
1999
826.9
818.8
823.7
857.7
895.6
293.9
293.7
299.8
311.1
328.1
362.3
363.8
375.3
390.3
408.1
186.6
190.7
196.6
207.6
222.2
60.7
61.9
73.2
75.5
77.3
43.2
44.2
50.7
50.0
56.2
290.5
296.9
320.5
333.2
355.6
2000
2001
2002
2003
2004
965.0
1016.3
1082.2
1143.3
1215.3
352.6
370.9
390.5
408.2
444.0
430.8
456.1
484.5
514.0
541.2
233.8
250.2
262.8
267.5
280.4
84.0
89.0
89.2
84.7
95.7
58.5
64.8
64.6
65.2
67.7
376.2
404.0
416.6
417.3
443.8
2005
2006
2007
2008
2009
1266.6
1340.3
1412.6
1495.0
1576.4
453.4
482.7
506.7
527.5
559.8
574.3
615.4
654.6
713.7
761.2
304.0
318.2
337.4
355.3
360.0
98.5
105.7
114.5
117.8
125.2
67.7
77.4
76.9
86.0
84.9
470.1
501.3
528.9
559.1
570.1
2010
2011
2012 f
2013 f
1664.0
1710.3
1748.7
1773.3
585.8
602.3
619.8
631.5
804.2
848.3
867.7
888.9
348.0
345.7
353.4
356.7
114.7
126.3
132.5
136.7
89.5
94.9
99.1
104.0
552.1
566.9
585.0
597.4
1976*
1980*
15.0
13.6
20.1
15.4
11.1
13.6
15.7
14.3
13.5
11.8
11.8
15.0
14.8
13.9
1985
1986
1987
1988
1989
5.0
7.4
6.0
6.3
7.2
3.9
-1.4
4.5
8.0
6.6
8.4
9.3
8.6
6.8
5.2
11.8
8.1
6.8
7.7
7.4
10.6
7.2
5.9
8.7
8.0
8.8
12.1
11.4
11.4
14.4
11.2
8.4
7.2
8.4
8.5
1990
1991
1992
1993
1994
0.7
5.0
2.8
-0.7
-3.2
28.0
12.9
5.4
-0.4
0.8
6.3
8.8
1.1
-0.5
1.1
6.4
6.5
3.7
4.0
4.8
6.9
5.1
2.4
2.0
4.7
11.3
11.5
6.9
2.7
1.7
7.2
6.9
3.9
3.4
4.3
1995
1996
1997
1998
1999
-3.1
-1.0
0.6
4.1
4.4
2.0
-0.1
2.1
3.8
5.4
-1.2
0.4
3.2
4.0
4.6
4.1
2.2
3.1
5.6
7.0
3.5
1.9
18.4
3.2
2.3
2.2
2.4
14.6
-1.3
12.2
3.7
2.2
8.0
4.0
6.7
2000
2001
2002
2003
2004
7.8
5.3
6.5
5.6
6.3
7.5
5.2
5.3
4.5
8.8
5.6
5.9
6.2
6.1
5.3
5.2
7.0
5.0
1.8
4.8
8.7
6.0
0.3
-5.1
13.1
4.1
10.8
-0.3
0.9
3.8
5.8
7.4
3.1
0.2
6.3
2005
2006
2007
2008
2009
4.2
5.8
5.4
5.8
5.4
2.1
6.4
5.0
4.1
6.1
6.1
7.2
6.4
9.0
6.7
8.4
4.7
6.0
5.3
1.3
2.9
7.3
8.3
2.9
6.3
0.0
14.3
-0.5
11.7
-1.3
5.9
6.6
5.5
5.7
2.0
2010
2011
2012 f
2013 f
5.6
2.8
2.2
1.4
4.6
2.8
2.9
1.9
5.6
5.5
2.3
2.4
-3.3
-0.6
2.2
0.9
-8.4
10.1
4.9
3.1
5.5
6.0
4.4
4.9
-3.1
2.7
3.2
2.1
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
128
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table A.3.1.3—Part 2
Total Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars (cont'd)
Prescribed
Drugs
Drugs
Non-Prescribed
Drugs
Subtotal
Capital
E
F
Public Health
Administration
G
($’ per capita)
Other Health Spending
Health
Research
Other
H
Subtotal
J
Grand Total
A+B+C+D
+E+F+G+H+J
33.3
37.7
41.6
43.9
48.0
13.2
13.5
13.7
16.4
20.5
46.5
51.1
55.3
60.3
68.5
23.2
23.2
23.8
28.1
30.0
17.6
21.8
25.2
25.7
29.2
14.8
15.4
17.2
17.0
18.7
4.1
4.5
5.5
6.3
7.2
9.8
10.9
12.2
12.6
14.5
13.8
15.4
17.7
18.9
21.7
527.1
599.1
651.2
713.9
792.1
53.0
67.6
76.6
83.1
88.1
23.9
26.4
28.5
33.3
41.3
76.9
94.0
105.1
116.4
129.4
40.4
44.8
55.5
56.6
58.7
34.5
40.5
45.8
48.9
53.8
20.9
25.4
27.6
30.1
35.1
8.3
9.3
10.3
11.7
13.2
17.9
23.8
27.3
30.8
32.9
26.2
33.1
37.6
42.6
46.1
909.5
1,058.7
1,224.6
1,341.8
1,434.9
99.3
115.6
124.5
139.5
156.3
47.8
53.6
61.3
66.6
72.4
147.1
169.2
185.8
206.1
228.7
63.9
69.0
70.8
71.0
76.7
58.7
60.2
62.8
66.7
71.6
37.4
39.5
40.1
45.7
55.9
14.8
17.4
17.1
19.0
21.6
37.9
43.8
48.8
57.5
66.8
52.7
61.1
66.0
76.5
88.4
1,541.7
1,660.4
1,769.0
1,901.8
2,056.2
175.9
195.0
214.9
230.1
233.1
74.3
79.8
85.2
89.8
95.3
250.2
274.8
300.2
319.9
328.4
76.7
72.3
72.5
70.3
78.4
80.6
86.2
90.9
93.8
102.4
61.0
63.9
65.7
74.3
82.4
24.6
25.6
29.0
28.1
28.0
83.9
100.7
104.5
107.8
114.2
108.5
126.3
133.5
135.9
142.2
2,205.7
2,370.1
2,462.5
2,493.5
2,522.8
252.5
256.8
285.3
313.4
336.8
95.2
96.1
99.5
105.2
110.5
347.7
353.0
384.8
418.6
447.3
77.2
72.9
71.0
76.3
115.4
107.0
110.7
114.4
142.4
145.3
83.5
83.2
83.9
81.4
91.6
27.2
27.0
35.9
42.8
43.6
117.2
115.7
123.5
133.8
144.9
144.4
142.7
159.4
176.6
188.4
2,533.5
2,535.6
2,632.8
2,787.6
2,975.4
382.0
424.4
470.2
518.2
558.1
111.4
114.0
117.4
118.8
122.8
493.5
538.4
587.6
636.9
680.9
129.2
145.3
157.2
176.8
172.2
159.6
181.4
186.5
218.1
219.3
101.3
120.3
133.0
146.7
153.1
51.5
66.8
65.6
73.2
77.4
153.3
155.7
163.1
166.5
164.0
204.7
222.5
228.7
239.8
241.4
3,213.0
3,455.3
3,666.9
3,901.2
4,111.2
591.4
638.5
666.8
701.1
734.0
126.4
130.9
134.8
135.5
141.0
717.8
769.3
801.6
836.6
875.1
204.2
222.3
220.3
245.1
259.7
243.1
261.2
276.3
286.1
292.4
157.4
157.6
168.7
173.2
172.0
79.0
88.8
94.8
108.2
106.6
176.0
188.6
202.7
219.7
226.1
255.0
277.5
297.4
327.9
332.7
4,341.9
4,627.5
4,867.1
5,164.2
5,399.4
807.2
809.3
820.7
830.4
141.8
147.0
144.3
146.7
949.1
956.3
965.0
977.1
296.0
284.9
277.2
276.5
289.9
302.4
304.7
305.7
175.2
181.8
181.9
181.7
101.4
97.2
96.3
96.2
247.8
252.1
255.9
259.3
349.2
349.3
352.3
355.5
5,665.4
5,802.5
5,902.3
5,987.6
13.0
10.2
2.1
16.8
9.9
12.2
0.2
34.9
23.9
18.0
4.0
11.9
11.0
15.1
12.1
23.5
11.8
20.7
13.7
14.8
12.7
16.4
7.7
12.0
12.0
15.7
12.1
14.4
8.6
8.7
13.7
15.0
9.8
10.9
11.0
8.8
8.0
2.5
0.3
8.1
9.1
2.6
4.4
6.2
7.4
6.6
5.6
1.5
14.1
22.2
12.3
17.6
-1.5
10.7
13.9
15.1
15.4
11.6
17.8
16.1
14.3
16.0
7.9
15.9
15.6
7.4
7.7
6.5
7.5
8.1
12.6
10.9
10.2
7.1
1.3
2.6
7.3
6.8
5.4
6.1
9.4
9.8
9.2
6.6
2.7
0.0
-5.7
0.3
-3.1
11.5
12.5
7.0
5.5
3.2
9.2
9.1
4.7
2.9
13.2
10.8
14.0
3.9
13.4
-3.1
-0.4
25.6
20.0
3.7
3.2
5.9
22.8
16.4
5.7
1.8
4.6
7.3
7.5
3.9
1.3
1.2
8.3
1.7
11.1
9.9
7.5
-0.2
1.0
3.5
5.7
5.1
5.9
1.5
9.0
8.8
6.9
-1.5
-5.6
-2.7
7.6
51.2
4.5
3.4
3.3
24.5
2.0
1.3
-0.4
0.8
-3.0
12.5
-2.7
-0.9
33.1
19.1
1.7
2.6
-1.2
6.7
8.3
8.3
1.5
-1.1
11.7
10.8
6.7
0.4
0.1
3.8
5.9
6.7
13.4
11.1
10.8
10.2
7.7
0.9
2.3
3.0
1.1
3.4
10.3
9.1
9.1
8.4
6.9
12.0
12.5
8.2
12.5
-2.6
9.8
13.7
2.8
17.0
0.5
10.7
18.7
10.5
10.4
4.3
18.2
29.8
-1.8
11.7
5.7
5.8
1.6
4.8
2.1
-1.5
8.7
8.7
2.8
4.8
0.7
8.0
7.5
6.1
6.4
5.4
6.0
8.0
4.4
5.1
4.7
2.9
3.6
3.0
0.5
4.1
5.4
7.2
4.2
4.4
4.6
18.5
8.9
-0.9
11.3
5.9
10.9
7.4
5.8
3.6
2.2
2.8
0.1
7.0
2.7
-0.7
2.0
12.5
6.7
14.2
-1.5
7.3
7.2
7.4
8.4
2.9
5.6
8.8
7.2
10.2
1.5
5.6
6.6
5.2
6.1
4.6
10.0
0.3
1.4
1.2
0.6
3.7
-1.8
1.7
8.5
0.8
0.9
1.2
14.0
-3.7
-2.7
-0.2
-0.9
4.3
0.8
0.3
1.8
3.8
0.0
-0.1
-4.9
-4.1
-0.9
-0.2
9.6
1.7
1.5
1.3
5.0
0.0
0.8
0.9
4.9
2.4
1.7
1.4
(annual percentage change)*
Canadian Institute for Health Information, 2013.
129
National Health Expenditure Trends, 1975 to 2013
Table A.3.2.1—Part 1
Private-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars
Year
Hospitals
Other
Institutions
Physicians
A
B
C
Dental Services
Other Professionals
Vision Care
Services
Other
Subtotal
D
($’ 000,000)
1975
1976
1977
1978
1979
318.1
379.6
420.1
520.1
626.5
328.4
369.5
401.8
484.3
590.3
26.8
29.5
32.3
38.3
52.6
685.3
799.3
950.9
1,087.3
1,230.7
190.3
219.4
251.0
284.0
307.8
81.7
91.6
102.0
110.8
130.3
957.2
1,110.3
1,303.9
1,482.1
1,668.8
1980
1981
1982
1983
1984
749.2
903.4
1,090.8
1,243.1
1,408.5
718.2
743.2
853.4
947.2
992.3
51.5
49.7
67.7
79.4
81.3
1,397.0
1,533.4
1,802.7
1,965.1
2,135.5
347.1
434.9
518.6
609.3
711.7
150.5
177.0
214.3
247.7
271.2
1,894.6
2,145.2
2,535.7
2,822.1
3,118.4
1985
1986
1987
1988
1989
1,522.6
1,700.1
1,796.9
1,903.1
2,001.1
1,039.4
1,104.9
1,197.1
1,270.4
1,312.8
83.6
76.9
76.6
79.6
84.0
2,435.8
2,672.5
2,917.3
3,182.6
3,470.4
795.5
856.2
918.3
1,003.4
1,096.7
281.8
301.3
358.0
419.6
492.2
3,513.0
3,829.9
4,193.6
4,605.6
5,059.3
1990
1991
1992
1993
1994
2,240.3
2,421.4
2,537.8
2,670.0
2,660.6
1,581.4
1,768.3
1,889.9
2,012.9
2,092.0
87.9
90.9
93.8
97.3
102.2
3,756.8
4,061.8
4,272.8
4,500.9
4,781.2
1,177.3
1,237.1
1,295.4
1,376.0
1,479.0
562.1
619.7
679.0
732.6
797.4
5,496.2
5,918.6
6,247.2
6,609.5
7,057.6
1995
1996
1997
1998
1999
2,382.0
2,248.1
2,327.8
2,335.7
2,476.9
2,112.6
2,105.4
2,132.1
2,210.3
2,396.0
109.1
119.5
121.3
143.3
153.0
5,060.2
5,274.1
5,514.8
5,909.1
6,378.9
1,581.3
1,634.9
1,974.7
2,073.5
2,130.0
838.9
884.0
1,068.8
1,028.1
1,184.0
7,480.5
7,793.0
8,558.2
9,010.7
9,692.9
2000
2001
2002
2003
2004
2,664.6
2,925.6
3,279.4
3,327.5
3,629.0
2,650.2
2,719.9
2,943.2
3,088.0
3,576.0
175.3
148.5
259.8
196.7
232.4
6,783.6
7,361.2
7,830.0
8,071.3
8,554.7
2,346.1
2,513.3
2,559.9
2,437.6
2,812.1
1,217.1
1,450.6
1,505.9
1,538.4
1,634.3
10,346.8
11,325.0
11,895.8
12,047.3
13,001.1
2005
2006
2007
2008
2009
3,833.3
3,974.8
4,158.5
4,446.7
4,843.8
3,587.0
4,129.4
4,493.9
4,765.9
5,208.6
253.9
304.0
244.2
390.3
397.8
9,379.5
9,870.3
10,577.7
11,260.9
11,483.7
2,959.4
3,212.2
3,529.9
3,661.5
3,927.8
1,717.4
2,037.4
1,991.8
2,244.3
2,204.2
14,056.3
15,120.0
16,099.4
17,166.7
17,615.8
2010
2011
2012 f
2013 f
5,146.3
5,216.9
5,282.4
5,400.5
5,583.3
6,051.4
6,458.0
6,778.5
291.8
390.5
397.7
405.1
11,167.1
11,208.2
11,582.6
11,827.3
3,601.3
4,022.7
4,277.5
4,461.9
2,382.5
2,559.2
2,694.1
2,874.6
17,150.9
17,790.1
18,554.2
19,163.7
1976*
1980*
19.3
19.6
12.5
21.7
10.3
-2.0
16.6
13.5
15.3
12.8
12.1
15.5
16.0
13.5
1985
1986
1987
1988
1989
8.1
11.7
5.7
5.9
5.2
4.8
6.3
8.3
6.1
3.3
2.9
-8.0
-0.4
3.9
5.5
14.1
9.7
9.2
9.1
9.0
11.8
7.6
7.3
9.3
9.3
3.9
6.9
18.8
17.2
17.3
12.7
9.0
9.5
9.8
9.9
1990
1991
1992
1993
1994
12.0
8.1
4.8
5.2
-0.4
20.5
11.8
6.9
6.5
3.9
4.6
3.5
3.2
3.7
5.1
8.3
8.1
5.2
5.3
6.2
7.4
5.1
4.7
6.2
7.5
14.2
10.3
9.6
7.9
8.8
8.6
7.7
5.6
5.8
6.8
1995
1996
1997
1998
1999
-10.5
-5.6
3.5
0.3
6.0
1.0
-0.3
1.3
3.7
8.4
6.7
9.5
1.6
18.1
6.7
5.8
4.2
4.6
7.2
7.9
6.9
3.4
20.8
5.0
2.7
5.2
5.4
20.9
-3.8
15.2
6.0
4.2
9.8
5.3
7.6
2000
2001
2002
2003
2004
7.6
9.8
12.1
1.5
9.1
10.6
2.6
8.2
4.9
15.8
14.6
-15.3
75.0
-24.3
18.2
6.3
8.5
6.4
3.1
6.0
10.1
7.1
1.9
-4.8
15.4
2.8
19.2
3.8
2.2
6.2
6.7
9.5
5.0
1.3
7.9
2005
2006
2007
2008
2009
5.6
3.7
4.6
6.9
8.9
0.3
15.1
8.8
6.1
9.3
9.2
19.7
-19.7
59.8
1.9
9.6
5.2
7.2
6.5
2.0
5.2
8.5
9.9
3.7
7.3
5.1
18.6
-2.2
12.7
-1.8
8.1
7.6
6.5
6.6
2.6
2010
2011
2012 f
2013 f
6.2
1.4
1.3
2.2
7.2
8.4
6.7
5.0
-26.7
33.9
1.8
1.8
-2.8
0.4
3.3
2.1
-8.3
11.7
6.3
4.3
8.1
7.4
5.3
6.7
-2.6
3.7
4.3
3.3
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
130
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table A.3.2.1—Part 2
Private-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars (cont'd)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
Capital
E
F
Public Health
Administration
G
($’ 000,000)
Other Health Spending
Health
Research
Other
H
Subtotal
J
Grand Total
A+B+C+D
+E+F+G+H+J
613.1
667.6
721.4
724.7
776.5
305.6
316.0
324.5
392.8
495.5
918.7
983.6
1,045.9
1,117.6
1,272.0
159.6
177.1
178.3
217.4
177.3
-----------
72.2
62.0
90.2
86.2
100.1
23.4
29.5
36.4
43.2
50.3
94.7
91.4
96.6
77.1
79.5
118.2
120.9
132.9
120.3
129.8
2,899.2
3,232.6
3,605.4
4,066.3
4,617.4
833.3
1,110.2
1,240.5
1,289.8
1,312.7
586.3
655.0
715.0
845.9
1,058.6
1,419.6
1,765.2
1,955.5
2,135.6
2,371.3
355.4
379.3
489.1
371.4
364.3
-----------
117.1
186.5
146.6
172.7
250.3
63.0
66.4
73.8
82.1
91.2
87.8
95.2
99.7
105.0
108.6
150.8
161.6
173.4
187.2
199.9
5,456.5
6,334.1
7,312.3
7,958.6
8,786.3
1,447.7
1,698.8
1,800.4
2,034.0
2,292.0
1,235.9
1,399.0
1,621.7
1,784.9
1,975.6
2,683.6
3,097.9
3,422.2
3,818.9
4,267.7
414.4
449.9
480.7
351.0
390.4
-----------
269.2
296.4
280.4
426.3
660.2
102.8
119.7
136.1
164.1
196.1
118.2
133.0
149.9
177.4
212.9
221.0
252.7
286.0
341.5
408.9
9,746.9
10,808.7
11,733.5
12,796.4
14,184.3
2,593.9
2,861.9
3,192.3
3,558.7
3,673.3
2,058.7
2,236.6
2,418.1
2,576.0
2,764.0
4,652.5
5,098.5
5,610.4
6,134.7
6,437.4
383.4
341.7
363.1
366.7
329.6
-----------
665.4
746.8
805.0
1,060.0
1,226.4
226.2
249.8
265.5
275.6
293.2
243.8
270.9
299.3
351.4
375.3
470.0
520.7
564.8
627.0
668.4
15,577.1
16,906.9
18,112.0
19,578.1
20,574.2
4,033.8
4,273.3
4,933.2
5,443.5
5,689.0
2,788.4
2,846.7
2,976.8
3,171.3
3,358.8
6,822.2
7,120.0
7,910.0
8,614.9
9,047.9
439.1
474.0
364.3
427.5
882.1
-----------
1,274.1
1,309.1
1,291.4
1,110.3
1,333.2
319.4
332.1
358.9
557.5
631.0
431.2
409.4
469.0
487.8
567.6
750.6
741.5
827.9
1,045.2
1,198.6
21,370.1
21,910.5
23,533.1
24,897.9
27,180.6
6,429.3
7,102.5
7,943.9
8,848.5
9,594.0
3,420.3
3,536.4
3,684.7
3,762.2
3,930.2
9,849.6
10,638.9
11,628.6
12,610.7
13,524.2
830.6
1,088.8
1,232.5
1,423.5
1,099.2
-----------
1,514.4
1,990.1
2,304.3
2,605.2
2,748.2
706.5
806.5
871.2
994.9
1,078.9
597.0
573.2
732.5
731.6
626.7
1,303.5
1,379.7
1,603.7
1,726.4
1,705.6
29,335.0
32,216.6
35,147.3
37,025.3
39,515.7
10,198.4
11,214.9
11,831.7
12,635.0
13,278.8
4,083.7
4,263.7
4,439.9
4,515.7
4,756.5
14,282.2
15,478.5
16,271.7
17,150.6
18,035.3
1,480.1
2,055.0
1,550.9
1,406.3
1,517.0
-----------
2,734.5
2,721.2
2,982.7
3,292.3
3,296.3
1,100.1
1,174.8
1,202.6
1,203.2
1,261.2
723.4
847.3
916.1
954.9
920.1
1,823.5
2,022.2
2,118.7
2,158.1
2,181.3
42,050.8
45,805.1
47,919.9
50,777.0
53,095.8
15,828.4
15,944.2
16,450.5
17,112.1
4,839.6
5,068.9
5,034.1
5,176.1
20,668.0
21,013.1
21,484.6
22,288.2
2,057.0
2,026.6
2,144.2
1,911.4
---------
3,507.8
3,789.8
3,829.5
3,885.1
1,311.3
1,280.5
1,352.1
1,383.9
1,592.9
1,736.0
1,795.3
1,835.6
2,904.2
3,016.5
3,147.4
3,219.5
57,309.3
59,294.8
61,298.1
63,052.0
8.9
7.3
3.4
18.3
7.1
11.6
11.0
100.4
-----
-14.1
17.0
26.0
25.4
-3.6
10.4
2.3
16.2
11.5
18.2
10.3
17.3
6.0
13.0
12.7
16.7
13.2
15.9
10.1
10.7
13.2
15.4
10.5
11.6
11.8
13.8
8.6
6.9
-27.0
11.2
-----------
7.6
10.1
-5.4
52.0
54.9
12.7
16.4
13.7
20.6
19.5
8.8
12.5
12.7
18.3
20.0
10.6
14.3
13.2
19.4
19.7
10.9
10.9
8.6
9.1
10.8
13.2
10.3
11.5
11.5
3.2
4.2
8.6
8.1
6.5
7.3
9.0
9.6
10.0
9.3
4.9
-1.8
-10.9
6.3
1.0
-10.1
-----------
0.8
12.2
7.8
31.7
15.7
15.4
10.4
6.3
3.8
6.4
14.5
11.1
10.5
17.4
6.8
14.9
10.8
8.5
11.0
6.6
9.8
8.5
7.1
8.1
5.1
9.8
5.9
15.4
10.3
4.5
0.9
2.1
4.6
6.5
5.9
6.0
4.4
11.1
8.9
5.0
33.2
7.9
-23.1
17.3
106.3
-----------
3.9
2.7
-1.3
-14.0
20.1
9.0
4.0
8.1
55.3
13.2
14.9
-5.1
14.6
4.0
16.4
12.3
-1.2
11.6
26.3
14.7
3.9
2.5
7.4
5.8
9.2
13.0
10.5
11.8
11.4
8.4
1.8
3.4
4.2
2.1
4.5
8.9
8.0
9.3
8.4
7.2
-5.8
31.1
13.2
15.5
-22.8
-----------
13.6
31.4
15.8
13.1
5.5
12.0
14.2
8.0
14.2
8.4
5.2
-4.0
27.8
-0.1
-14.3
8.7
5.9
16.2
7.7
-1.2
7.9
9.8
9.1
5.3
6.7
6.3
10.0
5.5
6.8
5.1
3.9
4.4
4.1
1.7
5.3
5.6
8.4
5.1
5.4
5.2
34.7
38.8
-24.5
-9.3
7.9
-----------
-0.5
-0.5
9.6
10.4
0.1
2.0
6.8
2.4
0.1
4.8
15.4
17.1
8.1
4.2
-3.6
6.9
10.9
4.8
1.9
1.1
6.4
8.9
4.6
6.0
4.6
19.2
0.7
3.2
4.0
1.7
4.7
-0.7
2.8
14.6
1.7
2.2
3.7
35.6
-1.5
5.8
-10.9
---------
6.4
8.0
1.0
1.5
4.0
-2.4
5.6
2.4
73.1
9.0
3.4
2.2
33.1
3.9
4.3
2.3
7.9
3.5
3.4
2.9
(annual percentage change)*
Canadian Institute for Health Information, 2013.
131
National Health Expenditure Trends, 1975 to 2013
Table A.3.2.2—Part 1
Private-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars
Other Professionals
Vision Care
Services
Other
Hospitals
Other
Institutions
Year
A
B
1975
1976
1977
1978
1979
11.0
11.7
11.7
12.8
13.6
11.3
11.4
11.1
11.9
12.8
0.9
0.9
0.9
0.9
1.1
23.6
24.7
26.4
26.7
26.7
6.6
6.8
7.0
7.0
6.7
2.8
2.8
2.8
2.7
2.8
33.0
34.3
36.2
36.4
36.1
1980
1981
1982
1983
1984
13.7
14.3
14.9
15.6
16.0
13.2
11.7
11.7
11.9
11.3
0.9
0.8
0.9
1.0
0.9
25.6
24.2
24.7
24.7
24.3
6.4
6.9
7.1
7.7
8.1
2.8
2.8
2.9
3.1
3.1
34.7
33.9
34.7
35.5
35.5
1985
1986
1987
1988
1989
15.6
15.7
15.3
14.9
14.1
10.7
10.2
10.2
9.9
9.3
0.9
0.7
0.7
0.6
0.6
25.0
24.7
24.9
24.9
24.5
8.2
7.9
7.8
7.8
7.7
2.9
2.8
3.1
3.3
3.5
36.0
35.4
35.7
36.0
35.7
1990
1991
1992
1993
1994
14.4
14.3
14.0
13.6
12.9
10.2
10.5
10.4
10.3
10.2
0.6
0.5
0.5
0.5
0.5
24.1
24.0
23.6
23.0
23.2
7.6
7.3
7.2
7.0
7.2
3.6
3.7
3.7
3.7
3.9
35.3
35.0
34.5
33.8
34.3
1995
1996
1997
1998
1999
11.1
10.3
9.9
9.4
9.1
9.9
9.6
9.1
8.9
8.8
0.5
0.5
0.5
0.6
0.6
23.7
24.1
23.4
23.7
23.5
7.4
7.5
8.4
8.3
7.8
3.9
4.0
4.5
4.1
4.4
35.0
35.6
36.4
36.2
35.7
2000
2001
2002
2003
2004
9.1
9.1
9.3
9.0
9.2
9.0
8.4
8.4
8.3
9.0
0.6
0.5
0.7
0.5
0.6
23.1
22.8
22.3
21.8
21.6
8.0
7.8
7.3
6.6
7.1
4.1
4.5
4.3
4.2
4.1
35.3
35.2
33.8
32.5
32.9
2005
2006
2007
2008
2009
9.1
8.7
8.7
8.8
9.1
8.5
9.0
9.4
9.4
9.8
0.6
0.7
0.5
0.8
0.7
22.3
21.5
22.1
22.2
21.6
7.0
7.0
7.4
7.2
7.4
4.1
4.4
4.2
4.4
4.2
33.4
33.0
33.6
33.8
33.2
2010
2011
2012 f
2013 f
9.0
8.8
8.6
8.6
9.7
10.2
10.5
10.8
0.5
0.7
0.6
0.6
19.5
18.9
18.9
18.8
6.3
6.8
7.0
7.1
4.2
4.3
4.4
4.6
29.9
30.0
30.3
30.4
1976*
1980*
7.0
1.2
0.9
2.9
-1.1
-17.0
4.6
-3.9
3.4
-4.6
0.5
-2.3
4.0
-3.9
1985
1986
1987
1988
1989
-2.6
0.7
-2.6
-2.9
-5.1
-5.6
-4.1
-0.2
-2.7
-6.8
-7.3
-17.0
-8.2
-4.8
-4.8
2.8
-1.1
0.6
0.0
-1.6
0.8
-2.9
-1.2
0.2
-1.4
-6.3
-3.6
9.4
7.5
5.8
1.6
-1.7
0.9
0.7
-0.9
1990
1991
1992
1993
1994
1.9
-0.4
-2.2
-2.7
-5.2
9.7
3.0
-0.2
-1.5
-1.1
-4.7
-4.7
-3.7
-4.1
0.0
-1.4
-0.4
-1.8
-2.6
1.1
-2.2
-3.2
-2.2
-1.7
2.3
4.0
1.6
2.3
-0.2
3.6
-1.1
-0.8
-1.5
-2.1
1.6
1995
1996
1997
1998
1999
-13.8
-7.9
-3.6
-5.2
-2.9
-2.8
-2.8
-5.7
-2.0
-0.7
2.8
6.8
-5.4
11.6
-2.2
1.9
1.7
-2.6
1.3
-1.1
2.9
0.8
12.5
-0.8
-5.9
1.3
2.8
12.6
-9.1
5.5
2.0
1.6
2.2
-0.5
-1.5
2000
2001
2002
2003
2004
-0.3
0.0
2.7
-3.7
2.2
2.5
-6.5
-0.8
-0.4
8.5
6.2
-22.9
60.4
-28.1
10.7
-1.5
-1.2
-2.5
-2.1
-0.7
2.1
-2.5
-6.6
-9.6
8.1
-4.8
8.5
-4.8
-3.0
-0.5
-1.1
-0.3
-3.7
-3.9
1.1
2005
2006
2007
2008
2009
-0.7
-4.8
0.0
0.9
4.2
-5.7
5.7
4.0
0.1
4.5
2.7
9.9
-23.2
50.8
-2.5
3.0
-3.4
2.4
0.5
-2.5
-1.1
-0.4
5.0
-2.1
2.6
-1.3
8.9
-6.6
6.3
-6.1
1.6
-1.2
1.8
0.6
-1.9
2010
2011
2012 f
2013 f
-1.6
-2.0
-2.1
-0.6
-0.7
4.8
3.2
2.0
-32.0
29.4
-1.5
-1.0
-9.9
-3.0
0.0
-0.7
-15.1
8.0
2.9
1.4
0.1
3.8
1.8
3.7
-9.8
0.3
0.9
0.4
Physicians
Dental Services
C
(percentage distribution of $' 000,000)
Subtotal
D
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
132
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table A.3.2.2—Part 2
Private-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars (cont'd)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
Capital
E
F
Public Health
Administration
Other Health Spending
Health
Research
Other
G
H
(percentage distribution of $’ 000,000)
Subtotal
J
Grand Total
A+B+C+D
+E+F+G+H+J
21.1
20.7
20.0
17.8
16.8
10.5
9.8
9.0
9.7
10.7
31.7
30.4
29.0
27.5
27.5
5.5
5.5
4.9
5.3
3.8
-----------
2.5
1.9
2.5
2.1
2.2
0.8
0.9
1.0
1.1
1.1
3.3
2.8
2.7
1.9
1.7
4.1
3.7
3.7
3.0
2.8
100.0
100.0
100.0
100.0
100.0
15.3
17.5
17.0
16.2
14.9
10.7
10.3
9.8
10.6
12.0
26.0
27.9
26.7
26.8
27.0
6.5
6.0
6.7
4.7
4.1
-----------
2.1
2.9
2.0
2.2
2.8
1.2
1.0
1.0
1.0
1.0
1.6
1.5
1.4
1.3
1.2
2.8
2.6
2.4
2.4
2.3
100.0
100.0
100.0
100.0
100.0
14.9
15.7
15.3
15.9
16.2
12.7
12.9
13.8
13.9
13.9
27.5
28.7
29.2
29.8
30.1
4.3
4.2
4.1
2.7
2.8
-----------
2.8
2.7
2.4
3.3
4.7
1.1
1.1
1.2
1.3
1.4
1.2
1.2
1.3
1.4
1.5
2.3
2.3
2.4
2.7
2.9
100.0
100.0
100.0
100.0
100.0
16.7
16.9
17.6
18.2
17.9
13.2
13.2
13.4
13.2
13.4
29.9
30.2
31.0
31.3
31.3
2.5
2.0
2.0
1.9
1.6
-----------
4.3
4.4
4.4
5.4
6.0
1.5
1.5
1.5
1.4
1.4
1.6
1.6
1.7
1.8
1.8
3.0
3.1
3.1
3.2
3.2
100.0
100.0
100.0
100.0
100.0
18.9
19.5
21.0
21.9
20.9
13.0
13.0
12.6
12.7
12.4
31.9
32.5
33.6
34.6
33.3
2.1
2.2
1.5
1.7
3.2
-----------
6.0
6.0
5.5
4.5
4.9
1.5
1.5
1.5
2.2
2.3
2.0
1.9
2.0
2.0
2.1
3.5
3.4
3.5
4.2
4.4
100.0
100.0
100.0
100.0
100.0
21.9
22.0
22.6
23.9
24.3
11.7
11.0
10.5
10.2
9.9
33.6
33.0
33.1
34.1
34.2
2.8
3.4
3.5
3.8
2.8
-----------
5.2
6.2
6.6
7.0
7.0
2.4
2.5
2.5
2.7
2.7
2.0
1.8
2.1
2.0
1.6
4.4
4.3
4.6
4.7
4.3
100.0
100.0
100.0
100.0
100.0
24.3
24.5
24.7
24.9
25.0
9.7
9.3
9.3
8.9
9.0
34.0
33.8
34.0
33.8
34.0
3.5
4.5
3.2
2.8
2.9
-----------
6.5
5.9
6.2
6.5
6.2
2.6
2.6
2.5
2.4
2.4
1.7
1.8
1.9
1.9
1.7
4.3
4.4
4.4
4.3
4.1
100.0
100.0
100.0
100.0
100.0
27.6
26.9
26.8
27.1
8.4
8.5
8.2
8.2
36.1
35.4
35.0
35.3
3.6
3.4
3.5
3.0
---------
6.1
6.4
6.2
6.2
2.3
2.2
2.2
2.2
2.8
2.9
2.9
2.9
5.1
5.1
5.1
5.1
100.0
100.0
100.0
100.0
-2.4
-9.2
-7.3
0.1
-4.0
-5.6
-0.5
69.6
-----
-23.0
-1.0
13.0
6.1
-13.5
-6.6
-8.3
-1.7
-----
-0.6
5.8
-2.4
3.6
1.7
5.2
2.1
6.8
0.9
-0.1
2.0
4.1
1.8
2.3
0.8
2.5
-2.1
-1.6
-33.0
0.3
-----------
-3.0
-0.7
-12.8
39.4
39.7
1.6
4.9
4.8
10.6
7.8
-1.9
1.5
3.8
8.5
8.3
-0.3
3.1
4.3
9.5
8.0
-----------
3.0
1.7
4.1
3.1
-1.8
-5.1
0.1
0.9
-1.4
2.1
-0.7
1.0
2.7
1.2
-0.1
-10.6
-17.9
-0.8
-6.6
-14.5
-----------
-8.2
3.4
0.6
21.8
10.1
5.1
1.7
-0.8
-4.0
1.2
4.3
2.4
3.2
8.6
1.6
4.7
2.1
1.3
2.7
1.5
-----------
5.7
3.3
7.5
4.3
-4.3
-2.9
-0.4
-2.6
0.7
-3.0
2.0
1.8
3.4
2.9
-3.8
28.3
5.3
-28.4
10.9
89.0
-----------
0.0
0.2
-8.1
-18.7
10.0
4.9
1.4
0.6
46.8
3.7
10.6
-7.4
6.7
-1.7
6.6
8.1
-3.7
4.0
19.3
5.0
-----------
4.7
0.6
2.5
5.7
1.6
-5.6
-5.9
-4.5
-3.1
-2.1
0.9
-1.6
0.2
2.9
0.5
-12.8
19.4
3.8
9.6
-27.6
-----------
5.2
19.7
6.1
7.3
-1.2
3.7
4.0
-1.0
8.4
1.6
-2.5
-12.6
17.1
-5.2
-19.7
0.8
-3.6
6.5
2.2
-7.4
-----------
-0.1
1.0
0.8
0.8
0.5
-2.4
-4.2
-0.5
-4.0
0.7
-0.8
-0.5
0.5
-0.5
0.6
26.5
27.5
-27.9
-14.4
3.2
-----------
-6.5
-8.6
4.8
4.2
-4.3
-4.2
-2.0
-2.2
-5.6
0.2
8.5
7.5
3.3
-1.6
-7.8
0.5
1.8
0.1
-3.9
-3.3
-----------
10.4
-2.6
-0.2
1.1
-5.7
1.2
-3.9
0.0
6.2
-1.7
-1.1
0.9
25.6
-4.8
2.3
-13.3
---------
-1.4
4.4
-2.3
-1.4
-3.7
-5.6
2.1
-0.5
60.4
5.3
0.0
-0.6
23.4
0.4
0.9
-0.6
---------
(annual percentage change)*
Canadian Institute for Health Information, 2013.
133
National Health Expenditure Trends, 1975 to 2013
Table A.3.2.3—Part 1
Private-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars
Hospitals
Other
Institutions
Physicians
A
B
C
Dental Services
Other Professionals
Vision Care
Services
Other
Subtotal
D
Year
($’ per capita)
1975
1976
1977
1978
1979
13.7
16.2
17.7
21.7
25.9
14.2
15.8
16.9
20.2
24.4
1.2
1.3
1.4
1.6
2.2
29.6
34.1
40.1
45.4
50.9
8.2
9.4
10.6
11.9
12.7
3.5
3.9
4.3
4.6
5.4
41.4
47.3
55.0
61.9
69.0
1980
1981
1982
1983
1984
30.6
36.4
43.4
49.0
55.0
29.3
29.9
34.0
37.3
38.7
2.1
2.0
2.7
3.1
3.2
57.0
61.8
71.8
77.5
83.4
14.2
17.5
20.6
24.0
27.8
6.1
7.1
8.5
9.8
10.6
77.3
86.4
101.0
111.2
121.8
1985
1986
1987
1988
1989
58.9
65.1
67.9
71.0
73.4
40.2
42.3
45.3
47.4
48.1
3.2
2.9
2.9
3.0
3.1
94.3
102.4
110.3
118.8
127.2
30.8
32.8
34.7
37.4
40.2
10.9
11.5
13.5
15.7
18.0
135.9
146.7
158.6
171.9
185.4
1990
1991
1992
1993
1994
80.9
86.4
89.5
93.1
91.7
57.1
63.1
66.6
70.2
72.1
3.2
3.2
3.3
3.4
3.5
135.6
144.9
150.6
156.9
164.9
42.5
44.1
45.7
48.0
51.0
20.3
22.1
23.9
25.5
27.5
198.4
211.1
220.2
230.4
243.4
1995
1996
1997
1998
1999
81.3
75.9
77.8
77.5
81.5
72.1
71.1
71.3
73.3
78.8
3.7
4.0
4.1
4.8
5.0
172.7
178.1
184.4
195.9
209.8
54.0
55.2
66.0
68.8
70.1
28.6
29.9
35.7
34.1
38.9
255.3
263.2
286.2
298.8
318.8
2000
2001
2002
2003
2004
86.8
94.3
104.5
105.0
113.4
86.4
87.7
93.8
97.5
111.8
5.7
4.8
8.3
6.2
7.3
221.0
237.3
249.6
254.8
267.4
76.4
81.0
81.6
77.0
87.9
39.7
46.8
48.0
48.6
51.1
337.1
365.1
379.2
380.3
406.3
2005
2006
2007
2008
2009
118.6
122.0
126.3
133.5
143.6
111.0
126.8
136.5
143.0
154.4
7.9
9.3
7.4
11.7
11.8
290.3
303.0
321.2
338.0
340.5
91.6
98.6
107.2
109.9
116.5
53.2
62.5
60.5
67.4
65.4
435.0
464.1
488.9
515.2
522.3
2010
2011
2012 f
2013 f
150.8
151.3
151.4
153.1
163.6
175.5
185.1
192.2
8.5
11.3
11.4
11.5
327.2
325.0
332.1
335.3
105.5
116.7
122.6
126.5
69.8
74.2
77.2
81.5
502.6
515.9
531.9
543.3
(annual percentage change)*
1976*
1980*
17.8
18.0
11.1
20.1
8.8
-3.2
15.1
12.1
13.8
11.3
10.6
14.0
14.5
12.1
1985
1986
1987
1988
1989
7.1
10.6
4.3
4.5
3.3
3.8
5.2
6.9
4.8
1.5
1.9
-8.9
-1.7
2.5
3.6
13.0
8.6
7.7
7.7
7.1
10.8
6.6
5.8
7.9
7.4
3.0
5.9
17.2
15.7
15.2
11.6
7.9
8.1
8.4
7.9
1990
1991
1992
1993
1994
10.3
6.8
3.6
4.1
-1.4
18.7
10.5
5.6
5.3
2.8
3.1
2.3
2.0
2.5
3.9
6.6
6.8
4.0
4.2
5.1
5.7
3.8
3.5
5.1
6.3
12.5
8.9
8.3
6.7
7.7
7.0
6.4
4.3
4.6
5.6
1995
1996
1997
1998
1999
-11.4
-6.6
2.5
-0.5
5.2
-0.1
-1.4
0.3
2.8
7.5
5.6
8.4
0.6
17.1
5.9
4.7
3.1
3.5
6.3
7.1
5.8
2.3
19.6
4.1
1.9
4.1
4.3
19.7
-4.6
14.2
4.9
3.1
8.7
4.4
6.7
2000
2001
2002
2003
2004
6.6
8.6
10.8
0.5
8.0
9.6
1.5
7.0
3.9
14.6
13.6
-16.2
73.0
-25.0
17.0
5.4
7.4
5.2
2.1
4.9
9.1
6.0
0.7
-5.7
14.2
1.8
17.9
2.6
1.2
5.2
5.8
8.3
3.9
0.3
6.8
2005
2006
2007
2008
2009
4.6
2.9
3.5
5.7
7.6
-0.7
14.2
7.7
4.8
8.0
8.2
18.8
-20.5
58.0
0.7
8.6
4.4
6.0
5.2
0.7
4.2
7.7
8.7
2.5
6.0
4.1
17.7
-3.3
11.4
-3.0
7.1
6.7
5.3
5.4
1.4
2010
2011
2012 f
2013 f
5.0
0.3
0.1
1.1
5.9
7.3
5.5
3.8
-27.5
32.5
0.7
0.7
-3.9
-0.7
2.2
1.0
-9.4
10.5
5.1
3.1
6.8
6.3
4.1
5.5
-3.8
2.7
3.1
2.1
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
134
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table A.3.2.3—Part 2
Private-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars (cont'd)
Drugs
Prescribed Non-Prescribed
Drugs
Drugs
Subtotal
Capital
E
F
Public Health
Administration
G
($’ per capita)
Other Health Spending
Health
Research
Other
H
Subtotal
J
Grand Total
A+B+C+D
+E+F+G+H+J
26.5
28.5
30.4
30.2
32.1
13.2
13.5
13.7
16.4
20.5
39.7
41.9
44.1
46.6
52.6
6.9
7.6
7.5
9.1
7.3
-----------
3.1
2.6
3.8
3.6
4.1
1.0
1.3
1.5
1.8
2.1
4.1
3.9
4.1
3.2
3.3
5.1
5.2
5.6
5.0
5.4
125.3
137.9
152.0
169.7
190.8
34.0
44.7
49.4
50.8
51.3
23.9
26.4
28.5
33.3
41.3
57.9
71.1
77.9
84.2
92.6
14.5
15.3
19.5
14.6
14.2
-----------
4.8
7.5
5.8
6.8
9.8
2.6
2.7
2.9
3.2
3.6
3.6
3.8
4.0
4.1
4.2
6.2
6.5
6.9
7.4
7.8
222.6
255.2
291.1
313.7
343.1
56.0
65.1
68.1
75.9
84.0
47.8
53.6
61.3
66.6
72.4
103.8
118.7
129.4
142.5
156.4
16.0
17.2
18.2
13.1
14.3
-----------
10.4
11.4
10.6
15.9
24.2
4.0
4.6
5.1
6.1
7.2
4.6
5.1
5.7
6.6
7.8
8.6
9.7
10.8
12.7
15.0
377.2
414.1
443.6
477.6
519.9
93.6
102.1
112.5
124.1
126.7
74.3
79.8
85.2
89.8
95.3
168.0
181.9
197.8
213.9
222.0
13.8
12.2
12.8
12.8
11.4
-----------
24.0
26.6
28.4
37.0
42.3
8.2
8.9
9.4
9.6
10.1
8.8
9.7
10.6
12.3
12.9
17.0
18.6
19.9
21.9
23.1
562.4
603.1
638.5
682.6
709.5
137.7
144.3
164.9
180.5
187.1
95.2
96.1
99.5
105.2
110.5
232.8
240.5
264.5
285.7
297.6
15.0
16.0
12.2
14.2
29.0
-----------
43.5
44.2
43.2
36.8
43.9
10.9
11.2
12.0
18.5
20.8
14.7
13.8
15.7
16.2
18.7
25.6
25.0
27.7
34.7
39.4
729.3
739.9
786.9
825.6
894.0
209.5
229.0
253.2
279.3
299.9
111.4
114.0
117.4
118.8
122.8
320.9
343.0
370.7
398.1
422.7
27.1
35.1
39.3
44.9
34.4
-----------
49.3
64.2
73.5
82.2
85.9
23.0
26.0
27.8
31.4
33.7
19.5
18.5
23.3
23.1
19.6
42.5
44.5
51.1
54.5
53.3
955.9
1,038.5
1,120.3
1,168.9
1,235.0
315.6
344.3
359.3
379.2
393.7
126.4
130.9
134.8
135.5
141.0
442.0
475.1
494.2
514.8
534.7
45.8
63.1
47.1
42.2
45.0
-----------
84.6
83.5
90.6
98.8
97.7
34.0
36.1
36.5
36.1
37.4
22.4
26.0
27.8
28.7
27.3
56.4
62.1
64.3
64.8
64.7
1,301.4
1,406.1
1,455.3
1,524.0
1,574.3
463.8
462.4
471.6
485.1
141.8
147.0
144.3
146.7
605.6
609.4
616.0
631.8
60.3
58.8
61.5
54.2
---------
102.8
109.9
109.8
110.1
38.4
37.1
38.8
39.2
46.7
50.3
51.5
52.0
85.1
87.5
90.2
91.3
1,679.3
1,719.5
1,757.4
1,787.4
(annual percentage change)*
7.5
5.9
2.1
16.8
5.7
10.2
9.5
97.9
-----
-15.2
15.5
24.3
23.7
-4.8
9.0
1.0
14.7
10.0
16.7
9.3
16.2
4.6
11.5
10.7
15.7
12.1
14.4
8.6
8.7
12.1
14.3
9.0
10.2
9.8
12.7
7.5
5.4
-27.9
9.2
-----------
6.6
9.0
-6.6
50.0
52.1
11.7
15.2
12.2
19.0
17.3
7.8
11.4
11.2
16.8
17.9
9.6
13.2
11.7
17.8
17.6
9.9
9.8
7.1
7.6
8.9
11.5
9.0
10.2
10.3
2.1
2.6
7.3
6.8
5.4
6.1
7.4
8.3
8.7
8.1
3.8
-3.3
-11.9
5.0
-0.1
-11.1
-----------
-0.7
10.9
6.5
30.2
14.4
13.7
9.1
5.0
2.7
5.2
12.8
9.8
9.2
16.1
5.6
13.2
9.4
7.2
9.8
5.4
8.2
7.2
5.9
6.9
3.9
8.7
4.8
14.3
9.4
3.7
-0.2
1.0
3.5
5.7
5.1
4.9
3.3
10.0
8.0
4.2
31.8
6.8
-23.9
16.4
104.7
-----------
2.8
1.7
-2.3
-14.7
19.1
7.8
2.9
7.0
54.0
12.3
13.7
-6.1
13.4
3.1
15.4
11.1
-2.2
10.5
25.2
13.7
2.8
1.5
6.3
4.9
8.3
12.0
9.3
10.6
10.3
7.3
0.9
2.3
3.0
1.1
3.4
7.8
6.9
8.1
7.4
6.2
-6.7
29.7
11.9
14.4
-23.6
-----------
12.5
30.0
14.5
12.0
4.4
10.9
12.9
6.8
13.1
7.4
4.2
-5.0
26.4
-1.1
-15.2
7.7
4.7
14.9
6.6
-2.2
6.9
8.6
7.9
4.3
5.7
5.3
9.1
4.4
5.5
3.8
2.9
3.6
3.0
0.5
4.1
4.6
7.5
4.0
4.2
3.9
33.3
37.7
-25.3
-10.4
6.6
-----------
-1.5
-1.3
8.4
9.1
-1.1
1.0
5.9
1.3
-1.1
3.5
14.3
16.2
7.0
3.0
-4.8
5.9
10.0
3.7
0.7
-0.1
5.4
8.0
3.5
4.7
3.3
17.8
-0.3
2.0
2.9
0.6
3.7
-1.8
1.7
13.3
0.6
1.1
2.6
34.0
-2.5
4.6
-11.9
---------
5.2
6.9
-0.1
0.3
2.8
-3.4
4.4
1.2
71.1
7.9
2.2
1.1
31.6
2.8
3.2
1.1
6.7
2.4
2.2
1.7
Canadian Institute for Health Information, 2013.
135
National Health Expenditure Trends, 1975 to 2013
Table A.3.3.1—Part 1
Public-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars
Year
Hospitals
Other
Institutions
Physicians
A
B
C
Dental Services
Other Professionals
Vision Care
Services
Other
Subtotal
D
($’ 000,000)
1975
1976
1977
1978
1979
5,136.8
5,977.7
6,372.7
6,861.9
7,487.6
796.6
999.1
1,175.2
1,367.5
1,581.4
1,813.2
2,041.5
2,252.1
2,528.3
2,804.5
56.4
69.8
83.7
104.0
143.8
35.9
40.6
44.9
51.9
58.0
46.7
53.9
60.5
75.5
88.9
139.0
164.4
189.1
231.4
290.7
1980
1981
1982
1983
1984
8,585.2
10,127.4
12,001.9
13,174.5
13,936.3
1,821.5
2,146.7
2,531.4
2,794.4
2,923.3
3,236.0
3,775.1
4,353.1
4,973.3
5,444.6
194.9
278.4
270.0
260.7
266.7
67.2
78.7
91.1
105.7
117.7
104.9
126.7
143.0
164.0
181.0
367.1
483.9
504.2
530.3
565.4
1985
1986
1987
1988
1989
14,737.7
15,937.1
17,154.2
18,497.2
20,269.0
3,066.5
2,982.4
3,132.1
3,468.3
3,828.5
5,962.1
6,597.9
7,266.2
7,862.5
8,422.7
275.5
287.2
286.3
311.3
350.3
130.4
146.1
157.3
180.8
205.6
214.6
260.7
276.4
296.0
341.5
620.5
693.9
719.9
788.2
897.4
1990
1991
1992
1993
1994
20,528.1
21,783.2
22,652.4
22,619.1
22,096.8
5,100.4
5,868.3
6,253.8
6,190.4
6,266.4
9,090.9
10,014.4
10,249.6
10,306.3
10,533.3
371.7
387.9
394.8
407.3
418.6
235.9
265.5
262.2
229.7
221.2
379.8
442.9
470.5
460.6
429.2
987.4
1,096.3
1,127.6
1,097.6
1,069.1
1995
1996
1997
1998
1999
21,849.5
21,997.3
22,307.5
23,530.4
24,752.0
6,498.1
6,591.3
6,834.2
7,172.5
7,578.7
10,506.5
10,651.8
11,103.5
11,627.8
12,255.4
408.1
374.0
365.2
352.3
375.5
197.1
196.9
215.1
204.7
219.3
427.6
426.2
448.1
481.1
523.7
1,032.9
997.1
1,028.4
1,038.0
1,118.5
2000
2001
2002
2003
2004
26,950.8
28,602.5
30,672.8
32,886.3
35,253.3
8,170.9
8,784.4
9,308.2
9,842.0
10,629.2
13,045.5
14,001.5
14,939.4
16,084.4
17,084.0
391.4
400.0
414.2
401.7
417.3
230.5
247.8
239.9
244.0
250.3
577.2
559.3
521.4
526.9
530.7
1,199.1
1,207.0
1,175.5
1,172.6
1,198.4
2005
2006
2007
2008
2009
37,094.4
39,686.0
42,354.8
45,363.7
48,322.7
11,064.6
11,593.5
12,191.8
12,808.0
13,671.1
18,302.7
19,743.2
21,308.7
23,389.6
25,275.8
442.1
495.8
533.1
577.3
656.6
223.0
231.5
239.8
264.3
296.0
469.7
482.8
541.9
619.5
658.5
1,134.8
1,210.1
1,314.9
1,461.1
1,611.1
2010
2011
2012 f
2013 f
51,640.5
53,760.5
55,714.7
57,153.7
14,407.6
14,717.2
15,162.3
15,497.9
27,153.3
28,862.1
29,866.7
30,950.9
707.5
713.8
744.5
755.8
311.8
332.4
344.6
359.2
672.1
713.5
762.4
793.3
1,691.4
1,759.6
1,851.5
1,908.3
1976*
1980*
16.4
14.7
25.4
15.2
12.6
15.4
23.8
35.5
13.3
15.9
15.4
18.0
18.3
26.3
1985
1986
1987
1988
1989
5.8
8.1
7.6
7.8
9.6
4.9
-2.7
5.0
10.7
10.4
9.5
10.7
10.1
8.2
7.1
3.3
4.2
-0.3
8.8
12.5
10.8
12.0
7.7
14.9
13.7
18.5
21.5
6.0
7.1
15.4
9.7
11.8
3.8
9.5
13.9
1990
1991
1992
1993
1994
1.3
6.1
4.0
-0.1
-2.3
33.2
15.1
6.6
-1.0
1.2
7.9
10.2
2.3
0.6
2.2
6.1
4.4
1.8
3.2
2.8
14.7
12.6
-1.2
-12.4
-3.7
11.2
16.6
6.2
-2.1
-6.8
10.0
11.0
2.8
-2.7
-2.6
1995
1996
1997
1998
1999
-1.1
0.7
1.4
5.5
5.2
3.7
1.4
3.7
4.9
5.7
-0.3
1.4
4.2
4.7
5.4
-2.5
-8.4
-2.4
-3.5
6.6
-10.9
-0.1
9.3
-4.9
7.1
-0.4
-0.3
5.2
7.3
8.9
-3.4
-3.5
3.1
0.9
7.7
2000
2001
2002
2003
2004
8.9
6.1
7.2
7.2
7.2
7.8
7.5
6.0
5.7
8.0
6.4
7.3
6.7
7.7
6.2
4.3
2.2
3.6
-3.0
3.9
5.1
7.5
-3.2
1.7
2.6
10.2
-3.1
-6.8
1.1
0.7
7.2
0.7
-2.6
-0.2
2.2
2005
2006
2007
2008
2009
5.2
7.0
6.7
7.1
6.5
4.1
4.8
5.2
5.1
6.7
7.1
7.9
7.9
9.8
8.1
5.9
12.1
7.5
8.3
13.7
-10.9
3.8
3.6
10.2
12.0
-11.5
2.8
12.3
14.3
6.3
-5.3
6.6
8.7
11.1
10.3
2010
2011
2012 f
2013 f
6.9
4.1
3.6
2.6
5.4
2.1
3.0
2.2
7.4
6.3
3.5
3.6
7.8
0.9
4.3
1.5
5.3
6.6
3.7
4.2
2.1
6.2
6.9
4.0
5.0
4.0
5.2
3.1
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
136
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table A.3.3.1—Part 2
Public-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars (cont'd)
Prescribed
Drugs
Drugs
Non-Prescribed
Drugs
Subtotal
Capital
E
F
Public Health
Administration
G
($’ 000,000)
Other Health Spending
Health
Research
Other
H
Subtotal
J
Grand Total
A+B+C+D
+E+F+G+H+J
158.6
215.8
266.6
327.9
386.4
-----------
158.6
215.8
266.6
327.9
386.4
376.4
367.0
385.4
454.8
547.8
406.8
510.6
598.5
615.4
707.0
271.4
299.9
318.1
320.6
351.7
70.3
75.9
93.1
107.2
123.4
131.2
165.3
193.7
225.4
271.8
201.6
241.2
286.8
332.6
395.2
9,300.3
10,817.2
11,844.6
13,040.5
14,552.3
465.0
566.9
683.6
817.4
942.8
-----------
465.0
566.9
683.6
817.4
942.8
635.3
731.9
905.7
1,065.2
1,139.9
845.4
1,006.1
1,149.7
1,241.4
1,376.5
395.2
445.0
546.6
590.9
647.3
139.5
164.7
184.2
215.1
245.7
351.8
495.0
586.4
677.4
735.1
491.3
659.7
770.6
892.5
980.8
16,841.8
19,942.6
23,446.8
26,080.0
27,956.9
1,118.7
1,319.2
1,492.7
1,702.8
1,970.9
-----------
1,118.7
1,319.2
1,492.7
1,702.8
1,970.9
1,236.9
1,351.5
1,391.1
1,550.7
1,702.4
1,515.7
1,570.2
1,661.0
1,786.6
1,953.6
696.8
734.2
779.6
799.2
864.8
279.0
334.0
316.9
343.9
393.1
861.6
1,009.1
1,142.0
1,364.3
1,609.5
1,140.6
1,343.1
1,458.9
1,708.2
2,002.6
30,095.5
32,529.4
35,055.7
38,163.7
41,911.9
2,277.8
2,604.5
2,904.9
3,041.6
3,086.6
-----------
2,277.8
2,604.5
2,904.9
3,041.6
3,086.6
1,740.3
1,685.8
1,694.9
1,650.2
1,943.2
2,231.4
2,415.8
2,578.8
2,691.5
2,971.0
1,023.9
1,043.1
1,058.4
1,072.3
1,163.5
455.5
466.8
557.1
530.4
518.4
2,080.0
2,552.1
2,664.3
2,741.6
2,937.3
2,535.5
3,019.0
3,221.4
3,272.0
3,455.7
45,515.8
49,530.5
51,741.7
51,941.0
52,585.4
3,366.2
3,331.3
3,598.8
4,007.5
4,551.3
-----------
3,366.2
3,331.3
3,598.8
4,007.5
4,551.3
1,824.0
1,685.9
1,757.6
1,874.0
2,626.8
3,136.7
3,277.7
3,420.9
4,295.3
4,419.2
1,173.2
1,154.6
1,217.0
1,344.0
1,450.9
478.7
467.3
716.1
733.9
693.3
3,001.6
3,017.6
3,224.3
3,545.9
3,837.3
3,480.2
3,484.9
3,940.4
4,279.8
4,530.6
52,867.3
53,171.8
55,208.5
59,169.4
63,283.4
5,295.2
6,064.1
6,807.0
7,565.2
8,261.8
-----------
5,295.2
6,064.1
6,807.0
7,565.2
8,261.8
3,134.9
3,419.9
3,700.5
4,178.1
4,410.8
4,896.5
5,628.3
5,851.0
6,909.1
7,016.6
1,595.5
1,741.1
1,866.8
2,042.8
2,150.8
873.5
1,266.2
1,186.3
1,325.2
1,397.7
4,106.4
4,255.8
4,384.8
4,543.0
4,619.1
4,979.9
5,522.0
5,571.1
5,868.2
6,016.8
69,268.5
74,970.8
79,892.4
86,548.6
92,021.5
8,911.3
9,583.7
10,123.0
10,723.6
11,478.4
-----------
8,911.3
9,583.7
10,123.0
10,723.6
11,478.4
5,116.6
5,185.7
5,704.5
6,761.0
7,241.7
7,854.9
8,508.7
9,097.8
9,532.9
9,862.6
2,351.6
2,413.1
2,571.8
2,477.0
2,505.0
1,452.1
1,718.8
1,918.4
2,403.0
2,335.2
4,962.9
5,297.8
5,756.8
6,363.5
6,705.2
6,414.9
7,016.6
7,675.2
8,766.5
9,040.4
98,245.9
104,940.6
112,342.5
121,283.4
129,008.8
11,720.1
11,964.3
12,176.1
12,178.7
---------
11,720.1
11,964.3
12,176.1
12,178.7
8,043.7
7,798.3
7,524.1
7,843.3
9,892.7
10,426.6
10,627.6
10,781.9
2,470.3
2,481.0
2,514.1
2,524.5
2,148.0
2,072.4
2,008.6
2,008.0
6,865.3
6,957.7
7,130.8
7,312.3
9,013.2
9,030.2
9,139.4
9,320.2
136,032.9
140,799.9
144,576.3
148,159.4
36.1
20.3
-----
36.1
20.3
-2.5
16.0
25.5
19.6
10.5
12.4
8.0
13.1
25.9
29.4
19.7
24.3
16.3
15.7
18.7
17.9
13.2
14.1
15.7
-----------
18.7
17.9
13.2
14.1
15.7
8.5
9.3
2.9
11.5
9.8
10.1
3.6
5.8
7.6
9.3
7.6
5.4
6.2
2.5
8.2
13.6
19.7
-5.1
8.5
14.3
17.2
17.1
13.2
19.5
18.0
16.3
17.8
8.6
17.1
17.2
7.6
8.1
7.8
8.9
9.8
15.6
14.3
11.5
4.7
1.5
-----------
15.6
14.3
11.5
4.7
1.5
2.2
-3.1
0.5
-2.6
17.8
14.2
8.3
6.7
4.4
10.4
18.4
1.9
1.5
1.3
8.5
15.9
2.5
19.3
-4.8
-2.3
29.2
22.7
4.4
2.9
7.1
26.6
19.1
6.7
1.6
5.6
8.6
8.8
4.5
0.4
1.2
9.1
-1.0
8.0
11.4
13.6
-----------
9.1
-1.0
8.0
11.4
13.6
-6.1
-7.6
4.3
6.6
40.2
5.6
4.5
4.4
25.6
2.9
0.8
-1.6
5.4
10.4
8.0
-7.7
-2.4
53.2
2.5
-5.5
2.2
0.5
6.9
10.0
8.2
0.7
0.1
13.1
8.6
5.9
0.5
0.6
3.8
7.2
7.0
16.3
14.5
12.3
11.1
9.2
-----------
16.3
14.5
12.3
11.1
9.2
19.3
9.1
8.2
12.9
5.6
10.8
14.9
4.0
18.1
1.6
10.0
9.1
7.2
9.4
5.3
26.0
45.0
-6.3
11.7
5.5
7.0
3.6
3.0
3.6
1.7
9.9
10.9
0.9
5.3
2.5
9.5
8.2
6.6
8.3
6.3
7.9
7.5
5.6
5.9
7.0
-----------
7.9
7.5
5.6
5.9
7.0
16.0
1.3
10.0
18.5
7.1
11.9
8.3
6.9
4.8
3.5
9.3
2.6
6.6
-3.7
1.1
3.9
18.4
11.6
25.3
-2.8
7.4
6.7
8.7
10.5
5.4
6.6
9.4
9.4
14.2
3.1
6.8
6.8
7.1
8.0
6.4
2.1
2.1
1.8
0.0
---------
2.1
2.1
1.8
0.0
11.1
-3.1
-3.5
4.2
0.3
5.4
1.9
1.5
-1.4
0.4
1.3
0.4
-8.0
-3.5
-3.1
0.0
2.4
1.3
2.5
2.5
-0.3
0.2
1.2
2.0
5.4
3.5
2.7
2.5
(annual percentage change)*
Canadian Institute for Health Information, 2013.
137
National Health Expenditure Trends, 1975 to 2013
Table A.3.3.2—Part 1
Public-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars
Other Professionals
Vision Care
Services
Other
Hospitals
Other
Institutions
Year
A
B
1975
1976
1977
1978
1979
55.2
55.3
53.8
52.6
51.5
8.6
9.2
9.9
10.5
10.9
19.5
18.9
19.0
19.4
19.3
0.6
0.6
0.7
0.8
1.0
0.4
0.4
0.4
0.4
0.4
0.5
0.5
0.5
0.6
0.6
1.5
1.5
1.6
1.8
2.0
1980
1981
1982
1983
1984
51.0
50.8
51.2
50.5
49.8
10.8
10.8
10.8
10.7
10.5
19.2
18.9
18.6
19.1
19.5
1.2
1.4
1.2
1.0
1.0
0.4
0.4
0.4
0.4
0.4
0.6
0.6
0.6
0.6
0.6
2.2
2.4
2.2
2.0
2.0
1985
1986
1987
1988
1989
49.0
49.0
48.9
48.5
48.4
10.2
9.2
8.9
9.1
9.1
19.8
20.3
20.7
20.6
20.1
0.9
0.9
0.8
0.8
0.8
0.4
0.4
0.4
0.5
0.5
0.7
0.8
0.8
0.8
0.8
2.1
2.1
2.1
2.1
2.1
1990
1991
1992
1993
1994
45.1
44.0
43.8
43.5
42.0
11.2
11.8
12.1
11.9
11.9
20.0
20.2
19.8
19.8
20.0
0.8
0.8
0.8
0.8
0.8
0.5
0.5
0.5
0.4
0.4
0.8
0.9
0.9
0.9
0.8
2.2
2.2
2.2
2.1
2.0
1995
1996
1997
1998
1999
41.3
41.4
40.4
39.8
39.1
12.3
12.4
12.4
12.1
12.0
19.9
20.0
20.1
19.7
19.4
0.8
0.7
0.7
0.6
0.6
0.4
0.4
0.4
0.3
0.3
0.8
0.8
0.8
0.8
0.8
2.0
1.9
1.9
1.8
1.8
2000
2001
2002
2003
2004
38.9
38.2
38.4
38.0
38.3
11.8
11.7
11.7
11.4
11.6
18.8
18.7
18.7
18.6
18.6
0.6
0.5
0.5
0.5
0.5
0.3
0.3
0.3
0.3
0.3
0.8
0.7
0.7
0.6
0.6
1.7
1.6
1.5
1.4
1.3
2005
2006
2007
2008
2009
37.8
37.8
37.7
37.4
37.5
11.3
11.0
10.9
10.6
10.6
18.6
18.8
19.0
19.3
19.6
0.5
0.5
0.5
0.5
0.5
0.2
0.2
0.2
0.2
0.2
0.5
0.5
0.5
0.5
0.5
1.2
1.2
1.2
1.2
1.2
2010
2011
2012 f
2013 f
38.0
38.2
38.5
38.6
10.6
10.5
10.5
10.5
20.0
20.5
20.7
20.9
0.5
0.5
0.5
0.5
0.2
0.2
0.2
0.2
0.5
0.5
0.5
0.5
1.2
1.2
1.3
1.3
1976*
1980*
0.1
-0.9
7.8
-0.5
-3.2
-0.3
6.4
17.1
-2.5
0.2
-0.8
2.0
1.7
9.1
1985
1986
1987
1988
1989
-1.8
0.0
-0.1
-1.0
-0.2
-2.6
-10.0
-2.6
1.7
0.5
1.7
2.4
2.2
-0.6
-2.5
-4.1
-3.6
-7.5
-0.1
2.4
3.0
3.6
-0.1
5.6
3.6
10.1
12.4
-1.6
-1.6
5.1
1.9
3.5
-3.7
0.6
3.7
1990
1991
1992
1993
1994
-6.7
-2.5
-0.5
-0.5
-3.5
22.7
5.7
2.0
-1.4
0.0
-0.6
1.2
-2.0
0.2
1.0
-2.3
-4.1
-2.6
2.8
1.5
5.6
3.4
-5.5
-12.7
-4.9
2.4
7.2
1.7
-2.5
-8.0
1.3
2.0
-1.5
-3.0
-3.8
1995
1996
1997
1998
1999
-1.6
0.1
-2.3
-1.6
-1.6
3.1
0.9
-0.1
-2.1
-1.2
-0.8
0.8
0.4
-2.3
-1.5
-3.0
-8.9
-6.0
-10.0
-0.4
-11.4
-0.7
5.2
-11.2
0.2
-0.9
-0.9
1.3
0.2
1.8
-3.9
-4.0
-0.7
-5.8
0.7
2000
2001
2002
2003
2004
-0.5
-1.9
0.6
-1.0
0.8
-1.5
-0.7
-0.6
-2.4
1.6
-2.8
-0.8
0.1
-0.6
-0.1
-4.8
-5.6
-2.8
-10.5
-2.3
-4.0
-0.7
-9.2
-6.1
-3.5
0.7
-10.5
-12.5
-6.7
-5.3
-2.1
-7.0
-8.6
-7.9
-3.9
2005
2006
2007
2008
2009
-1.4
0.2
-0.3
-0.8
0.1
-2.5
-1.9
-1.8
-2.7
0.3
0.3
1.0
0.8
1.7
1.6
-0.8
5.0
0.4
0.3
6.9
-16.5
-2.8
-3.2
2.1
5.3
-17.1
-3.8
4.9
5.9
-0.1
-11.3
-0.2
1.5
2.9
3.7
2010
2011
2012 f
2013 f
1.3
0.6
0.9
0.1
-0.1
-1.3
0.3
-0.3
1.9
2.7
0.8
1.1
2.2
-2.5
1.6
-0.9
-0.1
3.0
1.0
1.7
-3.2
2.6
4.1
1.5
-0.4
0.5
2.5
0.6
Physicians
Dental Services
C
(percentage distribution of $’ 000,000)
Subtotal
D
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
138
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table A.3.3.2—Part 2
Public-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars (cont'd)
Prescribed
Drugs
Drugs
Non-Prescribed
Drugs
Subtotal
Capital
E
F
Public Health
Administration
Other Health Spending
Health
Research
Other
G
H
(percentage distribution of $’ 000,000)
Subtotal
J
Grand Total
A+B+C+D
+E+F+G+H+J
1.7
2.0
2.3
2.5
2.7
-----------
1.7
2.0
2.3
2.5
2.7
4.0
3.4
3.3
3.5
3.8
4.4
4.7
5.1
4.7
4.9
2.9
2.8
2.7
2.5
2.4
0.8
0.7
0.8
0.8
0.8
1.4
1.5
1.6
1.7
1.9
2.2
2.2
2.4
2.6
2.7
100.0
100.0
100.0
100.0
100.0
2.8
2.8
2.9
3.1
3.4
-----------
2.8
2.8
2.9
3.1
3.4
3.8
3.7
3.9
4.1
4.1
5.0
5.0
4.9
4.8
4.9
2.3
2.2
2.3
2.3
2.3
0.8
0.8
0.8
0.8
0.9
2.1
2.5
2.5
2.6
2.6
2.9
3.3
3.3
3.4
3.5
100.0
100.0
100.0
100.0
100.0
3.7
4.1
4.3
4.5
4.7
-----------
3.7
4.1
4.3
4.5
4.7
4.1
4.2
4.0
4.1
4.1
5.0
4.8
4.7
4.7
4.7
2.3
2.3
2.2
2.1
2.1
0.9
1.0
0.9
0.9
0.9
2.9
3.1
3.3
3.6
3.8
3.8
4.1
4.2
4.5
4.8
100.0
100.0
100.0
100.0
100.0
5.0
5.3
5.6
5.9
5.9
-----------
5.0
5.3
5.6
5.9
5.9
3.8
3.4
3.3
3.2
3.7
4.9
4.9
5.0
5.2
5.6
2.2
2.1
2.0
2.1
2.2
1.0
0.9
1.1
1.0
1.0
4.6
5.2
5.1
5.3
5.6
5.6
6.1
6.2
6.3
6.6
100.0
100.0
100.0
100.0
100.0
6.4
6.3
6.5
6.8
7.2
-----------
6.4
6.3
6.5
6.8
7.2
3.5
3.2
3.2
3.2
4.2
5.9
6.2
6.2
7.3
7.0
2.2
2.2
2.2
2.3
2.3
0.9
0.9
1.3
1.2
1.1
5.7
5.7
5.8
6.0
6.1
6.6
6.6
7.1
7.2
7.2
100.0
100.0
100.0
100.0
100.0
7.6
8.1
8.5
8.7
9.0
-----------
7.6
8.1
8.5
8.7
9.0
4.5
4.6
4.6
4.8
4.8
7.1
7.5
7.3
8.0
7.6
2.3
2.3
2.3
2.4
2.3
1.3
1.7
1.5
1.5
1.5
5.9
5.7
5.5
5.2
5.0
7.2
7.4
7.0
6.8
6.5
100.0
100.0
100.0
100.0
100.0
9.1
9.1
9.0
8.8
8.9
-----------
9.1
9.1
9.0
8.8
8.9
5.2
4.9
5.1
5.6
5.6
8.0
8.1
8.1
7.9
7.6
2.4
2.3
2.3
2.0
1.9
1.5
1.6
1.7
2.0
1.8
5.1
5.0
5.1
5.2
5.2
6.5
6.7
6.8
7.2
7.0
100.0
100.0
100.0
100.0
100.0
8.6
8.5
8.4
8.2
---------
8.6
8.5
8.4
8.2
5.9
5.5
5.2
5.3
7.3
7.4
7.4
7.3
1.8
1.8
1.7
1.7
1.6
1.5
1.4
1.4
5.0
4.9
4.9
4.9
6.6
6.4
6.3
6.3
100.0
100.0
100.0
100.0
17.0
4.0
-----
17.0
4.0
-16.2
0.2
7.9
3.3
-5.0
-2.9
-7.2
-2.3
8.3
11.8
2.9
7.4
-----
10.2
9.1
5.0
4.8
5.4
-----------
10.2
9.1
5.0
4.8
5.4
0.8
1.1
-4.5
2.4
0.0
2.3
-4.2
-1.8
-1.2
-0.4
0.0
-2.5
-1.5
-5.8
-1.5
5.5
10.8
-12.0
-0.3
4.1
8.9
8.4
5.0
9.7
7.4
8.0
8.9
0.8
7.6
6.8
-----------
6.4
5.1
6.8
4.3
0.2
-----------
6.4
5.1
6.8
4.3
0.2
-5.9
-11.0
-3.8
-3.0
16.3
5.2
-0.5
2.2
4.0
9.0
9.0
-6.4
-2.9
0.9
7.2
6.7
-5.8
14.2
-5.2
-3.5
19.0
12.8
-0.1
2.5
5.8
16.6
9.4
2.1
1.2
4.3
-----------
8.5
-1.6
4.0
3.9
6.2
-----------
8.5
-1.6
4.0
3.9
6.2
-6.6
-8.1
0.4
-0.5
31.1
5.0
3.9
0.5
17.2
-3.8
0.3
-2.2
1.5
3.0
0.9
-8.2
-2.9
47.6
-4.4
-11.7
1.6
0.0
2.9
2.6
1.2
0.2
-0.4
8.9
1.3
-1.0
-----------
6.3
5.8
5.3
2.6
2.7
-----------
6.3
5.8
5.3
2.6
2.7
9.0
0.8
1.5
4.2
-0.7
1.2
6.2
-2.4
9.0
-4.5
0.5
0.8
0.6
1.0
-1.0
15.1
33.9
-12.1
3.1
-0.8
-2.2
-4.2
-3.3
-4.4
-4.4
0.4
2.5
-5.3
-2.8
-3.6
-----------
1.0
0.7
-1.3
-1.9
0.6
-----------
1.0
0.7
-1.3
-1.9
0.6
8.7
-5.1
2.8
9.8
0.7
4.9
1.4
-0.1
-2.9
-2.7
2.4
-3.9
-0.4
-10.8
-4.9
-2.7
10.8
4.3
16.0
-8.6
0.6
-0.1
1.5
2.4
-0.9
-0.1
2.4
2.2
5.8
-3.1
-----------
-3.2
-1.4
-0.9
-2.4
---------
-3.2
-1.4
-0.9
-2.4
5.3
-6.3
-6.0
1.7
-4.9
1.8
-0.7
-1.0
-6.5
-3.0
-1.3
-2.0
-12.8
-6.8
-5.6
-2.4
-2.9
-2.1
-0.2
0.1
-5.4
-3.2
-1.4
-0.5
---------
(annual percentage change)*
Canadian Institute for Health Information, 2013.
139
National Health Expenditure Trends, 1975 to 2013
Table A.3.3.3—Part 1
Public-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars
Year
Hospitals
Other
Institutions
Physicians
A
B
C
Dental Services
Other Professionals
Vision Care
Services
Other
Subtotal
D
($’ per capita)
1975
1976
1977
1978
1979
222.0
254.9
268.6
286.4
309.4
34.4
42.6
49.5
57.1
65.3
78.3
87.1
94.9
105.5
115.9
2.4
3.0
3.5
4.3
5.9
1.5
1.7
1.9
2.2
2.4
2.0
2.3
2.6
3.2
3.7
6.0
7.0
8.0
9.7
12.0
1980
1981
1982
1983
1984
350.2
408.0
477.8
519.4
544.2
74.3
86.5
100.8
110.2
114.2
132.0
152.1
173.3
196.1
212.6
8.0
11.2
10.8
10.3
10.4
2.7
3.2
3.6
4.2
4.6
4.3
5.1
5.7
6.5
7.1
15.0
19.5
20.1
20.9
22.1
1985
1986
1987
1988
1989
570.3
610.6
648.6
690.3
742.9
118.7
114.3
118.4
129.4
140.3
230.7
252.8
274.7
293.4
308.7
10.7
11.0
10.8
11.6
12.8
5.0
5.6
5.9
6.7
7.5
8.3
10.0
10.4
11.0
12.5
24.0
26.6
27.2
29.4
32.9
1990
1991
1992
1993
1994
741.2
777.1
798.6
788.6
762.0
184.1
209.3
220.5
215.8
216.1
328.2
357.3
361.3
359.3
363.2
13.4
13.8
13.9
14.2
14.4
8.5
9.5
9.2
8.0
7.6
13.7
15.8
16.6
16.1
14.8
35.6
39.1
39.7
38.3
36.9
1995
1996
1997
1998
1999
745.7
742.9
745.9
780.3
814.1
221.8
222.6
228.5
237.8
249.3
358.6
359.7
371.3
385.6
403.1
13.9
12.6
12.2
11.7
12.3
6.7
6.6
7.2
6.8
7.2
14.6
14.4
15.0
16.0
17.2
35.2
33.7
34.4
34.4
36.8
2000
2001
2002
2003
2004
878.2
922.0
977.7
1,038.2
1,101.8
266.2
283.2
296.7
310.7
332.2
425.1
451.4
476.2
507.8
534.0
12.8
12.9
13.2
12.7
13.0
7.5
8.0
7.6
7.7
7.8
18.8
18.0
16.6
16.6
16.6
39.1
38.9
37.5
37.0
37.5
2005
2006
2007
2008
2009
1,148.0
1,218.3
1,286.3
1,361.6
1,432.8
342.4
355.9
370.3
384.4
405.3
566.4
606.1
647.1
702.0
749.4
13.7
15.2
16.2
17.3
19.5
6.9
7.1
7.3
7.9
8.8
14.5
14.8
16.5
18.6
19.5
35.1
37.1
39.9
43.9
47.8
2010
2011
2012 f
2013 f
1,513.2
1,559.0
1,597.3
1,620.2
422.2
426.8
434.7
439.3
795.7
837.0
856.3
877.4
20.7
20.7
21.3
21.4
9.1
9.6
9.9
10.2
19.7
20.7
21.9
22.5
49.6
51.0
53.1
54.1
1976*
1980*
14.8
13.2
23.8
13.7
11.1
13.9
22.2
33.8
11.9
14.4
13.9
16.5
16.7
24.7
1985
1986
1987
1988
1989
4.8
7.1
6.2
6.4
7.6
3.9
-3.7
3.6
9.3
8.4
8.5
9.6
8.7
6.8
5.2
2.3
3.2
-1.6
7.4
10.5
9.8
10.9
6.3
13.4
11.7
17.5
20.3
4.6
5.7
13.3
8.7
10.7
2.4
8.1
11.8
1990
1991
1992
1993
1994
-0.2
4.9
2.8
-1.2
-3.4
31.2
13.7
5.3
-2.1
0.1
6.3
8.8
1.1
-0.6
1.1
4.5
3.1
0.6
2.0
1.7
13.0
11.2
-2.4
-13.4
-4.8
9.5
15.2
5.0
-3.2
-7.8
8.4
9.7
1.6
-3.7
-3.7
1995
1996
1997
1998
1999
-2.1
-0.4
0.4
4.6
4.3
2.6
0.4
2.7
4.1
4.8
-1.3
0.3
3.2
3.9
4.5
-3.5
-9.3
-3.3
-4.3
5.7
-11.8
-1.2
8.2
-5.6
6.3
-1.4
-1.4
4.1
6.5
8.0
-4.4
-4.5
2.1
0.1
6.9
2000
2001
2002
2003
2004
7.9
5.0
6.0
6.2
6.1
6.8
6.4
4.8
4.7
6.9
5.5
6.2
5.5
6.6
5.2
3.3
1.1
2.4
-4.0
2.9
4.1
6.4
-4.3
0.7
1.6
9.2
-4.2
-7.8
0.1
-0.3
6.2
-0.4
-3.7
-1.2
1.2
2005
2006
2007
2008
2009
4.2
6.1
5.6
5.9
5.2
3.1
3.9
4.0
3.8
5.4
6.1
7.0
6.8
8.5
6.8
4.9
11.2
6.4
7.0
12.3
-11.8
3.0
2.5
8.9
10.6
-12.4
2.0
11.1
13.0
5.0
-6.2
5.8
7.5
9.8
8.9
2010
2011
2012 f
2013 f
5.6
3.0
2.5
1.4
4.2
1.1
1.9
1.1
6.2
5.2
2.3
2.5
6.5
-0.2
3.1
0.4
4.1
5.5
2.5
3.1
0.9
5.1
5.6
2.9
3.8
3.0
4.0
1.9
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
140
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table A.3.3.3—Part 2
Public-Sector Health Expenditure by Use of Funds, Canada, 1975 to 2013—Current Dollars (cont'd)
Prescribed
Drugs
Drugs
Non-Prescribed
Drugs
Subtotal
Capital
E
F
Public Health
Administration
G
($’ per capita)
Other Health Spending
Health
Research
Other
H
Subtotal
J
Grand Total
A+B+C+D
+E+F+G+H+J
6.9
9.2
11.2
13.7
16.0
-----------
6.9
9.2
11.2
13.7
16.0
16.3
15.6
16.2
19.0
22.6
17.6
21.8
25.2
25.7
29.2
11.7
12.8
13.4
13.4
14.5
3.0
3.2
3.9
4.5
5.1
5.7
7.0
8.2
9.4
11.2
8.7
10.3
12.1
13.9
16.3
401.9
461.3
499.2
544.2
601.3
19.0
22.8
27.2
32.2
36.8
-----------
19.0
22.8
27.2
32.2
36.8
25.9
29.5
36.1
42.0
44.5
34.5
40.5
45.8
48.9
53.8
16.1
17.9
21.8
23.3
25.3
5.7
6.6
7.3
8.5
9.6
14.3
19.9
23.3
26.7
28.7
20.0
26.6
30.7
35.2
38.3
687.0
803.5
933.5
1,028.1
1,091.7
43.3
50.5
56.4
63.5
72.2
-----------
43.3
50.5
56.4
63.5
72.2
47.9
51.8
52.6
57.9
62.4
58.7
60.2
62.8
66.7
71.6
27.0
28.1
29.5
29.8
31.7
10.8
12.8
12.0
12.8
14.4
33.3
38.7
43.2
50.9
59.0
44.1
51.5
55.2
63.7
73.4
1,164.6
1,246.3
1,325.4
1,424.3
1,536.3
82.2
92.9
102.4
106.0
106.4
-----------
82.2
92.9
102.4
106.0
106.4
62.8
60.1
59.7
57.5
67.0
80.6
86.2
90.9
93.8
102.4
37.0
37.2
37.3
37.4
40.1
16.4
16.7
19.6
18.5
17.9
75.1
91.0
93.9
95.6
101.3
91.5
107.7
113.6
114.1
119.2
1,643.3
1,767.0
1,824.0
1,810.9
1,813.3
114.9
112.5
120.3
132.9
149.7
-----------
114.9
112.5
120.3
132.9
149.7
62.2
56.9
58.8
62.1
86.4
107.0
110.7
114.4
142.4
145.3
40.0
39.0
40.7
44.6
47.7
16.3
15.8
23.9
24.3
22.8
102.4
101.9
107.8
117.6
126.2
118.8
117.7
131.8
141.9
149.0
1,804.2
1,795.7
1,846.0
1,962.0
2,081.4
172.5
195.5
217.0
238.8
258.2
-----------
172.5
195.5
217.0
238.8
258.2
102.2
110.2
118.0
131.9
137.9
159.6
181.4
186.5
218.1
219.3
52.0
56.1
59.5
64.5
67.2
28.5
40.8
37.8
41.8
43.7
133.8
137.2
139.8
143.4
144.4
162.3
178.0
177.6
185.3
188.1
2,257.1
2,416.8
2,546.6
2,732.3
2,876.1
275.8
294.2
307.4
321.9
340.3
-----------
275.8
294.2
307.4
321.9
340.3
158.3
159.2
173.2
202.9
214.7
243.1
261.2
276.3
286.1
292.4
72.8
74.1
78.1
74.3
74.3
44.9
52.8
58.3
72.1
69.2
153.6
162.6
174.8
191.0
198.8
198.5
215.4
233.1
263.1
268.0
3,040.5
3,221.4
3,411.8
3,640.2
3,825.1
343.4
347.0
349.1
345.2
---------
343.4
347.0
349.1
345.2
235.7
226.1
215.7
222.3
289.9
302.4
304.7
305.7
72.4
71.9
72.1
71.6
62.9
60.1
57.6
56.9
201.2
201.8
204.4
207.3
264.1
261.9
262.0
264.2
3,986.1
4,083.1
4,144.9
4,200.1
(annual percentage change)*
34.3
18.8
-----
34.3
18.8
-3.8
14.5
23.9
18.0
9.1
10.9
6.6
11.6
24.3
27.8
18.1
22.7
14.8
14.2
17.6
16.8
11.7
12.6
13.7
-----------
17.6
16.8
11.7
12.6
13.7
7.5
8.2
1.6
10.0
7.8
9.1
2.6
4.4
6.2
7.4
6.7
4.3
4.8
1.2
6.3
12.5
18.5
-6.4
7.1
12.3
16.1
16.0
11.7
17.9
15.9
15.2
16.6
7.2
15.6
15.1
6.7
7.0
6.3
7.5
7.9
13.8
13.0
10.2
3.6
0.4
-----------
13.8
13.0
10.2
3.6
0.4
0.7
-4.3
-0.7
-3.7
16.5
12.5
7.0
5.5
3.2
9.2
16.6
0.7
0.3
0.2
7.3
14.1
1.3
17.9
-5.8
-3.3
27.3
21.2
3.2
1.8
6.0
24.7
17.6
5.4
0.5
4.5
7.0
7.5
3.2
-0.7
0.1
7.9
-2.1
7.0
10.4
12.6
-----------
7.9
-2.1
7.0
10.4
12.6
-7.1
-8.5
3.2
5.7
39.0
4.5
3.4
3.3
24.5
2.0
-0.2
-2.6
4.4
9.5
7.1
-8.6
-3.4
51.7
1.6
-6.3
1.1
-0.5
5.8
9.1
7.3
-0.3
-0.9
12.0
7.7
5.0
-0.5
-0.5
2.8
6.3
6.1
15.3
13.3
11.0
10.1
8.1
-----------
15.3
13.3
11.0
10.1
8.1
18.2
7.9
7.0
11.8
4.5
9.8
13.7
2.8
17.0
0.5
8.9
8.0
6.0
8.4
4.2
24.8
43.4
-7.4
10.6
4.4
6.0
2.5
1.9
2.6
0.7
8.9
9.7
-0.2
4.3
1.5
8.4
7.1
5.4
7.3
5.3
6.8
6.7
4.5
4.7
5.7
-----------
6.8
6.7
4.5
4.7
5.7
14.9
0.5
8.8
17.1
5.8
10.9
7.4
5.8
3.6
2.2
8.3
1.8
5.4
-4.8
-0.1
2.9
17.4
10.4
23.8
-4.0
6.4
5.9
7.5
9.2
4.1
5.6
8.5
8.2
12.9
1.9
5.7
5.9
5.9
6.7
5.1
0.9
1.0
0.6
-1.1
---------
0.9
1.0
0.6
-1.1
9.8
-4.1
-4.6
3.1
-0.9
4.3
0.8
0.3
-2.5
-0.6
0.2
-0.7
-9.1
-4.5
-4.2
-1.1
1.2
0.3
1.3
1.4
-1.5
-0.9
0.1
0.8
4.2
2.4
1.5
1.3
Canadian Institute for Health Information, 2013.
141
Series B
Total Health Expenditure
by Source of Finance,
by Province/Territory and Canada
(Selected Tables)
National Health Expenditure Trends, 1975 to 2013
Table B.1.1
Total Health Expenditure, by Province/Territory and Canada, 1975 to 2013—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Year
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
($’ 000,000)
1975
1976
1977
1978
1979
264.5
312.8
362.9
412.7
473.3
59.2
62.9
68.7
79.5
96.6
382.5
442.2
469.1
512.5
573.0
277.5
321.9
358.9
404.7
470.0
3,378.8
3,875.2
4,200.7
4,666.6
5,149.6
4,422.8
5,040.8
5,524.6
6,071.9
6,728.0
546.3
629.4
706.0
749.0
823.3
441.2
520.3
587.4
622.4
703.5
992.3
1,158.9
1,272.1
1,465.4
1,781.0
1,383.4
1,628.3
1,831.8
2,044.4
2,288.6
15.9
18.1
18.5
21.3
23.9
35.1
39.0
49.3
56.5
59.0
-----------
12,199.4
14,049.8
15,450.0
17,106.8
19,169.7
1980
1981
1982
1983
1984
528.4
621.3
701.2
773.7
751.7
122.3
136.4
152.4
164.5
171.0
657.2
788.8
919.1
1,004.9
1,125.3
562.5
681.2
819.3
894.6
975.1
5,886.5
6,887.8
7,890.5
8,675.3
9,313.7
7,634.1
8,903.0
10,445.2
11,850.0
13,086.0
971.4
1,153.2
1,332.1
1,478.6
1,592.0
815.7
949.0
1,130.0
1,257.6
1,371.3
2,153.1
2,623.7
3,351.7
3,622.1
3,764.2
2,880.0
3,430.4
3,870.2
4,155.7
4,428.9
26.1
28.2
37.1
38.0
37.9
61.1
73.8
110.4
123.5
125.8
-----------
22,298.4
26,276.7
30,759.1
34,038.6
36,743.1
1985
1986
1987
1988
1989
785.8
812.5
881.6
930.9
991.6
181.2
187.6
202.9
219.5
239.3
1,232.5
1,376.9
1,560.6
1,585.2
1,751.8
1,026.2
1,091.1
1,194.0
1,291.5
1,400.1
10,031.9
10,537.4
11,268.6
12,279.2
13,290.3
14,442.8
16,097.2
17,866.4
19,819.8
21,970.8
1,726.5
1,889.7
1,980.2
2,069.6
2,257.4
1,528.8
1,703.6
1,767.8
1,837.6
2,052.9
4,070.4
4,448.5
4,499.9
4,830.6
5,349.8
4,637.9
4,984.1
5,341.3
5,839.1
6,509.7
39.7
42.6
44.7
45.8
49.5
138.5
166.9
181.3
211.2
232.9
-----------
39,842.4
43,338.1
46,789.2
50,960.1
56,096.2
1990
1991
1992
1993
1994
1,096.4
1,153.2
1,197.4
1,209.1
1,249.3
256.2
280.6
295.0
311.7
313.7
1,866.9
1,970.0
2,031.6
2,025.0
2,023.4
1,533.5
1,629.3
1,699.8
1,739.1
1,793.0
14,378.1
15,782.2
16,479.8
16,923.2
17,376.1
23,799.1
26,194.3
27,575.2
28,074.9
28,749.1
2,484.3
2,576.0
2,701.9
2,749.1
2,804.9
2,252.2
2,319.8
2,325.4
2,301.9
2,385.2
5,749.4
6,062.5
6,430.7
6,520.4
6,313.4
7,376.3
8,127.4
8,769.7
9,297.4
9,771.3
53.6
62.6
67.5
80.1
94.0
246.8
279.5
279.6
287.1
286.3
-----------
61,092.9
66,437.4
69,853.6
71,519.1
73,159.6
1995
1996
1997
1998
1999
1,269.4
1,253.4
1,305.4
1,433.4
1,583.3
327.4
339.1
340.3
361.4
378.7
2,061.3
2,089.0
2,364.2
2,552.9
2,677.9
1,819.3
1,813.7
1,857.2
1,924.2
2,076.5
17,518.9
17,344.8
18,016.3
19,157.0
20,173.7
29,286.7
29,693.7
30,795.1
33,125.6
35,439.2
2,915.5
2,972.1
3,100.5
3,286.4
3,700.8
2,442.3
2,490.0
2,656.2
2,778.2
2,977.4
6,092.5
6,320.6
7,082.1
7,619.8
8,701.7
10,113.2
10,378.1
10,832.0
11,414.3
12,279.7
95.8
110.2
103.3
104.1
109.2
295.0
277.7
289.0
309.8
223.1
--------142.6
74,237.4
75,082.3
78,741.5
84,067.3
90,463.9
2000
2001
2002
2003
2004
1,687.2
1,802.9
1,926.1
2,061.8
2,138.0
401.4
475.9
505.4
541.0
538.2
2,836.6
3,013.3
3,306.8
3,595.8
3,722.0
2,218.6
2,467.8
2,615.6
2,788.5
2,979.8
21,681.8
23,587.0
24,950.7
26,462.9
27,825.5
39,040.0
41,792.2
45,404.6
49,589.1
53,257.1
4,063.7
4,381.8
4,607.4
4,927.5
5,234.6
3,159.8
3,457.0
3,623.1
3,873.0
4,126.7
9,601.8
10,962.4
11,793.7
12,630.7
13,832.9
13,412.6
14,680.1
15,670.2
16,391.3
17,122.6
123.2
142.7
155.5
156.3
167.5
208.5
240.0
265.7
263.4
284.3
168.5
184.3
215.0
292.7
308.0
98,603.5
107,187.4
115,039.7
123,573.9
131,537.2
2005
2006
2007
2008
2009
2,236.2
2,345.5
2,560.3
2,736.3
2,994.5
576.0
621.7
654.2
695.7
788.2
4,026.8
4,468.4
4,764.2
5,014.5
5,279.7
3,294.0
3,581.7
3,722.9
3,983.3
4,304.2
29,511.6
31,578.0
33,521.4
35,909.9
38,284.6
56,535.4
60,075.3
63,942.1
67,829.4
71,705.8
5,618.4
5,976.8
6,282.5
6,748.1
7,302.7
4,421.2
4,767.6
5,097.2
5,441.5
5,818.8
15,170.7
16,992.8
18,474.1
20,395.9
21,530.6
18,097.9
19,444.6
20,276.6
22,293.9
22,986.1
185.3
213.5
227.5
237.5
278.7
318.8
344.4
385.2
407.0
440.1
304.6
335.4
354.1
367.6
390.8
140,296.8
150,745.7
160,262.4
172,060.5
182,104.7
2010
2011
2012 f
2013 f
3,297.4
3,498.9
3,626.6
3,648.3
847.6
930.0
907.5
931.7
5,778.6
5,998.3
6,081.1
6,183.4
4,528.4
4,711.5
4,810.7
4,899.3
40,603.7
41,668.9
43,335.6
44,887.2
74,807.4
76,821.4
78,466.0
79,734.0
7,690.3
8,027.8
8,211.8
8,482.6
6,254.3
6,691.0
7,002.4
7,237.3
23,946.3
24,943.1
25,819.6
26,801.9
24,461.8
25,585.9
26,383.1
27,125.9
289.3
313.4
334.1
365.4
434.4
469.4
459.4
467.4
402.7
435.1
436.7
447.1
193,342.2
200,094.7
205,874.5
211,211.4
1976*
1980*
18.3
11.6
6.2
26.6
15.6
14.7
16.0
19.7
14.7
14.3
14.0
13.5
15.2
18.0
17.9
16.0
16.8
20.9
17.7
25.8
13.6
9.0
11.3
3.6
-----
15.2
16.3
1985
1986
1987
1988
1989
4.5
3.4
8.5
5.6
6.5
5.9
3.5
8.2
8.2
9.0
9.5
11.7
13.3
1.6
10.5
5.2
6.3
9.4
8.2
8.4
7.7
5.0
6.9
9.0
8.2
10.4
11.5
11.0
10.9
10.9
8.4
9.5
4.8
4.5
9.1
11.5
11.4
3.8
4.0
11.7
8.1
9.3
1.2
7.3
10.7
4.7
7.5
7.2
9.3
11.5
4.8
7.2
5.1
2.3
8.2
10.2
20.5
8.6
16.5
10.3
-----------
8.4
8.8
8.0
8.9
10.1
1990
1991
1992
1993
1994
10.6
5.2
3.8
1.0
3.3
7.0
9.5
5.1
5.7
0.6
6.6
5.5
3.1
-0.3
-0.1
9.5
6.2
4.3
2.3
3.1
8.2
9.8
4.4
2.7
2.7
8.3
10.1
5.3
1.8
2.4
10.1
3.7
4.9
1.7
2.0
9.7
3.0
0.2
-1.0
3.6
7.5
5.4
6.1
1.4
-3.2
13.3
10.2
7.9
6.0
5.1
8.2
16.8
7.9
18.6
17.4
6.0
13.2
0.1
2.7
-0.3
-----------
8.9
8.7
5.1
2.4
2.3
1995
1996
1997
1998
1999
1.6
-1.3
4.1
9.8
10.5
4.4
3.5
0.4
6.2
4.8
1.9
1.3
13.2
8.0
4.9
1.5
-0.3
2.4
3.6
7.9
0.8
-1.0
3.9
6.3
5.3
1.9
1.4
3.7
7.6
7.0
3.9
1.9
4.3
6.0
12.6
2.4
2.0
6.7
4.6
7.2
-3.5
3.7
12.0
7.6
14.2
3.5
2.6
4.4
5.4
7.6
1.9
15.1
-6.3
0.8
4.9
3.0
-5.9
4.1
7.2
-28.0
-----------
1.5
1.1
4.9
6.8
7.6
2000
2001
2002
2003
2004
6.6
6.9
6.8
7.0
3.7
6.0
18.6
6.2
7.0
-0.5
5.9
6.2
9.7
8.7
3.5
6.8
11.2
6.0
6.6
6.9
7.5
8.8
5.8
6.1
5.1
10.2
7.0
8.6
9.2
7.4
9.8
7.8
5.1
6.9
6.2
6.1
9.4
4.8
6.9
6.5
10.3
14.2
7.6
7.1
9.5
9.2
9.4
6.7
4.6
4.5
12.7
15.9
8.9
0.5
7.2
-6.5
15.1
10.7
-0.9
7.9
18.1
9.4
16.6
36.1
5.3
9.0
8.7
7.3
7.4
6.4
2005
2006
2007
2008
2009
4.6
4.9
9.2
6.9
9.4
7.0
7.9
5.2
6.3
13.3
8.2
11.0
6.6
5.3
5.3
10.5
8.7
3.9
7.0
8.1
6.1
7.0
6.2
7.1
6.6
6.2
6.3
6.4
6.1
5.7
7.3
6.4
5.1
7.4
8.2
7.1
7.8
6.9
6.8
6.9
9.7
12.0
8.7
10.4
5.6
5.7
7.4
4.3
9.9
3.1
10.6
15.2
6.5
4.4
17.3
12.2
8.0
11.9
5.6
8.1
-1.1
10.1
5.6
3.8
6.3
6.7
7.4
6.3
7.4
5.8
2010
2011
2012 f
2013 f
10.1
6.1
3.6
0.6
7.5
9.7
-2.4
2.7
9.4
3.8
1.4
1.7
5.2
4.0
2.1
1.8
6.1
2.6
4.0
3.6
4.3
2.7
2.1
1.6
5.3
4.4
2.3
3.3
7.5
7.0
4.7
3.4
11.2
4.2
3.5
3.8
6.4
4.6
3.1
2.8
3.8
8.3
6.6
9.4
-1.3
8.1
-2.1
1.8
3.0
8.1
0.3
2.4
6.2
3.5
2.9
2.6
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
144
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table B.1.2
Total Health Expenditure, by Province/Territory and Canada, 1975 to 2013—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
1975
1976
1977
1978
1979
475.29
555.99
641.93
726.96
830.23
502.62
529.82
572.56
653.05
785.24
462.74
529.45
558.65
606.81
674.68
409.87
466.84
515.80
578.47
668.42
533.75
605.80
653.12
724.60
796.36
531.61
599.11
649.52
706.71
776.66
533.03
610.01
680.14
719.36
793.65
1980
1981
1982
1983
1984
922.34
1,080.88
1,220.41
1,334.99
1,295.66
988.59
1,102.17
1,230.17
1,311.30
1,350.90
770.61
923.01
1,068.72
1,156.14
1,282.96
796.61
964.41
1,156.84
1,250.58
1,352.42
904.64
1,051.94
1,199.29
1,313.98
1,404.53
872.94
1,010.40
1,170.69
1,310.60
1,426.75
1985
1986
1987
1988
1989
1,356.50
1,409.34
1,532.79
1,618.95
1,720.39
1,419.40
1,460.70
1,578.34
1,698.12
1,840.01
1,392.54
1,548.24
1,746.68
1,766.48
1,938.19
1,418.05
1,504.71
1,640.40
1,768.26
1,904.32
1,505.01
1,570.76
1,661.41
1,795.46
1,918.16
1990
1991
1992
1993
1994
1,896.84
1,989.99
2,064.37
2,084.83
2,174.65
1,962.74
2,153.50
2,255.45
2,358.94
2,351.09
2,052.39
2,152.81
2,209.26
2,191.52
2,182.78
2,071.96
2,185.39
2,272.21
2,322.46
2,389.97
1995
1996
1997
1998
1999
2,237.14
2,238.91
2,369.01
2,654.75
2,968.31
2,436.16
2,497.61
2,500.34
2,660.92
2,778.63
2,220.76
2,242.84
2,535.39
2,739.44
2,867.64
2000
2001
2002
2003
2004
3,195.29
3,453.96
3,707.89
3,977.07
4,133.01
2,940.60
3,482.35
3,690.64
3,939.54
3,903.61
2005
2006
2007
2008
2009
4,349.31
4,596.18
5,056.55
5,403.93
5,882.04
2010
2011
2012 f
2013 f
Nun.
Canada
Average
Alta.
B.C.
Y.T.
N.W.T
480.92
558.53
621.68
653.82
733.15
548.65
619.96
653.15
724.79
849.06
553.44
642.64
712.85
782.10
859.40
726.48
804.44
810.18
899.00
998.00
818.67
880.95
1,103.96
1,248.03
1,289.33
-----------
527.13
599.14
651.19
713.87
792.08
938.89
1,112.70
1,272.56
1,393.48
1,485.30
843.21
972.49
1,144.53
1,255.25
1,350.41
982.07
1,143.63
1,415.24
1,515.28
1,574.92
1,049.86
1,214.75
1,347.15
1,430.31
1,503.55
1,073.08
1,177.79
1,517.96
1,611.11
1,585.31
1,319.09
1,552.38
2,228.99
2,420.07
2,392.39
-----------
909.54
1,058.67
1,224.61
1,341.85
1,434.85
1,553.40
1,705.55
1,852.54
2,013.75
2,173.70
1,595.25
1,731.01
1,803.40
1,878.01
2,045.59
1,490.78
1,655.19
1,711.73
1,787.57
2,014.15
1,693.92
1,829.95
1,847.76
1,968.11
2,143.98
1,559.34
1,659.09
1,751.15
1,874.31
2,035.64
1,630.07
1,739.80
1,741.02
1,720.95
1,826.71
2,546.73
3,052.14
3,293.37
3,792.49
4,084.51
-----------
1,541.72
1,660.39
1,769.04
1,901.82
2,056.18
2,052.87
2,233.99
2,318.49
2,365.14
2,416.07
2,311.07
2,511.89
2,608.87
2,626.67
2,657.46
2,246.92
2,321.53
2,428.27
2,459.81
2,497.17
2,236.27
2,313.60
2,316.20
2,286.26
2,362.72
2,257.18
2,338.38
2,442.42
2,444.45
2,337.72
2,241.49
2,409.20
2,528.43
2,606.22
2,658.36
1,928.76
2,164.74
2,242.01
2,638.01
3,165.61
4,190.00
4,586.61
4,480.52
4,517.40
4,394.37
-----------
2,205.72
2,370.11
2,462.51
2,493.53
2,522.82
2,422.62
2,410.86
2,467.84
2,563.77
2,766.37
2,426.63
2,393.40
2,476.60
2,625.70
2,754.72
2,674.59
2,679.20
2,742.64
2,914.19
3,079.97
2,582.01
2,620.44
2,729.01
2,889.07
3,239.28
2,408.26
2,443.36
2,609.05
2,730.40
2,934.22
2,227.99
2,277.57
2,502.48
2,628.02
2,946.49
2,677.58
2,678.72
2,743.29
2,865.71
3,061.24
3,145.60
3,511.90
3,248.86
3,343.18
3,549.19
4,430.96
4,109.41
4,266.11
4,611.49
5,486.98
--------5,317.99
2,533.50
2,535.63
2,632.85
2,787.65
2,975.41
3,037.42
3,231.81
3,538.55
3,839.51
3,968.19
2,956.07
3,290.91
3,485.93
3,711.97
3,962.26
2,947.08
3,188.73
3,351.01
3,530.88
3,685.99
3,340.92
3,512.64
3,751.81
4,043.95
4,287.91
3,541.74
3,805.98
3,987.05
4,240.87
4,471.92
3,135.42
3,456.55
3,638.10
3,893.51
4,147.82
3,195.32
3,586.31
3,784.49
3,995.33
4,311.76
3,320.61
3,599.43
3,807.68
3,944.61
4,073.12
4,048.47
4,737.37
5,159.07
5,112.72
5,425.66
5,149.06
5,878.03
6,403.74
6,237.18
6,637.98
6,125.90
6,554.35
7,480.36
10,035.17
10,396.19
3,212.99
3,455.29
3,666.88
3,901.18
4,111.15
4,168.03
4,507.95
4,736.04
4,985.11
5,587.69
4,302.20
4,763.68
5,090.06
5,348.96
5,613.35
4,384.26
4,803.31
4,994.53
5,332.98
5,739.31
3,884.11
4,137.83
4,360.75
4,633.23
4,892.10
4,499.28
4,743.28
4,998.98
5,244.88
5,486.77
4,785.06
5,047.85
5,263.52
5,596.84
5,986.27
4,465.69
4,805.48
5,096.33
5,367.47
5,652.03
4,624.18
4,966.84
5,258.95
5,677.85
5,862.29
4,248.08
4,582.13
4,705.08
5,084.92
5,153.94
5,966.11
6,613.94
6,985.41
7,175.55
8,258.96
7,461.96
7,972.64
8,845.73
9,314.77
10,084.81
10,150.44
10,890.10
11,325.14
11,628.75
12,139.58
4,341.93
4,627.50
4,867.13
5,164.24
5,399.39
6,441.88
6,821.81
7,074.02
7,131.94
5,924.15
6,383.18
6,211.29
6,354.49
6,113.93
6,324.28
6,409.97
6,514.28
6,014.72
6,237.62
6,363.76
6,474.06
5,136.40
5,222.99
5,380.12
5,531.28
5,657.03
5,747.39
5,809.76
5,835.44
6,223.35
6,413.57
6,481.29
6,632.69
5,988.61
6,325.36
6,483.94
6,626.20
6,430.70
6,602.07
6,665.29
6,786.70
5,400.53
5,590.61
5,707.46
5,774.79
8,354.02
8,853.29
9,254.09
9,978.93
9,902.29
10,617.78
10,596.67
10,686.37
12,268.07
12,969.65
12,958.27
13,151.58
5,665.45
5,802.54
5,902.28
5,987.57
1976*
1980*
17.0
11.1
5.4
25.9
14.4
14.2
13.9
19.2
13.5
13.6
12.7
12.4
14.4
18.3
16.1
15.0
13.0
15.7
16.1
22.2
10.7
7.5
7.6
2.3
-----
13.7
14.8
1985
1986
1987
1988
1989
4.7
3.9
8.8
5.6
6.3
5.1
2.9
8.1
7.6
8.4
8.5
11.2
12.8
1.1
9.7
4.9
6.1
9.0
7.8
7.7
7.2
4.4
5.8
8.1
6.8
8.9
9.8
8.6
8.7
7.9
7.4
8.5
4.2
4.1
8.9
10.4
11.0
3.4
4.4
12.7
7.6
8.0
1.0
6.5
8.9
3.7
6.4
5.5
7.0
8.6
2.8
6.7
0.1
-1.2
6.1
6.5
19.8
7.9
15.2
7.7
-----------
7.4
7.7
6.5
7.5
8.1
1990
1991
1992
1993
1994
10.3
4.9
3.7
1.0
4.3
6.7
9.7
4.7
4.6
-0.3
5.9
4.9
2.6
-0.8
-0.4
8.8
5.5
4.0
2.2
2.9
7.0
8.8
3.8
2.0
2.2
6.3
8.7
3.9
0.7
1.2
9.8
3.3
4.6
1.3
1.5
11.0
3.5
0.1
-1.3
3.3
5.3
3.6
4.4
0.1
-4.4
10.1
7.5
4.9
3.1
2.0
5.6
12.2
3.6
17.7
20.0
2.6
9.5
-2.3
0.8
-2.7
-----------
7.3
7.5
3.9
1.3
1.2
1995
1996
1997
1998
1999
2.9
0.1
5.8
12.1
11.8
3.6
2.5
0.1
6.4
4.4
1.7
1.0
13.0
8.0
4.7
1.4
-0.5
2.4
3.9
7.9
0.4
-1.4
3.5
6.0
4.9
0.6
0.2
2.4
6.3
5.7
3.4
1.5
4.1
5.9
12.1
1.9
1.5
6.8
4.7
7.5
-4.7
2.2
9.9
5.0
12.1
0.7
0.0
2.4
4.5
6.8
-0.6
11.6
-7.5
2.9
6.2
0.8
-7.3
3.8
8.1
19.0
-----------
0.4
0.1
3.8
5.9
6.7
2000
2001
2002
2003
2004
7.6
8.1
7.4
7.3
3.9
5.8
18.4
6.0
6.7
-0.9
5.9
6.4
9.5
8.5
3.4
6.9
11.3
5.9
6.5
6.7
7.0
8.2
5.1
5.4
4.4
8.5
5.1
6.8
7.8
6.0
9.3
7.5
4.8
6.4
5.4
6.9
10.2
5.3
7.0
6.5
8.4
12.2
5.5
5.6
7.9
8.5
8.4
5.8
3.6
3.3
14.1
17.0
8.9
-0.9
6.1
-6.2
14.2
8.9
-2.6
6.4
15.2
7.0
14.1
34.2
3.6
8.0
7.5
6.1
6.4
5.4
2005
2006
2007
2008
2009
5.2
5.7
10.0
6.9
8.8
6.8
8.2
5.1
5.3
12.1
8.4
10.7
6.9
5.1
4.9
10.7
9.6
4.0
6.8
7.6
5.4
6.5
5.4
6.2
5.6
4.9
5.4
5.4
4.9
4.6
7.0
5.5
4.3
6.3
7.0
7.7
7.6
6.1
5.3
5.3
7.2
7.4
5.9
8.0
3.2
4.3
7.9
2.7
8.1
1.4
10.0
10.9
5.6
2.7
15.1
12.4
6.8
11.0
5.3
8.3
-2.4
7.3
4.0
2.7
4.4
5.6
6.6
5.2
6.1
4.6
2010
2011
2012 f
2013 f
9.5
5.9
3.7
0.8
6.0
7.7
-2.7
2.3
8.9
3.4
1.4
1.6
4.8
3.7
2.0
1.7
5.0
1.7
3.0
2.8
3.1
1.6
1.1
0.4
4.0
3.1
1.1
2.3
6.0
5.6
2.5
2.2
9.7
2.7
1.0
1.8
4.8
3.5
2.1
1.2
1.2
6.0
4.5
7.8
-1.8
7.2
-0.2
0.8
1.1
5.7
-0.1
1.5
4.9
2.4
1.7
1.4
Year
Sask.
($’ per capita)
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2013.
145
National Health Expenditure Trends, 1975 to 2013
Table B.1.3
Total Health Expenditure as a Percentage of (Provincial/Territorial) GDP, by Province/Territory and Canada,
1975 to 2013—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
1975
1976
1977
1978
1979
-----------
-----------
-----------
-----------
-----------
-----------
-----------
1980
1981
1982
1983
1984
--12.1
12.5
12.9
11.8
--12.8
13.2
12.1
12.3
--9.9
10.0
9.7
9.8
--10.7
11.6
11.1
11.1
--8.6
9.3
9.4
9.3
--6.8
7.5
7.7
7.6
1985
1986
1987
1988
1989
11.8
11.2
11.4
11.0
11.0
12.5
11.5
11.7
11.5
11.6
9.9
10.3
10.8
10.4
10.7
10.9
10.4
10.3
10.4
10.7
9.3
9.0
8.8
8.7
9.0
1990
1991
1992
1993
1994
11.9
12.0
12.5
12.4
12.2
11.8
12.4
12.6
12.6
12.4
11.0
11.2
11.2
11.0
10.8
11.4
11.9
12.1
11.8
11.7
1995
1996
1997
1998
1999
11.9
12.0
12.4
12.8
13.0
12.3
12.0
12.2
12.1
12.0
10.7
10.7
11.6
11.9
11.6
2000
2001
2002
2003
2004
12.1
12.7
11.7
11.4
11.0
11.9
13.9
13.7
14.2
13.5
2005
2006
2007
2008
2009
10.2
9.0
8.6
8.7
12.0
2010
2011
2012 f
2013 f
Sask.
Nun.
Canada
Average
Alta.
B.C.
Y.T.
N.W.T
-----------
-----------
-----------
-----------
-----------
-----------
7.0
7.0
7.0
7.0
6.8
--8.5
9.5
9.8
9.4
--6.4
7.5
7.9
8.1
--4.9
5.9
6.2
6.0
--7.6
8.6
8.8
8.9
--5.9
7.9
8.6
8.3
--7.4
8.6
8.6
8.5
-----------
7.1
7.3
8.1
8.3
8.2
7.6
7.7
7.7
7.7
7.9
9.3
9.8
9.7
9.4
9.7
8.5
9.6
9.7
9.7
10.3
6.1
7.7
7.5
7.6
7.9
8.7
8.8
8.5
8.4
8.6
8.2
6.8
5.1
4.8
4.9
8.4
10.8
10.8
10.6
10.9
-----------
8.2
8.5
8.4
8.3
8.5
9.4
10.2
10.4
10.4
10.2
8.4
9.3
9.6
9.6
9.2
10.3
10.7
11.1
11.2
10.8
10.6
10.8
11.0
10.0
9.7
7.8
8.3
8.6
8.0
7.2
9.3
9.9
10.1
9.9
9.7
5.1
6.6
6.2
9.1
10.3
11.3
12.8
12.9
12.7
12.0
-----------
9.0
9.7
10.0
9.8
9.5
11.1
10.9
11.0
10.9
10.9
9.9
9.6
9.6
9.8
9.6
8.9
8.8
8.6
8.8
8.7
10.8
10.5
10.4
10.6
11.6
9.2
8.6
9.1
9.4
9.7
6.6
6.4
6.6
7.1
7.4
9.6
9.5
9.5
9.9
10.2
9.1
9.8
9.3
9.6
10.1
12.3
11.0
10.7
11.7
9.7
--------19.1
9.2
9.0
8.9
9.2
9.2
11.5
11.6
12.2
12.5
12.5
11.0
11.9
12.4
12.5
12.6
9.6
10.2
10.3
10.6
10.6
8.9
9.2
9.5
10.1
10.3
11.9
12.5
12.6
13.2
13.2
9.3
10.4
10.5
10.6
10.1
6.6
7.2
7.8
7.4
7.3
10.2
11.0
11.3
11.3
10.9
10.3
11.3
12.4
12.1
12.0
8.3
8.1
8.8
7.1
6.6
20.2
21.0
22.6
29.5
28.7
9.2
9.7
10.0
10.2
10.2
14.1
14.4
14.2
14.6
16.1
12.9
14.1
14.1
14.2
15.1
13.3
13.9
13.3
14.0
14.8
10.8
11.2
10.9
11.4
12.1
10.5
10.7
10.7
11.2
12.1
13.5
13.2
12.8
13.0
14.4
10.0
10.5
9.8
8.1
9.5
6.9
7.1
7.1
6.9
8.8
10.7
10.7
10.3
10.9
11.7
12.4
13.1
12.4
11.6
12.9
7.5
8.0
8.2
8.0
10.9
26.8
27.4
26.1
23.1
25.3
10.2
10.4
10.2
10.5
11.6
11.5
10.4
11.2
10.6
16.4
17.4
16.5
16.6
15.9
16.2
16.2
16.1
14.6
14.6
14.8
14.8
12.3
12.0
12.1
12.2
12.0
11.7
11.6
11.5
14.4
14.4
14.0
14.1
9.5
9.0
9.0
8.9
8.8
8.4
8.3
8.3
11.7
11.8
11.8
11.8
12.1
11.8
11.9
12.6
9.4
9.8
9.1
9.0
21.6
22.2
21.1
20.9
11.6
11.4
11.3
11.2
1976*
1980*
-----
-----
-----
-----
-----
-----
-----
-----
-----
1985
1986
1987
1988
1989
0.2
-5.1
1.3
-3.2
0.3
1.8
-8.2
1.5
-1.7
1.2
1.1
3.3
5.3
-4.1
3.7
-1.0
-4.7
-1.1
0.6
2.7
0.6
-3.7
-2.5
-0.6
2.7
0.9
1.1
0.3
-0.2
2.0
-0.6
5.3
-1.0
-3.2
2.8
5.9
12.4
1.4
0.3
5.4
0.8
25.9
-2.4
0.9
5.1
-2.5
1.7
-3.1
-1.5
2.4
-1.3
-17.0
-25.4
-6.2
1.6
1990
1991
1992
1993
1994
7.9
1.1
4.2
-1.3
-1.6
1.6
5.3
1.1
0.3
-1.4
2.3
1.6
0.6
-1.7
-1.8
6.8
4.8
1.4
-2.3
-0.9
4.7
8.5
2.3
0.2
-2.3
6.8
10.0
4.0
-0.6
-3.4
6.3
4.4
3.1
1.1
-3.3
3.2
2.2
1.1
-8.4
-3.0
-1.2
6.0
3.2
-6.4
-10.7
7.9
6.8
1.2
-1.7
-1.6
1995
1996
1997
1998
1999
-2.1
1.0
3.0
3.5
1.3
-1.1
-2.4
1.2
-0.3
-1.1
-1.4
0.2
8.4
2.8
-2.6
-5.3
-1.8
1.1
-1.0
-0.1
-3.1
-2.7
-0.5
2.1
-2.0
-3.8
-1.3
-2.4
2.3
-1.2
0.1
-3.3
-0.3
1.8
9.1
-5.1
-6.9
5.9
3.2
2.9
-7.7
-3.2
3.2
7.2
4.8
2000
2001
2002
2003
2004
-6.7
4.9
-8.0
-2.8
-3.2
-0.5
16.3
-1.6
4.3
-5.1
-0.9
1.1
5.0
2.1
0.0
1.3
8.0
3.6
0.9
1.0
0.7
5.6
1.5
2.1
0.3
2.2
4.0
3.2
5.8
2.6
3.1
4.5
1.1
4.4
0.1
-3.4
11.7
1.1
0.2
-4.3
2005
2006
2007
2008
2009
-7.6
-11.6
-4.3
1.1
37.7
4.1
2.5
-1.7
3.1
10.0
3.5
9.4
-0.3
0.7
6.7
5.9
4.0
-3.9
4.9
6.2
2.4
3.0
-2.1
4.5
5.9
2.0
1.9
-0.2
5.0
7.5
2.4
-1.8
-3.6
2.0
10.5
2010
2011
2012 f
2013 f
-3.9
-9.7
7.3
-4.8
2.3
5.8
-5.1
0.6
5.1
1.9
0.0
-0.5
-1.3
0.0
1.2
-0.3
1.5
-2.0
0.3
0.9
-0.9
-1.9
-0.9
-1.0
0.5
-0.5
-2.2
0.3
Year
Man.
(percentage)
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
146
-----
0.0
3.4
-1.6
28.8
0.6
-1.7
2.5
-----------
0.4
3.1
-1.0
-0.7
2.6
4.6
29.2
-5.1
46.1
13.8
3.8
13.1
0.6
-1.6
-5.3
-----------
5.4
7.9
2.9
-1.4
-3.5
-1.6
-0.4
-0.7
4.2
2.9
-11.5
6.8
-4.5
2.7
5.1
2.5
-10.5
-2.4
8.8
-16.7
-----------
-3.5
-2.1
-0.6
3.0
0.2
-10.8
9.3
8.1
-5.2
-1.8
0.6
7.7
3.1
-0.7
-3.5
2.8
9.5
9.4
-2.4
-0.7
-14.8
-2.6
8.5
-18.6
-7.8
5.8
4.2
7.4
30.6
-2.9
-0.5
5.6
3.1
2.1
0.0
-0.7
4.0
-6.2
-17.9
18.6
-5.3
3.1
0.3
-3.0
27.1
-1.8
0.0
-3.5
6.3
7.4
3.0
5.6
-4.7
-6.7
11.2
13.5
7.7
1.8
-2.2
35.5
-6.6
2.1
-4.6
-11.5
9.5
0.2
1.8
-1.5
2.2
11.3
-0.8
-5.5
1.0
-1.7
0.5
-4.4
-1.5
-0.7
0.0
0.1
0.1
0.5
-6.0
-2.9
1.2
5.8
-13.6
4.5
-7.1
-1.6
-14.6
2.5
-4.8
-0.9
-0.2
-2.2
-0.5
-0.4
-----
-----
-----
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table B.2.1
Private-Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2013—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Year
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
($’ 000,000)
1975
1976
1977
1978
1979
59.4
86.9
121.8
146.3
164.4
16.0
15.6
16.1
20.9
31.8
81.1
100.8
99.6
109.5
127.8
62.7
67.5
74.5
91.1
118.7
715.5
755.0
772.8
843.2
901.6
1,094.3
1,205.4
1,360.0
1,596.7
1,874.6
122.0
129.7
151.9
160.0
189.0
112.6
126.5
143.7
144.6
159.2
234.6
260.4
293.3
337.7
389.1
388.8
471.2
556.8
599.9
643.4
3.5
4.3
4.5
4.8
5.5
8.7
9.3
10.5
11.7
12.4
-----------
2,899.2
3,232.6
3,605.4
4,066.3
4,617.4
1980
1981
1982
1983
1984
178.6
210.8
218.4
234.7
191.8
47.1
49.3
50.4
51.1
49.9
147.8
166.8
199.2
215.9
248.5
147.2
177.7
210.1
232.6
265.6
1,089.0
1,397.1
1,528.6
1,643.1
1,827.6
2,126.9
2,377.6
2,834.2
3,253.5
3,624.8
232.3
287.6
315.1
337.6
367.8
167.2
185.9
204.1
219.1
258.6
493.1
581.5
786.9
720.5
767.5
807.9
879.1
943.1
1,026.9
1,159.2
6.1
6.2
6.8
6.7
6.9
13.2
14.6
15.4
16.9
18.1
-----------
5,456.5
6,334.1
7,312.3
7,958.6
8,786.3
1985
1986
1987
1988
1989
197.1
169.6
188.0
197.1
203.9
52.9
49.6
53.3
56.5
64.9
285.3
353.7
395.0
420.3
470.3
274.1
285.9
305.1
330.5
352.4
2,104.4
2,486.1
2,632.2
2,850.8
3,181.7
3,999.5
4,367.1
4,854.5
5,321.9
5,876.9
415.6
463.9
449.9
435.4
484.2
333.2
377.7
395.5
369.3
423.7
831.3
910.6
985.5
1,184.9
1,318.8
1,227.1
1,317.2
1,444.9
1,597.1
1,773.0
6.8
5.6
5.6
5.2
5.3
19.6
21.7
23.9
27.3
29.3
-----------
9,746.9
10,808.7
11,733.5
12,796.4
14,184.3
1990
1991
1992
1993
1994
220.6
247.5
269.1
284.2
301.1
70.0
76.8
85.8
93.5
96.7
490.4
518.8
554.5
579.5
610.2
397.4
442.4
466.7
503.0
520.8
3,497.4
3,819.3
4,141.5
4,444.6
4,653.5
6,466.2
7,038.2
7,573.7
8,253.2
8,740.7
533.2
570.0
602.6
660.2
689.2
460.1
490.9
505.8
574.1
606.4
1,422.5
1,505.1
1,584.2
1,719.9
1,785.7
1,986.0
2,159.5
2,291.2
2,427.0
2,533.2
5.0
6.1
6.9
10.6
9.9
28.4
32.3
29.7
28.3
26.8
-----------
15,577.1
16,906.9
18,112.0
19,578.1
20,574.2
1995
1996
1997
1998
1999
296.4
279.0
284.5
325.6
332.5
104.6
106.1
110.4
115.9
119.7
621.3
650.8
694.9
766.1
778.2
496.4
488.4
551.4
553.6
607.0
4,663.6
4,727.9
4,976.0
5,050.7
5,616.7
9,411.7
9,655.3
10,314.0
11,095.5
12,094.6
736.1
786.8
848.6
897.7
985.9
621.5
627.7
680.1
674.7
727.0
1,809.0
1,854.2
2,140.1
2,265.9
2,561.6
2,574.3
2,689.4
2,889.4
3,109.8
3,310.3
10.5
18.2
17.3
16.3
16.9
24.7
26.7
26.4
26.0
21.1
--------9.1
21,370.1
21,910.5
23,533.1
24,897.9
27,180.6
2000
2001
2002
2003
2004
368.6
387.4
416.0
470.5
509.2
123.7
147.5
139.8
161.3
162.3
868.2
930.6
1,042.5
1,111.7
1,137.0
638.6
727.8
786.5
840.9
864.5
5,967.6
6,621.7
7,141.5
7,671.5
7,888.1
13,082.2
14,186.0
15,841.5
16,447.8
17,727.8
1,058.2
1,197.1
1,247.1
1,282.1
1,345.3
778.6
875.5
903.8
975.0
1,025.7
2,808.8
3,218.4
3,337.4
3,522.5
3,882.3
3,586.8
3,860.3
4,218.0
4,466.5
4,893.7
24.7
27.5
33.2
32.3
35.5
19.6
26.3
28.7
29.9
30.3
9.3
10.6
11.2
13.3
13.9
29,335.0
32,216.6
35,147.3
37,025.3
39,515.7
2005
2006
2007
2008
2009
550.2
561.6
632.3
638.2
679.9
163.2
187.7
188.4
185.2
215.9
1,207.8
1,333.1
1,413.2
1,484.6
1,661.8
984.2
1,054.7
1,075.5
1,141.5
1,299.5
8,567.6
9,109.0
9,561.3
10,259.2
10,765.0
18,760.6
19,991.2
21,052.9
21,821.9
22,649.6
1,429.5
1,547.1
1,600.0
1,726.8
1,830.0
1,055.9
1,166.9
1,221.2
1,228.3
1,351.4
4,129.9
4,835.8
5,118.2
5,546.5
5,821.2
5,098.4
5,902.5
5,915.1
6,611.5
6,673.1
36.6
39.6
51.9
50.3
56.0
50.4
58.3
68.9
62.0
67.4
16.7
17.6
21.0
21.0
24.9
42,050.8
45,805.1
47,919.9
50,777.0
53,095.8
2010
2011
2012 f
2013 f
752.2
792.9
818.2
856.1
226.5
241.0
235.6
243.3
1,843.5
1,813.7
1,828.7
1,954.1
1,387.1
1,394.4
1,459.9
1,535.5
12,008.6
11,871.2
12,437.0
12,883.2
23,780.9
24,666.5
25,368.6
25,734.2
2,002.0
2,087.4
2,125.5
2,231.6
1,499.5
1,611.6
1,660.1
1,738.5
6,333.3
6,830.2
7,044.3
7,250.1
7,319.6
7,818.3
8,146.5
8,439.6
60.5
64.9
69.1
72.7
68.2
71.5
75.6
80.9
27.5
31.1
29.0
32.2
57,309.3
59,294.8
61,298.1
63,052.0
1976*
1980*
46.4
8.6
-2.5
48.2
24.3
15.6
7.8
24.0
5.5
20.8
10.2
13.5
6.3
22.9
12.3
5.0
11.0
26.7
21.2
25.6
23.1
11.5
7.0
6.4
-----
11.5
18.2
1985
1986
1987
1988
1989
2.7
-13.9
10.9
4.8
3.4
6.1
-6.3
7.4
6.2
14.8
14.8
24.0
11.7
6.4
11.9
3.2
4.3
6.7
8.3
6.6
15.1
18.1
5.9
8.3
11.6
10.3
9.2
11.2
9.6
10.4
13.0
11.6
-3.0
-3.2
11.2
28.8
13.4
4.7
-6.6
14.7
8.3
9.5
8.2
20.2
11.3
5.9
7.3
9.7
10.5
11.0
-1.2
-17.3
0.4
-7.5
1.2
8.3
10.5
10.0
14.4
7.5
-----------
10.9
10.9
8.6
9.1
10.8
1990
1991
1992
1993
1994
8.2
12.2
8.7
5.6
6.0
7.7
9.8
11.6
9.0
3.4
4.3
5.8
6.9
4.5
5.3
12.8
11.3
5.5
7.8
3.5
9.9
9.2
8.4
7.3
4.7
10.0
8.8
7.6
9.0
5.9
10.1
6.9
5.7
9.6
4.4
8.6
6.7
3.0
13.5
5.6
7.9
5.8
5.3
8.6
3.8
12.0
8.7
6.1
5.9
4.4
-4.8
20.9
14.1
52.5
-6.0
-3.3
13.7
-7.9
-4.7
-5.5
-----------
9.8
8.5
7.1
8.1
5.1
1995
1996
1997
1998
1999
-1.6
-5.9
2.0
14.4
2.1
8.2
1.4
4.1
5.0
3.3
1.8
4.7
6.8
10.2
1.6
-4.7
-1.6
12.9
0.4
9.6
0.2
1.4
5.2
1.5
11.2
7.7
2.6
6.8
7.6
9.0
6.8
6.9
7.9
5.8
9.8
2.5
1.0
8.3
-0.8
7.8
1.3
2.5
15.4
5.9
13.1
1.6
4.5
7.4
7.6
6.4
6.1
73.0
-5.2
-5.4
3.2
-7.8
8.3
-1.4
-1.4
-18.8
-----------
3.9
2.5
7.4
5.8
9.2
2000
2001
2002
2003
2004
10.8
5.1
7.4
13.1
8.2
3.3
19.3
-5.2
15.4
0.6
11.6
7.2
12.0
6.6
2.3
5.2
14.0
8.1
6.9
2.8
6.2
11.0
7.9
7.4
2.8
8.2
8.4
11.7
3.8
7.8
7.3
13.1
4.2
2.8
4.9
7.1
12.4
3.2
7.9
5.2
9.7
14.6
3.7
5.5
10.2
8.4
7.6
9.3
5.9
9.6
46.7
10.9
20.8
-2.6
10.0
-7.0
34.1
9.0
4.1
1.4
2.4
14.4
4.9
19.2
4.5
7.9
9.8
9.1
5.3
6.7
2005
2006
2007
2008
2009
8.1
2.1
12.6
0.9
6.5
0.6
15.0
0.3
-1.7
16.5
6.2
10.4
6.0
5.1
11.9
13.8
7.2
2.0
6.1
13.8
8.6
6.3
5.0
7.3
4.9
5.8
6.6
5.3
3.7
3.8
6.3
8.2
3.4
7.9
6.0
2.9
10.5
4.7
0.6
10.0
6.4
17.1
5.8
8.4
5.0
4.2
15.8
0.2
11.8
0.9
2.9
8.3
31.2
-3.1
11.4
66.1
15.7
18.2
-10.0
8.7
20.0
5.7
18.8
0.3
18.5
6.4
8.9
4.6
6.0
4.6
2010
2011
2012 f
2013 f
10.6
5.4
3.2
4.6
4.9
6.4
-2.3
3.3
10.9
-1.6
0.8
6.9
6.7
0.5
4.7
5.2
11.6
-1.1
4.8
3.6
5.0
3.7
2.8
1.4
9.4
4.3
1.8
5.0
11.0
7.5
3.0
4.7
8.8
7.8
3.1
2.9
9.7
6.8
4.2
3.6
8.0
7.3
6.4
5.2
1.1
4.8
5.7
6.9
10.2
13.3
-6.7
10.9
7.9
3.5
3.4
2.9
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2013.
147
National Health Expenditure Trends, 1975 to 2013
Table B.2.2
\
Private-Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2013—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
1975
1976
1977
1978
1979
106.65
154.40
215.42
257.68
288.40
135.81
131.42
134.19
171.57
258.31
98.13
120.69
118.59
129.63
150.52
92.57
97.96
107.02
130.17
168.79
113.03
118.03
120.15
130.92
139.42
131.53
143.27
159.90
185.85
216.40
118.99
125.66
146.30
153.65
182.19
1980
1981
1982
1983
1984
311.79
366.78
380.15
405.01
330.61
380.69
398.78
407.15
407.23
394.19
173.28
195.17
231.63
248.37
283.28
208.52
251.61
296.65
325.09
368.32
167.36
213.37
232.33
248.87
275.61
243.21
269.83
317.65
359.84
395.21
1985
1986
1987
1988
1989
340.16
294.15
326.89
342.81
353.75
414.66
386.13
414.24
437.42
499.18
322.36
397.71
442.14
468.32
520.32
378.68
394.24
419.14
452.46
479.28
315.70
370.59
388.08
416.85
459.21
1990
1991
1992
1993
1994
381.55
427.13
463.99
489.99
524.20
535.91
589.69
655.88
707.51
724.66
539.08
566.94
603.05
627.19
658.31
536.96
593.38
623.91
671.67
694.18
1995
1996
1997
1998
1999
522.27
498.31
516.33
603.02
623.44
778.40
781.25
811.16
853.14
878.29
669.35
698.71
745.24
822.05
833.35
2000
2001
2002
2003
2004
698.00
742.15
800.89
907.53
984.26
905.97
1,078.93
1,020.75
1,174.86
1,176.96
2005
2006
2007
2008
2009
1,070.07
1,100.57
1,248.85
1,260.31
1,335.57
2010
2011
2012 f
2013 f
Canada
Average
Alta.
B.C.
Y.T.
N.W.T
Nun.
122.75
135.75
152.08
151.90
165.93
129.69
139.32
150.57
167.03
185.49
155.56
185.95
216.69
229.50
241.59
160.46
192.59
197.19
200.49
229.00
202.70
209.75
236.08
258.67
271.21
-----------
125.27
137.85
151.96
169.69
190.79
224.54
277.48
301.03
318.16
343.13
172.83
190.48
206.74
218.66
254.68
224.89
253.47
332.28
301.41
321.10
294.53
311.30
328.28
353.45
393.53
251.86
257.98
276.32
282.66
287.69
284.92
306.50
311.09
331.49
344.96
-----------
222.57
255.20
291.12
313.74
343.11
430.17
462.71
503.36
540.72
581.43
383.98
424.97
409.78
395.06
438.77
324.93
366.97
383.01
359.28
415.71
345.94
374.58
404.68
482.78
528.50
412.58
438.48
473.72
512.66
554.42
278.89
229.51
219.52
196.03
194.61
361.05
396.69
433.59
490.09
514.33
-----------
377.16
414.11
443.63
477.56
519.92
499.35
540.63
582.66
621.16
647.05
627.92
674.92
716.54
772.16
807.95
482.25
513.71
541.56
590.76
613.62
456.84
489.59
503.84
570.20
600.67
558.47
580.52
601.71
644.78
661.19
603.48
640.15
660.58
680.33
689.18
180.81
210.04
230.03
347.90
334.47
481.64
529.44
476.22
445.89
410.95
-----------
562.40
603.14
638.49
682.59
709.48
660.95
649.20
732.76
737.64
808.66
645.98
652.41
684.03
692.26
766.96
859.52
871.18
918.57
976.12
1,051.12
651.90
693.69
746.91
789.20
862.92
612.84
615.97
668.05
663.07
716.46
661.54
668.13
756.21
781.48
867.37
681.57
694.17
731.75
780.76
825.22
346.09
580.94
543.38
524.83
548.19
370.96
395.82
389.36
387.12
519.53
--------338.68
729.30
739.95
786.87
825.61
893.98
929.70
998.07
1,115.60
1,187.04
1,212.20
850.90
970.56
1,048.19
1,119.37
1,149.59
811.14
895.18
959.14
1,023.60
1,044.92
1,119.54
1,192.33
1,309.00
1,341.31
1,427.33
922.32
1,039.77
1,079.23
1,103.43
1,149.28
772.58
875.38
907.57
980.13
1,030.97
934.74
1,052.90
1,070.93
1,114.22
1,210.13
887.99
946.52
1,024.93
1,074.87
1,164.12
813.55
911.33
1,100.75
1,056.96
1,151.06
484.88
645.24
692.18
708.13
708.29
338.32
378.42
388.44
456.07
469.23
955.88
1,038.53
1,120.32
1,168.87
1,235.05
1,180.97
1,361.24
1,363.71
1,327.47
1,530.53
1,290.40
1,421.18
1,509.86
1,583.60
1,766.83
1,309.94
1,414.38
1,442.80
1,528.29
1,732.82
1,127.61
1,193.59
1,243.82
1,323.68
1,375.58
1,493.03
1,578.42
1,645.91
1,687.37
1,733.10
1,217.48
1,306.65
1,340.46
1,432.20
1,500.09
1,066.47
1,176.13
1,220.94
1,211.57
1,312.67
1,258.82
1,413.46
1,456.99
1,544.05
1,584.98
1,196.74
1,390.93
1,372.58
1,507.99
1,496.25
1,177.29
1,226.05
1,594.12
1,519.47
1,660.60
1,179.43
1,349.38
1,582.67
1,419.75
1,545.43
556.12
573.00
670.70
665.46
774.56
1,301.40
1,406.10
1,455.32
1,524.03
1,574.29
1,469.59
1,546.00
1,596.05
1,673.47
1,582.84
1,654.28
1,612.41
1,659.17
1,950.44
1,912.25
1,927.56
2,058.73
1,842.36
1,846.02
1,931.27
2,029.04
1,519.09
1,488.00
1,544.06
1,587.55
1,798.34
1,845.42
1,878.33
1,883.39
1,620.07
1,667.68
1,677.54
1,744.95
1,435.80
1,523.58
1,537.20
1,591.71
1,700.78
1,807.85
1,818.46
1,835.86
1,615.99
1,708.32
1,762.33
1,796.70
1,747.66
1,834.23
1,913.41
1,984.82
1,554.60
1,617.13
1,744.07
1,848.58
837.12
928.07
862.08
947.21
1,679.32
1,719.49
1,757.38
1,787.44
1976*
1980*
44.8
8.1
-3.2
47.4
23.0
15.1
5.8
23.5
4.4
20.0
8.9
12.4
5.6
23.2
10.6
4.2
7.4
21.2
19.5
21.9
20.0
10.0
3.5
5.1
-----
10.0
16.7
1985
1986
1987
1988
1989
2.9
-13.5
11.1
4.9
3.2
5.2
-6.9
7.3
5.6
14.1
13.8
23.4
11.2
5.9
11.1
2.8
4.1
6.3
7.9
5.9
14.5
17.4
4.7
7.4
10.2
8.8
7.6
8.8
7.4
7.5
11.9
10.7
-3.6
-3.6
11.1
27.6
12.9
4.4
-6.2
15.7
7.7
8.3
8.0
19.3
9.5
4.8
6.3
8.0
8.2
8.1
-3.1
-17.7
-4.4
-10.7
-0.7
4.7
9.9
9.3
13.0
4.9
-----------
9.9
9.8
7.1
7.6
8.9
1990
1991
1992
1993
1994
7.9
11.9
8.6
5.6
7.0
7.4
10.0
11.2
7.9
2.4
3.6
5.2
6.4
4.0
5.0
12.0
10.5
5.1
7.7
3.4
8.7
8.3
7.8
6.6
4.2
8.0
7.5
6.2
7.8
4.6
9.9
6.5
5.4
9.1
3.9
9.9
7.2
2.9
13.2
5.3
5.7
3.9
3.7
7.2
2.5
8.8
6.1
3.2
3.0
1.3
-7.1
16.2
9.5
51.2
-3.9
-6.4
9.9
-10.1
-6.4
-7.8
-----------
8.2
7.2
5.9
6.9
3.9
1995
1996
1997
1998
1999
-0.4
-4.6
3.6
16.8
3.4
7.4
0.4
3.8
5.2
2.9
1.7
4.4
6.7
10.3
1.4
-4.8
-1.8
12.9
0.7
9.6
-0.2
1.0
4.8
1.2
10.8
6.4
1.4
5.4
6.3
7.7
6.2
6.4
7.7
5.7
9.3
2.0
0.5
8.5
-0.7
8.1
0.1
1.0
13.2
3.3
11.0
-1.1
1.8
5.4
6.7
5.7
3.5
67.9
-6.5
-3.4
4.5
-9.7
6.7
-1.6
-0.6
34.2
-----------
2.8
1.5
6.3
4.9
8.3
2000
2001
2002
2003
2004
12.0
6.3
7.9
13.3
8.5
3.2
19.1
-5.4
15.1
0.2
11.6
7.4
11.8
6.4
2.1
5.2
14.1
8.0
6.8
2.7
5.8
10.4
7.1
6.7
2.1
6.5
6.5
9.8
2.5
6.4
6.9
12.7
3.8
2.2
4.2
7.8
13.3
3.7
8.0
5.2
7.8
12.6
1.7
4.0
8.6
7.6
6.6
8.3
4.9
8.3
48.4
12.0
20.8
-4.0
8.9
-6.7
33.1
7.3
2.3
0.0
-0.1
11.9
2.6
17.4
2.9
6.9
8.6
7.9
4.3
5.7
2005
2006
2007
2008
2009
8.7
2.8
13.5
0.9
6.0
0.3
15.3
0.2
-2.7
15.3
6.5
10.1
6.2
4.9
11.6
13.9
8.0
2.0
5.9
13.4
7.9
5.9
4.2
6.4
3.9
4.6
5.7
4.3
2.5
2.7
5.9
7.3
2.6
6.8
4.7
3.4
10.3
3.8
-0.8
8.3
4.0
12.3
3.1
6.0
2.7
2.8
16.2
-1.3
9.9
-0.8
2.3
4.1
30.0
-4.7
9.3
66.5
14.4
17.3
-10.3
8.9
18.5
3.0
17.1
-0.8
16.4
5.4
8.0
3.5
4.7
3.3
2010
2011
2012 f
2013 f
10.0
5.2
3.2
4.9
3.4
4.5
-2.5
2.9
10.4
-2.0
0.8
6.8
6.3
0.2
4.6
5.1
10.4
-2.0
3.8
2.8
3.8
2.6
1.8
0.3
8.0
2.9
0.6
4.0
9.4
6.1
0.9
3.5
7.3
6.3
0.6
1.0
8.0
5.7
3.2
2.0
5.2
5.0
4.3
3.7
0.6
4.0
7.8
6.0
8.1
10.9
-7.1
9.9
6.7
2.4
2.2
1.7
Year
Sask.
($’ per capita )
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
148
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table B.2.3
Private-Sector Health Expenditure as a Proportion of Total Health Expenditure,
by Province/Territory and Canada, 1975 to 2013—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
1975
1976
1977
1978
1979
22.4
27.8
33.6
35.4
34.7
27.0
24.8
23.4
26.3
32.9
21.2
22.8
21.2
21.4
22.3
22.6
21.0
20.7
22.5
25.3
21.2
19.5
18.4
18.1
17.5
24.7
23.9
24.6
26.3
27.9
22.3
20.6
21.5
21.4
23.0
1980
1981
1982
1983
1984
33.8
33.9
31.1
30.3
25.5
38.5
36.2
33.1
31.1
29.2
22.5
21.1
21.7
21.5
22.1
26.2
26.1
25.6
26.0
27.2
18.5
20.3
19.4
18.9
19.6
27.9
26.7
27.1
27.5
27.7
1985
1986
1987
1988
1989
25.1
20.9
21.3
21.2
20.6
29.2
26.4
26.2
25.8
27.1
23.1
25.7
25.3
26.5
26.8
26.7
26.2
25.6
25.6
25.2
21.0
23.6
23.4
23.2
23.9
1990
1991
1992
1993
1994
20.1
21.5
22.5
23.5
24.1
27.3
27.4
29.1
30.0
30.8
26.3
26.3
27.3
28.6
30.2
25.9
27.2
27.5
28.9
29.0
1995
1996
1997
1998
1999
23.3
22.3
21.8
22.7
21.0
32.0
31.3
32.4
32.1
31.6
30.1
31.2
29.4
30.0
29.1
2000
2001
2002
2003
2004
21.8
21.5
21.6
22.8
23.8
30.8
31.0
27.7
29.8
30.2
2005
2006
2007
2008
2009
24.6
23.9
24.7
23.3
22.7
2010
2011
2012 f
2013 f
Sask.
Nun.
Canada
Average
Alta.
B.C.
Y.T.
N.W.T
25.5
24.3
24.5
23.2
22.6
23.6
22.5
23.1
23.0
21.8
28.1
28.9
30.4
29.3
28.1
22.1
23.9
24.3
22.3
22.9
24.8
23.8
21.4
20.7
21.0
-----------
23.8
23.0
23.3
23.8
24.1
23.9
24.9
23.7
22.8
23.1
20.5
19.6
18.1
17.4
18.9
22.9
22.2
23.5
19.9
20.4
28.1
25.6
24.4
24.7
26.2
23.5
21.9
18.2
17.5
18.1
21.6
19.7
14.0
13.7
14.4
-----------
24.5
24.1
23.8
23.4
23.9
27.7
27.1
27.2
26.9
26.7
24.1
24.6
22.7
21.0
21.4
21.8
22.2
22.4
20.1
20.6
20.4
20.5
21.9
24.5
24.7
26.5
26.4
27.1
27.4
27.2
17.1
13.2
12.6
11.4
10.7
14.2
13.0
13.2
12.9
12.6
-----------
24.5
24.9
25.1
25.1
25.3
24.3
24.2
25.1
26.3
26.8
27.2
26.9
27.5
29.4
30.4
21.5
22.1
22.3
24.0
24.6
20.4
21.2
21.8
24.9
25.4
24.7
24.8
24.6
26.4
28.3
26.9
26.6
26.1
26.1
25.9
9.4
9.7
10.3
13.2
10.6
11.5
11.5
10.6
9.9
9.4
-----------
25.5
25.4
25.9
27.4
28.1
27.3
26.9
29.7
28.8
29.2
26.6
27.3
27.6
26.4
27.8
32.1
32.5
33.5
33.5
34.1
25.2
26.5
27.4
27.3
26.6
25.4
25.2
25.6
24.3
24.4
29.7
29.3
30.2
29.7
29.4
25.5
25.9
26.7
27.2
27.0
11.0
16.5
16.7
15.7
15.4
8.4
9.6
9.1
8.4
9.5
--------6.4
28.8
29.2
29.9
29.6
30.0
30.6
30.9
31.5
30.9
30.5
28.8
29.5
30.1
30.2
29.0
27.5
28.1
28.6
29.0
28.3
33.5
33.9
34.9
33.2
33.3
26.0
27.3
27.1
26.0
25.7
24.6
25.3
24.9
25.2
24.9
29.3
29.4
28.3
27.9
28.1
26.7
26.3
26.9
27.2
28.6
20.1
19.2
21.3
20.7
21.2
9.4
11.0
10.8
11.4
10.7
5.5
5.8
5.2
4.5
4.5
29.8
30.1
30.6
30.0
30.0
28.3
30.2
28.8
26.6
27.4
30.0
29.8
29.7
29.6
31.5
29.9
29.4
28.9
28.7
30.2
29.0
28.8
28.5
28.6
28.1
33.2
33.3
32.9
32.2
31.6
25.4
25.9
25.5
25.6
25.1
23.9
24.5
24.0
22.6
23.2
27.2
28.5
27.7
27.2
27.0
28.2
30.4
29.2
29.7
29.0
19.7
18.5
22.8
21.2
20.1
15.8
16.9
17.9
15.2
15.3
5.5
5.3
5.9
5.7
6.4
30.0
30.4
29.9
29.5
29.2
22.8
22.7
22.6
23.5
26.7
25.9
26.0
26.1
31.9
30.2
30.1
31.6
30.6
29.6
30.3
31.3
29.6
28.5
28.7
28.7
31.8
32.1
32.3
32.3
26.0
26.0
25.9
26.3
24.0
24.1
23.7
24.0
26.4
27.4
27.3
27.1
29.9
30.6
30.9
31.1
20.9
20.7
20.7
19.9
15.7
15.2
16.5
17.3
6.8
7.2
6.7
7.2
29.6
29.6
29.8
29.9
1976*
1980*
23.8
-2.7
-8.2
17.1
7.5
0.8
-7.1
3.7
-8.0
5.7
-3.4
0.0
-7.7
4.2
-4.8
-9.4
-4.9
4.8
2.9
-0.2
8.4
2.3
-3.8
2.7
-----
-3.2
1.6
1985
1986
1987
1988
1989
-1.7
-16.8
2.2
-0.7
-2.9
0.1
-9.5
-0.7
-1.9
5.3
4.8
11.0
-1.5
4.7
1.3
-1.9
-1.9
-2.5
0.1
-1.6
6.9
12.5
-1.0
-0.6
3.1
0.0
-2.0
0.2
-1.2
-0.4
4.2
2.0
-7.4
-7.4
2.0
15.6
1.7
0.9
-10.2
2.7
0.2
0.2
7.0
12.0
0.5
1.1
-0.1
2.4
1.1
-0.4
-5.7
-22.9
-4.4
-9.7
-6.5
-1.7
-8.3
1.3
-1.8
-2.6
-----------
2.3
1.9
0.5
0.1
0.7
1990
1991
1992
1993
1994
-2.2
6.7
4.7
4.6
2.6
0.6
0.3
6.2
3.1
2.8
-2.2
0.3
3.6
4.8
5.4
3.0
4.8
1.1
5.3
0.4
1.6
-0.5
3.8
4.5
2.0
1.6
-1.1
2.2
7.0
3.4
0.1
3.1
0.8
7.7
2.3
-1.0
3.6
2.8
14.7
1.9
0.4
0.3
-0.8
7.1
7.2
-1.1
-1.3
-1.7
-0.1
-0.7
-12.0
3.5
5.7
28.5
-19.9
-8.7
0.4
-7.9
-7.1
-5.3
-----------
0.8
-0.2
1.9
5.6
2.7
1995
1996
1997
1998
1999
-3.2
-4.7
-2.1
4.2
-7.5
3.7
-2.1
3.7
-1.2
-1.4
-0.1
3.4
-5.6
2.1
-3.2
-6.1
-1.3
10.3
-3.1
1.6
-0.6
2.4
1.3
-4.5
5.6
5.7
1.2
3.0
0.0
1.9
2.7
4.8
3.4
-0.2
-2.5
0.1
-0.9
1.6
-5.2
0.5
5.0
-1.2
3.0
-1.6
-1.0
-1.8
1.8
2.9
2.1
-1.1
4.1
50.3
1.1
-6.1
-1.6
-10.5
15.1
-5.2
-8.0
12.8
-----------
2.4
1.4
2.4
-0.9
1.4
2000
2001
2002
2003
2004
4.0
-1.6
0.5
5.6
4.4
-2.5
0.6
-10.7
7.8
1.1
5.3
0.9
2.1
-1.9
-1.2
-1.5
2.5
2.0
0.3
-3.8
-1.1
2.0
2.0
1.3
-2.2
-1.8
1.3
2.8
-4.9
0.4
-2.2
4.9
-0.9
-3.9
-1.2
0.9
2.8
-1.5
0.9
-1.3
-0.6
0.4
-3.6
-1.4
0.6
-0.8
-1.7
2.4
1.2
4.9
30.1
-4.3
10.9
-3.1
2.6
-0.5
16.6
-1.5
5.0
-6.0
-13.3
4.5
-10.1
-12.5
-0.7
-1.0
1.0
1.7
-1.9
0.3
2005
2006
2007
2008
2009
3.3
-2.7
3.1
-5.6
-2.6
-6.0
6.6
-4.6
-7.5
2.9
-1.8
-0.5
-0.6
-0.2
6.3
3.0
-1.4
-1.9
-0.8
5.4
2.4
-0.6
-1.1
0.2
-1.6
-0.3
0.3
-1.1
-2.3
-1.8
-1.0
1.7
-1.6
0.5
-2.1
-3.9
2.5
-2.1
-5.8
2.9
-3.0
4.5
-2.6
-1.8
-0.6
-1.4
7.8
-3.9
1.7
-2.1
-7.0
-6.1
23.1
-7.2
-5.0
48.1
7.1
5.7
-14.8
0.5
21.4
-4.0
12.6
-3.4
11.5
-0.2
1.4
-1.6
-1.3
-1.2
2010
2011
2012 f
2013 f
0.5
-0.7
-0.4
4.0
-2.5
-3.0
0.2
0.6
1.4
-5.2
-0.5
5.1
1.5
-3.4
2.5
3.3
5.2
-3.7
0.7
0.0
0.6
1.0
0.7
-0.2
3.9
-0.1
-0.5
1.6
3.2
0.5
-1.6
1.3
-2.2
3.5
-0.4
-0.8
3.1
2.1
1.0
0.8
4.0
-1.0
-0.2
-3.8
2.4
-3.0
8.1
5.1
6.9
4.9
-7.0
8.3
1.7
0.0
0.5
0.3
Year
Man.
(percentage)
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2013.
149
National Health Expenditure Trends, 1975 to 2013
Table B.3.1
Public-Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2013—
Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Year
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
($’ 000,000)
1975
1976
1977
1978
1979
205.1
225.9
241.1
266.4
308.9
43.2
47.3
52.6
58.6
64.8
301.4
341.4
369.5
403.0
445.1
214.8
254.3
284.4
313.6
351.3
2,663.2
3,120.1
3,427.9
3,823.4
4,248.1
3,328.5
3,835.4
4,164.6
4,475.1
4,853.4
424.4
499.7
554.1
589.0
634.3
328.6
393.9
443.7
477.8
544.3
757.8
898.5
978.9
1,127.7
1,391.9
994.5
1,157.2
1,275.0
1,444.5
1,645.2
12.4
13.7
14.0
16.6
18.4
26.4
29.7
38.8
44.8
46.6
-----------
9,300.3
10,817.2
11,844.6
13,040.5
14,552.3
1980
1981
1982
1983
1984
349.8
410.4
482.8
539.0
559.9
75.2
87.0
101.9
113.4
121.1
509.4
622.0
719.9
789.0
876.9
415.2
503.5
609.2
662.1
709.6
4,797.5
5,490.7
6,361.9
7,032.2
7,486.1
5,507.2
6,525.4
7,611.1
8,596.5
9,461.2
739.1
865.6
1,017.0
1,141.0
1,224.3
648.5
763.1
925.9
1,038.5
1,112.7
1,660.1
2,042.2
2,564.7
2,901.6
2,996.8
2,072.0
2,551.3
2,927.1
3,128.8
3,269.7
20.0
22.0
30.4
31.4
31.0
47.9
59.2
95.0
106.6
107.6
-----------
16,841.8
19,942.6
23,446.8
26,080.0
27,956.9
1985
1986
1987
1988
1989
588.8
642.9
693.6
733.8
787.7
128.3
138.0
149.7
163.0
174.4
947.2
1,023.2
1,165.5
1,165.0
1,281.5
752.2
805.3
888.9
961.0
1,047.7
7,927.6
8,051.3
8,636.4
9,428.4
10,108.6
10,443.3
11,730.2
13,011.9
14,497.9
16,093.9
1,310.9
1,425.8
1,530.2
1,634.3
1,773.2
1,195.5
1,325.9
1,372.2
1,468.3
1,629.2
3,239.1
3,537.9
3,514.4
3,645.6
4,031.0
3,410.8
3,666.9
3,896.4
4,242.0
4,736.8
32.9
37.0
39.1
40.6
44.2
118.9
145.2
157.4
183.9
203.6
-----------
30,095.5
32,529.4
35,055.7
38,163.7
41,911.9
1990
1991
1992
1993
1994
875.9
905.7
928.3
924.9
948.1
186.3
203.8
209.2
218.2
217.0
1,376.6
1,451.2
1,477.0
1,445.5
1,413.1
1,136.1
1,186.9
1,233.1
1,236.1
1,272.2
10,880.7
11,962.9
12,338.3
12,478.7
12,722.6
17,332.8
19,156.1
20,001.5
19,821.7
20,008.4
1,951.1
2,006.0
2,099.3
2,088.9
2,115.7
1,792.1
1,828.9
1,819.5
1,727.8
1,778.8
4,326.9
4,557.5
4,846.4
4,800.5
4,527.8
5,390.4
5,967.8
6,478.5
6,870.4
7,238.1
48.5
56.5
60.6
69.5
84.1
218.5
247.2
249.9
258.7
259.5
-----------
45,515.8
49,530.5
51,741.7
51,941.0
52,585.4
1995
1996
1997
1998
1999
973.1
974.4
1,020.8
1,107.8
1,250.8
222.8
233.0
229.9
245.5
259.0
1,440.0
1,438.2
1,669.3
1,786.8
1,899.7
1,323.0
1,325.3
1,305.7
1,370.6
1,469.5
12,855.3
12,616.8
13,040.3
14,106.3
14,557.0
19,875.0
20,038.3
20,481.1
22,030.1
23,344.6
2,179.4
2,185.3
2,251.9
2,388.6
2,715.0
1,820.8
1,862.3
1,976.1
2,103.5
2,250.4
4,283.5
4,466.5
4,942.0
5,354.0
6,140.2
7,538.9
7,688.7
7,942.6
8,304.5
8,969.4
85.2
92.0
86.0
87.8
92.4
270.3
250.9
262.6
283.8
201.9
--------133.6
52,867.3
53,171.8
55,208.5
59,169.4
63,283.4
2000
2001
2002
2003
2004
1,318.7
1,415.5
1,510.0
1,591.3
1,628.9
277.7
328.5
365.6
379.7
375.9
1,968.4
2,082.7
2,264.3
2,484.1
2,585.0
1,580.0
1,740.0
1,829.1
1,947.6
2,115.2
15,714.2
16,965.3
17,809.2
18,791.3
19,937.4
25,957.7
27,606.2
29,563.0
33,141.3
35,529.3
3,005.5
3,184.7
3,360.2
3,645.4
3,889.3
2,381.2
2,581.5
2,719.3
2,898.0
3,100.9
6,792.9
7,744.0
8,456.3
9,108.3
9,950.6
9,825.8
10,819.7
11,452.1
11,924.8
12,228.9
98.4
115.3
122.3
124.0
132.0
188.9
213.6
237.0
233.5
253.9
159.2
173.7
203.8
279.4
294.1
69,268.5
74,970.8
79,892.4
86,548.6
92,021.5
2005
2006
2007
2008
2009
1,686.0
1,783.9
1,928.0
2,098.1
2,314.6
412.8
434.0
465.9
510.4
572.3
2,819.0
3,135.3
3,351.0
3,529.9
3,617.9
2,309.8
2,527.0
2,647.4
2,841.8
3,004.7
20,943.9
22,469.1
23,960.1
25,650.7
27,519.6
37,774.8
40,084.0
42,889.2
46,007.5
49,056.2
4,188.9
4,429.7
4,682.6
5,021.3
5,472.7
3,365.4
3,600.8
3,876.0
4,213.2
4,467.4
11,040.8
12,157.0
13,355.9
14,849.4
15,709.4
12,999.4
13,542.1
14,361.5
15,682.4
16,312.9
148.7
173.9
175.5
187.2
222.7
268.4
286.1
316.3
344.9
372.6
288.0
317.8
333.1
346.6
365.9
98,245.9
104,940.6
112,342.5
121,283.4
129,008.8
2010
2011
2012 f
2013 f
2,545.2
2,706.0
2,808.3
2,792.2
621.1
689.0
671.9
688.4
3,935.1
4,184.6
4,252.4
4,229.2
3,141.3
3,317.1
3,350.7
3,363.8
28,595.1
29,797.7
30,898.5
32,004.0
51,026.5
52,154.9
53,097.4
53,999.8
5,688.4
5,940.4
6,086.4
6,250.9
4,754.8
5,079.3
5,342.3
5,498.8
17,613.0
18,112.9
18,775.4
19,551.7
17,142.1
17,767.6
18,236.6
18,686.3
228.8
248.5
265.0
292.7
366.2
397.9
383.8
386.5
375.2
404.0
407.6
414.9
136,032.9
140,799.9
144,576.3
148,159.4
1976*
1980*
10.1
13.2
9.5
16.0
13.3
14.4
18.4
18.2
17.2
12.9
15.2
13.5
17.8
16.5
19.9
19.2
18.6
19.3
16.4
25.9
10.9
8.3
12.7
2.9
-----
16.3
15.7
1985
1986
1987
1988
1989
5.2
9.2
7.9
5.8
7.4
5.9
7.6
8.5
8.9
7.0
8.0
8.0
13.9
-0.1
10.0
6.0
7.1
10.4
8.1
9.0
5.9
1.6
7.3
9.2
7.2
10.4
12.3
10.9
11.4
11.0
7.1
8.8
7.3
6.8
8.5
7.4
10.9
3.5
7.0
11.0
8.1
9.2
-0.7
3.7
10.6
4.3
7.5
6.3
8.9
11.7
6.1
12.3
5.8
3.8
9.1
10.5
22.2
8.4
16.8
10.7
-----------
7.6
8.1
7.8
8.9
9.8
1990
1991
1992
1993
1994
11.2
3.4
2.5
-0.4
2.5
6.8
9.4
2.7
4.3
-0.6
7.4
5.4
1.8
-2.1
-2.2
8.4
4.5
3.9
0.2
2.9
7.6
9.9
3.1
1.1
2.0
7.7
10.5
4.4
-0.9
0.9
10.0
2.8
4.7
-0.5
1.3
10.0
2.1
-0.5
-5.0
3.0
7.3
5.3
6.3
-0.9
-5.7
13.8
10.7
8.6
6.0
5.4
9.7
16.4
7.2
14.7
20.9
7.3
13.2
1.1
3.5
0.3
-----------
8.6
8.8
4.5
0.4
1.2
1995
1996
1997
1998
1999
2.6
0.1
4.8
8.5
12.9
2.7
4.6
-1.3
6.8
5.5
1.9
-0.1
16.1
7.0
6.3
4.0
0.2
-1.5
5.0
7.2
1.0
-1.9
3.4
8.2
3.2
-0.7
0.8
2.2
7.6
6.0
3.0
0.3
3.0
6.1
13.7
2.4
2.3
6.1
6.4
7.0
-5.4
4.3
10.6
8.3
14.7
4.2
2.0
3.3
4.6
8.0
1.4
7.9
-6.5
2.0
5.2
4.1
-7.2
4.6
8.1
-28.9
-----------
0.5
0.6
3.8
7.2
7.0
2000
2001
2002
2003
2004
5.4
7.3
6.7
5.4
2.4
7.2
18.3
11.3
3.8
-1.0
3.6
5.8
8.7
9.7
4.1
7.5
10.1
5.1
6.5
8.6
7.9
8.0
5.0
5.5
6.1
11.2
6.4
7.1
12.1
7.2
10.7
6.0
5.5
8.5
6.7
5.8
8.4
5.3
6.6
7.0
10.6
14.0
9.2
7.7
9.2
9.5
10.1
5.8
4.1
2.6
6.5
17.1
6.1
1.4
6.4
-6.5
13.1
10.9
-1.5
8.7
19.2
9.1
17.4
37.1
5.3
9.5
8.2
6.6
8.3
6.3
2005
2006
2007
2008
2009
3.5
5.8
8.1
8.8
10.3
9.8
5.1
7.3
9.6
12.1
9.1
11.2
6.9
5.3
2.5
9.2
9.4
4.8
7.3
5.7
5.0
7.3
6.6
7.1
7.3
6.3
6.1
7.0
7.3
6.6
7.7
5.7
5.7
7.2
9.0
8.5
7.0
7.6
8.7
6.0
11.0
10.1
9.9
11.2
5.8
6.3
4.2
6.1
9.2
4.0
12.7
16.9
0.9
6.6
18.9
5.7
6.6
10.6
9.1
8.0
-2.1
10.3
4.8
4.1
5.6
6.8
6.8
7.1
8.0
6.4
2010
2011
2012 f
2013 f
10.0
6.3
3.8
-0.6
8.5
10.9
-2.5
2.5
8.8
6.3
1.6
-0.5
4.5
5.6
1.0
0.4
3.9
4.2
3.7
3.6
4.0
2.2
1.8
1.7
3.9
4.4
2.5
2.7
6.4
6.8
5.2
2.9
12.1
2.8
3.7
4.1
5.1
3.6
2.6
2.5
2.7
8.6
6.7
10.5
-1.7
8.7
-3.6
0.7
2.5
7.7
0.9
1.8
5.4
3.5
2.7
2.5
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
150
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table B.3.2
Public-Sector Health Expenditure, by Province/Territory and Canada, 1975 to 2013—
Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
1975
1976
1977
1978
1979
368.63
401.59
426.51
469.28
541.83
366.81
398.40
438.37
481.48
526.92
364.61
408.76
440.06
477.18
524.16
317.30
368.89
408.78
448.30
499.63
420.71
487.77
532.97
593.68
656.94
400.07
455.84
489.62
520.87
560.26
414.03
484.35
533.84
565.70
611.46
1980
1981
1982
1983
1984
610.55
714.10
840.26
929.97
965.06
607.90
703.39
823.02
904.07
956.70
597.33
727.84
837.09
907.77
999.68
588.09
712.80
860.19
925.49
984.09
737.28
838.57
966.96
1,065.11
1,128.93
629.73
740.57
853.04
950.77
1,031.54
1985
1986
1987
1988
1989
1,016.34
1,115.18
1,205.91
1,276.14
1,366.63
1,004.74
1,074.57
1,164.10
1,260.71
1,340.84
1,070.18
1,150.53
1,304.53
1,298.16
1,417.87
1,039.37
1,110.46
1,221.26
1,315.80
1,425.04
1,189.31
1,200.16
1,273.33
1,378.61
1,458.95
1990
1991
1992
1993
1994
1,515.29
1,562.86
1,600.38
1,594.84
1,650.45
1,426.83
1,563.81
1,599.57
1,651.43
1,626.43
1,513.31
1,585.86
1,606.22
1,564.33
1,524.47
1,535.00
1,592.01
1,648.30
1,650.79
1,695.79
1995
1996
1997
1998
1999
1,714.87
1,740.60
1,852.68
2,051.73
2,344.87
1,657.77
1,716.36
1,689.18
1,807.78
1,900.33
1,551.41
1,544.13
1,790.15
1,917.40
2,034.29
2000
2001
2002
2003
2004
2,497.29
2,711.82
2,907.00
3,069.54
3,148.75
2,034.62
2,403.43
2,669.89
2,764.67
2,726.65
2005
2006
2007
2008
2009
3,279.24
3,495.61
3,807.70
4,143.63
4,546.47
2010
2011
2012 f
2013 f
Nun.
Canada
Average
Alta.
B.C.
Y.T.
N.W.T
358.17
422.78
469.60
501.92
567.22
418.96
480.64
502.58
557.76
663.57
397.88
456.69
496.16
552.61
617.81
566.03
611.85
612.99
698.51
769.00
615.97
671.20
867.88
989.36
1,018.11
-----------
401.86
461.29
499.22
544.19
601.29
714.35
835.22
971.54
1,075.33
1,142.17
670.38
782.01
937.79
1,036.59
1,095.73
757.18
890.16
1,082.96
1,213.87
1,253.83
755.33
903.45
1,018.87
1,076.86
1,110.02
821.22
919.81
1,241.64
1,328.45
1,297.62
1,034.17
1,245.88
1,917.90
2,088.58
2,047.42
-----------
686.97
803.48
933.49
1,028.11
1,091.74
1,123.23
1,242.85
1,349.18
1,473.03
1,592.27
1,211.28
1,306.04
1,393.62
1,482.95
1,606.82
1,165.85
1,288.21
1,328.72
1,428.29
1,598.43
1,347.98
1,455.36
1,443.08
1,485.33
1,615.48
1,146.76
1,220.62
1,277.43
1,361.65
1,481.22
1,351.18
1,510.29
1,521.49
1,524.93
1,632.10
2,185.68
2,655.45
2,859.77
3,302.40
3,570.18
-----------
1,164.56
1,246.28
1,325.41
1,424.26
1,536.26
1,553.52
1,693.36
1,735.83
1,743.98
1,769.02
1,683.15
1,836.97
1,892.32
1,854.51
1,849.50
1,764.67
1,807.82
1,886.70
1,869.05
1,883.55
1,779.42
1,824.01
1,812.37
1,716.06
1,762.05
1,698.71
1,757.86
1,840.71
1,799.67
1,676.53
1,638.00
1,769.05
1,867.85
1,925.89
1,969.18
1,747.95
1,954.71
2,011.98
2,290.11
2,831.14
3,708.35
4,057.16
4,004.30
4,071.51
3,983.42
-----------
1,643.32
1,766.97
1,824.02
1,810.94
1,813.34
1,761.67
1,761.66
1,735.08
1,826.14
1,957.71
1,780.65
1,741.00
1,792.57
1,933.44
1,987.76
1,815.07
1,808.02
1,824.07
1,938.07
2,028.84
1,930.11
1,926.76
1,982.10
2,099.87
2,376.36
1,795.42
1,827.39
1,941.00
2,067.33
2,217.76
1,566.45
1,609.44
1,746.27
1,846.54
2,079.12
1,996.01
1,984.56
2,011.53
2,084.94
2,236.02
2,799.51
2,930.96
2,705.48
2,818.35
3,001.00
4,060.01
3,713.59
3,876.75
4,224.37
4,967.45
--------4,979.32
1,804.21
1,795.68
1,845.98
1,962.04
2,081.42
2,107.72
2,233.73
2,422.95
2,652.47
2,755.99
2,105.17
2,320.35
2,437.73
2,592.61
2,812.67
2,135.94
2,293.54
2,391.87
2,507.29
2,641.07
2,221.39
2,320.31
2,442.81
2,702.64
2,860.59
2,619.42
2,766.22
2,907.82
3,137.45
3,322.64
2,362.85
2,581.17
2,730.52
2,913.38
3,116.84
2,260.58
2,533.41
2,713.56
2,881.11
3,101.63
2,432.62
2,652.91
2,782.74
2,869.73
2,909.00
3,234.92
3,826.04
4,058.32
4,055.76
4,274.60
4,664.19
5,232.80
5,711.56
5,529.05
5,929.69
5,787.58
6,175.93
7,091.92
9,579.09
9,926.96
2,257.11
2,416.75
2,546.57
2,732.30
2,876.10
2,987.06
3,146.71
3,372.33
3,657.63
4,057.15
3,011.79
3,342.49
3,580.21
3,765.36
3,846.52
3,074.32
3,388.92
3,551.72
3,804.69
4,006.49
2,756.49
2,944.23
3,116.93
3,309.55
3,516.52
3,006.24
3,164.86
3,353.07
3,557.52
3,753.68
3,567.58
3,741.20
3,923.06
4,164.64
4,486.18
3,399.22
3,629.35
3,875.38
4,155.90
4,339.36
3,365.36
3,553.38
3,801.96
4,133.80
4,277.31
3,051.34
3,191.19
3,332.50
3,576.94
3,657.69
4,788.82
5,387.89
5,391.29
5,656.08
6,598.36
6,282.52
6,623.26
7,263.06
7,895.02
8,539.38
9,594.32
10,317.10
10,654.45
10,963.29
11,365.02
3,040.53
3,221.40
3,411.81
3,640.21
3,825.10
4,972.29
5,275.81
5,477.97
5,458.47
4,341.30
4,728.90
4,598.89
4,695.33
4,163.49
4,412.03
4,482.41
4,455.55
4,172.35
4,391.60
4,432.49
4,445.02
3,617.31
3,734.99
3,836.06
3,943.73
3,858.69
3,901.97
3,931.42
3,952.05
4,603.28
4,745.89
4,803.74
4,887.74
4,552.82
4,801.78
4,946.73
5,034.48
4,729.91
4,794.21
4,846.82
4,950.84
3,784.54
3,882.29
3,945.12
3,978.09
6,606.36
7,019.07
7,340.68
7,994.11
8,347.69
9,000.65
8,852.60
8,837.79
11,430.95
12,041.58
12,096.19
12,204.37
3,986.13
4,083.05
4,144.91
4,200.13
1976*
1980*
8.9
12.7
8.6
15.4
12.1
14.0
16.3
17.7
15.9
12.2
13.9
12.4
17.0
16.8
18.0
18.2
14.7
14.1
14.8
22.3
8.1
6.8
9.0
1.6
-----
14.8
14.2
1985
1986
1987
1988
1989
5.3
9.7
8.1
5.8
7.1
5.0
7.0
8.3
8.3
6.4
7.1
7.5
13.4
-0.5
9.2
5.6
6.8
10.0
7.7
8.3
5.3
0.9
6.1
8.3
5.8
8.9
10.6
8.6
9.2
8.1
6.1
7.8
6.7
6.4
8.4
6.4
10.5
3.1
7.5
11.9
7.5
8.0
-0.8
2.9
8.8
3.3
6.4
4.7
6.6
8.8
4.1
11.8
0.7
0.2
7.0
6.8
21.5
7.7
15.5
8.1
-----------
6.7
7.0
6.3
7.5
7.9
1990
1991
1992
1993
1994
10.9
3.1
2.4
-0.3
3.5
6.4
9.6
2.3
3.2
-1.5
6.7
4.8
1.3
-2.6
-2.5
7.7
3.7
3.5
0.2
2.7
6.5
9.0
2.5
0.5
1.4
5.7
9.1
3.0
-2.0
-0.3
9.8
2.4
4.4
-0.9
0.8
11.3
2.5
-0.6
-5.3
2.7
5.2
3.5
4.7
-2.2
-6.8
10.6
8.0
5.6
3.1
2.2
7.1
11.8
2.9
13.8
23.6
3.9
9.4
-1.3
1.7
-2.2
-----------
7.0
7.5
3.2
-0.7
0.1
1995
1996
1997
1998
1999
3.9
1.5
6.4
10.7
14.3
1.9
3.5
-1.6
7.0
5.1
1.8
-0.5
15.9
7.1
6.1
3.9
0.0
-1.5
5.2
7.2
0.7
-2.2
3.0
7.9
2.8
-1.9
-0.4
0.9
6.3
4.7
2.5
-0.2
2.9
5.9
13.2
1.9
1.8
6.2
6.5
7.3
-6.6
2.7
8.5
5.7
12.6
1.4
-0.6
1.4
3.6
7.2
-1.1
4.7
-7.7
4.2
6.5
1.9
-8.5
4.4
9.0
17.6
-----------
-0.5
-0.5
2.8
6.3
6.1
2000
2001
2002
2003
2004
6.5
8.6
7.2
5.6
2.6
7.1
18.1
11.1
3.5
-1.4
3.6
6.0
8.5
9.5
3.9
7.5
10.2
5.1
6.4
8.5
7.5
7.4
4.3
4.8
5.3
9.5
4.5
5.3
10.6
5.8
10.2
5.6
5.1
7.9
5.9
6.5
9.2
5.8
6.7
7.0
8.7
12.1
7.1
6.2
7.7
8.8
9.1
4.9
3.1
1.4
7.8
18.3
6.1
-0.1
5.4
-6.1
12.2
9.1
-3.2
7.2
16.2
6.7
14.8
35.1
3.6
8.4
7.1
5.4
7.3
5.3
2005
2006
2007
2008
2009
4.1
6.6
8.9
8.8
9.7
9.6
5.3
7.2
8.5
10.9
9.3
11.0
7.1
5.2
2.2
9.3
10.2
4.8
7.1
5.3
4.4
6.8
5.9
6.2
6.3
5.1
5.3
5.9
6.1
5.5
7.4
4.9
4.9
6.2
7.7
9.1
6.8
6.8
7.2
4.4
8.5
5.6
7.0
8.7
3.5
4.9
4.6
4.4
7.3
2.3
12.0
12.5
0.1
4.9
16.7
6.0
5.4
9.7
8.7
8.2
-3.4
7.5
3.3
2.9
3.7
5.7
5.9
5.9
6.7
5.1
2010
2011
2012 f
2013 f
9.4
6.1
3.8
-0.4
7.0
8.9
-2.7
2.1
8.2
6.0
1.6
-0.6
4.1
5.3
0.9
0.3
2.9
3.3
2.7
2.8
2.8
1.1
0.8
0.5
2.6
3.1
1.2
1.7
4.9
5.5
3.0
1.8
10.6
1.4
1.1
2.1
3.5
2.6
1.6
0.8
0.1
6.2
4.6
8.9
-2.2
7.8
-1.6
-0.2
0.6
5.3
0.5
0.9
4.2
2.4
1.5
1.3
Year
Sask.
($’ per capita)
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2013.
151
National Health Expenditure Trends, 1975 to 2013
Table B.3.3
Public-Sector Health Expenditure as a Proportion of Total Health Expenditure by Province/Territory
and Canada, 1975 to 2013—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Year
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
Average
(percentage)
1975
1976
1977
1978
1979
77.6
72.2
66.4
64.6
65.3
73.0
75.2
76.6
73.7
67.1
78.8
77.2
78.8
78.6
77.7
77.4
79.0
79.3
77.5
74.7
78.8
80.5
81.6
81.9
82.5
75.3
76.1
75.4
73.7
72.1
77.7
79.4
78.5
78.6
77.0
74.5
75.7
75.5
76.8
77.4
76.4
77.5
76.9
77.0
78.2
71.9
71.1
69.6
70.7
71.9
77.9
76.1
75.7
77.7
77.1
75.2
76.2
78.6
79.3
79.0
-----------
76.2
77.0
76.7
76.2
75.9
1980
1981
1982
1983
66.2
66.1
68.9
69.7
61.5
63.8
66.9
68.9
77.5
78.9
78.3
78.5
73.8
73.9
74.4
74.0
81.5
79.7
80.6
81.1
72.1
73.3
72.9
72.5
76.1
75.1
76.3
77.2
79.5
80.4
81.9
82.6
77.1
77.8
76.5
80.1
71.9
74.4
75.6
75.3
76.5
78.1
81.8
82.5
78.4
80.3
86.0
86.3
---------
75.5
75.9
76.2
76.6
1984
1985
1986
1987
1988
1989
74.5
74.9
79.1
78.7
78.8
79.4
70.8
70.8
73.6
73.8
74.2
72.9
77.9
76.9
74.3
74.7
73.5
73.2
72.8
73.3
73.8
74.4
74.4
74.8
80.4
79.0
76.4
76.6
76.8
76.1
72.3
72.3
72.9
72.8
73.1
73.3
76.9
75.9
75.4
77.3
79.0
78.6
81.1
78.2
77.8
77.6
79.9
79.4
79.6
79.6
79.5
78.1
75.5
75.3
73.8
73.5
73.6
72.9
72.6
72.8
81.9
82.9
86.8
87.4
88.6
89.3
85.6
85.8
87.0
86.8
87.1
87.4
-------------
76.1
75.5
75.1
74.9
74.9
74.7
1990
1991
1992
1993
1994
79.9
78.5
77.5
76.5
75.9
72.7
72.6
70.9
70.0
69.2
73.7
73.7
72.7
71.4
69.8
74.1
72.8
72.5
71.1
71.0
75.7
75.8
74.9
73.7
73.2
72.8
73.1
72.5
70.6
69.6
78.5
77.9
77.7
76.0
75.4
79.6
78.8
78.2
75.1
74.6
75.3
75.2
75.4
73.6
71.7
73.1
73.4
73.9
73.9
74.1
90.6
90.3
89.7
86.8
89.4
88.5
88.5
89.4
90.1
90.6
-----------
74.5
74.6
74.1
72.6
71.9
1995
1996
1997
1998
1999
76.7
77.7
78.2
77.3
79.0
68.0
68.7
67.6
67.9
68.4
69.9
68.8
70.6
70.0
70.9
72.7
73.1
70.3
71.2
70.8
73.4
72.7
72.4
73.6
72.2
67.9
67.5
66.5
66.5
65.9
74.8
73.5
72.6
72.7
73.4
74.6
74.8
74.4
75.7
75.6
70.3
70.7
69.8
70.3
70.6
74.5
74.1
73.3
72.8
73.0
89.0
83.5
83.3
84.3
84.6
91.6
90.4
90.9
91.6
90.5
--------93.6
71.2
70.8
70.1
70.4
70.0
2000
2001
2002
2003
2004
78.2
78.5
78.4
77.2
76.2
69.2
69.0
72.3
70.2
69.8
69.4
69.1
68.5
69.1
69.5
71.2
70.5
69.9
69.8
71.0
72.5
71.9
71.4
71.0
71.7
66.5
66.1
65.1
66.8
66.7
74.0
72.7
72.9
74.0
74.3
75.4
74.7
75.1
74.8
75.1
70.7
70.6
71.7
72.1
71.9
73.3
73.7
73.1
72.8
71.4
79.9
80.8
78.7
79.3
78.8
90.6
89.0
89.2
88.6
89.3
94.5
94.2
94.8
95.5
95.5
70.2
69.9
69.4
70.0
70.0
2005
2006
2007
2008
2009
75.4
76.1
75.3
76.7
77.3
71.7
69.8
71.2
73.4
72.6
70.0
70.2
70.3
70.4
68.5
70.1
70.6
71.1
71.3
69.8
71.0
71.2
71.5
71.4
71.9
66.8
66.7
67.1
67.8
68.4
74.6
74.1
74.5
74.4
74.9
76.1
75.5
76.0
77.4
76.8
72.8
71.5
72.3
72.8
73.0
71.8
69.6
70.8
70.3
71.0
80.3
81.5
77.2
78.8
79.9
84.2
83.1
82.1
84.8
84.7
94.5
94.7
94.1
94.3
93.6
70.0
69.6
70.1
70.5
70.8
2010
2011
2012 f
2013 f
77.2
77.3
77.4
76.5
73.3
74.1
74.0
73.9
68.1
69.8
69.9
68.4
69.4
70.4
69.7
68.7
70.4
71.5
71.3
71.3
68.2
67.9
67.7
67.7
74.0
74.0
74.1
73.7
76.0
75.9
76.3
76.0
73.6
72.6
72.7
72.9
70.1
69.4
69.1
68.9
79.1
79.3
79.3
80.1
84.3
84.8
83.5
82.7
93.2
92.8
93.3
92.8
70.4
70.4
70.2
70.1
(annual percentage change)*
1976*
1980*
-6.9
1.4
3.0
-8.4
-2.0
-0.2
2.1
-1.2
2.1
-1.2
1.1
0.0
2.2
-1.2
1.6
2.8
1.5
-1.3
-1.1
0.1
-2.4
-0.7
1.3
-0.7
-----
1.0
-0.5
1985
1986
1987
1988
1989
0.6
5.6
-0.6
0.2
0.8
0.0
3.9
0.3
0.7
-1.8
-1.4
-3.3
0.5
-1.6
-0.5
0.7
0.7
0.9
0.0
0.6
-1.7
-3.3
0.3
0.2
-0.9
0.0
0.8
-0.1
0.4
0.1
-1.3
-0.6
2.4
2.2
-0.5
-3.6
-0.5
-0.3
2.9
-0.7
0.0
-0.1
-1.8
-3.4
-0.2
-0.4
0.0
-0.8
-0.4
0.2
1.3
4.7
0.7
1.4
0.8
0.3
1.4
-0.2
0.3
0.4
-----------
-0.7
-0.6
-0.2
0.0
-0.2
1990
1991
1992
1993
1994
0.6
-1.7
-1.3
-1.3
-0.8
-0.2
-0.1
-2.3
-1.3
-1.2
0.8
-0.1
-1.3
-1.8
-2.2
-1.0
-1.7
-0.4
-2.0
-0.2
-0.5
0.2
-1.2
-1.5
-0.7
-0.6
0.4
-0.8
-2.7
-1.4
0.0
-0.8
-0.2
-2.2
-0.7
0.3
-0.9
-0.7
-4.1
-0.6
-0.1
-0.1
0.3
-2.3
-2.6
0.4
0.5
0.6
0.0
0.2
1.4
-0.4
-0.6
-3.3
3.0
1.3
-0.1
1.0
0.8
0.6
-----------
-0.3
0.1
-0.6
-2.0
-1.0
1995
1996
1997
1998
1999
1.0
1.4
0.6
-1.2
2.2
-1.6
1.0
-1.7
0.6
0.7
0.0
-1.4
2.6
-0.9
1.4
2.5
0.5
-3.8
1.3
-0.6
0.2
-0.9
-0.5
1.7
-2.0
-2.5
-0.6
-1.4
0.0
-1.0
-0.9
-1.6
-1.2
0.1
0.9
0.0
0.3
-0.5
1.8
-0.2
-2.0
0.5
-1.2
0.7
0.4
0.6
-0.6
-1.0
-0.8
0.4
-0.5
-6.2
-0.2
1.2
0.3
1.1
-1.4
0.6
0.8
-1.2
-----------
-0.9
-0.6
-1.0
0.4
-0.6
2000
2001
2002
2003
2004
-1.1
0.5
-0.1
-1.6
-1.3
1.2
-0.3
4.8
-3.0
-0.5
-2.2
-0.4
-0.9
0.9
0.5
0.6
-1.0
-0.8
-0.1
1.6
0.4
-0.8
-0.8
-0.5
0.9
0.9
-0.7
-1.4
2.6
-0.2
0.8
-1.7
0.3
1.4
0.4
-0.3
-0.9
0.5
-0.3
0.4
0.3
-0.1
1.5
0.6
-0.2
0.3
0.6
-0.8
-0.5
-1.8
-5.5
1.1
-2.6
0.8
-0.7
0.1
-1.7
0.2
-0.6
0.8
0.9
-0.3
0.6
0.7
0.0
0.4
-0.4
-0.7
0.8
-0.1
2005
2006
2007
2008
2009
-1.0
0.9
-1.0
1.8
0.8
2.6
-2.6
2.0
3.0
-1.0
0.8
0.2
0.2
0.1
-2.7
-1.2
0.6
0.8
0.3
-2.2
-1.0
0.3
0.5
-0.1
0.6
0.2
-0.1
0.5
1.1
0.9
0.3
-0.6
0.6
-0.2
0.7
1.3
-0.8
0.7
1.8
-0.8
1.2
-1.7
1.1
0.7
0.2
0.6
-3.0
1.7
-0.7
0.9
1.9
1.5
-5.3
2.1
1.4
-5.7
-1.3
-1.2
3.2
-0.1
-1.0
0.2
-0.7
0.2
-0.7
0.1
-0.6
0.7
0.6
0.5
2010
2011
2012 f
2013 f
-0.1
0.2
0.1
-1.2
0.9
1.1
-0.1
-0.2
-0.6
2.4
0.2
-2.2
-0.6
1.5
-1.1
-1.4
-2.0
1.5
-0.3
0.0
-0.3
-0.5
-0.3
0.1
-1.3
0.0
0.2
-0.6
-1.0
-0.1
0.5
-0.4
0.8
-1.3
0.1
0.3
-1.3
-0.9
-0.5
-0.3
-1.0
0.3
0.1
1.0
-0.4
0.6
-1.4
-1.0
-0.5
-0.4
0.5
-0.6
-0.7
0.0
-0.2
-0.1
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
152
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table B.4.1
Provincial/Territorial Government Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2013—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Year
Man.
Sask.
Alta.
B.C.
Y.T.
N.W.T
Nun.
Canada
($’ 000,000)
1975
1976
1977
1978
1979
199.2
219.0
233.5
258.3
297.3
41.5
45.4
50.3
56.4
62.5
266.9
302.7
334.6
370.0
413.1
203.7
242.4
271.7
299.1
336.7
2,531.2
2,972.5
3,269.2
3,661.8
4,088.1
3,143.5
3,612.5
3,929.1
4,229.4
4,565.8
376.7
449.3
497.3
524.9
569.7
302.1
364.1
410.8
445.8
508.5
694.9
811.6
879.1
1,020.5
1,258.2
928.2
1,082.7
1,193.1
1,363.8
1,556.5
6.2
8.8
10.0
11.4
12.4
15.2
19.0
23.4
28.1
27.9
-----------
8,709.3
10,129.9
11,102.0
12,269.4
13,696.6
1980
1981
1982
1983
1984
336.8
393.4
461.9
515.7
534.6
72.6
84.1
98.5
109.5
116.5
474.5
572.4
662.7
728.7
800.3
395.1
478.2
579.6
627.2
671.5
4,607.8
5,268.2
6,101.1
6,740.9
7,165.5
5,164.6
6,069.9
7,104.3
8,019.2
8,826.6
652.8
782.9
915.1
1,021.3
1,102.1
604.5
709.8
859.0
965.6
1,022.9
1,510.2
1,871.3
2,426.3
2,769.4
2,843.5
1,932.3
2,374.8
2,720.3
2,932.2
3,074.8
13.6
15.0
22.4
22.8
23.5
29.3
35.5
51.0
57.8
62.0
-----------
15,794.1
18,655.5
22,002.1
24,510.2
26,244.0
1985
1986
1987
1988
1989
561.4
611.2
660.0
699.4
751.1
123.0
131.7
142.5
153.7
163.1
867.5
917.0
987.4
1,071.6
1,178.9
710.7
759.2
837.9
900.8
981.2
7,577.2
7,715.3
8,257.9
8,996.9
9,631.6
9,746.8
10,995.1
12,203.4
13,583.0
15,079.3
1,182.6
1,269.6
1,364.8
1,464.7
1,587.0
1,101.3
1,223.4
1,264.5
1,349.3
1,500.2
3,035.1
3,316.8
3,308.1
3,427.8
3,792.9
3,200.6
3,443.3
3,660.8
3,978.3
4,455.9
24.9
27.6
29.4
33.4
36.3
71.9
91.2
105.4
147.1
174.6
-----------
28,202.8
30,501.5
32,821.9
35,806.2
39,332.1
1990
1991
1992
1993
1994
836.0
861.0
881.0
880.9
902.6
173.7
189.6
196.2
205.2
200.4
1,263.6
1,333.8
1,356.8
1,322.9
1,280.1
1,057.2
1,102.1
1,142.4
1,154.7
1,189.3
10,317.0
11,360.9
11,721.3
11,860.6
12,055.6
16,195.9
17,951.3
18,810.3
18,618.2
18,753.5
1,742.8
1,788.7
1,867.8
1,856.8
1,861.9
1,636.4
1,658.2
1,635.9
1,539.4
1,560.5
4,043.8
4,241.0
4,506.3
4,452.2
4,103.5
5,043.6
5,578.3
6,060.7
6,424.1
6,740.9
38.6
45.6
49.1
58.1
71.5
187.9
213.9
213.6
218.4
214.0
-----------
42,536.3
46,324.4
48,441.6
48,591.6
48,933.8
1995
1996
1997
1998
1999
925.5
926.0
968.2
1,050.3
1,190.4
203.2
213.2
213.9
228.8
240.8
1,302.6
1,317.7
1,552.0
1,656.5
1,749.7
1,235.2
1,234.4
1,213.9
1,269.5
1,369.8
12,171.3
11,954.6
12,165.9
13,129.0
13,506.9
18,549.6
18,696.5
19,065.6
20,121.8
21,592.8
1,903.4
1,922.8
1,976.6
2,102.8
2,395.3
1,595.6
1,637.4
1,749.2
1,855.2
1,995.4
3,904.8
4,091.3
4,527.6
4,896.0
5,641.1
7,007.1
7,186.1
7,434.9
7,758.4
8,390.8
68.7
67.6
69.6
74.2
78.4
220.6
200.8
212.8
232.3
166.8
--------115.4
49,087.4
49,448.4
51,150.2
54,374.7
58,433.7
2000
2001
2002
2003
2004
1,246.8
1,333.7
1,423.3
1,498.1
1,538.7
258.2
305.1
344.4
354.5
347.8
1,788.1
1,885.1
2,061.4
2,271.0
2,361.6
1,466.6
1,595.4
1,678.9
1,793.0
1,952.4
14,488.2
15,520.7
16,344.6
17,146.0
18,206.8
23,941.2
25,257.5
27,252.2
30,380.5
32,673.3
2,630.8
2,794.1
2,964.4
3,220.5
3,436.4
2,092.9
2,266.4
2,391.8
2,533.5
2,733.7
6,214.9
7,033.8
7,730.9
8,287.0
9,110.3
9,164.8
10,118.4
10,763.6
11,185.5
11,434.5
83.8
96.9
102.1
103.8
113.3
152.1
170.8
191.2
191.3
211.1
136.3
146.0
170.3
235.8
243.9
63,664.9
68,524.0
73,419.1
79,200.3
84,363.7
2005
2006
2007
2008
2009
1,590.9
1,690.8
1,832.5
1,990.1
2,203.6
371.3
385.7
414.2
453.7
512.8
2,576.9
2,855.0
3,064.9
3,242.7
3,312.7
2,131.6
2,345.6
2,463.4
2,626.0
2,782.1
19,146.9
20,526.9
21,904.1
23,431.9
25,160.6
34,935.5
37,082.2
39,827.8
42,641.6
45,460.5
3,698.2
3,906.6
4,115.1
4,427.9
4,811.2
2,986.5
3,192.7
3,434.7
3,744.5
3,957.7
10,197.5
11,258.7
12,377.8
13,811.8
14,584.9
12,168.9
12,690.0
13,421.9
14,612.2
15,149.5
122.7
139.2
141.8
154.3
180.9
217.3
226.9
252.5
278.5
290.7
224.2
254.9
263.8
268.7
296.1
90,368.4
96,555.0
103,514.5
111,683.9
118,703.3
2010
2011
2012 f
2013 f
2,438.1
2,595.8
2,701.7
2,685.2
560.9
625.1
607.3
622.4
3,625.6
3,862.7
3,932.6
3,914.6
2,926.7
3,100.0
3,137.3
3,153.2
26,284.1
27,468.6
28,585.0
29,630.4
47,602.6
48,880.4
49,915.8
50,864.2
5,024.1
5,249.8
5,427.9
5,602.6
4,238.5
4,534.4
4,823.1
4,986.9
16,504.3
16,950.0
17,624.2
18,410.4
15,955.8
16,560.0
17,036.4
17,481.3
187.7
206.9
225.0
253.0
287.6
318.3
307.4
310.7
315.1
343.4
349.8
357.0
125,950.9
130,695.4
134,673.5
138,272.1
1976*
1980*
9.9
13.3
9.4
16.1
13.4
14.9
19.0
17.3
17.4
12.7
14.9
13.1
19.3
14.6
20.5
18.9
16.8
20.0
16.6
24.1
42.9
10.0
24.3
4.9
-----
16.3
15.3
1985
1986
1987
1988
1989
5.0
8.9
8.0
6.0
7.4
5.5
7.1
8.2
7.9
6.1
8.4
5.7
7.7
8.5
10.0
5.8
6.8
10.4
7.5
8.9
5.7
1.8
7.0
8.9
7.1
10.4
12.8
11.0
11.3
11.0
7.3
7.4
7.5
7.3
8.3
7.7
11.1
3.4
6.7
11.2
6.7
9.3
-0.3
3.6
10.7
4.1
7.6
6.3
8.7
12.0
5.7
10.9
6.6
13.8
8.5
16.0
26.9
15.7
39.5
18.7
-----------
7.5
8.2
7.6
9.1
9.8
1990
1991
1992
1993
1994
11.3
3.0
2.3
0.0
2.5
6.5
9.2
3.5
4.6
-2.3
7.2
5.6
1.7
-2.5
-3.2
7.7
4.2
3.7
1.1
3.0
7.1
10.1
3.2
1.2
1.6
7.4
10.8
4.8
-1.0
0.7
9.8
2.6
4.4
-0.6
0.3
9.1
1.3
-1.3
-5.9
1.4
6.6
4.9
6.3
-1.2
-7.8
13.2
10.6
8.6
6.0
4.9
6.6
18.1
7.6
18.3
23.0
7.6
13.8
-0.1
2.2
-2.0
-----------
8.1
8.9
4.6
0.3
0.7
1995
1996
1997
1998
1999
2.5
0.1
4.6
8.5
13.3
1.4
4.9
0.3
7.0
5.2
1.8
1.2
17.8
6.7
5.6
3.9
-0.1
-1.7
4.6
7.9
1.0
-1.8
1.8
7.9
2.9
-1.1
0.8
2.0
5.5
7.3
2.2
1.0
2.8
6.4
13.9
2.2
2.6
6.8
6.1
7.6
-4.8
4.8
10.7
8.1
15.2
3.9
2.6
3.5
4.3
8.2
-3.8
-1.7
2.9
6.6
5.8
3.1
-9.0
6.0
9.1
-28.2
-----------
0.3
0.7
3.4
6.3
7.5
2000
2001
2002
2003
2004
4.7
7.0
6.7
5.3
2.7
7.2
18.2
12.9
2.9
-1.9
2.2
5.4
9.4
10.2
4.0
7.1
8.8
5.2
6.8
8.9
7.3
7.1
5.3
4.9
6.2
10.9
5.5
7.9
11.5
7.5
9.8
6.2
6.1
8.6
6.7
4.9
8.3
5.5
5.9
7.9
10.2
13.2
9.9
7.2
9.9
9.2
10.4
6.4
3.9
2.2
6.9
15.6
5.4
1.7
9.1
-8.8
12.2
12.0
0.0
10.4
18.1
7.1
16.6
38.5
3.5
9.0
7.6
7.1
7.9
6.5
2005
2006
2007
2008
2009
3.4
6.3
8.4
8.6
10.7
6.8
3.9
7.4
9.5
13.0
9.1
10.8
7.3
5.8
2.2
9.2
10.0
5.0
6.6
5.9
5.2
7.2
6.7
7.0
7.4
6.9
6.1
7.4
7.1
6.6
7.6
5.6
5.3
7.6
8.7
9.3
6.9
7.6
9.0
5.7
11.9
10.4
9.9
11.6
5.6
6.4
4.3
5.8
8.9
3.7
8.3
13.5
1.8
8.9
17.2
2.9
4.4
11.3
10.3
4.4
-8.1
13.7
3.5
1.9
10.2
7.1
6.8
7.2
7.9
6.3
2010
2011
2012 f
2013 f
10.6
6.5
4.1
-0.6
9.4
11.4
-2.8
2.5
9.4
6.5
1.8
-0.5
5.2
5.9
1.2
0.5
4.5
4.5
4.1
3.7
4.7
2.7
2.1
1.9
4.4
4.5
3.4
3.2
7.1
7.0
6.4
3.4
13.2
2.7
4.0
4.5
5.3
3.8
2.9
2.6
3.8
10.2
8.7
12.5
-1.1
10.7
-3.4
1.1
6.4
9.0
1.9
2.0
6.1
3.8
3.0
2.7
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2013.
153
National Health Expenditure Trends, 1975 to 2013
Table B.4.2
Provincial/Territorial Government Sector Health Expenditure, by Province/Territory and Canada,
1975 to 2013—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
1975
1976
1977
1978
1979
357.93
389.23
413.02
454.97
521.39
352.59
382.69
419.05
463.11
508.31
322.89
362.38
398.43
438.08
486.44
300.87
351.60
390.52
427.54
478.79
399.86
464.68
508.29
568.59
632.20
377.83
429.35
461.94
492.26
527.07
367.52
435.49
479.07
504.13
549.20
1980
1981
1982
1983
1984
587.97
684.49
803.88
889.85
921.49
586.87
679.49
795.18
872.94
920.16
556.32
669.77
770.56
838.34
912.44
559.50
677.01
818.37
876.77
931.38
708.13
804.58
927.32
1,020.99
1,080.57
590.56
688.88
796.24
886.91
962.36
1985
1986
1987
1988
1989
969.11
1,060.19
1,147.48
1,216.34
1,303.10
963.16
1,025.64
1,108.04
1,189.24
1,254.08
980.11
1,031.12
1,105.10
1,194.19
1,304.30
982.04
1,046.94
1,151.22
1,233.44
1,334.56
1,136.74
1,150.09
1,217.52
1,315.53
1,390.10
1990
1991
1992
1993
1994
1,446.22
1,485.76
1,518.94
1,518.87
1,571.25
1,330.38
1,455.09
1,500.45
1,553.24
1,502.41
1,389.08
1,457.56
1,475.44
1,431.70
1,381.01
1,428.37
1,478.27
1,527.08
1,542.11
1,585.29
1995
1996
1997
1998
1999
1,630.96
1,654.16
1,757.15
1,945.16
2,231.77
1,511.50
1,570.44
1,571.56
1,684.76
1,766.59
1,403.36
1,414.75
1,664.36
1,777.59
1,873.69
2000
2001
2002
2003
2004
2,361.22
2,555.02
2,739.98
2,889.64
2,974.49
1,891.94
2,232.30
2,515.13
2,581.16
2,522.54
2005
2006
2007
2008
2009
3,094.32
3,313.23
3,619.22
3,930.36
4,328.45
2010
2011
2012 f
2013 f
Canada
Average
Alta.
B.C.
Y.T.
N.W.T
Nun.
329.31
390.81
434.77
468.37
529.91
384.21
434.15
451.35
504.73
599.83
371.34
427.31
464.30
521.74
584.48
281.70
392.62
437.49
480.31
515.50
355.89
427.62
523.77
619.68
610.55
-----------
376.32
431.98
467.93
512.01
565.93
630.94
755.38
874.17
962.48
1,028.22
624.90
727.33
870.10
963.78
1,007.33
688.82
815.66
1,024.50
1,158.55
1,189.68
704.40
840.95
946.88
1,009.21
1,043.87
559.22
628.28
915.40
965.33
983.04
632.58
746.47
1,030.57
1,132.08
1,178.74
-----------
644.23
751.62
875.97
966.22
1,024.85
1,048.32
1,164.97
1,265.35
1,380.08
1,491.89
1,092.73
1,163.01
1,242.92
1,329.10
1,438.04
1,073.93
1,188.64
1,224.38
1,312.55
1,471.92
1,263.05
1,364.43
1,358.38
1,396.57
1,520.06
1,076.10
1,146.18
1,200.20
1,276.99
1,393.40
1,020.22
1,125.67
1,142.60
1,255.80
1,337.46
1,320.82
1,666.65
1,915.62
2,641.91
3,061.59
-----------
1,091.32
1,168.59
1,240.96
1,336.28
1,441.70
1,473.04
1,608.15
1,649.04
1,657.60
1,676.27
1,572.74
1,721.43
1,779.63
1,741.91
1,733.51
1,576.21
1,612.05
1,678.64
1,661.38
1,657.61
1,624.80
1,653.75
1,629.49
1,528.88
1,545.80
1,587.56
1,635.78
1,711.51
1,669.10
1,519.44
1,532.63
1,653.57
1,747.40
1,800.79
1,833.90
1,391.27
1,578.60
1,630.67
1,913.85
2,406.47
3,189.46
3,510.43
3,423.11
3,437.35
3,284.08
-----------
1,535.74
1,652.59
1,707.69
1,694.16
1,687.42
1,644.78
1,640.82
1,613.06
1,691.40
1,824.87
1,685.90
1,649.61
1,672.38
1,799.49
1,844.37
1,694.03
1,686.95
1,698.00
1,770.20
1,876.60
1,685.66
1,695.29
1,739.72
1,848.60
2,096.54
1,573.35
1,606.75
1,718.15
1,823.25
1,966.46
1,427.96
1,474.25
1,599.84
1,688.58
1,910.13
1,855.19
1,854.82
1,882.96
1,947.83
2,091.76
2,257.88
2,154.16
2,187.86
2,381.31
2,548.64
3,313.42
2,972.33
3,141.80
3,456.79
4,103.00
--------4,303.32
1,675.21
1,669.94
1,710.29
1,803.05
1,921.92
1,914.73
2,021.76
2,205.82
2,424.96
2,517.84
1,954.06
2,127.56
2,237.56
2,386.73
2,596.12
1,969.30
2,098.24
2,195.17
2,287.75
2,411.82
2,048.82
2,122.90
2,251.87
2,477.50
2,630.64
2,292.92
2,426.92
2,565.29
2,771.76
2,935.66
2,076.82
2,266.09
2,401.67
2,546.87
2,747.68
2,068.22
2,301.09
2,480.77
2,621.32
2,839.73
2,268.96
2,480.95
2,615.43
2,691.83
2,720.03
2,756.05
3,216.74
3,389.07
3,396.58
3,669.06
3,756.67
4,183.20
4,608.66
4,529.92
4,930.13
4,957.08
5,192.98
5,924.44
8,083.36
8,232.34
2,074.52
2,208.94
2,340.23
2,500.32
2,636.76
2,686.79
2,796.23
2,998.57
3,251.50
3,635.37
2,753.10
3,043.73
3,274.47
3,458.97
3,522.01
2,837.18
3,145.56
3,304.85
3,515.75
3,709.69
2,519.99
2,689.74
2,849.48
3,023.27
3,215.09
2,780.28
2,927.85
3,113.72
3,297.25
3,478.54
3,149.72
3,299.37
3,447.66
3,672.47
3,943.92
3,016.57
3,218.02
3,434.14
3,693.58
3,844.30
3,108.31
3,290.81
3,523.53
3,844.96
3,971.14
2,856.38
2,990.40
3,114.48
3,332.83
3,396.82
3,950.29
4,312.52
4,353.64
4,663.06
5,359.52
5,085.46
5,252.20
5,797.15
6,374.43
6,662.76
7,468.92
8,277.65
8,438.53
8,500.37
9,199.20
2,796.74
2,963.99
3,143.71
3,352.09
3,519.54
4,763.02
5,060.95
5,270.07
5,249.31
3,920.17
4,290.50
4,156.79
4,245.15
3,835.97
4,072.59
4,145.27
4,124.13
3,887.23
4,104.08
4,150.11
4,166.81
3,324.96
3,443.05
3,548.83
3,651.24
3,599.77
3,656.99
3,695.85
3,722.57
4,065.74
4,194.17
4,284.03
4,380.81
4,058.44
4,286.64
4,466.01
4,565.75
4,432.15
4,486.40
4,549.66
4,661.84
3,522.63
3,618.42
3,685.48
3,721.57
5,420.05
5,845.50
6,231.24
6,909.56
6,554.86
7,200.38
7,091.15
7,104.71
9,599.33
10,235.37
10,381.58
10,498.86
3,690.70
3,790.03
3,861.00
3,919.83
1976*
1980*
8.7
12.8
8.5
15.5
12.2
14.4
16.9
16.9
16.2
12.0
13.6
12.0
18.5
14.9
18.7
17.9
13.0
14.8
15.1
20.5
39.4
8.5
20.2
3.6
-----
14.8
13.8
1985
1986
1987
1988
1989
5.2
9.4
8.2
6.0
7.1
4.7
6.5
8.0
7.3
5.5
7.4
5.2
7.2
8.1
9.2
5.4
6.6
10.0
7.1
8.2
5.2
1.2
5.9
8.0
5.7
8.9
11.1
8.6
9.1
8.1
6.3
6.4
6.9
6.9
8.2
6.6
10.7
3.0
7.2
12.1
6.2
8.0
-0.4
2.8
8.8
3.1
6.5
4.7
6.4
9.1
3.8
10.3
1.5
9.9
6.5
12.1
26.2
14.9
37.9
15.9
-----------
6.5
7.1
6.2
7.7
7.9
1990
1991
1992
1993
1994
11.0
2.7
2.2
0.0
3.4
6.1
9.4
3.1
3.5
-3.3
6.5
4.9
1.2
-3.0
-3.5
7.0
3.5
3.3
1.0
2.8
6.0
9.2
2.5
0.5
1.1
5.4
9.5
3.4
-2.1
-0.5
9.6
2.3
4.1
-1.0
-0.2
10.4
1.8
-1.5
-6.2
1.1
4.4
3.0
4.6
-2.5
-9.0
10.0
7.9
5.7
3.1
1.8
4.0
13.5
3.3
17.4
25.7
4.2
10.1
-2.5
0.4
-4.5
-----------
6.5
7.6
3.3
-0.8
-0.4
1995
1996
1997
1998
1999
3.8
1.4
6.2
10.7
14.7
0.6
3.9
0.1
7.2
4.9
1.6
0.8
17.6
6.8
5.4
3.8
-0.2
-1.7
4.9
7.9
0.6
-2.2
1.4
7.6
2.5
-2.3
-0.4
0.7
4.3
6.0
1.7
0.6
2.6
6.3
13.4
1.8
2.1
6.9
6.1
7.9
-6.0
3.2
8.5
5.5
13.1
1.2
0.0
1.5
3.4
7.4
-6.2
-4.6
1.6
8.8
7.0
0.9
-10.3
5.7
10.0
18.7
-----------
-0.7
-0.3
2.4
5.4
6.6
2000
2001
2002
2003
2004
5.8
8.2
7.2
5.5
2.9
7.1
18.0
12.7
2.6
-2.3
2.2
5.6
9.1
9.9
3.8
7.1
8.9
5.2
6.7
8.8
6.8
6.5
4.6
4.2
5.4
9.2
3.6
6.1
10.0
6.2
9.4
5.8
5.7
8.0
5.9
5.6
9.1
6.0
6.0
7.9
8.3
11.3
7.8
5.7
8.3
8.5
9.3
5.4
2.9
1.0
8.1
16.7
5.4
0.2
8.0
-8.4
11.4
10.2
-1.7
8.8
15.2
4.8
14.1
36.4
1.8
7.9
6.5
5.9
6.8
5.5
2005
2006
2007
2008
2009
4.0
7.1
9.2
8.6
10.1
6.5
4.1
7.2
8.4
11.8
9.3
10.6
7.6
5.6
1.8
9.3
10.9
5.1
6.4
5.5
4.5
6.7
5.9
6.1
6.3
5.7
5.3
6.3
5.9
5.5
7.3
4.8
4.5
6.5
7.4
9.8
6.7
6.7
7.6
4.1
9.5
5.9
7.1
9.1
3.3
5.0
4.7
4.1
7.0
1.9
7.7
9.2
1.0
7.1
14.9
3.2
3.3
10.4
10.0
4.5
-9.3
10.8
1.9
0.7
8.2
6.1
6.0
6.1
6.6
5.0
2010
2011
2012 f
2013 f
10.0
6.3
4.1
-0.4
7.8
9.4
-3.1
2.1
8.9
6.2
1.8
-0.5
4.8
5.6
1.1
0.4
3.4
3.6
3.1
2.9
3.5
1.6
1.1
0.7
3.1
3.2
2.1
2.3
5.6
5.6
4.2
2.2
11.6
1.2
1.4
2.5
3.7
2.7
1.9
1.0
1.1
7.8
6.6
10.9
-1.6
9.8
-1.5
0.2
4.3
6.6
1.4
1.1
4.9
2.7
1.9
1.5
Year
Sask.
($’ per capita)
(annual percentage change)*
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
154
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table B.4.3
Provincial/Territorial Government Sector Health Expenditure as a Proportion of
Total Health Expenditure by Province/Territory and Canada, 1975 to 2013—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
1976
1977
1978
1979
75.3
70.0
64.3
62.6
62.8
70.2
72.2
73.2
70.9
64.7
69.8
68.4
71.3
72.2
72.1
73.4
75.3
75.7
73.9
71.6
74.9
76.7
77.8
78.5
79.4
71.1
71.7
71.1
69.7
67.9
69.0
71.4
70.4
70.1
69.2
68.5
70.0
69.9
71.6
72.3
70.0
70.0
69.1
69.6
70.6
67.1
66.5
65.1
66.7
68.0
38.8
48.8
54.0
53.4
51.7
43.5
48.5
47.4
49.7
47.4
-----------
71.4
72.1
71.9
71.7
71.4
1980
1981
1982
1983
1984
63.7
63.3
65.9
66.7
71.1
59.4
61.7
64.6
66.6
68.1
72.2
72.6
72.1
72.5
71.1
70.2
70.2
70.7
70.1
68.9
78.3
76.5
77.3
77.7
76.9
67.7
68.2
68.0
67.7
67.5
67.2
67.9
68.7
69.1
69.2
74.1
74.8
76.0
76.8
74.6
70.1
71.3
72.4
76.5
75.5
67.1
69.2
70.3
70.6
69.4
52.1
53.3
60.3
59.9
62.0
48.0
48.1
46.2
46.8
49.3
-----------
70.8
71.0
71.5
72.0
71.4
1985
1986
1987
1988
1989
71.4
75.2
74.9
75.1
75.7
67.9
70.2
70.2
70.0
68.2
70.4
66.6
63.3
67.6
67.3
69.3
69.6
70.2
69.8
70.1
75.5
73.2
73.3
73.3
72.5
67.5
68.3
68.3
68.5
68.6
68.5
67.2
68.9
70.8
70.3
72.0
71.8
71.5
73.4
73.1
74.6
74.6
73.5
71.0
70.9
69.0
69.1
68.5
68.1
68.5
62.6
64.7
65.6
73.0
73.2
51.9
54.6
58.2
69.7
75.0
-----------
70.8
70.4
70.1
70.3
70.1
1990
1991
1992
1993
1994
76.2
74.7
73.6
72.9
72.3
67.8
67.6
66.5
65.8
63.9
67.7
67.7
66.8
65.3
63.3
68.9
67.6
67.2
66.4
66.3
71.8
72.0
71.1
70.1
69.4
68.1
68.5
68.2
66.3
65.2
70.1
69.4
69.1
67.5
66.4
72.7
71.5
70.4
66.9
65.4
70.3
70.0
70.1
68.3
65.0
68.4
68.6
69.1
69.1
69.0
72.1
72.9
72.7
72.5
76.0
76.1
76.5
76.4
76.1
74.7
-----------
69.6
69.7
69.3
67.9
66.9
1995
1996
1997
1998
1999
72.9
73.9
74.2
73.3
75.2
62.0
62.9
62.9
63.3
63.6
63.2
63.1
65.6
64.9
65.3
67.9
68.1
65.4
66.0
66.0
69.5
68.9
67.5
68.5
67.0
63.3
63.0
61.9
60.7
60.9
65.3
64.7
63.7
64.0
64.7
65.3
65.8
65.9
66.8
67.0
64.1
64.7
63.9
64.3
64.8
69.3
69.2
68.6
68.0
68.3
71.8
61.3
67.3
71.2
71.8
74.8
72.3
73.6
75.0
74.8
--------80.9
66.1
65.9
65.0
64.7
64.6
2000
2001
2002
2003
2004
73.9
74.0
73.9
72.7
72.0
64.3
64.1
68.1
65.5
64.6
63.0
62.6
62.3
63.2
63.5
66.1
64.6
64.2
64.3
65.5
66.8
65.8
65.5
64.8
65.4
61.3
60.4
60.0
61.3
61.4
64.7
63.8
64.3
65.4
65.6
66.2
65.6
66.0
65.4
66.2
64.7
64.2
65.6
65.6
65.9
68.3
68.9
68.7
68.2
66.8
68.1
67.9
65.7
66.4
67.6
73.0
71.2
72.0
72.6
74.3
80.9
79.2
79.2
80.6
79.2
64.6
63.9
63.8
64.1
64.1
2005
2006
2007
2008
2009
71.1
72.1
71.6
72.7
73.6
64.5
62.0
63.3
65.2
65.1
64.0
63.9
64.3
64.7
62.7
64.7
65.5
66.2
65.9
64.6
64.9
65.0
65.3
65.3
65.7
61.8
61.7
62.3
62.9
63.4
65.8
65.4
65.5
65.6
65.9
67.5
67.0
67.4
68.8
68.0
67.2
66.3
67.0
67.7
67.7
67.2
65.3
66.2
65.5
65.9
66.2
65.2
62.3
65.0
64.9
68.2
65.9
65.5
68.4
66.1
73.6
76.0
74.5
73.1
75.8
64.4
64.1
64.6
64.9
65.2
2010
2011
2012 f
2013 f
73.9
74.2
74.5
73.6
66.2
67.2
66.9
66.8
62.7
64.4
64.7
63.3
64.6
65.8
65.2
64.4
64.7
65.9
66.0
66.0
63.6
63.6
63.6
63.8
65.3
65.4
66.1
66.0
67.8
67.8
68.9
68.9
68.9
68.0
68.3
68.7
65.2
64.7
64.6
64.4
64.9
66.0
67.3
69.2
66.2
67.8
66.9
66.5
78.2
78.9
80.1
79.8
65.1
65.3
65.4
65.5
(annual percentage change)*
1976*
1980*
-7.0
1.5
3.0
-8.3
-1.9
0.1
2.6
-1.9
2.4
-1.4
0.8
-0.3
3.5
-2.9
2.2
2.5
0.0
-0.7
-0.9
-1.3
25.9
0.9
11.7
1.3
-----
1.0
-0.9
1985
1986
1987
1988
1989
0.5
5.3
-0.5
0.4
0.8
-0.4
3.5
0.0
-0.2
-2.7
-1.0
-5.4
-5.0
6.8
-0.5
0.6
0.5
0.9
-0.6
0.5
-1.8
-3.1
0.1
0.0
-1.1
0.1
1.2
0.0
0.3
0.1
-1.1
-1.9
2.6
2.7
-0.7
-3.4
-0.3
-0.4
2.7
-0.5
-1.3
0.0
-1.4
-3.5
-0.1
-0.6
0.1
-0.8
-0.6
0.5
0.9
3.4
1.4
11.2
0.3
5.3
5.3
6.5
19.8
7.6
-----------
-0.9
-0.6
-0.3
0.2
-0.2
1990
1991
1992
1993
1994
0.7
-2.1
-1.5
-1.0
-0.8
-0.5
-0.3
-1.5
-1.0
-2.9
0.6
0.0
-1.4
-2.2
-3.2
-1.6
-1.9
-0.6
-1.2
-0.1
-1.0
0.3
-1.2
-1.5
-1.0
-0.8
0.7
-0.5
-2.8
-1.6
-0.2
-1.0
-0.4
-2.3
-1.7
-0.6
-1.6
-1.6
-4.9
-2.2
-0.8
-0.5
0.2
-2.6
-4.8
-0.1
0.4
0.7
0.0
-0.2
-1.5
1.1
-0.3
-0.3
4.8
1.6
0.5
-0.2
-0.4
-1.8
-----------
-0.7
0.1
-0.5
-2.0
-1.6
1995
1996
1997
1998
1999
0.9
1.3
0.4
-1.2
2.6
-2.9
1.3
0.0
0.7
0.4
-0.1
-0.2
4.1
-1.2
0.7
2.4
0.2
-4.0
0.9
0.0
0.1
-0.8
-2.0
1.5
-2.3
-2.9
-0.6
-1.7
-1.9
0.3
-1.6
-0.9
-1.5
0.4
1.2
-0.1
0.7
0.1
1.4
0.4
-1.4
1.0
-1.2
0.5
0.9
0.4
-0.1
-0.9
-1.0
0.5
-5.6
-14.5
9.8
5.8
0.8
0.1
-3.3
1.8
1.8
-0.2
-----------
-1.1
-0.4
-1.4
-0.4
-0.1
2000
2001
2002
2003
2004
-1.7
0.1
-0.1
-1.7
-0.9
1.2
-0.4
6.3
-3.9
-1.4
-3.5
-0.8
-0.4
1.3
0.5
0.2
-2.2
-0.7
0.2
1.9
-0.2
-1.5
-0.4
-1.1
1.0
0.6
-1.4
-0.7
2.1
0.1
0.0
-1.5
0.9
1.6
0.4
-1.2
-1.0
0.7
-0.9
1.3
-0.2
-0.9
2.2
0.1
0.4
0.0
0.9
-0.3
-0.7
-2.1
-5.2
-0.3
-3.3
1.1
1.8
-2.4
-2.5
1.1
0.9
2.3
0.0
-2.1
0.0
1.7
-1.7
0.0
-1.0
-0.2
0.4
0.1
2005
2006
2007
2008
2009
-1.1
1.3
-0.7
1.6
1.2
-0.2
-3.8
2.1
3.0
-0.3
0.9
-0.2
0.7
0.5
-3.0
-1.2
1.2
1.0
-0.4
-2.0
-0.8
0.2
0.5
-0.1
0.7
0.7
-0.1
0.9
0.9
0.8
0.3
-0.7
0.2
0.2
0.4
2.0
-0.9
0.6
2.1
-1.2
2.1
-1.4
1.1
1.1
0.0
0.7
-2.9
1.4
-1.0
0.6
-2.1
-1.5
-4.4
4.3
-0.1
-8.2
-3.3
-0.5
4.4
-3.5
-7.1
3.3
-2.0
-1.9
3.7
0.4
-0.6
0.8
0.5
0.4
2010
2011
2012 f
2013 f
0.5
0.3
0.4
-1.2
1.7
1.6
-0.4
-0.2
0.0
2.6
0.4
-2.1
0.0
1.8
-0.9
-1.3
-1.5
1.8
0.1
0.1
0.4
0.0
0.0
0.3
-0.8
0.1
1.1
-0.1
-0.4
0.0
1.6
0.0
1.7
-1.4
0.4
0.6
-1.0
-0.8
-0.2
-0.2
0.0
1.8
2.0
2.8
0.2
2.4
-1.3
-0.6
3.3
0.9
1.5
-0.4
-0.1
0.3
0.2
0.1
Notes
* Refer to electronic tables for annual percentage change for the years 1977 to 1979 and 1981 to 1984.
f: forecast.
Canadian Institute for Health Information, 2013.
155
Series E
Provincial/Territorial Government
Health Expenditure, by Age and
Sex, by Province/Territory and
Canada (Selected Tables)
National Health Expenditure Trends, 1975 to 2013
Table E.1.1
Estimate of Total Provincial and Territorial Government Health Expenditures, by Age and Sex,
by Province/Territory and Canada, 2011—Current Dollars
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont.
Man.
Age Groups
<1
1−4
5−9
10−14
15−19
20−24
25−29
30−34
35−39
40−44
45−49
50−54
55−59
60−64
65−69
70−74
75−79
80−84
85−89
90+
Total
Sask.
Alta.
B.C.
Y.T.
N.W.T.
Nun.
Canada
($’ 000,000)
Both Sexes
53.8
33.5
39.9
46.1
59.1
69.1
74.2
85.8
91.3
99.8
129.7
161.1
192.3
216.7
232.1
219.7
234.0
221.3
213.2
123.0
12.9
9.8
17.4
28.2
18.9
19.1
19.6
20.0
19.9
22.6
28.3
36.3
35.3
57.7
43.6
46.1
52.3
53.9
50.4
32.7
102.0
62.4
59.9
64.1
94.8
115.0
118.6
135.9
123.7
137.7
188.2
228.1
257.5
290.5
305.7
311.0
338.4
350.9
334.4
244.0
57.8
41.4
62.4
50.8
71.4
85.6
96.8
105.2
100.7
112.1
150.3
190.3
209.5
245.6
253.0
257.9
274.7
290.0
263.0
181.6
683.8
508.1
466.4
438.3
620.8
734.5
951.3
1,064.9
916.2
935.5
1,281.5
1,567.8
1,739.2
2,004.7
2,255.2
2,219.8
2,446.5
2,645.5
2,557.4
1,431.2
1,453.5
820.2
825.6
907.2
1,254.2
1,428.8
1,758.2
1,964.6
1,900.3
2,034.4
2,618.2
2,960.3
3,100.9
3,416.4
3,762.7
3,813.4
4,156.1
4,375.5
4,055.4
2,274.5
147.9
99.3
97.8
129.2
164.9
192.8
212.5
218.9
205.3
216.5
267.9
321.5
342.1
376.2
354.2
348.8
392.5
420.1
441.8
299.6
2,595.8
625.1
3,862.7
3,100.0
27,468.6
48,880.4
5,249.8
130.1
105.1
96.7
105.4
150.1
175.0
199.7
187.7
166.0
182.9
223.6
256.3
281.7
289.7
285.7
303.0
350.8
373.8
390.2
281.0
686.9
372.4
343.4
364.4
509.3
622.9
817.8
812.0
724.8
743.0
905.4
1,049.1
1,126.6
1,147.9
1,144.7
1,126.6
1,245.6
1,305.4
1,156.4
745.2
423.1
274.0
304.3
339.3
487.5
614.0
723.5
753.4
724.7
783.2
949.8
1,079.7
1,139.0
1,265.8
1,198.4
1,187.0
1,265.9
1,276.4
1,101.0
669.6
4.6
7.0
6.6
6.2
8.2
10.7
11.2
10.5
11.0
11.7
14.5
15.2
14.8
14.2
13.6
12.6
12.3
10.7
9.4
1.9
12.8
13.3
9.2
9.0
16.3
20.1
21.4
20.9
17.9
17.8
20.7
19.5
18.4
18.1
14.1
14.6
15.9
16.0
15.6
6.7
23.7
22.7
15.5
15.5
24.5
28.1
26.1
23.7
19.1
18.1
24.5
20.7
17.5
18.8
11.8
8.1
9.5
7.0
6.9
1.5
3,792.8
2,369.2
2,345.3
2,503.7
3,480.0
4,115.6
5,030.8
5,403.4
5,020.9
5,315.5
6,802.7
7,905.8
8,474.9
9,362.6
9,874.7
9,868.7
10,794.7
11,346.5
10,595.2
6,292.6
4,534.4
16,950.0
16,560.0
206.9
318.3
343.4
130,695.4
61.5
49.8
46.6
50.5
80.6
101.7
126.9
117.4
94.9
90.4
118.9
131.7
134.4
136.9
142.1
152.3
180.3
210.0
248.6
209.4
304.3
177.4
161.7
171.2
267.4
364.9
515.9
523.4
421.4
389.4
468.1
511.4
531.4
558.2
547.6
554.7
633.9
738.3
763.7
551.3
200.5
129.2
142.2
162.8
248.3
327.8
429.4
470.7
421.0
415.6
486.0
542.1
555.7
606.1
565.7
568.1
617.7
687.2
690.4
466.3
2.1
4.2
3.3
3.3
4.5
6.0
6.8
6.5
6.5
6.3
7.4
7.4
7.4
7.1
5.1
5.4
6.2
6.1
6.6
1.3
6.0
8.1
5.0
4.7
8.9
12.2
14.0
13.3
10.4
9.5
9.9
9.2
9.3
8.6
5.9
6.8
7.4
9.6
10.2
4.3
11.1
14.2
7.9
7.8
13.1
15.1
15.4
14.2
10.7
9.6
10.2
9.4
8.5
8.8
5.1
3.6
4.3
4.1
4.5
0.7
1,737.4
1,117.4
1,091.7
1,200.0
1,823.6
2,345.4
3,176.8
3,504.9
2,994.8
2,860.6
3,522.2
3,963.4
4,113.5
4,473.2
4,687.5
4,842.4
5,587.2
6,525.5
7,068.8
4,698.4
2,484.9
9,155.6
8,732.8
109.6
173.4
178.1
71,335.0
Female
<1
1−4
5−9
10−14
15−19
20−24
25−29
30−34
35−39
40−44
45-49
50−54
55−59
60−64
65−69
70−74
75−79
80−84
85−89
90+
Total
26.1
15.0
18.4
22.0
30.3
40.8
47.1
55.0
53.7
56.2
70.6
84.8
92.9
100.2
103.2
106.5
125.2
132.4
141.1
95.6
5.8
4.5
5.2
6.4
10.0
10.8
12.3
12.8
11.0
12.0
15.4
17.0
17.5
35.0
20.2
23.8
27.5
31.9
35.3
24.6
46.3
28.1
28.3
30.6
52.6
67.8
75.8
91.6
73.9
75.9
101.2
116.9
126.2
138.3
148.7
154.7
176.0
210.6
233.9
191.0
29.1
19.4
20.4
24.3
39.3
51.1
61.8
66.9
58.7
61.7
79.0
96.1
102.9
119.4
119.0
121.3
147.8
172.1
177.5
140.0
320.4
240.9
220.0
208.0
322.4
415.9
607.7
679.8
536.2
494.5
651.9
786.0
845.5
962.4
1,074.8
1,095.5
1,306.5
1,577.3
1,748.7
1,109.0
658.5
380.2
386.9
436.8
657.8
820.7
1,135.1
1,321.8
1,182.6
1,126.1
1,362.2
1,492.5
1,512.3
1,615.0
1,779.3
1,872.0
2,146.2
2,503.2
2,706.7
1,687.5
65.7
46.5
45.9
71.6
88.6
110.5
128.6
131.7
113.8
113.4
141.5
159.0
169.6
177.4
170.7
177.7
208.2
242.7
301.6
217.6
1,416.9
338.9
2,168.3
1,707.8
15,203.0
26,783.4
2,882.3
Male
<1
1−4
5−9
10−14
15−19
20−24
25−29
30−34
35−39
40−44
45−49
50−54
55−59
60−64
65−69
70−74
75−79
80−84
85−89
90+
Total
27.7
18.5
21.6
24.1
28.8
28.3
27.1
30.8
37.6
43.6
59.2
76.3
99.4
116.5
128.9
113.2
108.8
88.9
72.1
27.5
7.1
5.4
12.2
21.9
8.9
8.2
7.3
7.1
8.9
10.6
13.0
19.3
17.8
22.7
23.4
22.3
24.8
22.0
15.1
8.1
55.7
34.4
31.7
33.5
42.2
47.2
42.8
44.4
49.8
61.8
87.0
111.2
131.3
152.2
157.0
156.2
162.4
140.3
100.5
53.1
28.7
21.9
42.0
26.4
32.1
34.5
35.0
38.4
42.0
50.4
71.3
94.1
106.7
126.3
133.9
136.5
126.9
117.9
85.5
41.6
363.4
267.3
246.4
230.3
298.5
318.6
343.6
385.1
380.0
441.0
629.6
781.9
893.8
1,042.3
1,180.4
1,124.3
1,140.0
1,068.2
808.7
322.2
795.0
439.9
438.7
470.4
596.5
608.1
623.1
642.8
717.7
908.3
1,256.0
1,467.8
1,588.6
1,801.4
1,983.4
1,941.4
2,009.9
1,872.3
1,348.7
587.0
82.2
52.8
51.9
57.6
76.3
82.3
83.9
87.1
91.5
103.1
126.4
162.5
172.5
198.8
183.4
171.1
184.3
177.4
140.3
82.0
68.5
55.3
50.0
54.8
69.5
73.4
72.8
70.4
71.1
92.5
104.7
124.6
147.3
152.9
143.5
150.7
170.5
163.8
141.6
71.6
382.7
195.0
181.7
193.2
241.8
258.0
301.9
288.6
303.5
353.6
437.4
537.7
595.2
589.8
597.1
571.9
611.7
567.1
392.7
193.9
222.6
144.8
162.2
176.5
239.3
286.1
294.1
282.7
303.7
367.6
463.7
537.7
583.3
659.8
632.7
618.9
648.2
589.2
410.7
203.3
2.4
2.8
3.3
2.9
3.7
4.6
4.4
4.0
4.5
5.4
7.1
7.8
7.4
7.1
8.5
7.2
6.1
4.6
2.8
0.7
6.8
5.1
4.2
4.3
7.4
7.9
7.4
7.5
7.4
8.4
10.8
10.3
9.1
9.5
8.2
7.9
8.5
6.4
5.4
2.4
12.5
8.6
7.6
7.7
11.4
13.0
10.7
9.5
8.4
8.6
14.3
11.3
9.0
10.1
6.7
4.6
5.2
2.9
2.4
0.9
2,055.3
1,251.8
1,253.5
1,303.7
1,656.4
1,770.2
1,854.0
1,898.5
2,026.1
2,454.9
3,280.5
3,942.4
4,361.4
4,889.4
5,187.1
5,026.3
5,207.4
4,821.0
3,526.4
1,594.1
1,178.8
286.2
1,694.4
1,392.1
12,265.6
22,097.0
2,367.5
2,049.5
7,794.4
7,827.2
97.3
144.9
165.3
59,360.4
Note
See methodology for age–sex distribution in the Methodological Notes section of this report.
158
Canadian Institute for Health Information, 2013.
National Health Expenditure Trends, 1975 to 2013
Table E.1.1 (cont'd)
Estimate of Total Provincial and Territorial Government Health Expenditures, by Age and Sex,
by Province/Territory and Canada, 2011—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
12,561.16 9,208.43 11,360.05 18,277.67 28,090.76
1,882.13 1,521.25
4,395.70
5,000.41
7,591.11
1,560.12 1,366.59
3,169.87
2,928.20
4,582.20
1,676.39 1,431.23
3,150.08
3,084.44
4,531.68
2,122.31 1,735.07
3,769.10
4,530.99
7,589.65
2,212.13 1,865.43
4,261.16
5,362.10
9,019.45
2,545.39 2,218.19
4,551.63
5,727.39
9,200.87
2,742.40 2,500.30
4,463.76
5,252.16
9,168.69
2,587.74 2,474.51
4,169.97
5,845.43
8,793.26
2,762.72 2,417.25
4,359.68
5,819.83
8,158.19
3,157.81 2,612.53
4,533.09
6,161.28 12,947.45
3,749.90 3,029.17
4,762.15
5,970.99 11,902.90
4,751.51 3,494.15
5,352.99
7,205.24 13,660.08
6,184.18 4,372.08
6,319.73
9,639.55 24,222.06
8,843.15 5,630.21
9,824.80 13,789.45 23,326.04
11,998.17 7,355.31 14,982.35 24,172.51 31,574.12
16,466.36 9,868.46 22,947.48 36,135.76 57,099.58
22,617.60 12,888.28 44,601.52 58,520.96 84,452.71
33,669.54 17,415.45 113,799.91 109,849.95 223,724.01
37,656.82 18,624.48 38,650.19 96,888.68 63,223.51
9,631.58
1,563.28
1,284.65
1,317.75
1,584.44
1,711.88
2,076.11
2,300.33
2,194.24
2,219.92
2,474.60
2,963.55
3,599.86
4,590.68
6,430.61
8,630.85
11,740.30
16,103.89
24,003.47
26,336.23
($' per capita)
Both Sexes
<1
1−4
5−9
10−14
15−19
20−24
25−29
30−34
35−39
40−44
45−49
50−54
55−59
60−64
65−69
70−74
75−79
80−84
85−89
90+
10,492.53
1,704.99
1,642.29
1,710.72
1,995.11
2,145.07
2,524.27
2,873.04
2,846.02
2,696.55
3,053.18
3,784.11
4,591.85
5,659.02
8,122.67
11,126.26
16,151.21
22,301.97
36,854.49
41,918.53
8,406.88
1,705.26
2,356.11
3,292.42
1,848.12
1,854.51
2,418.60
2,464.43
2,288.56
2,257.50
2,311.04
3,193.35
3,367.72
5,789.92
6,052.77
8,506.65
11,901.19
18,011.05
27,250.39
31,268.17
10,864.76
1,728.11
1,357.49
1,302.85
1,620.62
1,742.71
2,047.28
2,461.11
2,091.11
2,171.70
2,429.93
2,917.72
3,609.77
4,408.80
6,142.72
8,503.06
12,009.97
17,045.53
25,135.55
29,796.28
7,555.39
1,399.04
1,710.80
1,268.10
1,554.39
1,759.41
2,124.36
2,272.79
2,130.59
2,214.17
2,466.28
3,090.05
3,600.44
4,597.97
6,487.55
9,021.38
12,430.87
17,844.53
24,143.38
28,590.02
7,279.03
1,457.82
1,186.73
1,076.46
1,271.62
1,441.49
1,796.32
1,891.69
1,777.67
1,770.04
2,023.85
2,451.32
3,027.26
4,004.61
5,590.85
7,707.46
10,663.21
15,269.73
24,468.89
26,174.49
10,224.29
1,434.32
1,132.50
1,194.68
1,437.49
1,509.44
1,882.33
2,211.02
2,104.74
2,114.11
2,386.42
2,898.56
3,536.45
4,467.65
6,609.08
8,739.01
11,700.96
15,955.98
23,414.70
25,599.02
9,007.70
1,575.76
1,292.91
1,618.80
1,857.94
2,104.84
2,456.36
2,678.23
2,592.13
2,723.36
2,923.17
3,499.45
4,198.52
5,416.09
6,933.98
9,181.67
12,458.37
16,260.81
24,836.01
27,664.01
Total
5,060.95
4,290.50
4,072.59
4,104.08
3,443.05
3,656.99
4,194.17
8,676.78
1,882.51
1,506.73
1,593.80
2,065.27
2,208.24
2,642.06
2,682.24
2,646.76
2,943.80
2,974.44
3,334.85
4,035.96
5,076.25
6,793.13
8,979.25
12,058.40
15,463.97
24,020.66
27,644.92
4,286.64
4,486.40
3,618.42
5,845.50
7,200.38
10,235.37
3,790.03
11,381.23 8,992.50 11,510.63 17,255.51 26,320.12
1,847.19 1,480.46
5,726.40
6,550.12
9,282.81
1,528.10 1,325.12
3,367.52
3,018.76
4,858.35
1,619.02 1,418.49
3,299.67
3,183.81
4,720.80
2,280.98 1,821.72
4,082.56
5,302.02
8,106.10
2,703.16 2,071.14
5,215.26
6,865.11 10,303.38
3,388.40 2,661.87
5,578.93
7,346.12 10,625.83
3,726.58 3,086.77
5,384.44
6,641.75 11,211.78
3,158.80 2,831.87
4,605.53
7,655.09 10,577.78
3,017.78 2,540.01
4,561.96
6,286.96
8,312.24
3,342.68 2,665.83
4,418.38
6,063.12 11,548.66
3,746.51 2,990.53
4,904.59
5,901.77 11,999.50
4,571.37 3,337.53
5,954.83
7,575.02 14,861.63
6,047.12 4,108.89
6,487.48 11,658.90 22,270.17
8,356.30 5,236.16
8,309.70 13,685.98 19,850.60
11,275.23 6,814.55 14,973.55 21,549.72 29,665.91
15,528.03 9,188.48 21,559.39 32,517.99 58,009.96
22,464.71 12,426.69 47,798.53 68,680.59 80,367.59
35,249.40 17,710.50 125,468.75 121,889.89 266,659.61
39,215.23 18,695.69 39,909.07 122,415.65 50,682.27
9,026.26
1,513.61
1,232.26
1,298.65
1,700.04
2,006.15
2,660.97
2,983.57
2,626.10
2,404.81
2,580.40
2,969.51
3,447.63
4,299.49
5,928.17
8,022.85
11,106.73
15,908.92
24,975.92
27,288.64
Female
<1
1−4
5−9
10−14
15−19
20−24
25−29
30−34
35−39
40−44
45−49
50−54
55−59
60−64
65−69
70−74
75−79
80−84
85−89
90+
10,358.14
1,584.64
1,545.19
1,690.04
2,121.73
2,569.44
3,153.56
3,608.66
3,217.41
2,950.19
3,268.75
3,911.05
4,340.04
5,164.64
7,062.56
10,558.21
16,359.40
22,779.26
39,247.94
43,298.97
7,429.41
1,567.23
1,434.27
1,538.90
2,007.22
2,124.22
2,956.22
2,981.31
2,470.13
2,376.97
2,538.24
2,893.06
3,291.81
6,850.37
5,408.81
8,411.14
11,306.80
18,555.16
30,109.72
31,884.10
10,166.68
1,594.41
1,307.07
1,285.61
1,807.25
2,081.71
2,548.68
3,112.68
2,449.91
2,351.92
2,570.15
2,921.88
3,456.03
4,127.54
5,822.75
8,028.88
11,400.52
17,307.45
26,910.95
31,701.82
7,774.00
1,332.54
1,154.39
1,262.39
1,753.09
2,184.74
2,730.67
2,848.64
2,439.04
2,398.23
2,538.52
3,037.85
3,461.69
4,422.24
6,039.09
8,184.31
12,055.27
17,674.26
25,237.14
29,921.36
6,964.93
1,415.62
1,147.34
1,050.22
1,349.84
1,665.06
2,347.18
2,463.91
2,142.43
1,915.09
2,096.81
2,453.75
2,896.51
3,750.48
5,125.22
7,186.10
10,264.37
15,226.23
25,557.41
27,227.75
9,495.62
1,365.29
1,092.31
1,179.64
1,542.30
1,776.02
2,437.68
2,914.32
2,578.44
2,333.55
2,492.77
2,925.20
3,381.75
4,110.19
6,031.54
8,044.46
10,949.56
15,666.19
24,269.72
26,552.61
8,086.98
1,502.80
1,250.70
1,853.12
2,048.22
2,477.81
3,030.62
3,253.11
2,911.99
2,879.54
3,111.57
3,544.15
4,178.49
5,029.28
6,523.66
8,727.24
11,910.53
16,049.77
26,013.07
27,855.50
Total
5,428.85
4,551.56
4,448.82
4,439.51
3,782.17
3,952.30
4,586.79
8,279.44
1,818.13
1,497.61
1,568.68
2,272.32
2,673.20
3,407.76
3,354.11
3,046.11
2,958.08
3,171.24
3,421.21
3,871.01
4,790.69
6,650.15
8,609.11
11,373.58
15,259.01
24,387.89
28,608.96
4,678.89
4,946.59
3,784.13
6,306.15
8,118.76
10,900.01
4,105.13
19,285.00 29,874.95
3,637.08
5,833.99
2,828.03
4,326.35
2,981.18
4,356.50
3,861.18
7,074.47
4,006.80
7,876.28
4,040.40
7,712.26
3,832.18
7,207.57
4,390.65
7,242.56
5,369.17
7,992.48
6,253.88 14,175.39
6,034.69 11,823.91
6,862.04 12,695.79
8,327.60 26,224.78
13,864.25 26,927.61
26,992.91 33,245.54
40,008.32 56,375.20
47,906.43 90,963.37
92,412.80 171,587.92
70,610.91 78,044.98
10,210.39
1,610.45
1,334.04
1,335.83
1,474.09
1,433.30
1,508.13
1,616.79
1,765.17
2,037.39
2,370.25
2,957.59
3,756.29
4,893.90
6,964.00
9,310.65
12,505.69
16,375.55
22,265.70
23,879.83
Male
<1
1−4
5−9
10−14
15−19
20−24
25−29
30−34
35−39
40−44
45−49
50−54
55−59
60−64
65−69
70−74
75−79
80−84
85−89
90+
10,622.00
1,816.71
1,735.32
1,730.11
1,877.43
1,732.18
1,873.87
2,106.99
2,443.59
2,427.54
2,830.58
3,652.43
4,854.88
6,166.43
9,232.61
11,719.72
15,918.10
21,626.79
32,923.73
37,733.59
9,412.60
1,841.12
3,236.29
4,923.98
1,696.43
1,588.19
1,853.80
1,879.21
2,097.47
2,136.22
2,089.26
3,513.96
3,446.18
4,676.04
6,744.19
8,610.65
12,639.93
17,274.88
22,300.41
29,543.58
11,523.07
1,855.26
1,405.89
1,318.98
1,435.59
1,412.59
1,518.06
1,718.66
1,717.75
1,984.75
2,284.99
2,913.37
3,771.07
4,699.60
6,480.18
9,031.41
12,748.51
16,666.76
21,790.30
24,496.67
7,346.14
1,463.70
2,235.58
1,273.39
1,365.37
1,365.77
1,525.96
1,680.56
1,810.26
2,023.81
2,390.90
3,145.23
3,745.24
4,777.43
6,945.99
9,923.25
12,898.92
18,098.91
22,149.96
24,866.56
7,580.47
1,498.05
1,224.25
1,101.31
1,196.72
1,226.54
1,269.37
1,341.64
1,433.32
1,631.50
1,953.48
2,448.88
3,162.29
4,271.88
6,095.01
8,293.78
11,160.16
15,334.43
22,405.52
23,099.04
10,918.31
1,499.87
1,170.47
1,208.99
1,337.28
1,255.16
1,330.24
1,477.71
1,615.64
1,893.39
2,280.89
2,871.97
3,697.48
4,845.44
7,230.19
9,532.64
12,626.20
16,360.58
21,868.60
23,203.38
9,908.73
1,646.06
1,332.69
1,398.80
1,677.15
1,750.86
1,903.46
2,113.72
2,280.44
2,570.11
2,737.57
3,456.77
4,218.41
5,815.25
7,365.15
9,706.58
13,141.29
16,558.70
22,634.02
27,168.64
9,067.46
1,944.52
1,515.33
1,617.68
1,867.91
1,779.29
1,898.12
2,010.69
2,252.86
2,929.98
2,778.60
3,248.20
4,199.18
5,362.42
6,940.89
9,387.08
12,878.27
15,734.90
23,402.22
25,163.30
13,689.72
1,915.09
1,589.77
1,730.73
1,970.71
1,759.93
1,786.13
1,854.37
2,068.49
2,527.46
2,981.36
3,753.13
4,924.79
6,319.74
9,342.39
12,793.84
17,566.34
22,819.82
30,969.74
33,833.15
9,412.07
1,559.58
1,405.14
1,443.19
1,653.47
1,674.81
1,783.97
1,899.48
2,106.07
2,291.99
2,558.91
3,069.16
3,657.66
4,645.41
6,036.35
7,933.11
10,617.17
13,471.92
16,940.99
18,463.19
11,232.38
3,237.20
2,993.86
2,996.65
3,441.75
3,439.19
3,549.08
3,493.91
3,670.53
4,146.10
4,659.62
4,635.62
4,860.87
6,159.44
11,036.48
14,988.98
24,546.55
41,008.42
93,184.96
36,412.18
Total
4,679.76
4,017.60
3,674.89
3,755.94
3,098.68
3,353.30
3,798.33
3,891.14
4,044.44
3,449.86
5,401.17
6,342.12
9,604.60
3,469.96
Canadian Institute for Health Information, 2013.
159
National Health Expenditure Trends, 1975 to 2013
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161
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How to cite this document:
Canadian Institute for Health Information. National Health Expenditure Trends, 1975
to 2013. Ottawa, ON: CIHI; 2013.
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dépenses nationales de santé, 1975 à 2013.
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