The Concentration of Hospital-Based Medical Spending: Evidence from Canada?
Damien Échevin () and
Pierre-Carl Michaud ()
CIRANO Working Papers from CIRANO
In this paper, we present evidence on the concentration of hospital-based medical spending in Canada. We use longitudinal administrative data from the province of Quebec to document how medical spending is concentrated cross-sectionally, over time and finally near the end-of-life when death occurs at the hospital. Average expenditures rise rapidly with age, starting around the age of 50, and are concentrated in a small fraction of high-cost users. For example, the top 1% of men and women in terms of hospital spending account for 55.5% and 54.8% of total spending respectively. Persistence among high-users is rather low. Fewer than 3% of those in the top quintile of hospital spending stay in the same quintile the following year, fewer than 5% have any spending the following year. Finally, hospital spending among those in their last year of life and who die at the hospital can account for 11.1% of total hospital spending in the population. Most of that end-of-life spending, more than 80%, occurs in the last month of life.
Keywords: Medical spending; concentration; end-of-life (search for similar items in EconPapers)
JEL-codes: I10 I13 I18 (search for similar items in EconPapers)
New Economics Papers: this item is included in nep-hea
References: View references in EconPapers View complete reference list from CitEc
Citations: Track citations by RSS feed
Downloads: (external link)
Journal Article: The Concentration of Hospital‐Based Medical Spending: Evidence from Canada (2016)
Working Paper: The Concentration of Hospital-Based Medical Spending: Evidence from Canada (2015)
This item may be available elsewhere in EconPapers: Search for items with the same title.
Export reference: BibTeX
RIS (EndNote, ProCite, RefMan)
Persistent link: https://EconPapers.repec.org/RePEc:cir:cirwor:2015s-41
Access Statistics for this paper
More papers in CIRANO Working Papers from CIRANO Contact information at EDIRC.
Bibliographic data for series maintained by Webmaster ().