{"id":7981,"date":"2023-07-23T08:02:46","date_gmt":"2023-07-23T12:02:46","guid":{"rendered":"https:\/\/creei.ca\/the-concentration-of-hospital-based-medical-spending-evidence-from-canada\/"},"modified":"2023-11-24T10:56:46","modified_gmt":"2023-11-24T15:56:46","slug":"concentration-hospital-based-medical-spending","status":"publish","type":"page","link":"https:\/\/creei.ca\/en\/concentration-hospital-based-medical-spending\/","title":{"rendered":"The Concentration of Hospital-Based Medical Spending: Evidence from Canada*"},"content":{"rendered":"
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Short Summary:<\/div>\n
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We analyze hospital-based medical spending using\u00a0longitudinal administrative data from the province of Quebec, Canada. We\u00a0document\u00a0how medical spending is concentrated cross-sectionally, over time and near the\u00a0end of life. Average expenditures rise\u00a0rapidly with age starting around 50 y.o.,\u00a0and are concentrated among a few high-cost users (e.g. the top 1% of individuals\u00a0account for 55% of spending). Persistence among high-cost users is low,\u00a0however: fewer than 3% of those in the top quintile of\u00a0spending remain in that quintile\u00a0the following year, and only 5% have any spending the following year. Finally,\u00a0hospital-based\u00a0medical spending among those who die at the hospital within a\u00a0year accounts for 11% of spending for the population as a\u00a0whole. More than 80%\u00a0of that end-of-life spending occurs in the last month of life.<\/p>\n

This paper has been the topic of a CIRANO Note<\/a>.<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Publication Authors: Aur\u00e9lie C\u00f4t\u00e9-Sergent, Damien \u00c9chevin and Pierre-Carl Michaud<\/div>\n<\/div>\n
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Number: 15-13<\/div>\n<\/div>\n
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File: \"PDF cahier_15-13_healthcosts.pdf<\/a><\/div>\n<\/div>\n
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Year: 2015<\/a><\/div>\n<\/div>\n

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Scientific Publication: Fiscal Studies, 37, 627\u2013651. doi:10.1111\/j.1475-5890.2016.12125.<\/a><\/div>\n<\/div>\n<\/article>\n<\/div>
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