National Health Expenditure Trends, 1975 to 2014
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Transcript of National Health Expenditure Trends, 1975 to 2014
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National Health Expenditure Trends, 1975 to 2014
Chartbook October 2014
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Our VisionBetter data. Better decisions. Healthier Canadians.
Our MandateTo lead the development and maintenance of comprehensive and integrated health information that enables sound policy and effective health system management that improve health and health care.
Our ValuesRespect, Integrity, Collaboration, Excellence, Innovation
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The following slides are provided to reuse in your own presentations.
Please cite as follows: Canadian Institute for Health Information. National Health Expenditure Trends, 1975 to 2014. Ottawa, ON: CIHI; 2014.
Additional ResourcesThe following companion products are available on CIHI’s website.
• Report
• Data tables
• Public summary
Talk to Us
For data-specific information:[email protected]
For media inquiries:[email protected]
www.cihi.ca
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This presentation
• Infographics
• National trends
• International comparisons
• Provincial-level findings
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How much will we spend on health in 2014?
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What is the money being spent on?
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Where does the money come from?
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What is the money being spent on?
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Has health spending on seniors changed?
9
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How do the provinces and territories compare?
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How does Canada compare internationally?
2011 is the latest year available.
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How much is being spent on health care?
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Four distinct periods of growth in health spending since 1975
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
19761978
19801982
19841986
19881990
19921994
19961998
20002002
20042006
20082010
20122014
-2%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
Annual Growth Rates
Total Real per Capita Forecast
© Canadian Institute for Health Information.
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The fourth period is emerging19
7519
7719
7919
8119
8319
8519
8719
8919
9119
9319
9519
9719
9920
0120
0320
0520
0720
0920
1120
13
$1,000
$1,200
$1,400
$1,600
$1,800
$2,000
$2,200
$2,400
$2,600
$2,800
Actual Forecast Trend (1975–1991) Trend (1991–1996)
P/T Government Spending on Health, per Capita, in Constant $
© Canadian Institute for Health Information.
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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The percentage of total health spending as a proportion of Canada’s gross domestic product (GDP) has fallen gradually in the past few years
19751978
19811984
19871990
19931996
19992002
20052008
20112014
6%
7%
8%
9%
10%
11%
12%
8.0%
9.5%9.4%
11.6%
Actual Forecast
© Canadian Institute for Health Information.
SourcesNational Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada.
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Public/private split unchanged in the last two decades
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
20%
30%
40%
50%
60%
70%
80% 77.0%
70.8% 70.5%
23.0%
29.2% 29.5%
Public- and Private-Sector Shares of Total Health Expenditure, 1975 to 2014
Public-Sector Share Private-Sector Share Forecast
© Canadian Institute for Health Information.
SourceNational Health Expenditure Database, CIHI.
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Where does the money come from?
Provincial Government Sec-tor 65.5% ($140.8)
Other Public Sector 5.0% ($10.7)
Other Private 3.2% ($6.9)
Private Health Insurance 12.1% ($26.1)
Out of Pocket 14.2% ($30.4)
© Canadian Institute for Health Information.
Notes2014 forecast data.In billions of dollars.SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
Public Sector
Private Sector
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There is a difference of more than $1,300 between the highest and lowest spenders
N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C.$0
$4,000
$8,000
$6,953
$6,477$6,761
$6,340
$5,616$5,894
$6,689$6,472
$6,783
$5,865
Total Health Spending per Capita, by Province, 2014f
Public Sector Private Sector© Canadian Institute for Health Information.
Notef: Forecast.SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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On average, provincial/territorial governments spend 40% of their budgets on health care
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont. Man. Sask. Alta.
B.C.
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
34% 33%
42%39%
33%
45%43%
37% 37%
41%
37% 38%
46%
40%
30%
41%44%
37%38%
43%
2008
© Canadian Institute for Health Information.
f Canada Average2008 39%
2013f 38%
Notef: Forecast.SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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Provincial/territorial government health spending is growing faster than revenue; spending on other government programs also continues to increase
Series1
-3%
-2%
-1%
0%
1%
2%
3%
4%
5%
1.9%
-2.9%
3.7% 3.8%
2.1%1.5%
Average Annual Real per Capita Expenditure Growth,Canada, 1998 to 2009
Revenue Debt Charges Health Transportation/Communication
© Canadian Institute for Health Information.
SourceStatistics Canada.
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What is the money being spent on?
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About 60% of total health spending is directed to hospitals, drugs and physicians
Hospitals29.6%
Drugs15.8%
Physicians15.5%
Other Institutions10.3%
Other Professionals10.1%
Other Health Spending6.1%
Public Health5.3%
Capital4.1%
Administration3.1%
© Canadian Institute for Health Information.Note2014 forecast data.SourceNational Health Expenditure Database, CIHI.
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30%
16%
15%
10%
10%
19%
Spending on hospitals declined in the last decade as spending on drugs and other expenditures increased
Notef: Forecast.SourceNational Health Expenditure Database, CIHI.
2014f1994
34%
13%15%
11%
11%
16%
Hospitals Drugs Physicians Other InstitutionsOther Professionals Other Expenditures
© Canadian Institute for Health Information.
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Public-sector share of spending on prescription drugs
N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C.0%
10%
20%
30%
40%
50%
60%
37.2%
40.0%
37.4%
31.7%
45.8%
41.2%
45.4%
51.1%
43.9%
34.5%
2014© Canadian Institute for Health Information.
f
Notef: Forecast.SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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Public-sector spending on prescription drugs, average annual growth rate, last decade versus current decade
N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C.0%
2%
4%
6%
8%
10%
12%
14%
7.4%
10.1%
8.1%
9.1%
11.9%
9.8%
13.3%
11.2%12.0%
7.8%
3.6%
6.7%
5.1%4.7%
4.1%3.5% 3.3%
5.7% 6.0%
2.1%
1994–2004
© Canadian Institute for Health Information.
f
Notef: Forecast.SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
Canada Average
1994–2004 10.3%
2004–2014f 3.9%
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Difference of $400 between the highest and lowest total drug expenditure per capita
N.L.
P.E.I.
N.S.
N.B.
Que.
Ont. Man. Sask. Alta.
B.C.
$0
$400
$800
$1,200
$951 $934
$1,098$1,145
$1,065
$982
$862 $856 $882
$740
Total Drug Spending per Capita, 2014f
© Canadian Institute for Health Information.Notef: Forecast.SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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On average, we spend three times more on older seniors than on younger seniors
<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+$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$10,
487
$1,5
76
$1,3
19$1
,360
$1,6
15$1
,746
$2,1
41$2
,352
$2,2
43
$2,2
71$2
,544
$2,9
99
$3,6
60
$4,6
20$6
,368 $8
,545 $1
1,69
2 $16,
231
$24,
591 $2
9,20
6Total P/T Health Spending per Capita, 2012
© Canadian Institute for Health Information.
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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Share of health spending on seniors has risen only slightly since 2002
2002 20120%
10%
20%
30%
40%
50%
60%
2.9% 2.9%
52.6% 51.9%
44.6% 45.2%
<1 1–64 65+Age Group
© Canadian Institute for Health Information.
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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Impact of population growth and aging varies
N.L. P.E.I. N.S. N.B. Que. Ont. Man. Sask. Alta. B.C. 0%
1%
2%
3%
1.2%
0.7%
1.0%1.1% 1.2%
0.9%
0.4%0.2%
0.6%0.8%
0.5%
0.1% 0.1%
0.8%
1.2%
0.7% 0.6%
2.2%
1.0%
Ave
rag
e A
nn
ua
l Gro
wth
(2
00
0–
20
12
)
© Canadian Institute for Health Information.
0.0%
Canada Average
Population Growth 1.0%
Aging 0.9%
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
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How does Canada compare internationally?
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Canada’s per person spending is just more than half of what is spent on health care in the U.S. but higher than the OECD average
Turkey
Estonia
Hungary
Slovak Republic
Israel
Slovenia
New Zealand*
Iceland
Japan
Sweden
Belgium
CANADA
Germany
Netherlands*
Norway
$0 $1,000 $2,000 $3,000 $4,000 $5,000 $6,000 $7,000 $8,000 $9,000 $10,000
$984$1,048
$1,447$1,540
$1,803$2,077$2,105
$2,291$2,304
$2,642$2,667
$2,998$3,172
$3,289$3,536$3,559$3,649
$3,997$4,106
$4,288$4,419
$4,578$4,602$4,698
$4,811$4,896
$5,219$6,080$6,140
$8,745
Average: US$3,590
Total Health Spending per Capita, US$, 30 Selected Countries, 2012
Per Capita Expenditure, US$ © Canadian Institute for Health Information.
Note* Data for 2011.SourceOECD Health Statistics 2014 (June edition), Organisation for Economic Co-operation and Development (OECD).
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Canada spends more on health care as a percentage of its economy than most OECD countries
Turkey
Mexico
Luxembourg
Czech Republic
Hungary
Iceland
Finland
Norway
Spain*
New Zealand*
Japan
CANADA
Austria
Switzerland
Netherlands*
0% 2% 4% 6% 8% 10% 12% 14% 16% 18%
5.4%5.9%
6.2%6.8%
7.1%7.3%
7.5%7.6%
8.0%8.1%
9.0%9.1%9.1%9.3%9.3%9.4%9.4%9.6%
10.0%10.2%10.3%
10.9%10.9%11.0%11.1%11.3%11.4%11.6%
12.1%16.9%
Average: 9.4%
Share of...© Canadian Institute for Health Information.Note
* Data for 2011. SourceOECD Health Statistics 2014 (June edition), OECD.
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The ratio of health spending to GDP increased in all G7 countries in the last decade
Canada France Germany Italy Japan United Kingdom
United States0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
9.4%
10.6% 10.7%
8.2% 7.9% 7.5%
14.6%
10.9%11.6% 11.3%
9.2%
10.3%9.3%
16.9%
2002 2012© Canadian Institute for Health Information.
SourceOECD Health Statistics 2014 (June edition), OECD.
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The share of health spending funded by the public sector in Canada is less than the OECD average
United States
Korea
Hungary
Switzerland
Poland
CANADA
OECD Average
Finland
Austria
Turkey
Estonia
Sweden
New Zealand*
United Kingdom
Norway
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
47.6%50.6%
54.5%59.8%
62.6%65.0%65.8%
68.4%69.2%69.7%70.1%
71.5%73.3%73.0%
75.0%75.2%75.9%76.7%76.8%77.4%
78.7%80.5%81.3%82.1%82.7%83.5%84.0%84.0%85.0%85.8%
Average: 73.3%
© Canadian Institute for Health Information.
Note* Data for 2011. SourceOECD Health Statistics 2014 (June edition), OECD.
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As GDP grows, so does per person health spending
1% 2% 3% 4% 5%
-1%
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
LUX
ISL
PRTFRA ISR
CHE AUT
DEUDNK NOR
AUS
HUN
MEXCAN
SVN
SWEESP
USBEL FIN
JPN GBR
NZLTUR
CZE
NLD
ESTPOL
SVK
KOR
Average Annual Growth, Constant Dollars, 2000 to 2012(Countries with health spending above $2,000 per capita)
45° line
Average Annual Real Growth in GDP per Capita
Ave
rage
Ann
ual R
eal G
row
th in
Hea
lth S
pend
ing
per
Cap
ita
© Canadian Institute for Health Information.
SourceOECD Health Statistics 2014 (June edition), OECD.
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What is happening in my province?
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Provincial Chapter
Newfoundland and Labrador
37
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How has total health spending changed over time?
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
$0.0 B
$0.5 B
$1.0 B
$1.5 B
$2.0 B
$2.5 B
$3.0 B
$3.5 B
$4.0 B
$3 Billion
$1.5 Billion
Expenditure Forecast© Canadian Institute for Health Information.
SourceNational Health Expenditure Database, CIHI.
Newfoundland and Labrador
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Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
2014
-6%
-4%
-2%
0%
2%
4%
6%
8%
10%
12%
14%
3.1%
0.7%
4.6%
© Canadian Institute for Health Information.
Newfoundland and Labrador
SourceNational Health Expenditure Database, CIHI.
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Total health spending–to-GDP ratio
SourcesNational Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada.
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
6%
7%
8%
9%
10%
11%
12%
13%
14%
Newfoundland and Labrador Canada Forecast
© Canadian Institute for Health Information.
Newfoundland and Labrador
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Category shares of total health spending
Hospitals35.9%
Drugs13.7%
Physicians12.8%
Other Institutions12.7%
Other Health Spending7.3%
Other Professionals6.8%
Capital4.6%
Public Health3.3%
Administration3.0%
© Canadian Institute for Health Information.Note2014 forecast data.SourceNational Health Expenditure Database, CIHI.
Newfoundland and Labrador
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Shares of provincial government health spending by age group
2002 20120%
10%
20%
30%
40%
50%
60%
2.1% 1.9%
50.3% 50.6%47.6% 47.5%
<1 1–64 65+
Age Group
© Canadian Institute for Health Information.
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
Newfoundland and Labrador
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Provincial Chapter
Prince Edward Island
43
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44
How has total health spending changed over time?
$0 M
$100 M
$200 M
$300 M
$400 M
$500 M
$600 M
$700 M
$800 M
$900 M
$1,000 M$900 Million
$450 Million
Expenditure Forecast
© Canadian Institute for Health Information.
SourceNational Health Expenditure Database, CIHI.
Prince Edward Island
![Page 45: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/45.jpg)
45
Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
2014
-8%
-4%
0%
4%
8%
12%
16%
20%
2.0%0.2%
3.9%
Actual Forecast
© Canadian Institute for Health Information.
Prince Edward Island
SourceNational Health Expenditure Database, CIHI.
![Page 46: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/46.jpg)
46
Total health spending–to-GDP ratio
SourcesNational Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada.
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
6%
8%
10%
12%
14%
16%
18%
Prince Edward Island Canada Forecast
© Canadian Institute for Health Information.
Prince Edward Island
![Page 47: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/47.jpg)
47
Category shares of total health spending
Hospitals31.4%
Drugs14.4%
Other Institutions14.0%
Physicians11.6%
Other Professionals8.1%
Administration7.3%
Other Health Spending5.9%
Public Health5.2%
Capital2.0%
© Canadian Institute for Health Information.Note2014 forecast data. SourceNational Health Expenditure Database, CIHI.
Prince Edward Island
![Page 48: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/48.jpg)
48
Shares of provincial government health spending by age group
2002 20120%
10%
20%
30%
40%
50%
60%
2.1% 2.1%
55.1%
49.1%
42.8%
48.7%
<1 1–64 65+Age Group
© Canadian Institute for Health Information.
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
Prince Edward Island
![Page 49: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/49.jpg)
Provincial Chapter
Nova Scotia
49
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50
How has total health spending changed over time?
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
$0 B
$1 B
$2 B
$3 B
$4 B
$5 B
$6 B
$7 B
$6 Billion
$3 Billion
Expenditure Forecast
© Canadian Institute for Health Information.
SourceNational Health Expenditure Database, CIHI.
Nova Scotia
![Page 51: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/51.jpg)
51
Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
2014
-8%
-4%
0%
4%
8%
12%
16%
20%
24%
28%
3.7%
-2.5%
4.3%
© Canadian Institute for Health Information.
Nova Scotia
SourceNational Health Expenditure Database, CIHI.
![Page 52: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/52.jpg)
52
Total health spending–to-GDP ratio
SourcesNational Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada.
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
6%
8%
10%
12%
14%
16%
18%
Nova Scotia Canada
© Canadian Institute for Health Information.
Nova Scotia
![Page 53: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/53.jpg)
53
Category shares of total health spending
Hospitals30.4%
Drugs16.2%
Physicians13.0%
Other Institutions12.8%
Other Professionals10.5%
Other Health Spending5.8%
Administration5.0%
Capital3.3%
Public Health2.9%
© Canadian Institute for Health Information.Note2014 forecast data. SourceNational Health Expenditure Database, CIHI.
Nova Scotia
![Page 54: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/54.jpg)
54
Shares of provincial government health spending by age group
2002 20120%
10%
20%
30%
40%
50%
60%
2.7% 2.5%
49.9%46.9%47.3%
50.6%
<1 1–64 65+Age Group
© Canadian Institute for Health Information.
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
Nova Scotia
![Page 55: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/55.jpg)
Provincial Chapter
New Brunswick
55
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56
How has total health spending changed over time?
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
$0 B
$1 B
$2 B
$3 B
$4 B
$5 B
$6 B
$4 Billion
$2 Billion
Expenditure Forecast
© Canadian Institute for Health Information.
SourceNational Health Expenditure Database, CIHI.
New Brunswick
![Page 57: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/57.jpg)
57
Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
2014
-6%
-3%
0%
3%
6%
9%
12%
15%
18%
21%
24%
4.1%
-0.3%
3.5%
Actual Forecast Average (1975–1991) Average (1991–1996)
© Canadian Institute for Health Information.
New Brunswick
SourceNational Health Expenditure Database, CIHI.
![Page 58: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/58.jpg)
58
Total health spending–to-GDP ratio
SourcesNational Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada.
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
6%
7%
8%
9%
10%
11%
12%
13%
14%
15%
16%
New Brunswick Canada Forecast© Canadian Institute for Health Information.
New Brunswick
![Page 59: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/59.jpg)
59
Category shares of total health spending
Hospitals33.2%
Drugs18.1%Physicians
12.5%
Other Institutions11.4%
Other Professionals8.7%
Other Health Spending6.4%
Administration3.8%
Public Health3.7%
Capital2.3%
© Canadian Institute for Health Information.Note2014 forecast data. SourceNational Health Expenditure Database, CIHI.
New Brunswick
![Page 60: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/60.jpg)
60
Shares of provincial government health spending by age group
2002 20120%
10%
20%
30%
40%
50%
60%
2.6% 1.9%
51.6%
47.2%45.8%
50.9%
<1 1–64 65+
Age Group
© Canadian Institute for Health Information.
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
New Brunswick
![Page 61: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/61.jpg)
Provincial Chapter
Quebec
61
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62
How has total health spending changed over time?
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
$0 B
$5 B
$10 B
$15 B
$20 B
$25 B
$30 B
$35 B
$40 B
$45 B
$50 B
$40 Billion
$20 Billion
Expenditure Forecast© Canadian Institute for Health Information.
SourceNational Health Expenditure Database, CIHI.
Quebec
![Page 63: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/63.jpg)
63
Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
2014
-2%
0%
2%
4%
6%
8%
2.1%
-1.0%
2.6%
© Canadian Institute for Health Information.
Quebec
SourceNational Health Expenditure Database, CIHI.
![Page 64: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/64.jpg)
64
Total health spending–to-GDP ratio
SourcesNational Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada.
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
6%
7%
8%
9%
10%
11%
12%
13%
Quebec Canada
© Canadian Institute for Health Information.
Quebec
![Page 65: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/65.jpg)
65
Category shares of total health spending
Hospitals26.5%
Drugs19.0%
Physicians15.0%
Other Institutions14.0%
Other Professionals9.1%
Capital5.6%
Other Health Spending5.0%
Administration3.0%
Public Health2.8%
© Canadian Institute for Health Information.Note2014 forecast data. SourceNational Health Expenditure Database, CIHI.
Quebec
![Page 66: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/66.jpg)
66
Shares of provincial government health spending by age group
2002 20120%
10%
20%
30%
40%
50%
60%
2.4% 2.5%
46.7% 47.9%50.9% 49.6%
<1 1–64 65+
Age Group
© Canadian Institute for Health Information.
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
Quebec
![Page 67: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/67.jpg)
Provincial Chapter
Ontario
67
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68
How has total health spending changed over time?
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
$0 B
$10 B
$20 B
$30 B
$40 B
$50 B
$60 B
$70 B
$80 B
$90 B
$80 Billion
$40 Billion
Expenditure Forecast
© Canadian Institute for Health Information.
SourceNational Health Expenditure Database, CIHI.
Ontario
![Page 69: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/69.jpg)
69
Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
2014
-4%
-2%
0%
2%
4%
6%
8%
10%
12%
2.8%
-1.7%
2.9%
© Canadian Institute for Health Information.
Ontario
SourceNational Health Expenditure Database, CIHI.
![Page 70: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/70.jpg)
70
Total health spending–to-GDP ratio
SourcesNational Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada.
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
6%
7%
8%
9%
10%
11%
12%
13%
Ontario Canada Forecast
© Canadian Institute for Health Information.
Ontario
![Page 71: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/71.jpg)
71
Category shares of total health spending
Hospitals28.3%
Physicians16.8%
Drugs16.7%
Other Professionals10.3%
Other Institutions9.8%
Public Health5.8%
Other Health Spending5.6%
Capital4.0%
Administration2.7%
© Canadian Institute for Health Information.Note2014 forecast data. SourceNational Health Expenditure Database, CIHI.
Ontario
![Page 72: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/72.jpg)
72
Shares of provincial government health spending by age group
2002 20120%
10%
20%
30%
40%
50%
60%
3.1% 3.0%
53.3%50.9%
43.6%46.1%
<1 1–64 65+Age Group
© Canadian Institute for Health Information.
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
Ontario
![Page 73: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/73.jpg)
73
Provincial Chapter
Manitoba
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74
How has total health spending changed over time?
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
$0 B
$1 B
$2 B
$3 B
$4 B
$5 B
$6 B
$7 B
$8 B
$9 B
$8 Billion
$4 Billion
Expenditure Forecast© Canadian Institute for Health Information.
SourceNational Health Expenditure Database, CIHI.
Manitoba
![Page 75: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/75.jpg)
Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars
75
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
2014
-4%
-2%
0%
2%
4%
6%
8%
10%
12%
14%
16%
2.8%
-1.0%
3.5%
© Canadian Institute for Health Information.
Manitoba
SourceNational Health Expenditure Database, CIHI.
![Page 76: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/76.jpg)
76
Total health spending–to-GDP ratio
SourcesNational Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada.
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
6%
7%
8%
9%
10%
11%
12%
13%
14%
15%
Manitoba Canada© Canadian Institute for Health Information.
Manitoba
![Page 77: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/77.jpg)
77
Category shares of total health spending
Hospitals30.0%
Physicians14.2%
Drugs12.9%
Other Institutions11.6%
Other Professionals9.2%
Other Health Spending8.9%
Public Health6.9%
Administration3.2%
Capital3.1%
© Canadian Institute for Health Information.Note2014 forecast data. SourceNational Health Expenditure Database, CIHI.
Manitoba
![Page 78: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/78.jpg)
78
Shares of provincial government health spending by age group
2002 20120%
10%
20%
30%
40%
50%
60%
2.8% 2.8%
53.5% 53.5%
43.7% 43.7%
<1 1–64 65+Age Group
© Canadian Institute for Health Information.
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
Manitoba
![Page 79: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/79.jpg)
Provincial Chapter
Saskatchewan
79
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80
How has total health spending changed over time?
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
$0 B
$1 B
$2 B
$3 B
$4 B
$5 B
$6 B
$7 B
$8 B
$7 Billion
$3.5 Billion
Expenditure Forecast© Canadian Institute for Health Information.
SourceNational Health Expenditure Database, CIHI.
Saskatchewan
![Page 81: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/81.jpg)
81
Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
2014
-8%
-6%
-4%
-2%
0%
2%
4%
6%
8%
3.1%
-2.8%
3.5%
© Canadian Institute for Health Information.
Saskatchewan
SourceNational Health Expenditure Database, CIHI.
![Page 82: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/82.jpg)
82
Total health spending–to-GDP ratio
SourcesNational Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada.
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
6%
7%
8%
9%
10%
11%
12%
Saskatchewan Canada Forecast
© Canadian Institute for Health Information.
Saskatchewan
![Page 83: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/83.jpg)
83
Category shares of total health spending
Hospitals30.1%
Physicians14.3%
Drugs13.2%
Other Institutions12.3%
Other Professionals8.8%
Public Health8.5%
Other Health Spending7.3%
Administration3.4%
Capital2.2%
© Canadian Institute for Health Information.Note2014 forecast data. SourceNational Health Expenditure Database, CIHI.
Saskatchewan
![Page 84: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/84.jpg)
84
Shares of provincial government health spending by age group
2002 20120%
10%
20%
30%
40%
50%
60%
2.8% 3.1%
52.4%54.5%
44.8%42.4%
<1 1–64 65+Age Group
© Canadian Institute for Health Information.
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
Saskatchewan
![Page 85: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/85.jpg)
Provincial Chapter
Alberta
85
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86
How has total health spending changed over time?
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
$0 B
$5 B
$10 B
$15 B
$20 B
$25 B
$30 B
$26 Billion
$13 Billion
Expenditure Forecast© Canadian Institute for Health Information.
SourceNational Health Expenditure Database, CIHI.
Alberta
![Page 87: National Health Expenditure Trends, 1975 to 2014](https://reader035.fdocuments.net/reader035/viewer/2022062422/56812fc6550346895d954747/html5/thumbnails/87.jpg)
87
Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
2014
-12%
-10%
-8%
-6%
-4%
-2%
0%
2%
4%
6%
8%
10%
12%
2.6%
-4.2%
4.6%
© Canadian Institute for Health Information.
Alberta
SourceNational Health Expenditure Database, CIHI.
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Total health spending–to-GDP ratio
SourcesNational Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada.
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
4%
5%
6%
7%
8%
9%
10%
11%
12%
13%
Alberta Canada
© Canadian Institute for Health Information.
Alberta
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Category shares of total health spending
Hospitals35.2%
Physicians15.6%Drugs
13.0%
Other Professionals10.9%
Other Institutions7.5%
Public Health6.4%
Other Health Spending5.0%
Capital3.6%
Administration2.8%
© Canadian Institute for Health Information.Note2014 forecast data. SourceNational Health Expenditure Database, CIHI.
Alberta
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Shares of provincial government health spending by age group
2002 20120%
10%
20%
30%
40%
50%
60%
70%
3.7% 4.1%
61.0%
56.0%
35.2%
39.9%
<1 1–64 65+Age Group
© Canadian Institute for Health Information.
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
Alberta
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Provincial Chapter
British Columbia
91
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How has total health spending changed over time?
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
$0 B
$5 B
$10 B
$15 B
$20 B
$25 B
$30 B
$26 Billion
$13 Billion
Expenditure Forecast
© Canadian Institute for Health Information.
SourceNational Health Expenditure Database, CIHI.
British Columbia
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93
Provincial government health expenditure per capita, annual growth rates in constant 1997 dollars
1976
1978
1980
1982
1984
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
2008
2010
2012
2014
-4%
-2%
0%
2%
4%
6%
8%
2.7%
-1.2%
2.3%
© Canadian Institute for Health Information.
British Columbia
SourceNational Health Expenditure Database, CIHI.
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94
Total health spending–to-GDP ratio
SourcesNational Health Expenditure Database, CIHI; Statistics Canada; The Conference Board of Canada.
1975
1977
1979
1981
1983
1985
1987
1989
1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
4%
5%
6%
7%
8%
9%
10%
11%
12%
13%
British Columbia Canada Forecast
© Canadian Institute for Health Information.
British Columbia
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95
Category shares of total health spending
Hospitals30.7%
Physicians14.8%
Drugs12.6%
Other Professionals12.2%
Other Health Spending9.1%
Public Health6.7%
Other Institutions6.5%
Administration3.8%
Capital3.7%
© Canadian Institute for Health Information.Note2014 forecast data. SourceNational Health Expenditure Database, CIHI.
British Columbia
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96
Shares of provincial government health spending by age group
2002 20120%
10%
20%
30%
40%
50%
60%
2.4% 2.6%
53.1%
56.9%
44.4%
40.6%
<1 1–64 65+Age Group
© Canadian Institute for Health Information.
SourcesNational Health Expenditure Database, CIHI; Statistics Canada.
British Columbia
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97
More information
The annual report National Health Expenditure Trends, 1975 to 2014 provides detailed, updated information on health expenditure in Canada.
The annual report, information sheets, presentations, methodological notes and up-to-date data tables are available at www.cihi.ca/nhex.
Feedback and questions can be sent to [email protected].