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Canadian Institute for Health Information 1 National Health Expenditure Highlights 2 The National Picture 3 Health Spending in Canada • How much are governments and Canadians spending? • What are we spending it on? • Whom do we spend it on? • How does Canada compare? 4 2011 Health Spending Forecasts • Spending on health care by governments and Canadians is projected to be – $200.5 billion, a 4.0% increase – 11.6% of GDP (versus 11.9% in 2010) – $5,811 per person – 0.6% above inflation and population growth in 2011 (lowest rate in 15 years) 5 Health Expenditure Continues to Rise Average Annual Growth Rates 1980s 1990s 2000–2009 Source National Health Expenditure Database, CIHI. Inflation-Adjusted Actual Spending Spending 10.8% 4.2% 4.5% 2.5% 7.1% 4.3% 6 Health Care Spending Outpacing Inflation and Population Growth Note AAG = average annual growth. Sources National Health Expenditure Database, CIHI; Statistics Canada. 7 Components of Growth in Total Health Spending, 2011 and Average Annual Growth (2000 to 2009) Notes f = forecast. AAG = average annual growth. Sources National Health Expenditure Database, CIHI; Statistics Canada. 8 Total Health Expenditure as a Proportion of GDP Note f = forecast. Sources National Health Expenditure Database, CIHI; The Conference Board of Canada. 9 Who Spends What? Private Sector Public Sector Note 2009 actual data. Sources National Health Expenditure Database, CIHI; Statistics Canada. 10 Public/Private Split Note f: forecast. Source National Health Expenditure Database, CIHI. 11 Public Share of Total Health Expenditure, 29 Selected Countries, OECD, 2009 Average: 72.8% Notes * Data for 2008; § data for 2002. Source OECD Health Data 2011, June edition. 12 What Are We Spending On? Note 2009 actual data. Source National Health Expenditure Database, CIHI. 13 Changing Look of the Health Care System 1975 2011 13% 20% 9% 43% 9% 10% 60% 11% 9% 16% Hospitals and Physicians Drugs Other Institutions Other Expenditures Source National Health Expenditure Database, CIHI. Other Professionals 14 Annual Growth on Selected Services, 2011 Versus Average Annual Growth (2000 to 2009) Note f: forecast. Sources National Health Expenditure Database, CIHI; Statistics Canada. 15 Provincial Variations 16 Total Health Expenditure per Capita, Provinces and Territories, 2011 (Forecast) Sources National Health Expenditure Database, CIHI; Statistics Canada. Y.T. N.W.T. Nun. $8,995.6 $10,242.3 $11,928.6 17 Total Health Expenditure, Public- and PrivateSector Shares, 2011 (Forecast) Source National Health Expenditure Database, CIHI. 18 Health Spending on Younger and Older Canadians 19 Total Provincial/Territorial Government Health Expenditure per Capita, by Age Group, 2009 Sources National Health Expenditure Database, CIHI; Statistics Canada. 20 Distribution of Provincial/Territorial Government Health Expenditures, by Age Group, 1998 and 2009 Sources National Health Expenditure Database, CIHI; Statistics Canada. 21 How Does Canada Compare? 22 Total Health Expenditure per Capita, U.S. Dollars, 29 Selected Countries, 2009 Average: $3,343 Note * Data for 2008. Source OECD Health Data 2011, June edition. 23 Total Health Expenditure as a Percentage of GDP, 29 Selected Countries, 2009 Note * Data for 2008. Source OECD Health Data 2011, June edition. 24 Public-Sector Health Expenditure per Capita, U.S. Dollars, 29 Selected Countries, 2009 Notes * Data for 2008; § data for 2002. Source OECD Health Data 2011, June edition. 25 Canada and Comparable G8 Countries, 2009 Total Health Total Health Expenditure Expenditure per Capita (Percentage of (USD) GDP) Public Share of Total Health Expenditure Public-Sector Health Spending per Capita (USD) Canada 4,363 11.4% 70.6% 3,081 U.S. 7,960 17.4% 47.7% 3,795 Germany 4,218 11.6% 76.9% 3,242 France 3,978 11.8% 77.9% 3,100 Note All numbers represent 2009 data. Per capita spending was converted to U.S. dollars using purchasing power parities for GDP. Source OECD Health Data 2011, June edition. 26 The Road Ahead . . . 27 Thank You 28