Download National Health Expenditure Trends, 1975 to 2015 Briefing Deck

National Health Expenditure Trends,
1975 to 2015
Briefing Deck
October 2015
Our Vision
Better data. Better decisions. Healthier Canadians.
Our Mandate
To 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 Values
Respect, Integrity, Collaboration, Excellence, Innovation
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This presentation
• Key messages
– How much is being spent on health care?
– What is the money being spent on?
– How does Canada compare internationally?
• Looking forward
– Issues to monitor in the future
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Key messages: 2015
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Key messages: 2015
•
•
Continued modest growth trend since 2011
–
Total health expenditure is expected to grow by 1.6%, reaching $219 billion in 2015,
or $6,105 per person
–
The rate of growth in health spending per capita is expected to be less than the rates of
inflation and population growth combined
Slower growth in hospital, drug and physician spending anticipated in 2015
–
Hospital spending per person is expected to grow by 0.9%
–
Drug spending per person is projected to increase by 0.7%
–
Physician spending per person is forecast to grow by 2.2%, which has outpaced that on
hospitals or drugs since 2007
•
In 2015, total health expenditure per capita is expected to range from $7,036
in Newfoundland and Labrador and $6,966 in Alberta to $5,665 in Quebec
and $5,875 in British Columbia
•
Canada’s health care per capita spending is in the top quartile internationally
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Modest growth since 2011, similar to that
experienced in the mid-1990s
Real per capita health expenditure, Canada
10.0%
8.0%
6.0%
4.0%
3.3%
2.7%
2.0%
0.0%
-0.5%
-0.6%
-2.0%
1976
1979
1982
1985
1988
1991
1994
1997
2000
2003
2006
2009
2012
Actual
Forecast
AAG (1975–1991)
AAG (1991–1996)
AAG (1996–2010)
AAG (2010–2015)
2015
© Canadian Institute for Health Information, 2015.
Note
AAG: Average annual growth.
Sources
National Health Expenditure Database, CIHI; Statistics Canada.
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The growth of physician spending per capita has
outpaced that for hospitals or drugs since 2007
© Canadian Institute for Health Information, 2015.
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International comparisons: Fast facts
• Canada is among the top spenders in the OECD
– Among the top 10 in terms of ratio of health spending
to GDP
– The United States is the highest spender overall
• Since 2008, the ratio of health spending to GDP
has stabilized or fallen in most OECD countries
– Canada’s experience is similar to that of other OECD
countries where the ratio has fallen
• The share of health spending publicly financed in
Canada (71%) is lower than the OECD average (74%)
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How does Canada compare internationally?
© Canadian Institute for Health Information, 2015.
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Health spending continues to vary across Canada
© Canadian Institute for Health Information, 2015.
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Looking forward
Issues to monitor in the future
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Population aging is a modest cost driver
8%
AAG for public-sector spending
Total: 7.0%
6%
2.7%
Total: 2.9%
4%
0.9%
1.0%
Total: 3.1%
1.0%
1.0%
1.1%
Total: 1.5%
1.1%
2%
2.4%
2.3%
0%
-1.5%
1.0%
1.8%
1.0%
-0.7%
0.1%
-0.5%
-2%
2000–2010 AAG
General inflation
2010–2013 AAG
Population growth
2014f
2015f
Aging
Other
© Canadian Institute for Health Information, 2015.
Notes
f: Forecast.
AAG: Average annual growth.
Sources
National Health Expenditure Database, CIHI; Statistics Canada.
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Keep an eye on . . .
• Weaker economic growth and government deficits
• Changes in growth of the Canada Health Transfer
• The aging population and its potential impact
on spending
• Managing health-specific price inflation
• More services and increased use of those services,
contributing to a rise in health expenditure
• Innovation in reform of health care
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More information
The annual report National Health Expenditure Trends,
1975 to 2015 provides updated information on health
expenditure in Canada.
The annual report, up-to-date data tables, methodology
notes, infographics, information sheets and presentations
are available at www.cihi.ca/nhex.
Feedback and questions can be sent to [email protected].
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