Health care expenditures, age, proximity to death and morbidity: implications for an ageing population

Daniel David Henry Howdon; Nigel Rice

Health care expenditures, age, proximity to death and morbidity: implications for an ageing population

Research output: Working paper › Discussion paper

Abstract

This paper uses Hospital Episode Statistics, English administrative data, to investigate the growth in admitted patient health care expenditures and the implications of an ageing population. We use two samples of around 40,000 individuals who a) used inpatient health care in the financial year 2005/06 and died by 2011/12 and b) died in 2011/12 and had some hospital utilisation since 2005/06. We use a panel structure to follow individuals over seven years of this administrative data, containing estimates of inpatient health care expenditures (HCE), information regarding individuals’ age, time-to-death (TTD), morbidities at the time of an admission, as well as the hospital provider, year and season of admission. We show that HCE if principally determined by proximity to death rather than age, and that proximity to death is itself a proxy for morbidity.

Original language	English
Place of Publication	York, UK
Publisher	Centre for Health Economics, University of York
Pages	1-42
Number of pages	42
Publication status	Published - 28 Jan 2015

Publication series

Name	CHE Research Paper
Publisher	Centre for Health Economics, University of York
No.	107

Keywords

health care expenditures
ageing
time-to-death
morbidity

Access to Document

CHERP107_health_care_expenditures_ageing_morbidityFinal published version, 1.63 MB

http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP107_health_care_expenditures_ageing_morbidity.pdfLicence: Other

Cite this

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AB - This paper uses Hospital Episode Statistics, English administrative data, to investigate the growth in admitted patient health care expenditures and the implications of an ageing population. We use two samples of around 40,000 individuals who a) used inpatient health care in the financial year 2005/06 and died by 2011/12 and b) died in 2011/12 and had some hospital utilisation since 2005/06. We use a panel structure to follow individuals over seven years of this administrative data, containing estimates of inpatient health care expenditures (HCE), information regarding individuals’ age, time-to-death (TTD), morbidities at the time of an admission, as well as the hospital provider, year and season of admission. We show that HCE if principally determined by proximity to death rather than age, and that proximity to death is itself a proxy for morbidity.

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BT - Health care expenditures, age, proximity to death and morbidity: implications for an ageing population

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