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

TY - JOUR

T1 - Health care expenditures, age, proximity to death and morbidity

T2 - implications for an ageing population

AU - Howdon, Daniel David Henry

AU - Rice, Nigel

N1 - © 2017 Elsevier B.V. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy.

PY - 2018/1

Y1 - 2018/1

N2 - 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 the end of 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 is principally determined by proximity to death rather than age, and that proximity to death is itself a proxy for morbidity.

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 the end of 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 is principally determined by proximity to death rather than age, and that proximity to death is itself a proxy for morbidity.

KW - health care expenditures

KW - time-to-death

KW - ageing

KW - morbidity

KW - Time-to-death

KW - Health care expenditures

KW - Ageing

KW - Morbidity

UR - http://www.scopus.com/inward/record.url?scp=85034864519&partnerID=8YFLogxK

U2 - 10.1016/j.jhealeco.2017.11.001

DO - 10.1016/j.jhealeco.2017.11.001

M3 - Article

SN - 0167-6296

VL - 57

SP - 60

EP - 74

JO - Journal of health economics

JF - Journal of health economics

ER -