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The determinants of the public-private mix in Canadian health care expenditures: 1975-1996.

https://arctichealth.org/en/permalink/ahliterature198710
Source
Health Policy. 2000 Jun;52(2):87-112
Publication Type
Article
Date
Jun-2000
Author
L. Di Matteo
Author Affiliation
Department of Economics, Lakehead University, Thunder Bay, Canada. livio.dimatteo@lakeheadu.ca
Source
Health Policy. 2000 Jun;52(2):87-112
Date
Jun-2000
Language
English
Publication Type
Article
Keywords
Canada
Data Collection
Health Expenditures - statistics & numerical data - trends
Humans
Models, Econometric
Private Sector - economics - statistics & numerical data - trends
Privatization - economics
Public Sector - economics - statistics & numerical data - trends
Regression Analysis
Abstract
The health care policy issue regarding the balance between public and private health spending is examined. An empirical model of the determinants of the public-private mix in Canadian health care expenditures over the period 1975-1996 is estimated for total health care expenditures as well as separate expenditure categories such as hospitals, physicians and drugs. The results find that the key determinants of the split are per capita income, government transfer variables and the share of individual income held by the top quintile of the income distribution. Much of the public-private split is determined by long term economic forces. However, the importance of the federal health transfer variables and the variables representing shifts in fiscal transfer regimes suggest the increase in the private share of health spending since 1975 is also partly the result of the policy choice to reduce federal health transfers.
PubMed ID
10794839 View in PubMed
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