Population-Based Estimates of Health Care Utilization and Expenditures by Adults During the Last 2 Years of Life in Canada’s Single-Payer Health System | Zendy

Laura C. Rosella | Zendy; Kathy Kornas | Zendy; Catherine Bornbaum | Zendy; Anjie Huang | Zendy; Tristan Watson | Zendy; Jennifer Shuldiner | Zendy; Walter P. Wodchis | Zendy

Open Access

Population-Based Estimates of Health Care Utilization and Expenditures by Adults During the Last 2 Years of Life in Canada’s Single-Payer Health System

Author(s) -

Laura C. Rosella,

Kathy Kornas,

Catherine Bornbaum,

Anjie Huang,

Tristan Watson,

Jennifer Shuldiner,

Walter P. Wodchis

Publication year - 2020

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2020.1917

Subject(s) - medicine , poisson regression , health care , population , demography , gerontology , years of potential life lost , environmental health , life expectancy , sociology , economics , economic growth

Key Points Question What are the population-level trends in health care utilization and expenditures in the 2 years before death among adults in Ontario, Canada? Findings This cohort study found that health care expenditures in the last 2 years of life increased in Ontario from CAD$5.12 billion in 2005 to CAD$7.84 billion in 2015, and the intensity of health care utilization and deaths in hospital varied by resource utilization gradients. Meaning In this study, the observed trends demonstrated that costs and hospital-centered care before death are high in Ontario.

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