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Exploring the Effects of Population Change on the Costs of Physician Services

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Author Info
Frank T. Denton
Amiram Gafni
Byron G. Spencer

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Abstract

The effects of population aging on future health care costs are an important public policy concern in many countries. We focus in this paper on physician services and investigate how changes in the size and age distribution of a population can affect the aggregate and per capita costs of such services. The principal data set (unpublished, for Ontario) provides information about payments to physicians, by age and sex of patients. Using it, we derive age/cost profiles for 19 categories of physicians. Adopting an index-theoretic framework, we then use the profiles to analyse the "pure" effects of population change (historical or projected) on physician costs, and to decompose the effects into population growth effects and population aging effects. We present calculations for Ontario, for the populations of 15 industrialized countries, and for four theoretical populations.

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File URL: http://socserv2.socsci.mcmaster.ca/~sedap/p/SEDAP43.pdf
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Publisher Info
Paper provided by McMaster University in its series Social and Economic Dimensions of an Aging Population Research Papers with number 43.

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Length: 38 pages
Date of creation: Apr 2001
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Handle: RePEc:mcm:sedapp:43

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Related research
Keywords: aging; population change; physicians; health care costs;

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Find related papers by JEL classification:
I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
J11 - Labor and Demographic Economics - - Demographic Economics - - - Demographic Trends and Forecasts

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  1. Brigitte Dormont & Michel Grignon & Hélène Huber, 2006. "Health expenditure growth : reassessing the threat of ageing," Post-Print halshs-00181605_v1, HAL. [Downloadable!]
    Other versions:
  2. Frank T. Denton & Amiram Gafni & Byron G. Spencer, 2005. "Users and Suppliers of Physician Services: A Tale of Two Populations," Social and Economic Dimensions of an Aging Population Research Papers 136, McMaster University. [Downloadable!]
    Other versions:
  3. Frank T. Denton & Christine H. Feaver & Byron G. Spencer, 2008. "An Application of Price and Quantity Indexes in the Analysis of Changes in Expenditures on Physician Services," Quantitative Studies in Economics and Population Research Reports 426, McMaster University. [Downloadable!]
    Other versions:
  4. Baoping Shang & Dana Goldman, 2008. "Does age or life expectancy better predict health care expenditures?," Health Economics, John Wiley & Sons, Ltd., vol. 17(4), pages 487-501. [Downloadable!]
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