Standardized Mortality Ratios in Capitation Funding Models: Emiprical Issues from Canadian Data
AbstractNeeds based capitation models have been suggested as an alternative to funding methods based on historical utilization patterns. The standardized mortality ratio (SMR) applied in conjuction with an age/gender adjustment is the most widely adopted measure of relative need. This paper addresses a number of important index construction issues using Canadian data. These include the influence exerted by the reference population (national versus provincial), the age structure (excluding people over 64 versus 74), the optimal period over which to average the SMR in order to smooth meaningless fluctuations, and the correspondence between SMRs, standard socio-economic indicators (i.e. unemployment, education, and income), health care 'need', and expenditures.
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Bibliographic InfoPaper provided by Queen's University, Department of Economics in its series Working Papers with number 948.
Length: 42 pages
Date of creation: May 1997
Date of revision:
Standardized mortality ratios; Capitation funding; Region; Age; Gender;
Find related papers by JEL classification:
- I0 - Health, Education, and Welfare - - General
- H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
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