Standardized Mortality Ratios and Canadian Health-Care Funding
Needs-based capitation models have been suggested as an alternative to health-care funding methods based on historical utilization patterns. The standardized mortality ratio (SMR) applied in conjunction 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 and discusses their health policy implications. These include the influence exerted by 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 socioeconomic indicators (i.e., unemployment, education, and income) health-care "need," and expenditures.
If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Volume (Year): 25 (1999)
Issue (Month): 1 (March)
|Contact details of provider:|| Postal: University of Toronto Press Journals Division 5201 Dufferin Street Toronto, Ontario, Canada M3H 5T8|
Web page: http://economics.ca/cpp/
|Order Information:|| Web: http://www.utpjournals.com/cpp/ Email: |
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- M Barer & G Stoddart, 1991. "Toward Integrated Medical Resource Policies for Canada. 1. Background, Process and Perceived Problems," Centre for Health Economics and Policy Analysis Working Paper Series 1991-07A, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
- Kelly Bedard & John Dorland & Allan W. Gregory & Joanne Roberts, 1999.
"Needs-Based Health Care Funding: Implications for Resource Distribution in Ontario,"
jorob-99-03, University of Toronto, Department of Economics.
- Kelly Bedard & John Dorland & Allan W. Gregory & Joanne Roberts, 2000. "Needs-based health care funding: implications for resource distribution in Ontario," Canadian Journal of Economics, Canadian Economics Association, vol. 33(4), pages 981-1008, November.
- Kelly Bedard & John Dorland & Allan W. Gregory & Joanne Roberts, "undated". "Needs-Based Health Care Funding: Implications for Resource Distribution in Ontario," Claremont Colleges Working Papers 1999-18, Claremont Colleges.
- Hay, David Ian, 1988. "Socioeconomic status and health status: A study of males in the Canada health survey," Social Science & Medicine, Elsevier, vol. 27(12), pages 1317-1325, January.
- Stephen Birch & John Eyles & Bruce Newbold, 1995. "The Inevitability of Mortality? Evaluating Alternatives to the SMR," Centre for Health Economics and Policy Analysis Working Paper Series 1995-10, Centre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Canada.
When requesting a correction, please mention this item's handle: RePEc:cpp:issued:v:25:y:1999:i:1:p:47-64. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Prof. Werner Antweiler)
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.