Health expenditure of people

who died in 2009 in last five

years of their life (2005-2009)

Stane Marn (S0RS), Jana Trdič, Irena Zupanc, Metka Zaletel (IPH),

Katka Prevolnik Rupel (MH)

Statistical Days, Radenci November 2010

Content of the presentation

• Cost of dying for Slovenia

• Method used

• Main data sources used

• Selected results presented:

− Concentration of expenditure in the last year of life?

− Larger part of expenditure for treating illness?

− Treatment costs rise with the age of the dead?

− Expenditure is related more to the proximity of death than to the age of people?

− Average treatment costs for the dead are larger than treatment costs for people who survive?

− Link between costs and the main cause of death?

Introductory information

• Research on the link between population ageing and trends in the health expenditure

- research of the share of health expenditure by age

- research of the cost of dying

• In collaboration with IVZ, ZZZS

Method used

• Descriptive research: describes data and characteristics about the treatment costs of persons who died in 2009

• Starting point: list of persons who died in 2009 with identifiers

• With the help of identifiers we extracted from the IVZ database the data on hospitalisations in the last five years of people’s lives

• Added average treatment prices

• Processing according to MKB: main cause of death from the register of death

• Expenditure limited to hospitalisation costs

• Expenditure for medicine and other health services will be covered in the next phase of the survey

Data sources

• List of people who died in 2009 (SURS)

• Database of the system of comparable cases (IVZ)

• Database of hospitalisations BOLOB

• Average prices for the SPP weight, for a case, for NOD and points of performed rehabilitation services in 2009 (ZZZS)

Deaths, Slovenia, 2009

18,750 people died

Male/female (%) = 49.6/50.4

Mean age = 70.1/79.1

Most of the dead aged 83: 742

Hospitalisation costs in the last five years of life, 2005-2005 (at 2009 prices, thousand EUR)

Hospitalisation costs for people who died and

for people who survived, 2009 (thousand EUR)

Total costs EUR 976 million

The dead EUR 172 million

Share of hospitalisation costs for the dead in the last year of their life as % of total hospitalisation costs

Average hospitalisation costs for people who

died in 2009 in the last year of their life (EUR)

Average hospitalisation costs for people who died

and for people who survived (EUR)

Relationship between average hospitalisation costs in the last year of life of the dead and average

hospitalisation costs of people who survived, 2009

Hospitalisation costs in the last year of life for

people who died in 2009 (thousand EUR)

Hospitalisation costs in the last year of life for

people who died in 2009 (thousand EUR)

Average hospitalisation costs in the last year of life

for men who died in 2009 (EUR)

CONCLUSIONS

1. Surveyed hospitalisation costs for people who died

in 2009.

2. Used administrative sources.

3. Survey results for Slovenia are comparable to

results published for some foreign countries

(concentration of expenditure, expenditure for

treating people who survive is larger than for people

who die, costs decline with age, etc.)

4. Further research (medicine, transplantation)