Which health care system offers the best value?
Health care costs have risen dramatically over the last several years and there is some evidence that spending can be cut.
Health care spending is a key determinant of the quality of health care delivery in Canada.
In this article, we examine which health care systems offer the best price for consumers.
The study looked at six types of health services: physician services, nursing home care, mental health services, primary care services, home care and prescription drugs.
We compared the cost per dollar spent on each of these six types to the average of Canada’s four major health care sectors, with prices adjusted for inflation.
The health care cost per capita (HCPC) of the four major sectors was calculated for each of the provinces and territories.
We also compared the price of primary care and home care to other health care costs, which include hospital, pharmacy, doctor, and hospital emergency services.
The researchers looked at spending per capita for six different health services.
We did not include hospital care, which includes most emergency services and the physician and nurse practitioner, and did not consider prescriptions.
We used the average HCPC for all Canadian provinces and the territories.
The HCPC was calculated by dividing the cost of all health services in the provinces by the average price of all Canadian services.
For example, for home care in Alberta, the average cost of care was $22,900 per year for the 2011-2012 fiscal year.
For physician services in Alberta (province), the HCPC per year was $14,800.
The average HCpc for nursing home and psychiatric services in British Columbia was $7,100.
For primary care in Manitoba, the HCpc was $13,400.
The cost per year per province for primary care was also $13.50.
For home care services in Quebec, the cost was $24,900.
The price of pharmacy services was calculated based on the average prices of all drug stores in the province.
We adjusted these prices to inflation using the Bureau of Labour Statistics’ Consumer Price Index for All Urban Consumers for the years 2006-07 and 2007-08.
We then averaged these prices and found that the HCp of health service spending per province increased between 2001 and 2009 by $8,300 per year.
The rate of increase was similar for nursing care services and primary care.
However, spending per physician increased from 2001 to 2010 by $11,900, or 16 per cent.
For the nursing home system, the rate of inflation for nursing homes increased from 2000 to 2007 by 15 per cent, or about 7 per cent per year, while the rate for primary and secondary care increased by 18 per cent over the same period.
For pharmaceutical services, we adjusted the average inflation rate for pharmaceutical prices to be about the same as for general pharmaceutical prices.
In total, the prices of primary and primary-care services increased by about $1,400 per year during this time period.
The rates of growth in the prices for pharmacy and primary and medical home care were about the exact same.
The prices for nursing services also increased by $1.30 per year over this time.
For hospital care in the same time period, the price per capita increased by just under $4,000.
For prescription drugs, we found that in 2011-12, the overall price per person was $28,300, but in 2011, the median price for a prescription was $5,600.
For all other health services except nursing home services, prices grew at a faster rate.
For nursing home, home-based care, and physician services the average annual price per patient was $26,200, but for general primary care, home based care, physician services and pharmacy services, the averages were $33,600 and $40,800, respectively.
For general primary- and home- based care and physician, home and prescription drug services, average annual prices were $29,800 for general care and $37,900 for general-primary care.
Overall, prices increased by 6.6 per cent a year for general health care and 7.1 per cent for home-health care services.
By contrast, for general medical care and general primary health care, prices rose by just 1.6 and 4.5 per cent respectively.
Overall for all health care services except primary care the average per person cost per person increased by 2.6 to 6.9 per cent during this period.
These increases were comparable to the rate increases for the health care sector overall, but are lower than the rate decreases for the other health sector sectors.
We found that overall, prices per capita in the health system increased by 3.5 to 9.3 per cent each year.
Over the same 15-year period, costs per capita rose by 6 per cent or 6.4 per cent in the other sectors, while overall prices per person fell by 0.5 or 0.8 per cent due to increases in primary care prices.
The most dramatic change in