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Population Ageing and Healthcare Expenditure Projections: New Evidence from a Time to Death Approach by Claudia Geue; Andrew Briggs; James Lewsey; Paula Lorgelly is a Economics, Econometrics and Finance article available to read on EtoBox.

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## Background: Health care expenditure (hce) is not distributed evenly over a person's life course. how much is spent on the elderly is important as they are a population group that is increasing in size. however other factors, such as death-related costs that are known to be high, need be considered as well in any expenditure projections and budget planning decisions. ## Objective: This article analyses, for the first time in scotland, how expenditure projections for acute inpatient care are influenced when applying two different analytical approaches: (1) accounting for healthcare (hc) spending at the end of life and (2) accounting for demographic changes only. the association between socioeconomic status and hc utilisation and costs at the end of life is also estimated. ## Methods: A representative, longitudinal data set is used. survival analysis is employed to allow inclusion of surviving sample members. cost estimates are derived from a two-part regression model. future population estimates were obtained for both methods and multiplied separately by cost estimates. ## Results: Time to death (ttd), age at death and the interaction between these two have a significant effect on

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Author

Claudia Geue; Andrew Briggs; James Lewsey; Paula Lorgelly

Publisher

Springer; Springer-Verlag; Springer Verlag; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 1618-7598)

Published

2013

Language

EN

Field

Economics, Econometrics and Finance (Social Sciences)