IHE in Your Pocket 2014

IHE In Your Pocket 2014A Handbook of Health Economic Statistics

ChairDr. Lorne Tyrrell (Board Chair), CIHR/GSK Chair in Virology, University of Alberta

Government and OtherMs. Janet Davidson, Deputy Minister, Alberta HealthMr. David Morhart, Deputy Minister, Enterprise and Advanced EducationDr. Cy Frank, Chief Executive Officer, Alberta Innovates – Health SolutionsMr. Duncan Campbell, Acting President and CEO, Alberta Health Services

AcademiaDr. Renée Elio, Associate Vice-President (Research), University of AlbertaDr. Jon Meddings, Dean, Faculty of Medicine, University of CalgaryDr. Douglas Miller, Dean, Faculty of Medicine & Dentistry, University of AlbertaDr. Edward McAuley, Vice-President Research, University of CalgaryDr. James Kehrer, Dean of Pharmacy, University of AlbertaDr. Herb Emery, Professor, Department of Economics, University of CalgaryDr. Doug West, Chair, Dept. of Economics, University of Alberta

IndustryMr. Mark Findlay, Vice President, Cornerstone & Market Access, AstraZenecaMs. Lauren Fischer, Vice President, Corporate Affairs, Eli Lilly Canada Inc.Ms. Jennifer Chan, Vice President, Policy & Communications, Merck Canada Ms. Ghislain Boudreau, Vice President, Public Affairs, Pfizer Canada Inc.Mr. Grant Perry, Vice President, Public Affairs and Reimbursement, GlaxoSmithKline Inc.

IHEMr. Doug Gilpin, Chair, Audit and Finance CommitteeDr. Egon Jonsson, Executive Director & CEO, Institute of Health EconomicsMs. Allison Hagen, Board Secretary & Treasurer, and Director of Finance, Operations &

Administration, Institute of Health Economics

The Institute of Health Economics (IHE) is an independent, not-for-profit organization that performs research in health economics and synthesizes evidence in health technology assessment to assist health policy making and best medical practice.

IHE Board members

IHE IN YOUR POCKET 2014

Institute of Health Economics The Institute of Health Economics (IHE) is a non-profit organization which provides research to support policy and practice in a broad range of areas which impact on health, including healthcare and public health, educational, legal and other services. The IHE produces a large number of evaluations within our health technology assessment and economic modeling programs, along with other economic intelligence studies that inform policy. The IHE also facilitates discussions about current issues in health through a number of initiatives, such as our series of Consensus Development Conferences, Policy Forums, and targeted Knowledge Exchange Programs.

The secretariats of the main international organizations in the fields of HTA are located within the Institute, namely, HTAi (Health Technology Assessment International), and INAHTA (The International Network of Agencies in Health Technology Assessment).

INSTITUTE OF HEALTH ECONOMICS

IHE In Your Pocket was designed to provide a compact, comprehensive, and comparative overview of the economic aspects of the Canadian health care system. It has been revised every second year since 2006.

As in the earlier editions, we have adopted a broad, population health approach. We have substantially reorganized the 2014 edition. We divided data on the health care system into components. For each component, we provide the most important economic indicators which reflect capacity, investment, utilization, prices and costs, total expenditures and finance, on the supply side; and population characteristics, population behaviour, finance and indirect costs on the demand side.

We hope that you like the current edition of IHE In Your Pocket, and we would very much like to hear from you. If you have comments or suggestions, please contact Philip Jacobs at [email protected] or call or write us at the IHE ([email protected]).

IHE project staff for In Your Pocket 2014 included Philip Jacobs, Jessica Moffatt, Jian Wang, Dagmara Chojecki and Don Husereau. We obtained research assistance from Alison Pitcher, and comments and data from John Abbott and Brett Skinner.

Introduction

IHE IN YOUR POCKET 2014

Table of Contents

Health care expenditures and cost of illness .....page 1

Hospital inpatient services .........................................page 13

Physician services ..........................................................page 23

Other providers ..............................................................page 29

Continuing care and home care ..............................page 43

Pharmaceuticals ..............................................................page 51

Public health.....................................................................page 63

Health behaviors ............................................................page 71

Health status.....................................................................page 79

Demographics .................................................................page 83

Health system performance ......................................page 91

INSTITUTE OF HEALTH ECONOMICS

Notes

Health Care Expenditures and Cost of Illness

2 INSTITUTE OF HEALTH ECONOMICS

Health C

are E

xpenditures

Capital

Hospitals

Physicians

Drugs

Administration

Other professionals

Other health spending

Other institutions

Public health

Source: National Health Expenditure Trends, 1975 to 2012, Canadian Institute for Health Information. Accessed at https://secure.cihi.ca/estore/productFamily.htm?locale=en&pf=PFC1952 on August 30, 2013. www.cihi.ca

Health care expenditures Canada, 2012

10.8%

5.8%

29.2%

3.1%4.6%

15.9%

14.4%

10.7%

5.3%

Total health expenditure = $207.4 billion

3 IHE IN YOUR POCKET 2014

Health C

are E

xpenditures

Hospital costs

Drug costs

Physician costs

Indirect costs

Source: Public Health Agency of Canada (2013) Economic Burden of Illness in Canada, 2005-2008, unpublished.

Economic burden of illness, eight most costly diseases Canada, 2008, millions of dollars

Millions of dollars in each cost category

0 2000 4000 6000 8000 10000 12000

Neuropsychiatric

Cardiovascular

Injuries

Musculo skeletal

Digestive

Respiratory infections

Malignant neoplasns

Respiratory diseases $3,506

$4,040

$4,921

$5,142

$6,310

$7,483

$11,071

$11,455


Health C

are E

xpenditures

0 3000 6000 9000 12000 15000

Nunavut

North West Territories

Yukon

Newfoundland

Alberta

Manitoba

Nova Scotia

Saskatchewan

Prince Edward Island

New Brunswick

Ontario

British Columbia

Quebec

Canada

Note: Forecast data; amount shown in 2010 CDN$ value.

Source: National Health Expenditure Trends, 1975 to 2012, Canadian Institute for Health Information. Accessed at https://secure.cihi.ca/free_products/NHEXTrendsReport2012EN.pdf, Table 1.2 on August 30, 2013. www.cihi.ca

Health care expenditures per capitaCanada, 2012

Per capita spending in CDN$

$5,469

$5,700

$5,849

$5,948

$6,318

$6,336

$6,481

$6,497

$6,518

$6,754

$7,057

$8,916

$9,853

$13,250


Health C

are E

xpenditures

0 2000 4000 6000 8000 10000

Switzerland

Norway

United States

Netherlands

Australia*

Canada

Sweden

France

Germany

Japan *

United Kingdom

Italy

Spain

In current US$

Notes: Data are in current US dollars. *2010 data.

Source: Health expenditure per capita (in current US$). The World Bank. Accessed at http://data.worldbank.org/indicator/SH.XPD.PCAP/countries on September 10, 2013. www.worldbank.org

Health expenditures per capitaselected OECD countries, 2011

$3,027

$3,436

$3,609

$3,958

$4,875

$4,952

$5,331

$5,630

$5,939

$5,995

$8,608

$8,987

$9,121


Health C

are E

xpenditures

0 5 10 15 20 25

NunavutPrince Edward Island

Nova ScotiaNew Brunswick

ManitobaQuebec

YukonOntario

British ColumbiaNewfoundland

SaskatchewanAlberta

Northwest Territories

Canada

Health care expenditures as a percentage of Gross Domestic Product (GDP)Canada, 2012

11.6

8.4 8.6

9.6

11.7 11.8

11.9

12.2

12.7

13.7

15.4 16

17.4 23.2

Percentage of GDP (%)

Source: National Health Expenditure Trends, 1975 to 2012. Canadian Institute for Health Information. Accessed at https://secure.cihi.ca/estore/productFamily.htm?locale=en&pf=PFC1952 on August 30, 2013. www.cihi.ca

Health expenditures as a percentage of Gross Domestic Product Canada, 1975 - 2012

6

8

10

12

1975

1977

1979

1981

1983

1985

1987

1989

19911993

19951997

1999

2001

2003

2005

2007

2009

2011


Health C

are E

xpenditures

4 8 12 16 20

United States

France

Netherlands

Switzerland

Germany

Canada

New Zealand

Austria

Japan*

Spain

United Kingdom

Norway

Italy

Australia*

Health care expenditures as a percentage of Gross Domestic Product (GDP)selected OECD countries, 2011

8.5

8.7

8.9

9.1

9.1

9.5

10.2

10.3

10.6

11.0

11.0

11.1

11.2

17.0

Note: * 2010 data

Source: Health at a Glance, 2011. Organization for Economic Co-operation and Development. Accessed at http://www.oecd.org/els/health-systems/49105858.pdf on August 30, 2013. www.oecd.org

Percentage of GDP (%)

OECD Average: 9.6


Health C

are E

xpenditures0 3000 6000 9000 12000 15000

Nunavut


Yukon

Newfoundland

Alberta

Manitoba

Nova Scotia

Saskatchewan


New Brunswick

Canada

Ontario

British Columbia

Quebec

Source: National Health Expenditure Trends, 1975 to 2012, data tables. Canadian Institute for Health Information. Accessed at https://secure.cihi.ca/estore/productFamily.htm?locale=en&pf=PFC1952 on August 30, 2013. www.cihi.ca

Health expenditures by source of financeCanada, 2012

67.8%

68.7%

69.1%

69.3% (public sector)

69.3%

69.7%

72.5%

73.6%

73.9%

76.4%

76.5%

77.6%

85.3%

93.8%

% in Public Sector

% in Public & Private for Canada

% in Private Sector

Total health care expenditures (per cent public)


Health C

are E

xpenditures

0 2000 4000 6000 8000 10000

United States

Switzerland

Norway

Germany

Austria

Canada

France

Sweden

Australia*

Japan*

Finland

New Zealand

Spain

Italy

Note: Data is expressed in US$, adjusted for purchasing power parities (PPPs), which provides a means of comparing spending among countries on a common basis.

Source: OECD Stat Extracts. Organization for Economic Co-operation and Development. Population and Purchase Power Parity information was from www.stats.oecd.org. Accessed at source: http://stats.oecd.org/index.aspx?queryid=30163# on August 30, 2013; Accessed at source: http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT#

Health care expenditures by source of financeselected OECD countries, 2011

$2,854.3 (80%)

$2,923.5 (72.9%)

$3,181.5 (82.7%)

$3,217.3 (75.3%)

$3,296.6 (81.9%)

$3,570.5 (68%)

$3,702.7 (81.6%)

$4,090.3 (77.2%)

$ 4,294.9 (69.9%)

$ 4,305.4 (77.3%)

$ 4,323.6 (77.0%)

$ 5,456.9 (84.9%)

$5,642.6 (64.9%)

$ 8,175.0 (48.8%)

Public sector financed expenditures

Private sector financed expenditures

US$ PPP percapita, per cent public


Health C

are E

xpenditures

Source: Provincial and territorial general government revenue and expenditures, by province and territory. Statistics Canada. Accessed at http://www.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/govt56a-eng.htm on Sept 26, 2013. www.statcan.gc.ca.

Percentage of total government expenditures on healthCanada, 2009

Percentage of total government expenditures on health

0 5 10 15 20 25 30 35 40

Ontario

Nova Scotia

British Columbia

New Brunswick

Manitoba

Saskatchewan

Canada


Newfoundland

Alberta

Quebec

Nunavut

North West Territories

Yukon 14.7%

20.3%

21.9%

27.8%

30.4%

31.8%

32.2%

33%

33.7%

34%

34.7%

35.2%

36.5%

38.6%


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Notes

Hospital Inpatient Services


Hospital inpatient

services0 1 2 3 4 5

Newfoundland and Labrador


New Brunswick

Manitoba

Saskatchewan


Nova Scotia

British Columbia

Alberta

Canada

Ontario

Yukon

Note: Numbers represent both beds and cribs available in hospitals for the following uses: intensive care, obstetrics, pediatrics, psychiatry, rehabilitation, long-term care, and other acute care. Quebec and Nunavut data sets were unavailable. Data is based on the total number of beds divided by 2011 population statistics for each province.

Source: CMDB Hospital Beds Staffed and in Operations, Fiscal Year 2011-2012. Canadian Institute for Health Information. Accessed at http://www.cihi.ca/CIHI-ext-portal/internet/EN/Quick_Stats/quick+stats/quick_stats_main?xTopic=Spending&pageNumber=1&resultCount=10&filterTypeBy=undefined&filterTopicBy=14&autorefresh=1 on September 1, 2013. www.cihi.ca. Source: Population by year, by province and territory (Number). Stats Canada. Accessed at http://www.statcan.gc.ca/tables-tableaux/sum-som/I01/cst01/demo02a-eng.htm, on September 1, 2013. www.statcan.gc.ca

Hospital bedsCanada, 2011-12

Hospital beds per 1,000 population

1.4

2.5

2.9

3.1

3.1

3.4

3.5

3.6

3.6

3.7

5

4.1


Hospital inpatient

services

0 3 6 9 12 15

Japan

Germany

Austria

France

Finland^

Switzerland

Australia^

Italy

Norway

Spain

United States^

United Kingdom

New Zealand

Canada^

Sweden

Source: OECD Health Data: Health care resources: OECD Health Statistics (database). Organization for Economic Co-operation and Development. Accessed at www.oecd-ilibrary.org/social-issues-migration-health/hospital-beds, 20758480-table 5.1, on September 1, 2013; http://www.oecd.org/statistics

Hospital bedsselected OECD countries, 2011

Hospital beds per 1,000 population

2.7

2.8

2.8

3

3.1

3.2

3.3

3.4

3.8

4.9

5.9

6.4

7.7

8.3

13.4

OECD Average: 4.9


Hospital inpatient

services

Source: Highlights of 2010-2011 inpatient hospitalizations and emergency department visits. Canadian Institute for Health Information. Accessed at https://secure.cihi.ca/free_products/DADNACRS_Highlights_2010-2011_En.pdf on September 1, 2013. www.cihi.ca

Acute inpatient hospitalization ratesCanada, 2010-11

0 3000 6000 9000 12000 15000

Nunavut


Yukon

Saskatchewan


New Brunswick

Newfoundland

Manitoba

Alberta

Nova Scotia

Canada

Quebec

British Columbia

Ontario 6,958

7,376

7,473

7,635

7,767

8,385

8,818

9,157

9,856

9,926

10,897

11,309

14,404

14,888

Hospitalization rate per 100,000 population


Hospital inpatient

services

0 5000 10000 15000 20000 25000 30000

Austria

Germany

Finland

Norway*

Switzerland

France

Australia*

United Kingdom

Italy

United States*

Netherlands

Japan

Spain

Canada*

Note: * 2010 data.

Source: OECD Stat Extracts 2010. Organization for Economic Co-operation and Development. Accessed at http://www.oecd-ilibrary.org.login.ezproxy.library.ualberta.ca/content/table/dischargerate-diag-table-en on September 1, 2013. www.oecd.org.

Hospital discharge ratesselected OECD countries, 2010

8,249

10,417

11,055

12,201

12,549

12,945

13,640

15,945

16,853

16,965

17,526

18,007

24,417

27,347

Discharges per 100,000 population

OECD Average: 15,800


Hospital inpatient

services

Average length of inpatient hospital stay Canada, 2010-11

2.9 5.1 5.2

6.8 6.8

7.7 7.7 7.7

8.4

8.6 8.9 9 9

9.3

Number of days

Source: Inpatient Hospitalizations: Volumes, Length of Stay, and Standardized Rates. Canadian Institute for Health Information. Accessed at http://apps.cihi.ca/MicroStrategy/asp/Main.aspx on September 1, 2013. www.cihi.ca

Average length of inpatient hospital stay

7

8

2009-102008-092007-082006-072005-062004-05

0 2 4 6 8 10

Nova ScotiaManitoba

New BrunswickPrince Edward Island

QuebecNewfoundland

CanadaBritish Columbia

AlbertaSaskatchewan

OntarioNorthwest Territories

YukonNunavut


Hospital inpatient

services

0 5 10 15 20

Japan

Germany

Canada

Finland

United Kingdom

Italy

Austria

Spain

New Zealand

United States

France

Australia

Number of days

Average length of stay for acute careselected countries, 2010

5

5.2

5.4

5.8

6.3

6.6

6.7

6.7

7

7.7

8.1

18.2

Source: OECD Stat Extracts, 2011. Organization for Economic Co-operation and Develop-ment. Accessed at http://www.oecd-ilibrary.org/docserver/download/190800511e1t006.pdf?expires=1378246684&id=id&accname=freeContent&checksum=515FF1BA60090DBF1F89BE01BC74B9CA on September 1, 2013. www.oecd.org

OECD Average: 6.9


Hospital inpatient

services

0 50 100 150 200

Ontario

Quebec

British Columbia

Alberta

Nova Scotia

Manitoba

Saskatchewan

New Brunswick

Nefoundlandand Labrador


Yukon


Notes: MRI and CT machines in both hospitals and in free-standing facilities. No MRI data for Yukon and Northwest Territories. No data for Nunavut. Source: Selected Medical Imaging Equipment in Canada. Canada Institute for Health Information. Accessed at http://apps.cihi.ca/MicroStrategy/asp/Main.aspx?server=torapprd30.cihi.ca&project=Quick+Stats&uid=pce_pub_en&pwd=&evt=2048001&visualizationMode=0&documentID=50A7B0D5472B6AE40A9AE7AA062D42EC on September 2, 2013.

CT and MRI scannersCanada, 2012

0 (0)

0 (0)

1 (6.8)

5 (9.8)

6 (7.9)

6 (5.6)

8 (6.3)

9 (9.5)

39 (10.1)

40 (8.7)

90 (11.2)

104 (7.7)

1 (23.1)

1 (27.7

2 (13.7)

14 (27.3)

17 (22.5)

16 (14.8)

21 (16.6)

16 (16.9)

50 (12.9)

72 (15.6)

132 (16.4)

168 (12.4)

MRI CT

Number of devices (rate per 1,000,000 population)


Hospital inpatient

services

0 20 40 60 80 100 120

Japan

Australia

United States

Italy

Austria

OECD

Finland

Spain

New Zealand

Canada

France

United Kingdom

Source: OECD Stat Extracts. Organization for Economic Co-operation and Development. Accessed at http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT on September 2, 2013. www.oecd.org.

CT and MRI scannersselected OECD countries, 2012

5.9

7.5

8.5

13.9

13.9

20.2

11.0

18.6

23.7

31.5

5.7

46.9

8.9

12.5

14.6

15.4

17.3

21.3

22.8

29.5

32.1

40.9

44.4

101.3

Devices rate per 1,000,000 population

MRI CT


Notes

Physician Services


Physician

services

Note: No data for specialists in Nunavut. Source: Health Indicators, 2013. Canadian Institute for Health Information. Accessed at https://secure.cihi.ca/free_products/HI2013_EN.pdf on September 3, 2013. www.cihi.ca

Number per 100,000 population

General and specialist physician workforceCanada, 2011

Source: Supply, Distribution, & Migration of Canadian physicians, 2011. Canadian Institute for Health Information. Accessed at http://apps.cihi.ca/MicroStrategy/asp/Main.aspx?server=torapprd30.cihi.ca&project=Quick+Stats&uid=pce_pub_en&pwd=&evt=2048001&visualizationMode=0&documentID=50A7B0D5472B6AE40A9AE7AA062D42EC on September 16, 2013. www.cihi.ca

0 50 100 150 200

Yukon

Newfoundland

Nova Scotia

British Columbia

Quebec

New Brunswick

Alberta

Canada

Manitoba

Saskatchewan


Ontario


Nunavut

General Physicians Specialist

80

80

99

23

0

100

97

95

65

33

93

103

106

100

117

95

119

108

32

105

106

111

113

114

117

122

123

Physician supply in Canada, 1978 - 2010

20000

30000

40000

2010

2008

2006

2004

2002

2000

1998

1996

1994

1992

1990

1988

1986

1984

1982

1980

1978

SpecialistsGP


Physician

services

0 1 2 3 4 5

Germany

Italy

Spain

Norway^

Sweden^

Switzerland

Australia

France

United Kingdom

New Zealand

United States

Canada

Japan^

Note: ^ 2010 data.

Source: OECD Stat Extracts. Organization for Economic Co-operation and Development. Accessed at http://stats.oecd.org/Index.aspx?DatasetCode=HEALTH_STAT on September 3, 2013. www.oecd.org

Physician workforceselected OECD countries, 2011

2.2

2.4

2.5

2.6

2.8

3.1

3.3

3.8

3.9

4.1

4.1

4.1

4.2

Professionally active physician per 1,000 population

OECD Average: 3.1


Physician

services0 $100K $200K $300K $400K $500K

Alberta

Saskatchewan

New Brunswick

Nova Scotia

British Columbia

Canada

Newfoundland

Manitoba

Ontario


Quebec

Average fee-for-service income per full-time-equivalent physician Canada, 2010-11

Source: National Physician Database, 2010-2011. Accessed at https://secure.cihi.ca/estore/productSeries.htm?pc=PCC476 on September 3, 2013. www.cihi.ca

$217,633

$236,933

$235,893

$266,902

$244,938

$255,881

$283,247

$358,220

$268,049

$243,362

$280,761

$320,442

$325,480

$346,364

$346,706

$349,118

$356,263

$412,588

$456,557

$378,552

$381,707

$390,010

Family Medicine Specialist

CND$ per FTE physician


Physician

services

0 50,000 100,000 150,000 200,000 250,000 300,000

Netherlands*

Canada*

Australia*

Austria^

Denmark

France* $82,060

$135,571

$116,427

$83,775

$135,744

$143,131

$138,455

$179,692

$180,272

$206,854

$212,941

$253,920

Self-employed physician incomeselected OECD countries, 2011

Note: * 2010 data; ^ 2009 data; Australia, Canada were estimated data; Dollars are in US purchasing power parity; Denmark’s specialist data was from 2008.

Source: OECD Stat Extracts. Organization for Economic Co-operation and Development. Accessed at http://stats.oecd.org/Index.aspx?DatasetCode=HEALTH_STAT on September 4, 2013. www.oecd.org

General Practitioner Specialist

US$ PPP


Notes

Other Health Care Providers


Other providers

Dentist workforce Canada, 2011

Source: Health Indicators, 2013. Canadian Institute for Health Information. Accessed at https://secure.cihi.ca/free_products/HI2013_EN.pdf, on September 4, 2013. www.cihi.ca.

0 50 100 150 200

Nunavut

Yukon


British Columbia

Ontario

Canada

Quebec

Nova Scotia

Alberta

Manitoba


New Brunswick

Saskatchewan

Newfoundland 35

38

42

50

50

54

57

59

60

64

67

125

126

195

Dentists per 100,000 population


Other providers

0.0 0.3 0.6 0.9 1.2 1.5

Greece

Norway

Sweden^

Germany

Japan^

France

United States^

Canada

Italy

Australia

Netherlands^

New Zealand*

Notes: * 2009 data; ^ 2010 data; # 2007 data

Source: OECD Stat Extracts. Organization for Economic Co-operation and Development. Accessed at http://stats.oecd.org/index.aspx?queryid=30163# on September 4, 2013. www.oecd.org.

Dentist workforceselected OECD countries, 2011

0.45

0.50

0.57

0.58

0.60

0.61

0.64

0.78

0.84

0.85

0.99

1.28

Number of professionally active dentists per 1,000 population

OECD Average: 0.61


Other providers

0 300 600 900 1200 1500

Northwest Territories/Nunavut

Newfoundland

Yukon

New Brunswick


Nova Scotia

Manitoba

Saskatchewan

Quebec

Alberta

Canada

Ontario

British Columbia

Notes: Data for Northwest Territories and Nunavut were combined for 2011.

Source: Health Indicators, 2013. Accessed at https://secure.cihi.ca/free_products/HI2013_EN.pdf, on September 4, 2013. www.cihi.ca

Source: Licensed Practical Nursing Workforce per 100,000 Population, Canada, 2007 to 2011. Canadian Institute for Health Information. Accessed at http://www.cihi.ca/CIHI-ext-portal/internet/EN/Quick_Stats/quick+stats/quick_stats_main?xTopic=Workforce&pageNumber=1&resultCount=10&filterTypeBy=undefined&filterTopicBy=16&autorefresh=1 on September 4, 2013. www.cihi.ca

Regulated nursing workforceCanada, 2011

656 185

234

244

202

267

263

225

392

426

384

218

485

212

705

781

792

838

927

961

982

1,040

1,087

1,184

1,405

1,101

Licensed practical nursing workforce, Canada, 2007-2011

LPNs and RNs per 100,000 population

Regulated nurses per 100,000 population

0

500

1000

20102009200820072006

LPNs RNs

LPNsRNs


Other providers

0 3 6 9 12 15

Norway

Sweden^

Switzerland

New Zealand

Iceland

Germany

Australia

Japan^

Canada

United Kingdom

Spain

Notes: ^ 2010 data.

Source: OECD Stat Extracts. Organization for Economic Co-operation and Development. Accessed at http://stats.oecd.org/Index.aspx?QueryId=30163 on September 4, 2013. www.oecd.org.

Professional nurses practicing per 1,000 population

Professional nurse workforceselected OECD countries, 2011

5.5

6.9

6.9

7.2

8.4

8.7

8.7

9.4

10.7

11.1

12.9

OECD Average: 8.4


Other providers

Source: Pharmacist Workforce by Count, Percentage and per 100,000 Population and Province or Territory of Registration, 2006 to 2011. Canadian Institute for Health Information. Accessed at https://secure.cihi.ca/free_products/HI2013_EN.pdf on September 4, 2013. www.cihi.ca

Source: Health Indicators, 2013. Canadian Institute for Health Information. Accessed at https://secure.cihi.ca/free_products/HI2013_EN.pdf on September 4, 2013. www.cihi.ca

Pharmacist workforce Canada, 2011

Canada, 2006-2011

2006 2007 2008 2009 2010 2011

100

90

80

0 30 60 90 120 150

Newfoundland

Nova Scotia


Saskatchewan

Alberta

Manitoba

New Brunswick

Quebec

Canada

British Columbia

Nunavut

Yukon

Ontario

Northwest Territories 44

81

89

90

92

94

99

101

104

104

113

122

125

127

82.1 86.2 86.7

89.6 91.1 94

Per 100,000 population

Pharmacists per 100,000 population


Other providers

0.0 0.2 0.4 0.6 0.8 1.0 1.2

Spain

France

Iceland

Italy*

Canada*

United States*

Israel

Sweden^

Norway*

New Zealand

Germany*

Hungary

Note: * 2011 data

Source: OECD Stat Extracts. Organization for Economic Co-operation and Development. Accessed at http://stats.oecd.org/Index.aspx?QueryId=30163 on September 4, 2013. www.oecd.org.

Professionally active pharmacists selected OECD countries, 2012

0.72

OECD Average: 0.76

0.73

0.75

0.8

0.81

0.84

0.87

0.91

0.95

1.12

1.13

1.2

Professionally active pharmacists per 1,000 population


Other providers

Note: No information for Northwest Territories and Nunavut.


Physiotherapist workforce Canada, 2011

0 20 40 60 80 100

Yukon

British Columbia

New Brunswick

Nova Scotia

Manitoba

Saskatchewan

Alberta

Canada

Quebec

Ontario

Newfoundland

Prince Edward Island 42

43

46

48

51

56

57

58

60

60

62

97

Per 100,000 population


Other providers

0.0 0.5 1.0 1.5 2.0

Finland^

Netherlands^

Norway*

Iceland

Germany*

Sweden^

France

New Zealand*

Italy*

Australia

United States*

Canada*

United Kingdom

Notes: * 2011 data, ^ 2010 data, United Kingdom is estimated data.

Source: OECD Stat Extracts. Organization for Economic Co-operation and Development. Accessed at http://stats.oecd.org/Index.aspx?QueryId=30163 on September 4, 2013. www.oecd.org

Practicing physiotherapistsselected OECD countries, 2012

0.44

0.51

0.6

0.64

0.83

0.95

1.19

1.26

1.43

1.56

1.61

1.82

1.95

Practicing physiotherapists per 1,000 population


Other providers

Notes: No registered midwife numbers for Newfoundland and Labrador; only nurse-midwives in hospitals which have been excluded. No report was available for Nunavut numbers. Ontario has over 600 but no exact number has been given. Quebec numbers are for those who are part of the association (RSFQ).

Source: Midwifery in Canada. Canadian Midwives. Accessed at http://www.canadianmidwives.org/province/Alberta.html on September 4, 2013. http://www.canadianmidwives.org on September 4, 2013.

Midwifery workforceCanada, 2012

0 200 400 600 800 1000 1200

Canada

Ontario

British Columbia

Quebec

Alberta

Manitoba

Saskatchewan

Nova Scotia


Yukon


New Brunswick 0

0

1

2

6

12

42

73

131

200

600

1,067

Number of midwives


Other providers

0.0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8

Sweden^

Finland

New Zealand

Norway*

Italy*

Japan^

Germany*

Netherlands^

France

Canada*

Notes: * 2011 data, ^ 2010 data

Source: Organization for Economic Co-operation and Development Stat Extracts. Accessed at http://stats.oecd.org/Index.aspx?QueryId=30163 on September 4, 2013. www.oecd.org

Professionally active midwives selected OECD countries, 2012

0.03

0.31

0.19

0.23

0.23

0.25

0.6

0.64

0.69

0.77

Density per 1,000 population


Other providers

Note: No information for Northwest Territories and Nunavut.


Chiropractor workforceCanada, 2011

0 5 10 15 20 25 30 35

Ontario

Canada

Alberta

British Columbia

Yukon

Manitoba

Saskatchewan

Quebec

Nova Scotia

Newfoundland

New Brunswick

Prince Edward Island 5

8

12

13

16

18

21

23

24

24

24

32

Chiropractors per 100,000 population


Other providers

0 5 10 15 20 25

Australia

United States

Canada

Norway

New Zealand

Sweden

United Kingdom

Switzerland

Netherlands

Finland

France

Italy

Spain

Japan

Germany

Chiropractor workforceselected OECD countries, 2012

Source: World Stats - Chiropractic statistics. Chiropractic Diplomatic Corp. Accessed at http://www.chiropracticdiplomatic.com on September 4, 2013.

0.1

0.6

0.7

0.7

0.7

1.0

2.4

3.5

3.5

4.2

9.1

12.1

18.8

19.7

21.5

Chiropractors per 100,000 population


Notes

Continuing Care and Home Care


Continuing care

and home care

Source: Table 3-1, Movement of residents during fiscal year in operating residential care facilities characteristics and geography – Canada. Stats Canada. Accessed at http://www.statcan.gc.ca/pub/83-237-x/2012001/t004-eng.htm on September 8, 2013. www.statcan.gc.ca

Residents in long-term operating facilitiesCanada, 2009-2010

On books April 1 Admission

All residential care facilities 246,133 546,168

Homes for the aged number (rate per 1,000 population 65 years or older)

202,761 (43.3) 114,695 (24.5)

Facilities for persons with mental disorders

35,285 151,232

Other residential care facilities 8,087 280,241

Number of residents


Continuing care

and home care

Source: Table 7-1. Total expenditures in operating residential care facilities by facility characteristics and geography – Canada. Stats Canada. Accessed at http://www.statcan.gc.ca/pub/83-237-x/2012001/t008-eng.htm on September 8, 2013. www.statcan.gc.ca

Number, beds and total expenditures in residential care facilitiesCanada, 2009-10

Operating facilities Reporting facilities Total expenditures (millions of

dollars)number approved beds

number approved beds

Total residential care facilities

4,633 265,220 3,355 211,243 $17,012.2

Total homes for the aged

2,136 215,313 1,565 173,631 $13,665.8

Total facilities for persons with mental disorders

2,202 40,258 1,570 29,884 $2,838.5

Total other residential care facilities

295 9,649 220 7,728 $508.0


Continuing care

and home care

Source: Table 2-1. Resident-days in operating residential care facilities by responsibility for payment, facility characteristics and geography – Canada. Stats Canada. Accessed at http://www.statcan.gc.ca/pub/83-237-x/2012001/t002-eng.htm, on September 8, 2013. www.statcan.gc.ca

Resident–days by responsibility for payment in long-term operating facilitiesCanada, 2009-2010

All sources Provincial health

insurance plan

Provincial social

assistance plan

Other provincial

department

Municipality or district

All other sources, including self-pay

All residential care facilities

90,330,142 (100%)

67,245,643 (74.4%)

11,254,817 (12.5%)

405,260 (0.4%)

1,425,853 (1.6%)

9,998,569 (11.1%)

Homes for the aged

74,442,220 (100%)

61,716,151 (82.9%)

3,429,132 (4.6%)

173,494 (0.2%)

684,697 (0.9%)

8,438,746 (11.3%)

Facilities for persons with mental disorders

12,967,568 (100%)

4,400,392 (33.9%)

7,015,313 (54.1%)

199,312 (1.5%)

228,217 (1.8%)

1,124,334 (8.7%)

Other residential care facilities

2,920,354 (100%)

1,129,100 (38.7%)

810,372 (27.7%)

32,454 (1.1%)

512,939 (17.6%)

435,489 (14.9%)


Continuing care

and home care

Source: OECD Health System Accounts, 2010. Organization for Economic Co-operation and Development. Accessed at http://www.oecd.org/els/health-systems/47884942.pdf on September 27, 2013.

Long–term care expenditures by sources of fundingselected OECD countries, 2007

Countries ranked by decreasing share of out-of-pocket spending

0 20 40 60 80 100

Netherlands

France

Sweden

New Zealand

Japan

Australia

Norway

Finland

Canada

Austria

Spain

Germany

Switzerland

Government revenue Social security

Other

Private insurance Out-of-pocket


Continuing care

and home care

Source: Figure 1, Percentage of seniors receiving home care, by type and source, household population aged 65 or older, Canada, 2009. Stats Canada.

Accessed at http://www.statcan.gc.ca/pub/82-003-x/2012004/article/11760/c-g/fig1-eng.htm on September 8, 2013. www.statcan.gc.ca

Percentage of older adults receiving home care, by type of service and sourceCanada, 2009

0 3 6 9 12 15

Housework

Medical

Personal

Meal Preparation

Transportation

Managing 0 0

6

1 1

13

1 1

8

1 2

4

1 3 3

2 5

11

Mixed Formal Informal

Percentage of population 65 and older


Continuing care

and home care

Users of long–term care services across the OECDselected OECD countries, 2007

Source: OECD Health Data, 2010. Organization for Economic Co-operation and Development. Accessed at http://www.oecd.org/els/health-systems/47884942.pdf on September 27, 2013.

Institution Home

0.00 0.05 0.10 0.15 0.20 0.25

Austria

Netherlands

Switzerland

Norway

Sweden

New Zealand

Japan

Finland

Australia

Germany

Canada

Italy

Spain


Source: Table 12-1 Income per resident-day in operating residential care facilities by facility characteristics and geography – Canada. Stats Canada. Accessed at http://www.statcan.gc.ca/pub/83-237-x/2012001/t013-eng.htm on September 8, 2013. www.statcan.gc.ca

Facility income per resident-day Canada, 2009-2010

CND$ per resident-day

$175.7

$185.0

$189.6

$219.4

0 50 100 150 200 250

Facilities for personswith mental disorders

Residential carefacilities

Homes for the aged

Other residentialcare facilities

Pharmaceuticals


Pharm

aceuticals

0 200 400 600 800 1000 1200

Nova Scotia

New Brunswick

Newfoundland

Quebec

Ontario


Saskatchewan

Manitoba

Alberta

Yukon

British Columbia


Nunavut

Note: 2012 data is forecast.

Source: Drug Expenditure in Canada, 1985 to 2012. Canadian Institute for Health Information. Accessed at https://secure.cihi.ca/estore/productFamily.htm?locale=en&pf=PFC1952 on September 9, 2013. www.cihi.ca

Pharmaceutical expenditures per capitaCanada, 2012

$657.2 (45.6%)

$701.6 (50%)

$735.7 (31.65%)

$743.8 (46.6%)

$872.9 (40.4%)

$874.2 (35.6%)

$896.4 (41.6%)

$940 (28.9%)

$955.4 (37.1%)

$1,063.1 (40.6%)

$1,088.6 (30.8%)

$1,110.2 (32.5%)

$1,160.2 (32.5%)

Public Private

Expenditures per capita (percent from public sector)


Pharm

aceuticals

0 200 400 600 800 1000

United States

Canada

Japan*

France

Germany

Australia*

Spain

Switzerland

Italy

Netherlands

Sweden

Finland

Norway

United Kingdom^

OECD Average: $487.0

Notes: *2010 data, #2009 data, ^2008 data; amount shown in US purchasing power parity.

Source: Health at a Glance, 2011, OECD Indicators. Organization for Economic Co-operation and Development. Accessed at http://www.oecd-ilibrary.org/social-issues-migration-health/pharmaceutical-expenditure-per-capita_pharmexpcap-table-en on September 9, 2013. www.oecd.org

Pharmaceutical and other medical non-durables expendituresselected OECD countries, 2011

$375.0

$387.7

$446.2

$474.0

$479.3

$487.3

$530.7

$535.8

$587.0

$632.6

$641.1

$652.0

$751.5

$995.0

US$ PPP per capita


Pharm

aceuticals

0.0 0.5 1.0 1.5 2.0 2.5

United States

Germany

Canada

United Kingdom

Italy

Sweden

France

Switzerland

Note: Amount shown in US$ purchasing power parity.

Source: Annual report, 2011. Patented Medicine Prices Review Board. Accessed at http://www.pmprb-cepmb.gc.ca/CMFiles/Publications/Annual%20Reports/2011/2011-Annual-Report_EN_Final-for-Posting.pdf on September 9, 2013. http://www.pmprb-cepmb.gc.ca

Average foreign-to-Canadian price ratios for patented drugsselected OECD countries, 2011

0.81

0.81

0.88

0.89

0.91

1

1.27

2.28


Pharm

aceuticals

0.0 0.3 0.6 0.9 1.2 1.5

Switzerland

Canada

France

Italy

Germany

United States

United Kingdom

Sweden

Note: Bilateral comparators. Amount shown in retail price.

Source: Generic drugs in Canada: International price comparisons and potential cost savings. Patented Medicine Prices Review Board. Accessed at http://www.pmprb-cepmb.gc.ca/english/view.asp?x=1562&all=true#1439 on September 9, 2013. www.pmprb-cempmb.gc.ca

Average foreign-to-Canadian price ratios for generic drugsselected OECD countries, 2008

0.37

0.53

0.57

0.69

0.78

0.82

1

1.26


Pharm

aceuticals

Source: Table 2, Provincial statistics and their relationship to gross domestic expenditures on research and development, 2010. Stats Canada. Accessed at http://www.statcan.gc.ca/pub/88-221-x/2012001/t063-eng.htm on September 9, 2013. www.statcan.gc.ca

Pharmaceutical research and development spending per capitaCanada, 2011

CDN$ per capita

0 10 20 30 40 50 60

Quebec

Ontario

Canada

Alberta

Nova Scotia

British Columbia

Newfoundland

Manitoba

Saskatchewan

New Brunswick


Territories 0.6

0.8

2.7

2.7

8.8

9.5

9.9

11.9

18.0

28.5

31.4

52.1


Pharm

aceuticals

0 30 60 90 120 150

Switzerland

United Kingdom

Sweden

Germany

United States

France

Canada

Italy

Note: Companies without sales of patented medicines need not report to the Patented Medicine Prices Review Board on their R & D expenditures. The statistical results reported should not be taken to cover all pharmaceutical research conducted.

Source: Annual Report 2011, Analysis of Research & Development Expenditures. Patented Medicine Prices Review Board. Accessed at http://www.pmprb-cepmb.gc.ca/english/view.asp?x=1625&mid=1552 on September 27, 2013. www.pmprb-cepmb.gc.ca.

Pharmaceutical Patentees, R & D–to-sales ratiosselected OECD countries, 2009

6.6%

7.5%

18.3%

19.5%

19.9%

26.9%

39.8%

133.5%


Pharm

aceuticals

46.1%

38.4%

15.7%

Note: Public sector (38.4%) only finance prescribed drugs, while private sector (61.8%) finance prescribed drugs, as well as over-the-counter drugs and personal health supplies. Source: Drug Expenditure in Canada, 1985 to 2012. Canadian Institute for Health Information. Accessed at https://secure.cihi.ca/free_products/DEIC_1985_2011_EN.pdf on September 9, 2013. www.cihi.ca

Percentage share of expenditure on drugs by source of financeCanada, 2010

Private sector - presecribed drugs

Public sector - prescribed drugs

Private sector - non-prescribed drugs


Pharm

aceuticals

0 10 20 30 40 50 60 70 80

Manitoba

New Brunswick

Saskatchewan

British Columbia

Prince Edward Islandand Newfoundland

Nova Scotia

Alberta

Ontario

Canada

Quebec 61.8%

63.2%

63.6%

64.0%

64.2%

64.6%

64.7%

65.7%

66.0%

68.5%

Source: The Canadian generic market year 2012. Canadian Generic Pharmaceutical Association. Accessed at http://www.canadiangenerics.ca/en/resources/market_trends.asp on September 9, 2013. www.canadiangenerics.ca

Generic share of the prescription drug marketCanada, 2012

Percentage share of the generic drugs


Pharm

aceuticals

0 100 200 300 400 500 600

Prince EdwardIsland^

Nova Scotia

Quebec

Manitoba

Ontario

Saskatchewan

Newfoundland

Non-insuredhealth benefits*

Alberta

British Columbia

New Brunswick 192

Note: *2010 data; ^2009 data.

Source: How good is your drug insurance? Comparing federal, provincial and private-sector plans, 2004 – 2011. Canadian Health Policy. Accessed at http://www.canadianhealthpolicy.com/downloads/research-pdfs/how-good-is-your-drug-insurance-2013-revised.pdf on September 10, 2013. www.canadianhealthpolicy.com

Wait time for public insurance approval of new pharmaceuticalsCanada, 2011

213

236

267

284

297

298

299

304

329

540

Number of days

Average wait days for public insurance approval of new drugs, Canada, 2004 - 2011

200

400

600

800

1000

20112010200920082007200620052004


Pharm

aceuticals

Source: Wyatt Health Management. Accessed at http://www.wyatthealth.com/ on October 11, 2013.

International Positive ReimbursementAll eligible drugs based on the Canadian list, 2011-2012

Median approval times for new drugs (in days)

200

400

600

800

1000

After 20072002 - 20061997 - 2001Before 1996

Drugs approved in both Canada and U.S.

Drugs approved in Canada

0

20

40

60

80

100

United S

tates

Germ

any

Italy

France

Sw

itzerland

Australia

Sw

eden

United K

ingdom

Average

Netherlands

Finland

Japan

Austria

Canada

Norw

ay

New

Zealand

Restricted Unrestricted

62 INSTITUTE OF HEALTH ECONOMICSINSTITUTE OF HEALTH ECONOMICS

Notes

Public Health


Public H

ealth

Source: National Health Expenditure Trends, 1975 to 2012, Canadian Institute for Health Information. Accessed at https://secure.cihi.ca/free_products/NHEXTrendsReport2012EN.pdf, Table D1 on September 29, 2013. www.cihi.ca.

Expenditure on public health as percentage of total health expenditure Canada, 2010

0 5 10 15 20

Yukon

Nunavut


Saskatchewan

Manitoba

British Columbia

Ontario

Alberta

Canada

Quebec


New Brunswick

Newfoundland

Nova Scotia 3.1

3.2

3.3

4.4

4.9

5.4

5.8

6.0

6.7

7.0

8.4

9.1

11.3

17.6

Percentage


Public H

ealth

0 1 2 3 4 5 6 7 8

New Zealand

Canada

Finland

Netherlands

Sweden

United States

Germany

Japan

Norway

Switzerland

Spain

France

Australia

Italy

Source: OECD Stat Extracts. Organization for Economic Co-operation and Development. Accessed at http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT on September 29, 2013. www.oecd.org.

Expenditure on prevention and public health as percentage of total health expenditureselected OECD countries, 2010

0.4

1.7

2

2.3

2.4

2.5

3

3.3

3.3

3.5

3.1

5.2

5.9

7

Percentage of total health expenditure


Public H

ealth

Source: Everybody’s Business: The cost of multi-department involvement in public health in Alberta. Institute of Health Economics. Access at http://www.ihe.ca/publications/library/2011/everybodys-business-the-cost-of-multi-department-involvement-in-public-health-in-alberta/ on September 29, 2013. www.ihe.ca.

Per capita costs of public health functionsCanada, 2009

Federal Provincial

Health Ministry

Non-Health Ministries

Health Ministries

Non-Health Ministries

Alcohol General $1.64 $0.48

Alcohol FASD $0.64 $0.85

Consumer Product Safety

$0.71

Environment Health $3.87 $53.21 $7.69 $117.12

Food Safety $18.60 $2.25 $7.22 $5.80

Infectious Disease Prevention

$0.57 $18.33

Maternal & Infant Health $2.74 $25.33

Occupational Health & Safety

$0.17

Physical Activity & Nutrition

$0.61 $4.50 $15.50

Road Safety $1.08 $24.70

Tobacco $1.99 $0.51 $2.52

Subtotal $29.16 $62.12 $37.57 $189.78

Capital

Built Environment $0.33

Housing & Homelessness

$74.85 $143.97

Physical Activity (Parks) $8.33 $28.77

Subtotal $0.00 $83.51 $0.00 $172.74


Public H

ealth

0 20 40 60 80 100

Pol3

MCV

DTP1

PCV3

Hib3

DTP3

HepB3

Notes:DTP1: First dose of diphtheria toxoid, tetanus toxoid and pertussis vaccineDTP3: Third dose of diphtheria toxoid, tetanus toxoid and pertussis vaccineHepB3: Third dose of hepatitis B vaccineHib3: Third dose of Haemophilus influenzae type B vaccineMCV: Measles-containing vaccinePCV3: Pneumococcal Conjugate 3rd dosePol3: Third dose of Polio

Source: WHO vaccine-preventable diseases: monitoring system. 2013 Global summary. World Health Organization. Accessed at http://apps.who.int/immunization_monitoring/globalsummary/estimates?c=CAN on September 10, 2013. http://www.who.int/en/

National immunization coverage – select vaccines Canada, 2012

70%

95%

95%

97%

98%

98%

99%

Percent coverage


Public H

ealth

0 20 40 60 80 100

Germany

France

Spain

Italy

New Zealand

Canada

United States

Australia

Austria

Note: DTP stands for diphtheria, tetanus, and pertussis.

Source: OECD Stat Extracts. Organization for Economic Co-operation and Development. Accessed at http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT on September 10, 2013. www.oecd.org

Childhood vaccine coverage selected OECD countries, 2012

83%

92%

91%

70%

95%

96%

97%

65%

93%

83%

92%

94%

95%

95%

96%

97%

99%

99%

76%

94%

91%

98%

93%

90%

95%

89%

99%

Percentage of children immunized

Hepatitis B DTPMeasles


Public H

ealth

0 20 40 60 80 100

United States

New Zealand#

Germany^

Italy

Canada*

Switzerland#

France

Greece^

Poland^

Spain^

Belgium*

Netherlands

Hungary^

Japan

Notes: *2008 data; ^2009 data; #2007 data.

Source: OECD stat extracts; 2011. Organization for Economic Co-operation and Development. Accessed at http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT# on September 10, 2013. www.oecd.org

Percentage of women aged 20-69 receiving Pap Smear screeningselected OECD countries, 2010

37.7%

63.5%

65.7%

67.4%

68.5%

69.1%

69.7%

71.1%

74.9%

75.3%

76.9%

78.7%

79.6%

85%

Percentage of female population aged 20 to 69

OECD Average: 61%^


Public H

ealth

Notes: *2008 data; ^2009 data; #2007 data.


Percentage of women aged 50-69 having a mammogramselected countries, 2010

Percentage of female population aged 50 to 69

0 20 40 60 80 100

Netherlands

United States

New Zealand#

France

Spain^

Belgium*

Canada*

Italy

Germany^

Hungary^

Switzerland#

Japan 36%

45%

65%

68%

70%

73%

73%

73%

75%

77%

80%

88%

OECD Average: 62.2%

Health Behaviors


Health beahviors

0 10 20 30 40 50 60

Nunavut


Yukon

Saskatchewan

Nova Scotia

Alberta

New Brunswick

Quebec


Newfoundlandand Labrador

Manitoba

Canada

Ontario

British Columbia

Percentage of population 12 and over who are current smokersCanada, 2011

Source: Smokers, by sex, provinces and territories (Percent). Statistics Canada. Accessed at http://www.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/health74b-eng.htm on September 10, 2013. http://www.statcan.gc.ca

Percentage of population aged 12 and over

15.8

19.4

19.9

20

20.4

21

21

21.7

21.7

21.8

23.8

29.3

34.9

59.7


Health behaviors

0 5 10 15 20 25 30

Spain*

France

Germany*

United Kingdom*

Netherlands

Switzerland^

Japan

Norway#

Finland

New Zealand^

Canada

United States

Australia

Sweden

Percentage of population who are daily smokersselected OECD countries, 2010

Percentage of population aged 15 and above

Notes: *2009 data, ^2007 data.


13.6

15.1

15.1

16.3

18.1

19

19

19.5

20.4

20.9

21.5

21.9

23.3

26.2

OECD Average: 21.13


Health beahviors

Note: Population aged 12 and over who reported having 5 or more drinks on one occasion, at least once a month in the past 12 months; * use with caution.

Source: Heavy drinking, by sex, provinces and territories. Statistics Canada. (Percent). Accessed at http://www.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/health80b-eng.htm on September 10, 2013. http://www.statcan.gc.ca

Alcohol consumption for persons 12 and aboveCanada, 2011

Percentage of population drinking heavily aged 12 and over

16.6

18.3

18.5

19

19.5

20.3

21.3

21.7

21.7

22.9

24.6

26.1

26.4

31.2

0 5 10 15 20 25 30 35


Newfoundlandand Labrador

Nunavut*

Yukon

Manitoba

Saskatchewan

New Brunswick

Alberta

Nova Scotia


Canada

Quebec

Ontario

British Columbia


Health behaviors

0 2 4 6 8 10 12

France*

Germany^

Spain^

Australia^

United Kingdom

Switzerland

Finland

New Zealand

Netherlands^

United States

Canada

Sweden

Japan

Italy^

Norway

Note: ^2009 data.

Source: OECD stat extracts, 2011. Organization for Economic Co-operation and Development. Accessed at http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT# on September 10, 2013. www.oecd.org.

Liters consumed per person, per year

Alcohol consumption for persons 15 and aboveselected OECD countries, 2011

6.6

6.9

7.3

7.3

8.2

8.6

9.4

9.6

9.7

10

10.2

10.3

11.4

11.7

12

OECD Average: 9.1


Health beahviors

Overweight or obese adult populationCanada, 2011

Note: Measured for those 18 years and over only.

Source: Body mass index, overweight or obese, self-reported, adult, by sex, provinces and territories (Percent). Statistics Canada. Accessed at http://www.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/health82b-eng.htm on September 10, 2013. http://www.statcan.gc.ca

0 10 20 30 40 50 60 70 80


Nova Scotia


Saskatchewan

New Brunswick

Manitoba

Nunavut


Yukon

Ontario

Alberta

Canada

Quebec

British Columbia 46.6

50.1

52.1

52.2

52.3

55

57.6

58.2

58.4

59.4

59.4

60.7

61

69.3

Percentage of population


Health status

0 1 2 3 4 5 6 7 8

United States#

New Zealand^

Canada*

United Kingdom

Australia

Netherlands

Switzerland

Germany

Italy

Spain

Norway

Sweden

Finland

Japan

Mortality rate per 1,000 live births

Note: ^2009 data.

Source: OECD Stat Extracts, 2011. Organization for Economic Co-operation and Development. Accessed at http://stats.oecd.org/Index.aspx?DataSetCode=HEALTH_STAT on September 11, 2013. www.oecd.org

Infant mortalityselected OECD countries, 2010

2.3

2.3

2.5

2.8

3.2

3.4

3.4

3.8

3.8

4.1

4.2

4.9

5.5

6.2

OECD Average: 4.3


Notes

Demographics


Dem

ographics

4000

6000

8000

10000

12000

203620312026202120162011

Source: Population by sex and age group, by province and territory (proportion of, both sexes). Statistics Canada. Accessed at http://www.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/demo31d-eng.htm on September 11, 2013. http://www.statcan.gc.ca

Population aged 65 and aboveCanada, 2012

Notes: Numbers in thousands; based on medium growth.

Source: Projected population by age groups and sex according to three projection scenarios for 2010, 2011, 2016, 2021, 2026, 2031 and 2036. Statistics Canada. Accessed at http://www.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/demo23g-eng.htm on September 11, 2013. www.statcan.gc.ca.

Projected population aged 65 and above in Canada, 2016 – 2036

0 5 10 15 20

Nova Scotia

New Brunswick



Quebec

British Columbia

Canada

Saskatchewan

Ontario

Manitoba

Alberta

Yukon


Nunavut

Percent of population

3.3

6.2

9.4

11.1

14.2

14.6

14.7

14.9

15.9

16.2

16.4

16.6

17

17.2

5,956.5 4,974.3

7,091.4 8,383.5

9,610.6 10,379.8


Dem

ographics

0 5 10 15 20 25

Japan

Italy

Germany

Sweden

Spain

France

Switzerland

United Kingdom

Netherlands

Norway

Canada

Australia

New Zealand

United States

Percent of population

Note: *2010 data.

Source: OECD Stat Extracts. Organization for Economic Co-operation and Development. Accessed at http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT# on September 10, 2013. www.oecd.org

Population aged 65 and aboveselected OECD countries, 2013

13.2

13.3

13.7

14.7

15.2

15.9

16.2

17.1

17.1

17.6

19.3

20.7

21

23.3

OECD Average: 14.8


Dem

ographics

Life expectancy at birthCanada, 1920-2002

Source: Life expectancy at birth, by sex, by province. Statistics Canada. Accessed at http://www.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/health26-eng.htm on September 11, 2013. www.statcan.gc.ca.

40

60

80

100

Years

Life

exp

ecta

ncy

at b

irth

Males

Females

61

59

1920-22

1930-32

194

0-42

1950-52

196

0-62

1970-72

198

0-82

199

0-92

2000-02

60

63

66 68

69

72

75 77

62

66

71

74 76

79 81

82


Dem

ographics

76 77 78 79 80 81 82 83 84

Japan

Switzerland

Italy

Spain

Australia

France

Sweden

Norway

New Zealand

Netherlands

Canada*

United Kingdom

Germany

United States

Years

Note: *2009 data.

Source: Factbook Country Statistical Profiles – 2013 edition MetaData: Health. Organization for Economic Co-operation and Development. Accessed at http://stats.oecd.org/Index.aspx?DatasetCode=CSP2012# on September 11, 2013. www.oecd.org.

Life expectancy at birthselected OECD countries, 2010

78.7

80.5

80.7

81

81

81

81.2

81.6

81.8

81.8

82.2

82.4

82.6

82.9

OECD Average: 79.5


Dem

ographics

0.0 0.5 1.0 1.5 2.0 2.5 3.0

Nunavut

Saskatchewan


Manitoba

Alberta

Yukon

Quebec


Canada

New Brunswick

Ontario

Nova Scotia


British Columbia

Fertility ratesCanada, 2011

Note: Fertility rate is the average number of children per women.

Source: Births and total fertility rate, by province and territory (fertility rate). Statistics Canada. Accessed at http://www.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/hlth85b-eng.htm on September 11, 2013. www.statcan.gc.ca

1.4

1.5

1.5

1.5

1.5

1.6

1.6

1.7

1.7

1.8

1.9

2

2

3

Average number of children per woman


Dem

ographics

0.0 0.5 1.0 1.5 2.0

France

United Kingdom

Sweden

Norway

United States

Australia

Finland

Netherlands

Canada*

Switzerland

Italy

Japan

Germany

Spain

Note: *2009 data.


Fertility ratesselected OECD countries, 2011

1.4

1.4

1.4

1.4

1.5

1.6

1.8

1.8

1.9

1.9

1.9

1.9

2

2

Average number of children per woman

OECD Average*: 1.71


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Health System Performance


Health system

perform

ance

Canadian health consumer indexCanada, 2011

Note: A higher score refers to more favorable performance.

Source: Canada Health Consumer Index, 2011. Frontier Centre for Public Policy. Policy Series No. 124, Dec 2011. Accessed at http://www.fcpp.org/publication.php/4018 on September 12, 2013. http://www.fcpp.org

Scores in each element

0 200 400 600 800 1000

Ontario

British Columbia

New Brunswick

Manitoba

Alberta

Newfoundland/Labrador


Quebec

Saskatchewan

Nova Scotia

Outcomes

Range and reach of services and access to new medicines

Wait times

Primary care and problem prevention

Patient access to information


Health system

perform

ance

Scores (Overall country rankings)

Source: Euro-Canada Health Consumer Index, 2010. Frontier Centre for Public Policy. Policy Series No. 89, May 2010. Accessed at http://www.fcpp.org/publication.php/3285 on September 12, 2013. http://www.fcpp.org

Euro-Canada health consumer pentathalonselected OECD countries, 2010

0 200 400 600 800 1000

Netherlands

Germany

France

Switzerland

Austria

Sweden

Norway

Italy

UK

Greece

Spain

Canada 594 (25)

639 (20)

640 (19)

666 (17)

694 (14)

741 (11)

768 (9)

804 (6)

806 (5)

809 (4)

825 (2)

857 (1)

Range and reach of services and access to new medicines

Medicines

Outcomes

Wait timesPatient access to information


Health system

perform

ance

Canadian provincial healthcare indexCanada, 2013

Note: Provision of healthcare is captured using 46 indicators, and aggregated into four broad components. A MinMax method is then used to give each province a score from 0 to 10 for overall value.

Source: Provincial healthcare index, 2013. Fraser Institute. Accessed at http://www.fraserinstitute.org/uploadedFiles/fraser-ca/Content/research-news/research/publications/provincial-healthcare-index-2013.pdf on September 12, 2013. www.fraserinstitute.org

Component Result

Availability of resources

Use of resources

Consum

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Clinical

performance

Overall value

Cost

Value for money

British Columbia 1.75 3.95 3.71 3.53 2.5 8.52 4.12

Alberta 3.06 7.88 7.75 10 7.71 2.15 3.35

Saskatchewan 0.55 5.22 5.42 0 1.92 4.61 1.17

Manitoba 0 7.53 5.13 9.33 5.49 4.83 3.66

Ontario 3.46 10 10 7.11 8.32 7.75 7.43

Quebec 10 7.36 8.95 9.33 10 10 10

New Brunswick 6.81 9.1 5.94 7.21 7.83 5.86 5.87

Nova Scotia 5.96 5.89 4.4 6.46 5.73 6.22 4.73

Prince Edward Island 1.13 0 0 4.23 0 5.47 0.48


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0 5 10 15 20 25 30 35 40

Spain*

Netherlands

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Italy

Sweden

United States

Australia^

Finland

Canada

France

Overweight population aged 15 and aboveselected OECD countries, 2010

Notes: Self-reported data. *2009 data; ^2007 data.


29.9

33.2

34.1

34.6

35

35.1

35.6

36.8

36.7

37.7

Percentage of population

OECD Average: 34.9


Notes

Health Status


Health status

0 5 10 15 20


Nunavut

Yukon

Saskatchewan

Manitoba


New Brunswick

Alberta

Ontario

Canada

Quebec

British Columbia

Nova Scotia


Source: Infant mortality rates, by province and territory (Both sexes). Stats Canada. Accessed at: http://www.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/health21a-eng.htm on May 10, 2013. http://statscan.gc.ca

Mortality rates per 1,000 live births

Infant mortalityCanada, 2009

3.4

3.4

3.6

4.4

4.9

5

5.5

5.8

6.3

6.3

6.7

7.8

14.8

15.5

Source: Infant mortality rates, by province and territory (Both sexes). Stats Canada. Accessed at http://www.statcan.gc.ca/tables-tableaux/sum-som/l01/cst01/health21a-eng.htm on September 11, 2013. http://www.statcan.gc.ca

Infant mortality rates per 1,000 live births in Canada

4

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5.4 5 5.1 5.1 4.9

IHE In Your Pocket 2014 – a handbook of health economic statistics includes the most currently available data, presented in separate sections on the economic burden of illness, health care resources, health behaviours, health status and demographics and health system performance.

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