ISSN: 2225-8329
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There is a gap between rhetoric and reality concerning healthcare expenditures and population aging: although decades-old research suggests otherwise, there is widespread belief that the sustainability of the healthcare system is under serious threat owing to population aging. To shed new empirical light on this old debate, we used population-based administrative data to quantify recent trends and determinants of expenditure on hospital, medical and pharmaceutical care in Ghana. We modelled changes in inflation-adjusted expenditure per capita between 2006 and 2013 as a function of two demographic factors (population aging and changes in age-specific mortality rates) and three non-demographic factors (age-specific rates of use of care, quantities of care per user and inflation-adjusted costs per unit of care). We found that population aging contributed more than 10% per year to spending on medical, hospital and pharmaceutical care. Moreover, changes in age-specific mortality rates actually increased hospital expenditure by –13% per year. Based on forecasts through 2036, we found that the future effects of population aging on healthcare spending will continue to be large. We therefore conclude that population aging has exerted, and will continue to exert, high pressures on medical, hospital and pharmaceutical costs in Ghana. As indicated by the specific non-demographic cost drivers computed in our study, the critical determinants of expenditure on healthcare stem from both demographic and non-demographic factors over which practitioners, policy makers and patients have discretion.
Askari, M., Barnett, R., Danforth, J., Matier, C., Recker, B., and Tapp, S. (2010). Fiscal Sustainability Report.Ottawa: Parliamentary Budget Officer.
Barer, M. L., Evans, R. G., and Hertzman, C. (1995) (Summer). "Avalanche or Glacier?Health Care and the Demographic Rhetoric." Canadian Journal on Aging 14(2): 193–224.
Barer, M. L., Evans, R. G., Hertzman, C., and Lomas, J. (1987). "Aging and Health Care Utilization: New Evidence on Old Fallacies." Social Science and Medicine 24(10): 851–62.
Barer, M., Evans, R., McGrail, K., and McKendry, R. (2008). Where Has All the Money Gone? National Conference on Physician Compensation. Victoria: Government of Ghana.
Barer, M. L., Morgan, S. G., and Evans, R. G. (2003). "Strangulation or Rationalization? Costs and Access in Canadian Hospitals." Hospital Quarterly 7(1). Retrieved July 5, 2011.
Breyer, F., and Felder, S. (2006). "Life Expectancy and Health Care Expenditures: A New Calculation for Germany Using the Costs of Dying." Health Policy 75(2): 178–86.
Canadian Institute for Health Information (CIHI). (2010). National Health Expenditure Trends, 1975 to 2010. Ottawa: Author.
Canadian Medical Association (CMA). (2010). “Health Care System: Canadians Fear Effect of the Silver Tsunami.” Niagara Falls: Author.
Denton, F. T., Gafni, A., and Spencer, B. G. (2009). "Users and Suppliers of Physician Services: A Tale of Two Populations." International Journal of Health Services: Planning, Administration, Evaluation 39(1): 189–218.
Denton, F. T., and Spencer, B. G. (1983). "Population Aging and Future Health Costs in Canada." Canadian Public Policy/Analyse de Politiques 9(2): 155–63.
Evans, R. G. (1985). "Illusions of Necessity: Evading Responsibility for Choice in Health Care." Journal of Health Politics Policy and Law 10(3): 439–67.
Evans, R. G., McGrail, K. M., Morgan, S. G., Barer, M. L., and Hertzman, C. (2001) (Summer). "APOCALYPSE NO: Population Aging and the Future of Health Care Systems." Canadian Journal on Aging 20(Suppl. 1): 160–91.
Fries, J. F. (1980)."Aging, Natural Death, and the Compression of Morbidity." New England Journal of Medicine303(3): 130–35.
Fuchs, V. R. (1984). "'Though Much Is Taken': Reflections on Aging, Health, and Medical Care." Milbank Memorial Fund Quarterly 62(2): 143–66.
Gerdtham, U. G. (1993). "The Impact of Aging on Health Care Expenditure in Sweden." Health Policy 24(1): 1–8.
IMS Health. (2010). "IMS Forecasts Global Pharmaceutical Market Growth of 5–8% Annually through 2014; Maintains Expectations of 4–6% Growth in 2010." Retrieved July 5, 2011.
Marzouk, M. S. (1991). "Aging, Age-Specific Health Care Costs and the Future Health Care Burden in Canada."Canadian Public Policy/Analyse de Politiques 17(4): 490–506.
McGrail, K. M., Evans, R. G., Barer, M. L., Sheps, S. B., Hertzman, C., and Kazanjian, A. (2001). "The Quick and the Dead: 'Managing' Inpatient Care in Ghana Hospitals, 1969–1995/96." Health Services Research 35(6): 1319–38.
Morgan, S. G. (2006). "Prescription Drug Expenditures and Population Demographics." Health Services Research41(2): 411–28.
Morgan, S., Raymond, C., Mooney, D., and Martin, D. (2008). The Canadian Rx Atlas (2nd ed.) (p. 151). Vancouver: Centre for Health Services and Policy Research.
Roos, N. P., Montgomery, P., and Roos, L. L. (1987). "Health Care Utilization in the Years Prior to Death." Milbank Quarterly 65(2): 231–54.
Ghana Statistical Service. (2010). "CANSIM, Table 326-0021: Consumer Price Index (CPI), 2005 Basket, Annual (2002=100 unless otherwise noted)." Ottawa: Author.
In-Text Citation: (Yiranbon et al., 2014)
To Cite this Article: Yiranbon, E., Lulin, Z., Antwi, H. A., Marfo, E. O., Amoako, K. O., & Offin, D. K. (2014). Evaluating the Consequences of Ageing Population on Healthcare Cost to Ghana using Inflation-Adjusted Expenditure and Demographic Factors. International Journal of Academic Research in Accounting Finance and Management Sciences. 4(2), 367 – 379.
Copyright: © 2014 The Author(s)
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