This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Katz, S. J. Articles by Verrilli, D. Search for Related Content PubMed PubMed Citation Articles by Katz, S. J. Articles by Verrilli, D. Social Bookmarking                         What's this?

The Growth of Physician Services for the Elderly in the United States and Canada: 1987-1992

University of Michigan

W. Pete Welch

Congressional Budget Office

Diana Verrilli

Radiology Management Sciences

The authors compared the growth of expenditures, prices, and volume and intensity of physician services delivered to the elderly in the United States and Canada from 1987 to 1992 using claims-level data from U.S. Medicare and from Ontario, Quebec, and British Columbia. Services were classified into clinical categories and per capita annualized expenditure, price, and volume growth ratios were calculated for each category. The expenditure growth rate is higher in the United States than in Canada for evaluation and management services (8.8 percent versus 4.5 percent), but it is lower for procedures (2.9 percent in the United States versus 4.8 percent in Canada). For procedures, prices decreased 2.4 percent per year in the United States but increased 1 .0 percent per year in Canada, while volume increased faster in the United States (5.4 percent versus 3.8 percent in Canada). In both countries, high volume growth rates are observed in categories containing newly emerging procedures. Although policies to control prices appear easier to implement than policies to control the volume and intensity of medical care, their success in controlling expenditures is uncertain. Nonetheless, Canada has been more successful at controlling the growth in the volume of procedures than the United States.

Medical Care Research and Review, Vol. 54, No. 3, 301-320 (1997)
DOI: 10.1177/107755879705400304


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?