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Does a Small Minority of Elderly Account for a Majority of Health Care Expenditures?: A Sixteen-Year Perspective

The Milbank Quarterly

Author: Roos, N. P., Shapiro, E., Tate, R.
Type: Journal Article
Year: 1989


Data on hospital & nursing home usage by a representative sample of elderly persons (N = 4,209) in Manitoba 1970-1985, obtained from the Manitoba Longitudinal Study on Aging, were examined to determine distribution of expenditures across the sample & clarify cost-containment strategies. Results showed that, in 1972, 5% of the elderly were recipients of 68% of expenditures. Expenditures in the year of death are 3-8 times higher than in other years. One year's hospital usage is a predictor of the second year, but of little value in subsequent years. Results reinforce the importance of special interventions targeted at high users as a cost-containment strategy. The need for greater attention to long-term care as opposed to hospitalization is stressed.

Further Details

Full Title: The Milbank Quarterly
Pages: 3-4
Volume: 67
Accession Number: 28.5.03
Image: 1722090496 a Majority et al.pdf
Electronic Resource Number: / 10.2307/3350220
Keywords: older, health improvement
Reads: 185