Health expenditure of people
who died in 2009 in last five
years of their life (2005-2009)
Stane Marn (S0RS), Jana Trdič, Irena Zupanc, Metka Zaletel (IPH),
Katka Prevolnik Rupel (MH)
Statistical Days, Radenci November 2010
Content of the presentation
• Cost of dying for Slovenia
• Method used
• Main data sources used
• Selected results presented:
− Concentration of expenditure in the last year of life?
− Larger part of expenditure for treating illness?
− Treatment costs rise with the age of the dead?
− Expenditure is related more to the proximity of death than to the age of people?
− Average treatment costs for the dead are larger than treatment costs for people who survive?
− Link between costs and the main cause of death?
Introductory information
• Research on the link between population ageing and trends in the health expenditure
- research of the share of health expenditure by age
- research of the cost of dying
• In collaboration with IVZ, ZZZS
Method used
• Descriptive research: describes data and characteristics about the treatment costs of persons who died in 2009
• Starting point: list of persons who died in 2009 with identifiers
• With the help of identifiers we extracted from the IVZ database the data on hospitalisations in the last five years of people’s lives
• Added average treatment prices
• Processing according to MKB: main cause of death from the register of death
• Expenditure limited to hospitalisation costs
• Expenditure for medicine and other health services will be covered in the next phase of the survey
Data sources
• List of people who died in 2009 (SURS)
• Database of the system of comparable cases (IVZ)
• Database of hospitalisations BOLOB
• Average prices for the SPP weight, for a case, for NOD and points of performed rehabilitation services in 2009 (ZZZS)
Deaths, Slovenia, 2009
18,750 people died
Male/female (%) = 49.6/50.4
Mean age = 70.1/79.1
Most of the dead aged 83: 742
Hospitalisation costs in the last five years of life, 2005-2005 (at 2009 prices, thousand EUR)
Hospitalisation costs for people who died and
for people who survived, 2009 (thousand EUR)
Total costs EUR 976 million
The dead EUR 172 million
Share of hospitalisation costs for the dead in the last year of their life as % of total hospitalisation costs
Average hospitalisation costs for people who
died in 2009 in the last year of their life (EUR)
Average hospitalisation costs for people who died
and for people who survived (EUR)
Relationship between average hospitalisation costs in the last year of life of the dead and average
hospitalisation costs of people who survived, 2009
Hospitalisation costs in the last year of life for
people who died in 2009 (thousand EUR)
Hospitalisation costs in the last year of life for
people who died in 2009 (thousand EUR)
Average hospitalisation costs in the last year of life
for men who died in 2009 (EUR)
CONCLUSIONS
1. Surveyed hospitalisation costs for people who died
in 2009.
2. Used administrative sources.
3. Survey results for Slovenia are comparable to
results published for some foreign countries
(concentration of expenditure, expenditure for
treating people who survive is larger than for people
who die, costs decline with age, etc.)
4. Further research (medicine, transplantation)