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Measuring healthcare expenditure: different methods, different results.

C Keegan1, S Connolly2, M-A Wren2

  • 1Economic and Social Research Institute, Dublin, Ireland. conor.keegan@esri.ie.

Irish Journal of Medical Science
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Estimating healthcare expenditure in Ireland using different methods yielded similar total figures but varied component breakdowns. Understanding what

Keywords:
Healthcare expenditure comparisonIrish healthcare systemPublic and private healthcareSystem of health accounts

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Area of Science:

  • Health Economics
  • Public Health Policy
  • Statistical Methodology

Background:

  • Accurate healthcare expenditure data is crucial but historically limited in Ireland.
  • Recent publication of Irish healthcare expenditure estimates for 2013 aligns with the OECD System of Health Accounts (SHA).

Purpose of the Study:

  • To analyze the impact of alternative measurement methodologies on healthcare expenditure estimates.
  • To compare different approaches for assessing national health spending.

Main Methods:

  • Comparison of the Central Statistics Office (CSO) SHA methodology with an alternative approach by Wren et al.
  • Contrasting the methods and results of two distinct healthcare expenditure measurement techniques.

Main Results:

  • Both methodologies produced similar total current healthcare expenditure figures for Ireland in 2013.
  • Significant differences were observed in the detailed components of healthcare expenditure between the two approaches.

Conclusions:

  • No single definitive method exists for estimating healthcare expenditure; results vary by methodology.
  • Careful consideration of included components is essential when interpreting healthcare expenditure estimates.