Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

Recent studies indicate that approaching death, rather than age, may be the main demographic driver of health care costs. Using a 29-year longitudinal English dataset, this paper uses more robust methods to examine the effects of age and proximity to death on hospital costs. A random effects panel data two-part model shows that approaching death affects costs up to 15 years prior to death. The large tenfold increase in costs from 5 years prior to death to the last year of life overshadows the 30% increase in costs from age 65 to 85. Hence, expenditure projections must consider remaining life expectancy in the populations.

Original publication

DOI

10.1016/j.jhealeco.2003.08.004

Type

Journal

J Health Econ

Publication Date

03/2004

Volume

23

Pages

217 - 235

Keywords

Age Distribution, Aged, Aged, 80 and over, Death, Death Certificates, England, Female, Health Expenditures, Hospital Costs, Humans, Length of Stay, Life Tables, Longitudinal Studies, Male, Models, Econometric, Probability, Terminal Care, Time Factors, Wales