• R Chaplin and L Earl.
• Income Statistics Division, Statistics Canada, Ottawa, Ontario, K1A 0T6. robin.chaplin@statcan.ca
• Health Rep. 2000 Oct 1;12(1):57-65 (Eng); 61-70 (Fre).

ObjectivesThis article examines changes in household spending on health care between 1978 and 1998. It also provides a detailed look at household spending on health care in 1998.Data SourcesData on household spending are from Statistics Canada's Family Expenditure Survey for survey years between 1978 and 1996, and from the annual Survey of Household Spending for 1997 and 1998.Analytical TechniquesProportion of after-tax spending was calculated by subtracting average personal income taxes from average total expenditures and then dividing health care expenditures by this figure. Per capita spending was calculated by dividing average household spending by average household size. Constant dollar figures and adjustments for inflation were calculated using the Consumer Price Index (1998 = 100) to control for the effect of inflation over time.Main ResultsAlmost every Canadian household (98.2%) reported health care expenditures in 1998, spending an average of close to $1,200, up from around $900 in 1978. In 1998, households dedicated a larger share of their average after-tax spending (2.9%) to health care than they did 20 years earlier (2.3%). Health insurance premiums claimed the largest share (29.8%) of average health care expenditures, followed by dental care, then prescription medications and pharmaceutical products.

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