health expenditures and technology in the treatment of heart attacks

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LIST OF TABLESTABLE 1 .........................................................................................................................................9Composition of Health Care Funding in Alberta, Five and Twenty-Year Trends, 1975 to1995TABLE 2 .......................................................................................................................................13Record Linkage Summary - 7 Databases and 10 YearsTABLE 3 .......................................................................................................................................14Inclusion and Exclusion Criteria Used to Define an Index Admission for AMI PatientsTABLE 4 .......................................................................................................................................16Number, Age and Gender of AMI Patients Included in the StudyTABLE 5 .......................................................................................................................................16Manitoba-Dartmouth Comorbidity Classification (Crude % of patients with diagnoses in theprevious year)TABLE 6 .......................................................................................................................................17Total Visits and Crude Readmission Rates Following Discharge After Index HospitalizationTABLE 7 .......................................................................................................................................18Crude In-Hospital Mortality RatesTABLE 8 .......................................................................................................................................20In-Hospital Length of StayTABLE 9 .......................................................................................................................................21Crude Coronary Artery Bypass Graft (CABG) RatesTABLE 10 .....................................................................................................................................22Crude Percutaneous Transluminal Coronary Angioplasty (PTCA) RatesTABLE 11 .....................................................................................................................................22Crude Catheterization (CATH) RatesTABLE 12 .....................................................................................................................................23Day Surgery ProceduresTABLE 13 .....................................................................................................................................25Utilization of Professional ServicesTABLE 14 .....................................................................................................................................25Utilization of Physician ServicesInstitute of Health Economics Working Paper 00-14iv
TABLE 15 .....................................................................................................................................26Most Frequent Physician Service Codes by Category of ServiceTABLE 16 .....................................................................................................................................28Utilization of MedicationsTABLE 17 .....................................................................................................................................29Utilization of Home Care ServicesTABLE 18 .....................................................................................................................................29Utilization of Long Term Care BedsTABLE 19 .....................................................................................................................................32Annual Expenditures in the Treatment of Heart Attacks (1999 Canadian Dollars)TABLE 20 .....................................................................................................................................33Proportion of Total Costs Accounted for in the Treatment of Heart Attacks.Institute of Health Economics Working Paper 00-14v
Page 1 and 2: HEALTH EXPENDITURES AND TECHNOLOGYI
Page 3: TABLE OF CONTENTSEXECUTIVE SUMMARY
Page 7 and 8: EXECUTIVE SUMMARYPurposeThe purpose
Page 9 and 10: INTRODUCTIONThis paper is the third
Page 12 and 13: INCENTIVES FOR TECHNOLOGICAL CHANGE
Page 14 and 15: Figure 1: Funding of Health Care Se
Page 16 and 17: In 1986 physician fees were determi
Page 18 and 19: Services (established in June 1998)
Page 20 and 21: Table 3: Inclusion and Exclusion Cr
Page 22 and 23: Table 4: Number, Age and Gender of
Page 24 and 25: Increased consumption of health car
Page 26 and 27: Table 8: In-Hospital Length of Stay
Page 28 and 29: Table 10: Crude Percutaneous Transl
Page 30 and 31: Changes in Low-Tech CareLow-tech ca
Page 32 and 33: Table 15: Most Frequent Physician S
Page 34 and 35: use of cardiac drugs but a 50% incr
Page 36 and 37: with respect to each health encount
Page 38 and 39: Table 19 also includes limited priv
Page 40 and 41: DISCUSSIONHealth reform has been su
Page 42 and 43: of resources consumed on a per diem
Page 44 and 45: Finally, treatment of AMI and the r
Page 46: 15. Jacobs P. Hall EM. Lave JR. Gle

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