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Article: Domestic health expenditure in Hong Kong: 1989/90 to 2001/02

TitleDomestic health expenditure in Hong Kong: 1989/90 to 2001/02
Authors
KeywordsDelivery of health care
Health expenditures
Hong kong
Issue Date2006
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
Citation
Hong Kong Medical Journal, 2006, v. 12 n. 1, p. 47-55 How to Cite?
AbstractObjective. To estimate the total domestic health expenditure in Hong Kong between fiscal years 1989/90 and 2001/02, with breakdown by financing source, provider, and function over time. Methods. The standard health accounting methods as per the Organisation for Economic Co-operation and Development System of Health Accounts guidelines of 2000 were adopted. Results. Total domestic health expenditure was $68 620 million in the fiscal year 2001/02. In real terms, expenditure grew at an average rate of 7% while gross domestic product increased by 4% during the same period. This indicates a growing share of health spending relative to gross domestic product, from 3.8% in 1989/90 to 5.5% in 2001/02. This upward trend was largely driven by increased public spending that rose 208% in real terms over the period, compared with 76% for private spending. Out-of-pocket payments by households accounted for about 70% of private spending while employers and insurance accounted for 28%. Private insurance plays an increasingly important role in financing private spending whereas household expenditure has shown a corresponding decrease during the period. Expenditure incurred at providers of ambulatory services and hospitals accounted for more than 70% of total health expenditure during the observed period. Hospitals' share of total spending increased by 18%, reaching 45% of total expenditure in 2001/02, whilst the share of providers of ambulatory services reduced to 30% in 2001/02. The two largest functional components of total health expenditure were ambulatory care (35-41%) and in-patient curative care (20-27%). Public spending generally financed in-patient curative care and ambulatory services; private spending was concentrated on ambulatory services and medical goods outside the patient care setting. Conclusion. These data provide important information for the public, policymakers, and researchers to assess the performance of the health care system longitudinally, and to evaluate health expenditure-related policies.
Persistent Identifierhttp://hdl.handle.net/10722/45476
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, GMen_HK
dc.contributor.authorTin, KYKen_HK
dc.contributor.authorYeung, RYTen_HK
dc.contributor.authorRannanEliya, Ren_HK
dc.contributor.authorLeung, ESKen_HK
dc.contributor.authorLam, DWSen_HK
dc.contributor.authorLo, SVen_HK
dc.date.accessioned2007-10-30T06:26:52Z-
dc.date.available2007-10-30T06:26:52Z-
dc.date.issued2006en_HK
dc.identifier.citationHong Kong Medical Journal, 2006, v. 12 n. 1, p. 47-55en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/45476-
dc.description.abstractObjective. To estimate the total domestic health expenditure in Hong Kong between fiscal years 1989/90 and 2001/02, with breakdown by financing source, provider, and function over time. Methods. The standard health accounting methods as per the Organisation for Economic Co-operation and Development System of Health Accounts guidelines of 2000 were adopted. Results. Total domestic health expenditure was $68 620 million in the fiscal year 2001/02. In real terms, expenditure grew at an average rate of 7% while gross domestic product increased by 4% during the same period. This indicates a growing share of health spending relative to gross domestic product, from 3.8% in 1989/90 to 5.5% in 2001/02. This upward trend was largely driven by increased public spending that rose 208% in real terms over the period, compared with 76% for private spending. Out-of-pocket payments by households accounted for about 70% of private spending while employers and insurance accounted for 28%. Private insurance plays an increasingly important role in financing private spending whereas household expenditure has shown a corresponding decrease during the period. Expenditure incurred at providers of ambulatory services and hospitals accounted for more than 70% of total health expenditure during the observed period. Hospitals' share of total spending increased by 18%, reaching 45% of total expenditure in 2001/02, whilst the share of providers of ambulatory services reduced to 30% in 2001/02. The two largest functional components of total health expenditure were ambulatory care (35-41%) and in-patient curative care (20-27%). Public spending generally financed in-patient curative care and ambulatory services; private spending was concentrated on ambulatory services and medical goods outside the patient care setting. Conclusion. These data provide important information for the public, policymakers, and researchers to assess the performance of the health care system longitudinally, and to evaluate health expenditure-related policies.en_HK
dc.format.extent353645 bytes-
dc.format.extent1928 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypetext/plain-
dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectDelivery of health careen_HK
dc.subjectHealth expendituresen_HK
dc.subjectHong kongen_HK
dc.subject.meshHealth Expenditures - statistics & numerical data - trendsen_HK
dc.subject.meshFinancing, Personal - statistics & numerical data - trendsen_HK
dc.subject.meshAmbulatory Care/economicsen_HK
dc.subject.meshHospitalization/economicsen_HK
dc.subject.meshHong Kongen_HK
dc.titleDomestic health expenditure in Hong Kong: 1989/90 to 2001/02en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=12&issue=1&spage=47&epage=55&date=2006&atitle=Domestic+health+expenditure+in+Hong+Kong:+1989/90+to+2001/02en_HK
dc.identifier.emailLeung, GM:gmleung@hku.hken_HK
dc.identifier.emailTin, KYK:tinyiuke@hku.hken_HK
dc.identifier.authorityLeung, GM=rp00460en_HK
dc.identifier.authorityTin, KYK=rp00494en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid16495589-
dc.identifier.scopuseid_2-s2.0-33344463884en_HK
dc.identifier.hkuros114493-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33344463884&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume12en_HK
dc.identifier.issue1en_HK
dc.identifier.spage47en_HK
dc.identifier.epage55en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridLeung, GM=7007159841en_HK
dc.identifier.scopusauthoridTin, KYK=7003796897en_HK
dc.identifier.scopusauthoridYeung, RYT=7102833306en_HK
dc.identifier.scopusauthoridRannanEliya, R=14919790700en_HK
dc.identifier.scopusauthoridLeung, ESK=12647264200en_HK
dc.identifier.scopusauthoridLam, DWS=12647548900en_HK
dc.identifier.scopusauthoridLo, SV=8426498400en_HK

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