Page 87 - Effective healthcare cost containment policies Using the Netherlands as a case study - Niek W. Stadhouders

The marginal benefits of healthcare spending in the Netherlands
80, and thereafter declined. Spending and mortality was highest for cancer and circulatory diseases, while most patients visited the hospital with diseases related to the eye and ear and external causes and injuries.
Table 4.1: Summary statistics over time
Total hospital spending in millions of 2014 Euro 20,757 21,031 20,702 Number of unique patients (x1000) 7,379 7,184 7,112 Total deaths (x1000) 141 141 139
Table 4.2: Summary statistics by age group in 2014
0 years
6 to 10 years 16 to 20 years 26 to 30 years 36 to 40 years 46 to 50 years 56 to 60 years
2012
2013
2014
Age group
Hospital spending (million euro)
Number of patients
Number of
Healthy Life Expectancy (net present value)
Costs in last year of life
651 162,972 630 444 283,356 99 353 271,087 75 426 275,794 100 444 286,219 226 529 315,197 266 731 350,413 364 799 361,227 444 785 354,774 614
38.2 € 25,219 37.5 € 8,225 35.7 € 7,405 33.9 € 8,380 31.9 € 10,248 29.8 € 12,626 27.7 € 15,511 25.5 € 17,409 23.1 € 18,997 20.5 € 22,535 18.0 € 28,168 15.5 € 33,159 13.1 € 35,690 10.9 € 34,355
deaths*
1to5years
11 to 15 years
21 to 25 years
31 to 35 years
41 to 45 years
51 to 55 years
61 to 65 years
66 to 70 years 76 to 80 years 86 to 90 years
1,028 442,103 1,232 1,268 492,095 2,152 1,528 531,656 3,647 1,749 537,316 5,336 2,031 567,446 7,880 2,334 589,323 11,729 1,975 458,821 13,285 1,689 374,030 17,286 1,188 267,380 23,307
8.7 € 31,097 6.5 € 28,362 4.6 € 24,053 3.4 € 17,086 2.4 € 10,969 1.6 € 6,607 1.2 € 4,249
71 to 75 years
562 138,191 24,875
81 to 85 years
172 45,263 18,699 95+ years 24 6,883 6,977
91 to 95 years
*Due to privacy issues, the total number of deaths is based on official statistics, which use different age groups (1 to 4 years, 5 to 9 years, etc.)
79