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Cigarette Smoking and the Cost of Hospital and Physician Care

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  • Glenn W. Harrison
  • James P. Feehan
  • Alison C. Edwards
  • Jorge Segovia

Abstract

Smoking is widely known to affect health adversely. The consequent cost to the publicly funded Canadian health-care system is a matter of considerable policy interest. We consider two core elements of health care: hospitals and physicians. This study, unlike previous Canadian studies, uses the econometric approach to assess these costs. The availability of the 1995 Newfoundland Adult Health Survey makes that application feasible. That survey covers thousands of individuals, providing a snapshot of their socio-demographic, economic, and health characteristics and is linked to the respondents' medical utilization records over a seven-year period. It is estimated that over 12 percent of hospital utilization and approximately 7 percent of visits to physicians are attributable to smoking. The associated annual monetary costs are considerable, approximately $110 to $140 per capita.

Suggested Citation

  • Glenn W. Harrison & James P. Feehan & Alison C. Edwards & Jorge Segovia, 2003. "Cigarette Smoking and the Cost of Hospital and Physician Care," Canadian Public Policy, University of Toronto Press, vol. 29(1), pages 1-19, March.
    • Handle: RePEc:cpp:issued:v:29:y:2003:i:1:p:1-19
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    References listed on IDEAS

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    1. André Raynauld & Jean-Pierre Vidal, 1992. "Smokers' Burden on Society: Myth and Reality in Canada," Canadian Public Policy, University of Toronto Press, vol. 18(3), pages 300-317, September.
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    3. Miller, Vincent P. & Ernst, Carla & Collin, François, 1999. "Smoking-attributable medical care costs in the USA," Social Science & Medicine, Elsevier, vol. 48(3), pages 375-391, February.
    4. Duan, Naihua, et al, 1983. "A Comparison of Alternative Models for the Demand for Medical Care," Journal of Business & Economic Statistics, American Statistical Association, vol. 1(2), pages 115-126, April.
    5. David F. Burgess, 1981. "The Social Discount Rate for Canada: Theory and Evidence," Canadian Public Policy, University of Toronto Press, vol. 7(3), pages 383-394, Summer.
    6. Cragg, John G, 1971. "Some Statistical Models for Limited Dependent Variables with Application to the Demand for Durable Goods," Econometrica, Econometric Society, vol. 39(5), pages 829-844, September.
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    Cited by:

    1. Allison Larg & John Moss, 2011. "Cost-of-Illness Studies," PharmacoEconomics, Springer, vol. 29(8), pages 653-671, August.
    2. Mariana Conte Grand & Pablo Perel & Raúl Pitarque & Gustavo Sánchez, 2003. "Estimación del costo económico en Argentina de la mortalidad atribuible al tabaco en adultos," CEMA Working Papers: Serie Documentos de Trabajo. 253, Universidad del CEMA.
    3. Harrison, Glenn W. & Lau, Morten I. & Rutström, E. Elisabet, 2010. "Individual discount rates and smoking: Evidence from a field experiment in Denmark," Journal of Health Economics, Elsevier, vol. 29(5), pages 708-717, September.
    4. Sunday Azagba & Mesbah Sharaf & Christina Xiao Liu, 2013. "Disparities in health care utilization by smoking status in Canada," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 913-925, December.
    5. Mariana Conte Grand, 2005. "Reestimación y actualización del costo económico en Argentina de la mortalidad atribuible al tabaco en adultos," CEMA Working Papers: Serie Documentos de Trabajo. 305, Universidad del CEMA.

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