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Standardized Mortality Ratios In Capitation Funding Models: Emiprical Issues From Canadian Data

Author

Listed:
  • Allan Gregory

    (B.A. (Toronto), Ph.D. (Queen's))

  • Kelly Bedard
  • John Dorland
  • Mark Rosenberg

Abstract

Needs based capitation models have been suggested as an alternative to funding methods based on historical utilization patterns. The standardized mortality ratio (SMR) applied in conjuction with an age/gender adjustment is the most widely adopted measure of relative need. This paper addresses a number of important index construction issues using Canadian data. These include the influence exerted by the reference population (national versus provincial), the age structure (excluding people over 64 versus 74), the optimal period over which to average the SMR in order to smooth meaningless fluctuations, and the correspondence between SMRs, standard socio-economic indicators (i.e. unemployment, education, and income), health care 'need', and expenditures.

Suggested Citation

  • Allan Gregory & Kelly Bedard & John Dorland & Mark Rosenberg, 1997. "Standardized Mortality Ratios In Capitation Funding Models: Emiprical Issues From Canadian Data," Working Paper 948, Economics Department, Queen's University.
    • Handle: RePEc:qed:wpaper:948
    as

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    File URL: https://www.econ.queensu.ca/sites/econ.queensu.ca/files/qed_wp_948.pdf
    File Function: First version 1997
    Download Restriction: no
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    More about this item

    Keywords

    Capitation funding; Gender; Standardized mortality ratios; Region; Age;
    All these keywords.

    JEL classification:

    • I0 - Health, Education, and Welfare - - General
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

    Statistics

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