Figures and tables: Economic Burden of Illness in Canada, 2005–2008

Summary of EBIC 2005-2008 Results

Figures and Tables

Table 1: Cost Estimates by Cost Type and Cost Component, Canada, 2005-2008
($'000,000 2010 Constant Dollars)Table 1 - Footnote 4
Cost Component 2008 % of Total 2007 % of Total 2006 % of Total 2005 % of Total
Footnotes:
1The cost totals for each direct cost component were obtained from CIHI’s National Health Expenditure Trends, 1975 to 2012 (5).
2For direct costs, the unattributable amount of each direct cost component is calculated as the NHEX total for the specific component minus the cost attributable by EBIC categories.
3The unattributable amount of morbidity costs refers to the value of lost production that could not be designated to a specific diagnostic category.
4EBIC cost estimates in current dollars were converted to constant dollars using Statistics Canada's consumer price index values (7)
Note: Any discrepancies may be due to rounding.
Direct CostsTable 1 - Footnote 1, Table 1 - Footnote 2
Hospital Care Expenditures 50,155.8 26.0 47,780.6 25.9 46,120.0 26.0 44,217.6 26.1
Attributable 39,744.9 20.6 38,224.2 20.8 35,935.7 20.2 33,831.1 20.0
Unattributable 10,410.8 5.4 9,556.4 5.2 10,184.4 5.7 10,386.5 6.1
Drug Expenditures 28,509.7 14.8 27,625.2 15.0 26,796.6 15.1 25,253.6 14.9
Attributable 21,633.3 11.2 20,952.3 11.4 19,990.9 11.3 19,296.7 11.4
Unattributable 6,876.4 3.6 6,672.8 3.6 6,805.7 3.8 5,956.9 3.5
Physician Care Expenditures 24,280.5 12.6 22,520.9 12.2 21,406.6 12.1 20,203.7 11.9
Attributable 24,280.5 12.6 22,520.9 12.2 21,406.6 12.1 20,203.7 11.9
Unattributable 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Other Direct Costs 72,676.8 37.7 69,503.5 37.7 66,745.7 37.6 63,548.8 37.5
Attributable 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Unattributable 72,676.8 37.7 69,503.5 37.7 66,745.7 37.6 63,548.8 37.5
Total Direct Costs 175,622.8 91.1 167,430.2 90.9 161,069.0 90.7 153,223.7 90.4
Indirect Costs
Mortality Costs 463.5 0.2 461.5 0.3 470.7 0.3 469.8 0.3
Attributable 463.5 0.2 461.5 0.3 470.7 0.3 469.8 0.3
Unattributable 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Morbidity Costs 16,741.3 8.7 16,312.9 8.9 16,028.0 9.0 15,760.4 9.3
Attributable 10,423.1 5.4 10,117.0 5.5 9,931.4 5.6 9,766.3 5.8
UnattributableTable 1 - Footnote 3 6,318.23 3.3 6,195.9 3.4 6,096.6 3.4 5,994.1 3.5
Total Indirect Costs 17,204.8 8.9 16,774.4 9.1 16,498.7 9.3 16,230.2 9.6
Total Cost of Illness 192,827.6 100.0 184,204.5 100.0 177,567.8 100.0 169,453.9 100.0

Table 2: Cost Estimates by Cost Type and Cost Component, Canada, 2005-2008
($'000,000 Current Dollars)
Cost Component 2008 % of Total 2007 % of Total 2006 % of Total 2005 % of Total
Footnotes:
1The cost totals for each direct cost component were obtained from CIHI’s National Health Expenditure Trends, 1975 to 2012 (5).
2For direct costs, the unattributable amount of each direct cost component is calculated as the NHEX total for the specific component minus the cost attributable by EBIC categories.
3The unattributable amount of morbidity costs refers to the value of lost production that could not be designated to a specific diagnostic category.
Note: Any discrepancies may be due to rounding.
Direct CostsTable 2 - Footnote 1, Table 2 - Footnote 2
Hospital Care Expenditures 49,122.5 26.0 45,729.9 25.9 43,190.5 26.0 40,611.9 26.1
Attributable 38,926.1 20.6 36,583.7 20.8 33,653.0 20.2 31,072.4 20.0
Unattributable 10,196.4 5.4 9,146.3 5.2 9,537.5 5.7 9,539.5 6.1
Drug Expenditures 27,922.4 14.8 26,439.5 15.0 25,094.5 15.1 23,194.3 14.9
Attributable 21,187.6 11.2 20,053.1 11.4 18,721.1 11.3 17,723.2 11.4
Unattributable 6,734.8 3.6 6,386.4 3.6 6,373.4 3.8 5,471.1 3.5
Physician Care Expenditures 23,780.3 12.6 21,554.3 12.2 20,046.9 12.1 18,556.2 11.9
Attributable 23,780.3 12.6 21,554.3 12.2 20,046.9 12.1 18,556.2 11.9
Unattributable 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Other Direct Costs 71,179.6 37.7 66,520.5 37.7 62,506.1 37.6 58,366.7 37.5
Attributable 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Unattributable 71,179.6 37.7 66,520.5 37.7 62,506.1 37.6 58,366.7 37.5
Total Direct Costs 172,004.8 91.1 160,244.3 90.9 150,838.0 90.7 140,729.0 90.4
Indirect Costs
Mortality Costs 454.0 0.2 441.7 0.3 440.8 0.3 431.5 0.3
Attributable 454.0 0.2 441.7 0.3 440.8 0.3 431.5 0.3
Unattributable 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Morbidity Costs 16,396.4 8.7 15,612.7 8.9 15,010.0 9.0 14,475.2 9.3
Attributable 10,208.3 5.4 9,682.8 5.5 9,300.6 5.6 8,969.9 5.8
UnattributableTable 2 - Footnote 3 6,188.07 3.3 5,930.0 3.4 5,709.4 3.4 5,505.3 3.5
Total Indirect Costs 16,850.4 8.9 16,054.5 9.1 15,450.7 9.3 14,906.7 9.6
Total Cost of Illness 188,855.2 100.0 176,298.8 100.0 166,288.8 100.0 155,635.8 100.0

Table 3: Cost Estimates by Diagnostic Category, Cost Type and Cost Component, Canada, 2008
($’000,000 Current Dollars)
Diagnostic Category Hospital Care % of Hospital Care Drug % of Drug Physician Care % of Physician Care Other Direct % of Other Direct Total Direct % of Total Direct Direct Rank
Footnotes:
1The unattributable amount of expenditures for each direct cost component was calculated as the NHEX expenditure total minus the costs attributable by EBIC categories.
2Source: Canadian Institute for Health Information, National Health Expenditure Trends, 1975 to 2012 (2).
Note: Discrepancies may occur due to rounding.
Certain Infectious and Parasitic Diseases 871.1 1.8 696.7 2.5 509.3 2.1 0.0 0.0 2,077.0 1.2 16
Respiratory Infections 958.9 2.0 509.3 1.8 1,125.2 4.7 0.0 0.0 2,593.3 1.5 12
Maternal Conditions 1,382.7 2.8 58.5 0.2 792.1 3.3 0.0 0.0 2,233.3 1.3 13
Perinatal Conditions 928.6 1.9 9.8 0.0 42.0 0.2 0.0 0.0 980.4 0.6 18
Nutritional Deficiencies 108.7 0.2 77.2 0.3 158.0 0.7 0.0 0.0 343.9 0.2 22
Malignant Neoplasms 2,329.4 4.7 467.1 1.7 1,031.7 4.3 0.0 0.0 3,828.2 2.2 8
Other Neoplasms 431.3 0.9 49.8 0.2 484.0 2.0 0.0 0.0 965.1 0.6 19
Diabetes Mellitus 492.7 1.0 1,198.2 4.3 487.3 2.0 0.0 0.0 2,178.2 1.3 14
Endocrine Disorders 423.4 0.9 1,728.4 6.2 587.5 2.5 0.0 0.0 2,739.2 1.6 11
Neuropsychiatric Conditions 5,520.3 11.2 3,551.3 12.7 2,347.0 9.9 0.0 0.0 11,418.6 6.6 2
Sense Organ Diseases 520.3 1.1 283.4 1.0 1,329.3 5.6 0.0 0.0 2,132.9 1.2 15
Cardiovascular Diseases 5,068.0 10.3 4,272.7 15.3 2,352.0 9.9 0.0 0.0 11,692.7 6.8 1
Respiratory Diseases 1,818.5 3.7 1,197.2 4.3 632.6 2.7 0.0 0.0 3,648.3 2.1 10
Digestive Diseases 2,839.4 5.8 1,434.0 5.1 1,232.6 5.2 0.0 0.0 5,506.0 3.2 5
Genitourinary Diseases 1,499.2 3.1 670.8 2.4 1,626.4 6.8 0.0 0.0 3,796.5 2.2 9
Skin Diseases 410.3 0.8 680.5 2.4 833.1 3.5 0.0 0.0 1,923.9 1.1 17
Musculoskeletal Diseases 1,795.9 3.7 1,982.5 7.1 2,002.5 8.4 0.0 0.0 5,780.8 3.4 4
Congenital Anomalies 302.9 0.6 35.0 0.1 139.0 0.6 0.0 0.0 477.0 0.3 20
Oral Conditions 153.6 0.3 42.3 0.2 214.1 0.9 0.0 0.0 410.0 0.2 21
Injuries 3,395.8 6.9 259.7 0.9 1,435.0 6.0 0.0 0.0 5,090.5 3.0 7
Symptoms, Signs and Ill-Defined Conditions 2,131.7 4.3 1,283.1 4.6 1,846.1 7.8 0.0 0.0 5,260.8 3.1 6
Factors Influencing Health and Contact with Health Services 5,543.4 11.3 700.4 2.5 2,573.7 10.8 0.0 0.0 8,817.5 5.1 3
Total EBIC Cost Estimates 38,926.1 79.2 21,187.6 75.9 23,780.3 100.0 0.0 0.0 83,894.0 48.8  
Unattributable CostsTable 3 - Footnote 1 10,196.4 20.8 6,734.8 24.1 0.0 0.0 71,179.6 100.0 88,110.8 51.2  
Total CostsTable 3 - Footnote 2 49,122.5 100.0 27,922.4 100.0 23,780.3 100.0 71,179.6 100.0 172,004.8 100.0  

Table 3 (continued): Cost Estimates by Diagnostic Category, Cost Type and Cost Component, Canada, 2008
($’000,000 Current Dollars)
Diagnostic Category Mortality % of Mortality Morbidity % of Morbidity Total Indirect % of Total Indirect Indirect Rank Total
(Direct + Indirect)
% of Total (Direct + Indirect) Total
(Direct + Indirect) Rank
Footnotes:
1The unattributable amount of expenditures for each direct cost component was calculated as the NHEX expenditure total minus the costs attributable by EBIC categories.
2Source: CIHI’s National Health Expenditure Trends, 1975 to 2012 (5).
Note: Any discrepancies may be due to rounding.
Certain Infectious and Parasitic Diseases 13.0 2.9 826.9 5.0 839.9 5.0 5 2,916.9 1.5 12
Respiratory Infections 5.1 1.1 2,812.4 17.2 2,817.6 16.7 2 5,410.8 2.9 7
Maternal Conditions 0.2 0.0 - 0.2 0.0 18 2,233.5 1.2 15
Perinatal Conditions 0.1 0.0  - 0.1 0.0 19 980.5 0.5 18
Nutritional Deficiencies 0.3 0.1  - 0.3 0.0 17 344.2 0.2 22
Malignant Neoplasms 166.0 36.6 420.0 2.6 586.1 3.5 6 4,414.2 2.3 9
Other Neoplasms 1.8 0.4  - 1.8 0.0 15 966.9 0.5 19
Diabetes Mellitus 12.3 2.7 132.9 0.8 145.2 0.9 10 2,323.4 1.2 14
Endocrine Disorders 6.3 1.4  - 6.3 0.0 13 2,745.6 1.5 13
Neuropsychiatric Conditions 19.1 4.2 1,024.4 6.2 1,043.4 6.2 4 12,462.0 6.6 1
Sense Organ Diseases 0.0 0.0  - 0.0 0.0 21 2,132.9 1.1 16
Cardiovascular Diseases 92.4 20.4 269.6 1.6 362.0 2.1 7 12,054.7 6.4 2
Respiratory Diseases 11.3 2.5 110.0 0.7 121.3 0.7 11 3,769.6 2.0 11
Digestive Diseases 24.5 5.4 151.1 0.9 175.6 1.0 8 5,681.6 3.0 6
Genitourinary Diseases 3.8 0.8 156.5 1.0 160.3 1.0 9 3,956.8 2.1 10
Skin Diseases 0.4 0.1  - 0.4 0.0 16 1,924.3 1.0 17
Musculoskeletal Diseases 2.5 0.5 1,395.5 8.5 1,398.0 8.3 3 7,178.8 3.8 5
Congenital Anomalies 2.9 0.6  - 2.9 0.0 14 479.8 0.3 20
Oral Conditions 0.0 0.0  - 0.0 0.0 20 410.0 0.2 21
Injuries 84.6 18.6 2,909.0 17.7 2,993.5 17.8 1 8,084.1 4.3 4
Symptoms. Signs and Ill-Defined Conditions 7.5 1.6  - 7.5 0.0 12 5,268.3 2.8 8
Factors Influencing Health and Contact with Health Services -  - 0.0 0.0 22 8,817.5 4.7 3
Total EBIC Cost Estimates 454.0 100.0 10,208.3 62.3 10,662.3 63.3 94 556.4 50.1
Unattributable CostsTable 3B - Footnote 1 0.0 0.0 6,188.1 37.7 6,188.1 36.7 94 298.8 49.9
Total CostsTable 3B - Footnote 2 454.0 100.0 16,396.4 100.0 16,850.4 100.0 188,855.2 100.0

Figure 1: Cost Distribution by Direct Cost Component for the Five Diagnostic Categories with the Highest Total Direct Costs, Canada, 2008

Figure 1

Notes: 'Other diagnostic categories' include the costs from all other EBIC diagnostic categories not individually displayed in the figure.
Any discrepancies may be due to rounding.

Text Equivalent - Figure 1
Diagnostic Category Percentage of Costs Attributed to Hospital Care Percentage of Costs Attributed to Drugs Percentage of Costs Attributed to Physician Care
Cardiovascular Diseases
($11.7 billion)
43.3 36.5 20.1
Neuropsychiatric Conditions ($11.4 billion) 48.3 31.1 20.6
Digestive Diseases
($5.5 billion)
51.6 26.0 22.4
Musculoskeletal Diseases
($5.8 billion)
31.1 34.3 34.6
Injuries
($5.1 billion)
66.7 5.1 28.2
Other Diagnostic Categories ($44.4 billion) 45.7 21.8 32.5

Enlarge Figure 1

Figure 2: Cost Distribution by Indirect Cost Component for the Five Diagnostic Categories with the Highest Total Indirect Costs, Canada, 2008

Figure 2

Notes: Mortality costs represented 0.2% of costs in the ‘Respiratory infections’ and ‘Musculoskeletal diseases’ categories; these numeric values are represented but not displayed in the figure. 'Other diagnostic categories' include the costs from all other EBIC diagnostic categories not individually displayed in the figure. Any discrepancies may be due to rounding.

Text Equivalent - Figure 2
Diagnostic Category Percentage of Costs Attributed to Mortality Percentage of Costs Attributed to Morbidity
Injuries
($3.0 billion)
2.8 97.2
Respiratory Infections
($2.8 billion)
0.2 99.8
Musculoskeletal Diseases
($1.4 billion)
0.2 99.8
Neuropsychiatric Conditions
($1.0 billion)
1.8 98.2
Certain Infectious and Parasitic Diseases
($0.8 billion)
1.5 98.5

Enlarge Figure 2

Figure 3: Cost Distribution by Cost Component for the Five Diagnostic Categories with the Highest Total Costs, Canada, 2008

Figure 3

Notes: Mortality costs represented 0.2%, 0.8%, 1.1%, 0.0%, 0.4% and 0.5% of costs in the ‘Neuropsychiatric conditions’, ‘Cardiovascular diseases’, ‘Injuries’, ‘Musculoskeletal diseases’, ‘Digestive diseases’ and ‘Other diagnostic categories’ respectively; these numeric values are represented but not displayed in the figure. 'Other diagnostic categories' include the costs from all other EBIC diagnostic categories not individually displayed in the figure. Any discrepancies may be due to rounding.

Text Equivalent - Figure 3
Diagnostic Category Percentage of Costs Attributed to Hospital Care Percentage of Costs Attributed to Drugs Percentage of Costs Attributed to Physician Care Percentage of Costs Attributed to Mortality Percentage of Costs Attributed to Morbidity
Neuropsychiatric Conditions
($12.5 billion)
44.3 28.5 18.8 0.2 8.2
Cardiovascular Diseases
($12.1 billion)
42.0 35.4 19.5 0.8 2.2
Injuries
($8.1 billion)
42.0 3.2 17.8 1.1 36.0
Musculoskeletal Diseases
($7.2 billion)
25.0 27.6 27.9 0.0 19.4
Digestive Diseases
($5.7 billion)
50.0 25.2 21.7 0.4 2.7
Other Diagnostic Categories
($49.1 billion)
41.4 19.7 29.4 0.5 9.1

Enlarge Figure 3

Figure 4: Direct Cost Distribution by Sex, Canada, 2008

Figure 4

Notes: The above figure represents the cost distribution by sex for total direct costs of $83.9 billion.
Any discrepancies may be due to rounding.

Text Equivalent - Figure 4

In 2008, males and females accounted for 45.9% and 54.1% the direct costs ($83.9 billion) respectively.

Enlarge Figure 4

Figure 5: Indirect Cost Distribution by Sex, Canada, 2008

Figure 5

Notes: The above figure represents the cost distribution by sex for total indirect costs of $16.9 billion.
Any discrepancies may be due to rounding.

Text Equivalent - Figure 5

In 2008, males and females accounted for 54.9% and 45.1% the indirect costs ($16.9 billion) respectively.

Enlarge Figure 5

Figure 6: Total Cost Distribution by Sex, Canada, 2008

Figure 6

Notes: The above figure represents the cost distribution by sex for total costs of $100.7 billion.
Any discrepancies may be due to rounding.

Text Equivalent - Figure 6

In 2008, males and females accounted for 47.4% and 52.6% the indirect costs ($100.7 billion) respectively.

Enlarge Figure 6

Figure 7: Cost Distribution by Sex and Cost Component, Canada, 2008

Figure 7

Notes: Mortality costs for males and females represented 0.7% and 0.2% of totals costs respectively; this numeric value is represented but not displayed in the figure. Any discrepancies may be due to rounding.

Text Equivalent - Figure 7
Sex Percentage of Costs Attributed to Hospital Care Percentage of Costs Attributed to Drugs Percentage of Costs Attributed to Physician Care Percentage of Costs Attributed to Mortality Percentage of Costs Attributed to Morbidity
Male
($47.8 billion)
39.7 20.4 20.6 0.7 18.7
Female
($53.0 billion)
37.7 21.6 26.3 0.2 14.1

Enlarge Figure 7

Figure 8: Cost Distribution by Cost Component and Sex, Canada, 2008

Figure 8

Note: Any discrepancies may be due to rounding.

Text Equivalent - Figure 8
Cost Component Percentage of Costs Attributed to Males Percentage of Costs Attributed to Females
Hospital Care
($38.9 billion)
48.7 51.3
Drug
($21.2 billion)
45.9 54.1
Physician Care
($23.8 billion)
41.3 58.7
Mortality
($0.5 billion)
74.0 26.0
Morbidity
($16.4 billion)
54.4 45.6

Enlarge Figure 8

Figure 9: Direct Cost Distribution by Age Group, Canada, 2008

Figure 9

Notes: The above figure represents the cost distribution by age group for total direct costs of $83.9 billion.
Any discrepancies may be due to rounding.

Text Equivalent - Figure 9
Age Group Percentage of Direct Costs
0-14 years 7.6
15-34 years 15.0
35-54 years 24.1
55-64 years 16.2
65-74 years 15.6
75+ years 21.6

Enlarge Figure 9

Figure 10: Indirect Cost Distribution by Age Group, Canada, 2008

Figure 10

Notes: The above figure represents the cost distribution by age group for total indirect costs of $16.9 billion. Individuals aged 75 years and older represented 0.0% of indirect costs; this numeric value is represented but not displayed in the figure. Any discrepancies may be due to rounding.

Text Equivalent - Figure 10
Age Group Percentage of Indirect Costs
15-34 years 22.5
35-54 years 60.2
55-64 years 16.2
65-74 years 1.0
75+ years 0.0

Enlarge Figure 10

Figure 11: Total Cost Distribution by Age Group, Canada, 2008

Figure 11

Notes: The above figure represents the cost distribution by age group for total costs of $100.7 billion.
Any discrepancies may be due to rounding.

Text Equivalent - Figure 11
Age Group Percentage of Total Costs
0-14 years 6.3
15-34 years 16.2
35-54 years 30.1
55-64 years 16.2
65-74 years 13.1
75+ years 18.0

Enlarge Figure 11

Figure 12: Cost Distribution by Age Group and Cost Component, Canada, 2008

Figure 12

Notes: Mortality costs for individuals aged 15-34 years and 35-54 years represented 0.2% and 0.8% of totals costs respectively; this numeric value is represented but not displayed in the figure.  Similarly, morbidity costs for individuals aged 65-74 years represented 1.2% of total costs, this number is represented but not displayed in the figure. In this report, mortality and morbidity costs were only estimated for individuals aged 15-64 years and 15-75 years respectively. Any discrepancies may be due to rounding.

Text Equivalent - Figure 12
Age Group Percentage of Costs Attributed to Hospital Care Percentage of Costs Attributed to Drugs Percentage of Costs Attributed to Physician Care Percentage of Costs Attributed to Mortality Percentage of Costs Attributed to Morbidity
0-14 years
($6.3 billion)
50.0 15.9 34.1 - -
15-34 years
($16.4 billion)
29.6 17.4 29.8 0.2 23.1
35-54 years
($30.4 billion)
24.6 20.9 21.0 0.8 32.7
55-64 years
($16.3 billion)
34.2 26.3 22.7 1.2 15.6
65-74 years
($13.3 billion)
48.2 27.1 23.5 - 1.2
75+ years
($18.1 billion)
63.3 17.1 19.6 - 0.0

Enlarge Figure 12

Figure 13: Cost Distribution by Cost Component and Age Group, Canada, 2008

Figure 13

Notes: Morbidity costs for individuals aged 65-74 years and 75+ years represented 1.0% and 0.0% of total morbidity costs respectively; these numeric values are represented but not displayed in the figure.  In this report, mortality and morbidity costs were only estimated for individuals aged 15-64 years and 15-75 years respectively. Any discrepancies may be due to rounding.

Text Equivalent - Figure 13
Cost Component Percentage of Costs Attributed to Age Group 0-14 years Percentage of Costs Attributed to Age Group 15-34 years Percentage of Costs Attributed to Age Group 35-54 years Percentage of Costs Attributed to Age Group 55-64 years Percentage of Costs Attributed to Age Group 65-74 years Percentage of Costs Attributed to Age Group 75+ years
Hospital Care
($38.9 billion)
8.1 12.4 19.2 14.4 16.4 29.4
Drug
($21.2 billion)
4.8 13.4 30.0 20.3 17.0 14.6
Physician Care
($23.8 billion)
9.1 20.5 26.8 15.6 13.1 14.9
Mortality
($0.5 billion)
- 6.2 51.8 42.0 - -
Morbidity
($16.4 billion)
- 23.0 60.5 15.5 1.0 0.0
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