Lariviere P R
Dimens Health Serv. 1975 Aug;52(8):49-53.
The author compares increases in institutional care costs in Quebec with the rest of Canada revealing the following: The 14 per cent annual increase reported by federal health minister Marc Lalonde is well above the increase in the Canadian population of 4 per cent. The 12 per cent rise in costs of Quebec health services is far above the increase in the population of 15 per cent. Therefore, population is not a major factor in cost increase. The rate of cost increase in Quebec is below the national rate, 12 per cent against 14 per cent. Cost of institutional care in dollars per capita is appreciably lower in Quebec than in the rest of Canada. The average increase in health care costs in Canada between 1970 and 1973 is actually above the average deseasonized increase rate of the gross national product (GNP). The average cost increase of institutional care remained, however, below the increase of the GNP in Canada. The increase in the number of patients admitted is far above the increase in population, in both Quebec and the other provinces, the difference being more important in Quebec than in the rest of Canada. Utilization has partly been possible through decrease in the average length of stay in both Quebec and the other provinces. The decrease in average length of stay is higher in other Canadian provinces than it is in Quebec. However, it is lower in Quebec for a day. The occupancy rate has consistantly been rising in Quebec while it remained stable in other provinces. The number of patients admitted per 1,000 population has remained much lower in Quebec as compared to the rest of Canda. The difference tends, however, to decrease. The number of institutional care facilities remains higher in other Canadian provinces than in Quebec in proportion to the population The number of visits in emergency units per 1,000 population has doubled in Quebec, as compared to the rest of Canada with half that increase. It would be interesting to establish the trend in institutional care for outpatient departments other than emergency units; complete data about this not as yet availble.
作者将魁北克省机构护理成本的增长与加拿大其他地区进行了比较，结果如下：联邦卫生部长马克·拉隆德报告的每年14%的增长远高于加拿大4%的人口增长率。魁北克省医疗服务成本12%的增长远高于15%的人口增长率。因此，人口不是成本增长的主要因素。魁北克省的成本增长率低于全国水平，分别为12%和14%。魁北克省人均机构护理成本明显低于加拿大其他地区。1970年至1973年期间，加拿大医疗保健成本的平均增长实际上高于国民生产总值（GNP）的平均去季节化增长率。然而，机构护理的平均成本增长仍低于加拿大GNP的增长。魁北克省和其他省份的住院患者数量增长远高于人口增长，魁北克省的差异比加拿大其他地区更为显著。在魁北克省和其他省份，住院时间的缩短使得这种利用成为可能。加拿大其他省份的平均住院时间缩短幅度高于魁北克省。不过，魁北克省每天的缩短幅度较小。魁北克省的入住率一直在上升，而其他省份则保持稳定。与加拿大其他地区相比，魁北克省每千人口的住院患者数量仍然低得多。然而，这种差异有缩小的趋势。与人口比例相比，加拿大其他省份的机构护理设施数量仍然高于魁北克省。与加拿大其他地区相比，魁北克省每千人口在急诊室的就诊次数增加了一倍，而其他地区的增幅只有一半。确定急诊室以外门诊部门的机构护理趋势会很有意思；目前尚无关于此的完整数据。
