National Health Expenditure Trends, 2024 — Methodology Notes

Table of Contents

• Table of contents 3
• 1 Concepts and definitions 5
• Mandate of the National Health Expenditure Database 5
• Variables and concepts 5
• Source of finance (sectors) 6
• Use of funds (categories) 8
• Other terms 10
• Data limitations 11
• 2 Guidance from the National Health Expenditure Expert Advisory Group 12
• 3 NHEX coding standards and data validation with provincial/territorial ministries 13
• 4 CIHI’s annual information quality assessment 18
• 5 Reconciliation with other CIHI data sources 19
• Hospital spending in NHEX and the Canadian MIS Database 19
• Physician spending in NHEX and the National Physician Database 20
• Drug spending in NHEX and the National Prescription Drug Utilization Information System 20
• NHEX and Statistics Canada’s Government Finance Statistics 21
• 6 Ongoing quality improvement 22
• Forecasts 22
• Home and community care spending 26
• Capital expenditure 28
• 7 Data sources and methods 28
• Hierarchy of classification 28
• General methods 29
• Calculation methods 37
• Age and sex distribution methods 40
• Major changes from previous years 49
• Revision history 49
• Age and sex expenditure data 53
• Economic and demographic data 53
• Sources of data 53
• Provincial/territorial government sector 53
• Federal direct sector 53
• Municipal government sector 54
• Social security funds sector 54
• Private sector 54
• Age and sex data 55
• Economic and demographic data 55
• Contact us 55
• Appendix 56
• Text alternative for figures 56
• References 57