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Demographic and epidemiological determinants of healthcare costs in Netherlands
 — cost of illness study
Author(s)Willem Jan Meerding, Luc Bonneux, Johan J Polder
Journal titleBritish Medical Journal, vol 317, no 7151, 11 July 1998
Pagespp 111-115
KeywordsDemography ; Ill health ; Health services ; Costs [care] ; Social surveys ; Netherlands.
AnnotationInformation on healthcare costs was obtained from all 22 healthcare sectors in the Netherlands, to determine demands on resources caused by different types of illnesses and variations with age and sex. After the first year of life, costs per person for children were lowest. Costs rose slowly throughout adult life, and increased exponentially from age 50 onwards till the oldest age group (95 and over). The top five areas of healthcare were mental handicap, musculoskeletal disease (predominantly joint disease and dorsopathy), dementia, a heterogeneous group of other mental disorders, and ill defined conditions. Stroke, all cancers combined, and coronary heart disease ranked 7, 8, and 10 respectively. The main determinants of healthcare use in the Netherlands are old age and disabling conditions, particularly mental disability. A large share of the healthcare budget is spent on long-term nursing care, and this cost will inevitably increase further in an ageing population. Non-specific cost containment measures may endanger the quality of care for old and mentally disabled people. (RH).
Accession NumberCPA-980805009 A
ClassmarkS8: CH: L: QDC: 3F: 76H *

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