Lifetime healthcare expenditures across socioeconomic groups in Sweden.

Fledsberg, StephanieHealth Economics and Policy, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden; Gothia Forum for Clinical Trials, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden (författare)

Individuals of lower socioeconomic status generally have higher healthcare expenditures than individuals of higher socioeconomic status. However, little is known about how expenditures are distributed across socioeconomic groups over a lifetime, once accounting for differences in life expectancy. This study describes how lifetime healthcare expenditures are distributed across age, sex and socioeconomic groups in Sweden while adjusting for differences in life expectancy.Healthcare utilization from 2016 were linked to demographic and socioeconomic data for a random sample of individuals aged 20 and above in the four largest Swedish regions (n=440659). Mortality data were used to estimate income- and sex-specific survival rates. Expected lifetime healthcare expenditures were estimated by combining survival rates with mean healthcare expenditures over age, by sex, and income quintile.We find that expected lifetime healthcare expenditures are highest among the first (lowest) income quintile despite their evident lower life expectancy. Expected lifetime expenditures were 17.9% (16.8%) higher in the first income quintile compared to the fifth (highest) quintile for women (men). Individuals in the first income quintile had higher expected lifetime expenditures for all care categories except for primary care.We conclude that despite a lower life expectancy, the quintile of the lowest socioeconomic status still had higher lifetime healthcare expenditures.

Svensson, Mikael,1980Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Health Economics and Policy, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden; Department of Pharmaceutical Outcomes & Policy, College of Pharmacy, University of Florida, Gainesville, FL, USA(Swepub:gu)xsmika (författare)
Johansson, Naimi,1988-Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,Health Economics and Policy, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden; Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden(Swepub:oru)nijn (författare)
Health Economics and Policy, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden; Gothia Forum for Clinical Trials, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, SwedenInstitutionen för medicin, avdelningen för samhällsmedicin och folkhälsa (creator_code:org_t)

Ingår i:European journal of public health: Oxford University Press33:6, s. 994-10001464-360X1101-1262

Av författaren/redakt...: Fledsberg, Steph ...; Svensson, Mikael ...; Johansson, Naimi ...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Hälso och sjukvå ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Folkhälsovetensk ...

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