Hospital expenditure at the end-of-life: What are the impacts of health status and health risks?

Claudia Geue, Paula Kate Lorgelly, Jim Lewsey, Carole Hart, Andrew H Briggs

Research output: Contribution to journalArticleResearchpeer-review

10 Citations (Scopus)


Background - It is important for health policy and expenditure projections to understand the relationship between age, death and expenditure on health care (HC). Research has shown that older age groups incur lower hospital costs than previously anticipated and that remaining time to death (TTD) was a much stronger indicator for expenditure than age. How health behaviour or risk factors impact on HC utilisation and costs at the end of life is relatively unknown. Smoking and Body Mass Index (BMI) have featured most prominently and mixed findings exist as to the exact nature of this association. Methods - This paper considers the relationship between TTD, age and expenditure for inpatient care in the last 12 quarters of life; and introduces measures of health status and risks. A longitudinal dataset covering 35 years is utilised, including baseline survey data linked to hospital and death records. The effect of age, TTD and health indicators on expenditure for inpatient care is estimated using a two-part model. Results - As individuals approach death costs increase. This effect is highly significant (p
Original languageEnglish
Article numbere0119035
Number of pages14
JournalPLoS ONE
Issue number3
Publication statusPublished - 2015

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