Background: the conclusions of ageing populations for health care richnesss have become a concern for restraints and health care funders in mostly countries.

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Background: the conclusions of ageing populations for health care richnesss have become a concern for restraints and health care funders in mostly countries. However, there is increasing evidence that expenses are more closely related to proximity to death than to age. This means that projections using age-specific require to be paid [i]or[/i] undergones will exaggerate the impact of ageing. Previous studies of the relationship of age, proximity to death and costlinesss have been restricted to acute medical care. Objective: to assess the efficiencys of age and proximity to death upon costs of both acute medical care and nursing and social care, and to assess if this relationship was stable in a time of rapid change in health care expenditure. Design and methods: we compared all decedent in the chosen age categories for the years 1987-88 and 1994-95 with all survivors in the same age arranges We measured use of health and social care for each individual using the British Columbia linked data, and charges of care assessed by multiplying the number of services from the unit cost of each service. Setting: the Province of British Columbia. Subjects: all decedent in 1987-88 and 1994-95 in British Columbia in the chosen age disposes and all survivors in the same age form into groupss Results: costs of acute care rise with age, moreover the proximity to death is a more important factor in determining expenses The additional costs of dying fall with age. In contrast, sumptuousnesss of nursing and social care rise with age, on the other hand additional costs for those who are dying increase with age. Similar patterns were plant for the two cohorts. Conclusions: age is les important than proximity to death as a predictor of costlinesss However, the pattern of social and nursing care sumptuousnesss is different from that for acute medical care. In planning services it is important to take into account the relatively larger impact of ageing onward social and nursing care than onward acute care.

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