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. 1987 Summer;8(4):1–36.

Table 9. Factors contributing to percent change in nursing home care expenditures as a share of gross national product (GNP): Selected years 1965-2040.

Year Nursing home care expenditures

Percent of GNP Average annual percent change in percent of GNP Change in factors related to demographic mix Change in factors other than demographic mix Change in real GNP per capita


Utilization per day Intensity per day Utilization per day Intensity per day Deflated price
Percent increase
1965 0.3
1970 0.5 9.5 2.2 6.9 −0.6 2.6 1.9
1975 0.6 5.7 2.0 3.1 1.5 0.6 1.3
1980 0.7 2.6 1.8 0.6 2.5 0.1 2.5
1985 0.8 2.9 1.8 −0.3 1.7 1.1 1.4
1990 0.9 2.8 2.0 0.5 1.8 0.5 1.9
1995 1.0 2.4 2.0 0.1 1.5 0.6 1.8
2000 1.2 2.4 1.8 0.1 1.5 0.6 1.6
Projected percent change base d on demographics only
2005 1.2 −0.2 1.3 1.6
2010 1.1 −0.3 1.0 1.3
2015 1.1 −0.5 0.7 1.2
2020 1.1 −0.2 0.9 1.1
2025 1.1 0.6 1.7 1.1
2030 1.2 1.0 2.4 1.4
2035 1.3 1.0 2.5 1.5
2040 1.3 0.3 1.9 1.6
Projected percent change allowing intensity to grow at rate of the GNP
2005 1.3 1.4 1.3 1.6 1.6
2010 1.3 1.0 1.0 1.3 1.3
2015 1.4 0.7 0.7 1.2 1.2
2020 1.4 0.9 0.9 1.1 1.1
2025 1.6 1.7 1.7 1.1 1.1
2030 1.8 2.5 2.4 1.4 1.4
2035 2.0 2.5 2.5 1.5 1.5
2040 2.2 1.9 1.9 1.6 1.6

NOTE: Change in expenditures as a percent of GNP equals the combined changes in demographic and nondemographic factors minus the change in real GNP per capita.

SOURCE: Health Care Financing Administration, Office of the Actuary: Data from the Division of National Cost Estimates.