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. 2021 Sep 7;56(Suppl 3):1370–1382. doi: 10.1111/1475-6773.13734

TABLE 2.

Utilization and spending by country during 30, 90, and 180 days before death

Utilization Spending [in US$]
Acute hospital admissions Days in hospital Emergency department visits Specialist visits Primary care visits Drug prescriptions Hospital spending Emergency department spending Specialist spending Primary care spending Drug spending
30 days before death
Australia 0.45 4.2 0.07 0.78 2.1 2.0 6937 39 112 107 120
Canada 0.84 9.2 0.16 0.78 2.5 6.6 11,611 60 94 187 219
England 0.94 12.7 0.08 0.40 2.1 6.0 7982 48 83 87 212
Germany 0.93 9.6 0.58 0.6 3.6 8094 88 102 238
New Zealand 0.68 4.9 0.03 0.13 8.7 4942 8 21 143
Spain 1.03 14.8 1.05 2.10 2.7 5.2 9089 226 284 174 236
United States 0.77 5.4 0.24 0.71 0.3 3.6 11,109 276 241 87 267
90 days before death
Australia 0.97 8.7 0.16 1.73 5.2 4.4 13,805 79 209 247 372
Canada 1.28 17.1 0.40 2.14 5.9 10.1 19,356 135 242 389 648
England 1.54 24.2 0.18 1.40 4.7 10.0 12,909 97 259 187 660
Germany 1.51 19.5 1.61 1.5 7.9 14,092 249 318 688
New Zealand 1.18 9.7 0.08 0.46 13.1 9485 19 88 323
Spain 1.38 21.7 1.68 4.22 6.8 9.1 13,802 363 467 423 609
United States 1.31 9.7 0.52 2.29 1.0 7.5 18,867 625 977 321 914
180 days before death
Australia 1.56 13.3 0.28 2.85 9.4 7.3 20,200 129 329 422 722
Canada 1.72 24.0 0.70 4.15 9.5 12.7 25,839 229 456 626 1291
England 2.20 32.5 0.31 2.65 7.9 12.2 16,503 158 504 312 1325
Germany 2.07 27.5 3.13 2.8 10.8 18,931 492 594 1274
New Zealand 1.64 13.1 0.15 0.95 15.8 12,827 33 190 576
Spain 1.71 26.6 2.24 6.40 11.7 10.9 17,427 483 689 712 1193
United States 1.80 13.2 0.82 4.66 2.2 10.4 25,336 997 2156 696 1923