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An Econometric Study of the Determinants of Canada’s Non-reimbursable Medical Care Costs

2025· article· en· W4408498975 on OpenAlexfundaboutno aff
Emmanuel Ogwal, Jalil Safaei, Wootae Chun

Bibliographic record

VenueOpen Medicine Journal · 2025
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicHealthcare Policy and Management
Canadian institutionsnot available
FundersUniversity of Northern British Columbia
KeywordsEconometric modelMedical careActuarial scienceEconometric analysisEconomicsBusinessPublic economicsEnvironmental healthEconometricsMedicineFamily medicine

Abstract

fetched live from OpenAlex

Introduction Several studies have assessed the linkages between household factors and non-reimbursable medical costs over the years. However, there still exists a substantial gap in information on non-reimbursable medical costs in Canada that requires addressing. For instance, more information is needed about the extent and variation of the non-reimbursable medical costs across Canada. Even less is known about the prevalence of these costs among different population segments. We use the survey of household spending data to predict non-reimbursable medical costs across Canada’s 10 provinces. Methods In order to estimate the predictors of non-reimbursable medical costs in Canada, descriptive assessments and weighted cross-sectional regression analyses were conducted. Regression estimates on the Canadian survey of household spending data were performed to estimate the econometric predictors of non-reimbursable medical costs. Results Findings showed significant variation in non-reimbursable medical costs across the country’s 10 provincial regions. More importantly, they show that the share of earnings spent on non-reimbursable medical services is negatively associated with household earnings itself (estimated, coefficient of ln (Earnings) =-0.73, -0.73, -0.85, ∀ p <5% for 2004, 2009, 2015, respectively), while at the same time increasing with agedness (estimated, coefficient of Canadians aged>65 years = 0.58 & 0.82, ∀ p <5% versus Canadians aged < 19 years, for 2004, 2009, respectively), feminine gender (estimated, coefficient of feminine gender =0.28, 0.22, ∀ p <5% versus masculine gender for 2004, 2009, respectively), married status, living in large-sized families, and ill-health. Conclusion In Canada, non-reimbursable medical costs differ substantially by province and across socioeconomic, demographic, and health dimensions.

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How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.117
Threshold uncertainty score0.929

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.042
GPT teacher head0.347
Teacher spread0.305 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes2
Has abstractyes

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