The sector benchmarking information developed in this study may be of value to individual employers in supporting comparisons between their own expenditures and those of their economic peers and competitors. We protect the privacy of Canadians by ensuring the confidentiality and integrity of the health care information we provide. Staff training in health and safety accounted for the second largest share of annual OHS expenditure per worker. Work disability insurance premiums can clarify the precise costs of preventable work-related injury and illness, and may provide incentives for organizations to invest in OHS (Tompa et al, 2007). Since 2005, physician compensation as a portion of total health spending has increased but since 2014, the share has slowed and is now maintaining levels comparable to those of the late 1980s (Canadian Institute for Health Information, 2016). In 2018, $14.4 billion (42.7%) of prescribed drug spending is expected to be financed by the public sector, while the remainder will be financed by private insurance and individuals paying out of pocket. In contrast, publicly administered prevention services, including labour inspection and enforcement services, represent an annual expenditure of approximately $200 million, or $30 per worker per year. It can also provide sector benchmarks for employers and inform public policy aimed at influencing employer investments in OHS. The average dollar value of the estimated health and safety share of new capital investments was $52 per worker per year, representing four per cent of total OHS expenditures. Table 1 also shows estimates for two clusters: the goods-producing sectors and the service sectors. The Canadian Institute for Health Information (CIHI) believes Canada spent approximately $228 billion on health care in 2016. Switzerland had the second-highest healthcare budget in 2019, with expenditures near $8,000 per capita. In Ontario, employers with 20 or more employees are required to establish a joint health and safety committee (JHSC) with representation from management and non-management workers. Scand J Work Environ Health, 2007; 33(2):85-95. How does Canada’s hospital spending compare internationally? Funding amounts are typically based on factors such as historical budgets, inflation and politics, and are provided irrespective of the number of patients or levels of demands on resources (Sutherland & Repin, 2012). Other health spending highlights for 2018: National Health Expenditure Trends, 1975 to 2018 provides an overview of how much is spent on health care annually, in what areas money is spent and on whom, and where the money comes from. In recent years there has been a shift towards changing how healthcare in Canada is funded, and experimentation with various healthcare funding policies have been initiated in provinces such as British Columbia, Alberta, Saskatchewan, Manitoba, Ontario, and Quebec (Sutherland & Repin, 2012). OHS expenditure estimates were three times higher in the goods-producing sectors ($2,417) relative to the service sectors ($847). Results from this study provide information on the expenditures per employee in high-hazard sectors, such as construction and mining. A range of factors are contributing to this substantial reduction in injury and illness attributed to occupational exposures, including growth in service-sector employment relative to employment in goods-producing sectors, the substitution of technology for human labour, and strengthened regulatory standards pertaining to worker health protection. While the financial costs of work-related injury and illness are well known, limited information is available on what employers spend to control or eliminate the causes of work-related injury and illness. Health Care Financing Review, 1993. “Drug spending is increasing more than the other major areas of health spending — with a large proportion of drug spending going toward high-cost drugs for a small number of individuals.
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