Multinational Comparisons of Health Systems Data, 2010
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Transcript of Multinational Comparisons of Health Systems Data, 2010
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Multinational Comparisonsof Health Systems Data, 2010
Gerard F. Anderson and Patricia MarkovichJohns Hopkins University
November 2010
Support for this research was provided by The Commonwealth Fund.
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Total Health Care Spending
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3Health Care Spending per Capita, 2008
Adjusted for Differences in Cost of Living
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Dollars
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USNORSWIZCANNETHGERFRDENSWEAUSUKNZ
Average spending on healthper capita ($US PPP)
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1980
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USFRSWIZGERCANNETHNZDENSWEUKNORAUS
Total expenditures on healthas percent of GDP
Source: OECD Health Data 2010 (Oct. 2010).
International Comparison of Spending on Health, 1980–2008
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5Average Annual Growth Rate of
Real Health Care Spending per Capita, 1998–2008
* 1997–2007.
Source: OECD Health Data 2010 (Oct. 2010).
Percent
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6Percentage of Gross Domestic Product Spent on Health Care,
1998 and 2008
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Percent
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7Percentage of Population with Health Insurance Coverage
Through Public Programs, 2008
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Percent
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8Public Spending on Health Care per Capita, 2008
Adjusted for Differences in Cost of Living
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Dollars
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9Private Spending on Health Care per Capita, 2008
Excluding Out-of-Pocket Spending, Adjusted for Differences in the Cost of Living
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Dollars
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10Out-of-Pocket Health Care Spending per Capita, 2008
Adjusted for Differences in Cost of Living
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Dollars
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11Health Care Expenditure per Capita by Source of Funding, 2008
Adjusted for Differences in Cost of Living
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Dollars
7,538
4,0793,737 3,696 3,540 3,470 3,353
3,129
2,683
5,0034,627
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Hospitals
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13Percentage of Total Health Care Spending
on Hospital Services, 1998 and 2008
* 2007.** 2006.
Source: OECD Health Data 2010 (Oct. 2010).
Percent
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14Spending on Hospital Services per Capita, 2008
Adjusted for Differences in Cost of Living
1,0041,061
1,1161,116
1,2591,2631,378
1,5451,5671,5671,613
2,359
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500
1,000
1,500
2,000
2,500
US NOR** SWIZ* DEN* SWE NETH AUS* FR OECDMedian
CAN GER NZ
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Dollars
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15Hospital Spending per Discharge, 2008
Adjusted for Differences in Cost of Living
* 2007. ** 2006.
Source: OECD Health Data 2010 (Oct. 2010).
Dollars
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16Hospital Discharges per 1,000 Population, 2008
Source: OECD Health Data 2010 (Oct. 2010).
* 2007. ** 2006.
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17Average Length of Stay for Acute Care, 2008
Days
Source: OECD Health Data 2010 (Oct. 2010).
* 2007. ** 2006.
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18Average Length of Hospital Stay for Acute Myocardial Infarction, 2008
Days
Source: OECD Health Data 2010 (Oct. 2010).
* 2007. ** 2006.
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19Average Length of Stay for Normal Birth Delivery, 2008
Days
Source: OECD Health Data 2010 (Oct. 2010).
* 2007. ** 2006.
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20Average Annual Hospital Inpatient Acute Care Days per Capita, 2008
Source: OECD Health Data 2010 (Oct. 2010).
* 2007. ** 2006.
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21Number of Acute Care Hospital Beds
per 1,000 Population, 2008
Source: OECD Health Data 2010 (Oct. 2010).
* 2007. ** 2006.
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Home Health and Long-Term Care
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23Percentage of Total Health Care Spending on Long-Term Nursing Care, 1998 and 2008
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Percent
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24Long-Term Nursing Care Spending per Capita, 2008
Adjusted for Differences in Cost of Living
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
1,276
574
724
445
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455407
261
382
506
Dollars
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25Home Health Care Spending per Capita, 2008
Adjusted for Differences in Cost of Living
8998104
139
212226
278
451
477
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NOR DEN* NZ GER US SWE FR SWIZ* CAN
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Dollars
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26Long-Term Care Beds in Nursing Homes
per 1,000 Population Age 65 and Older, 1998 and 2008
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
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Health Care Professionals
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28Number of Practicing Physicians per 1,000 Population, 2008
Source: OECD Health Data 2010 (Oct. 2010).
* 2007.** 2006.
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29Average Annual Growth Rate of Practicing Physicians
per 1,000 Population, 1998–2008
* 1997–2007.** 1996–2006.Source: OECD Health Data 2010 (Oct. 2010).
Percent
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30Average Annual Number of Physician Visits per Capita, 2008
Source: OECD Health Data 2010 (Oct. 2010).
* 2007. ** 2006.
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31Number of Professionally Active Nurses
per 1,000 Population, 2008
Source: OECD Health Data 2010 (Oct. 2010).
* 2007.
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Pharmaceuticals
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33Percentage of Total Health Care Spending
on Pharmaceuticals, 1998 and 2008
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Percent
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34Pharmaceutical Spending per Capita, 2008
Adjusted for Differences in Cost of Living
257303
368381
457461465480
563607
701
897
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200
400
600
800
1,000
US CAN FR GER AUS* OECDMedian
SWIZ* SWE NOR UK DEN* NZ
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Dollars
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35Drug Prices for 30 Most Commonly Prescribed Drugs, 2006–07
US is set at 1.0
Source: IMS Health.
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Medical Procedures Involving Sophisticated Technology
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37Magnetic Resonance Imaging (MRI) Machines
per Million Population, 2008
Source: OECD Health Data 2010 (Oct. 2010).
* 2007.
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38Magnetic Resonance Imaging (MRI) Exams
per 1,000 Population, 2008
Source: OECD Health Data 2010 (Oct. 2010).
* 2007. ** 2006.
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39MRI Scan and Imaging Fees, 2009
500
1,200
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567
436
179
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200
400
600
800
1,000
1,200
1,400
1,600
US Medicare US GER CAN NETH FR UK
Source: International Federation of Health Plans, 2009 Comparative Price Report.
Dollars
1,500
US average
US high-end
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40Computer Tomography (CT) Scanners
per Million Population, 2008
Source: OECD Health Data 2010 (Oct. 2010).
* 2007. ** 2006.
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41Computer Tomography (CT) Exams
per 1,000 Population, 2008
Source: OECD Health Data 2010 (Oct. 2010).
* 2007.
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42Volume of Knee and Hip Implants, 2004
Implants per 100,000
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137
121
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US UK GER FR ITA
Source: McKinsey & Company, Accounting for the Cost of Health Care in the United States, 2007.
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208197
141 139
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Knee Replacements Hip Replacements
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43Cost of Knee and Hip Prostheses to Providers, 2004
GDP Adjusted, US $
4,866
3,035
2,5612,390
2,239
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2,000
3,000
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5,000
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Source: McKinsey & Company, Accounting for the Cost of Health Care in the United States, 2007.
$4,821
$1,537$1,380
$1,168 $1,165
US ITA UK GER FR
Knee Replacements Hip Replacements
Dollars
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44Percutaneous Transluminal Coronary Angioplasty (PTCA) Interventions
per 100,000 Population, 2008
* 2007.** 2006.
Source: OECD Health Data 2010 (Oct. 2010).
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45Coronary Bypass Procedures per 100,000 Population, 2008
* 2007.** 2006.
Source: OECD Health Data 2010 (Oct. 2010).
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46Number of Knee Replacements per 100,000 Population, 2008
* 2007.** 2006.
Source: OECD Health Data 2010 (Oct. 2010).
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47Number of Patients Undergoing Dialysis Treatment
per 100,000 Population, 2008
* 2007.** 2006.
Source: OECD Health Data 2010 (Oct. 2010).
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Public Health and Prevention
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49Breast Cancer Screening, 2008
Percentage of Women Ages 50–69 Receiving a Mammogram
* 2007.** 2006.
Survey Organized Program
Source: OECD Health Data 2010 (Oct. 2010).
Percent
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50Cervical Cancer Screening, 2000 to 2006 (or closest year)
Percentage of Women Ages 20–69
* 2007.** 2006.
Survey Organized Program
Source: OECD Health Care Quality Indicators Data 2009.
Percent
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51Percentage of Population over Age 65
with Influenza Immunization, 2008
* 2007.** 2006.
Source: OECD Health Data 2010 (Oct. 2010).
Percent
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52Diphtheria, Tetanus, and Pertussis Vaccination Rates Among Children Age 2, 2007 (or latest year available)
Source: OECD Health Data 2010 (Oct. 2010).
Percent
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53Measles Vaccination Rates Among Children Age 2, 2007
(or latest year available)
Source: OECD Health Data 2010 (Oct. 2010).
* 2007.
Percent
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54Percentage of Adults Who Report Being
Daily Smokers, 2008
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Percent
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55Twenty-Year Change in Smoking Rates,
1988–2008
* 1987–2007.** 1986–2007.
Source: OECD Health Data 2010 (Oct. 2010).
Percent
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56Annual Alcohol Consumption in Liters per Capita
Among People Age 15 and Older, 2008
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
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57Obesity (BMI>30) Prevalence Among Adult Population, 2008
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Measured Self-ReportedPercent
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Mortality
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59Life Expectancy at Birth, 2008
* 2007.
Source: OECD Health Data 2010 (Oct. 2010).
Years
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60Life Expectancy at Age 65, 2008
* 2007.** 2006.
Source: OECD Health Data 2010 (Oct. 2010).
Years
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61Increase in Life Expectancy at Birth, 1988–2008
* 1987–2007.
Source: OECD Health Data 2010 (Oct. 2010).
Years
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62Increase in Life Expectancy at Age 65, 1988–2008
* 1987–2007.** 1996–2006.
Source: OECD Health Data 2010 (Oct. 2010).
Years
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63Acute Myocardial Infarction Deaths
per 100,000 Population, 2008
* 2007.** 2006.
Source: OECD Health Data 2010 (Oct. 2010).
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64Bronchitis, Asthma, and Emphysema Deaths
per 100,000 Population, 2008
* 2007.** 2006.
Source: OECD Health Data 2010 (Oct. 2010).
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65Potential Years of Life Lost Due to Malignant Neoplasms
per 100,000 Population, 2008
* 2007.** 2006.
Source: OECD Health Data 2010 (Oct. 2010).
Years
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66Potential Years of Life Lost Due to Diseases of the Circulatory System
per 100,000 Population, 2008
* 2007.** 2006.
Source: OECD Health Data 2010 (Oct. 2010).
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67Potential Years of Life Lost Due to Diabetes
per 100,000 Population, 2008
* 2007.** 2006.
Source: OECD Health Data 2010 (Oct. 2010).
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68Potential Years of Life Lost Due to Diseases of the Respiratory System
per 100,000 Population, 2008
* 2007.** 2006.
Source: OECD Health Data 2010 (Oct. 2010).
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2009 OECD Quality Indicators
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70Asthma Admission Rates per 100,000 Population
Age 15 and Older, 2007
* 2006.** 2005.*** Among countries shown.
Source: OECD Health Care Quality Indicators Data 2009.
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71Chronic Obstructive Pulmonary Disease Admission Rates
per 100,000 Population Age 15 and Older, 2007
* 2006.** 2005.*** Among countries shown.
Source: OECD Health Care Quality Indicators Data 2009.
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72Diabetes Acute Complications Admission Rates per 100,000 Population
Age 15 and Older, 2007
* 2006.** 2005.*** Among countries shown.
Source: OECD Health Care Quality Indicators Data 2009.
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Congestive Heart Failure Admission Rates per 100,000 Population Age 15 and Older, 2007
* 2006.** 2005.*** Among countries shown.
Source: OECD Health Care Quality Indicators Data 2009.
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Hypertension Admission Rates per 100,000 Population Age 15 and Older, 2007
* 2006.** 2005.*** Among countries shown.
Source: OECD Health Care Quality Indicators Data 2009.
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Diabetes Lower Extremity Amputation Rates per 100,000 Population Age 15 and Older, 2007*
* 2006.** 2005.*** Among countries shown.
Source: OECD Health Care Quality Indicators Data 2009.
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76Mortality After Admission for Acute Myocardial Infarction*
per 100 Patients, 2007
* In-hospital case-fatality rates within 30 days of admission.** 2006.*** 2005.**** Among countries shown.
Source: OECD Health Care Quality Indicators Data 2009.
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77Mortality After Admission for Ischemic Stroke* per 100 Patients, 2007
* In-hospital case-fatality rates within 30 days of admission.** 2006.*** Among countries shown.
Source: OECD Health Care Quality Indicators Data 2009.
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Mortality After Admission for Hemorrhagic Stroke* per 100 Patients, 2007
* In-hospital case-fatality rates within 30 days of admission.** 2006.*** 2005.**** Among countries shown.
Source: OECD Health Care Quality Indicators Data 2009.
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79Breast Cancer Five-Year Relative Survival Rate,
1997–2002 and 2002–2007 (or nearest period)
Source: OECD Health Care Quality Indicators Data 2009.
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80Cervical Cancer Five-Year Relative Survival Rate,
1997–2002 and 2002–2007 (or nearest period)
Source: OECD Health Care Quality Indicators Data 2009.
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81 Colorectal Cancer Five-Year Survival Rate,
Latest Available Period
Source: OECD Health Care Quality Indicators Data 2009.