Peterson-Kaiser Health System Tracker How does the quality of the U.S. healthcare system compare to...

Peterson-Kaiser Health System Tracker

How does the quality of the U.S. healthcare system compare to other countries?


Source: OECD (2013), "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on November 6, 2014). Notes: Break in series in 1987 and 1997 for Switzerland; in 1995 for Switzerland; in 1996 for Netherlands; in 1998 for Australia, Belgium, and Germany; in 1999 for United States; in 2000 for Canada and France; and in 2001 in the United Kingdom. All breaks in series coincide with changes in ICD coding.

Mortality rates have fallen steadily in the U.S. and in comparable OECD countries

Overall age-adjusted mortality rate per 100,000 population

0

200

400

600

800

1000

1200

1400

1184

823

1223

740 Comparable country average

United States


France Australia Japan Sweden Netherlands Austria Germany United Kingdom

0

20

40

60

80

100

120

6571 71

82 82 8490

103

56 5761 61

66 67

7683

2002-2003 2006-2007

Source: Nolte E, McKee C. Martin. Health Affairs “Measuring the Health of Nations: Updating an Earlier Analysis” Available at: http://content.healthaffairs.org/content/27/1/58.long

The U.S. has the highest rate of deaths amenable to health care among comparable OECD countriesAmenable mortality per 100,000 population, in years, 2002 - 2003 and 2006 - 2007

Comparable Country Av-

erage

United States

81

110

70

96

http://content.healthaffairs.org/content/27/1/58.long

http://content.healthaffairs.org/content/27/1/58.long



Potential Years of Life Lost have fallen steadily in the U.S. and in comparable countries

Overall age-specific potential years of life lost per 100,000 population

0

1000

2000

3000

4000

5000

6000

7000

80007345

4629

5953

2982

United States

Comparable country average


Source: Institute for Health Metrics and Evaluation. Global Burden of Disease Study 2010 (GBD 2010) Data Downloads, available here: http://ghdx.healthdata.org/global-burden-disease-study-2010-gbd-2010-data-downloads

Disease burden is higher in the U.S. than in comparable countries

Age standardized disability adjusted life year (DALY) rate per 100,000 population, 2010

Japan

Switzerland

Sweden

Australia

Comparable Country Average

Canada

Netherlands

Germany

Austria

France

Belgium

United Kingdom

United States

- 5,000 10,000 15,000 20,000 25,000

15,922

17,877

18,546

18,701

19,071

19,392

19,480

19,527

19,782

19,860

20,314

20,384

21,956

http://ghdx.healthdata.org/global-burden-disease-study-2010-gbd-2010-data-downloads

http://ghdx.healthdata.org/global-burden-disease-study-2010-gbd-2010-data-downloads


Congestive Heart Failure Asthma Uncontrolled Diabetes Diabetes Complications0

50

100

150

200

250

300

350

400

450

381

117

19

65

209

4256

18

United States Comparable Country Average

Source: OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on March 2, 2015).

Hospital admissions for preventable diseases are more frequent in the U.S. than in comparable countriesAge standardized hospital admission rate per 100,000 population, for asthma, congestive heart failure, uncontrolled diabetes, and diabetes short term

complications, ages 15 and older, in years, 2010


Source OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on March 2, 2015). Notes: Data for 2006 Comparable Country Average are from 2007.

Foot and leg amputations due to diabetes are decreasing in the U.S. and comparable countriesAge standardized diabetes lower extremity amputation rate per 100,000 population, ages 15 and older, in years 2006, 2008, and 2010

2006 2008 20100

5

10

15

20

25

30

35

4037.5

34.5

17.114.7

8.57.4



Heart attack (AMI) Ischemic stroke (blood clots) Hemorrhagic stroke (bleeds)0

5

10

15

20

25

5.54.3

22.3

6.88.3

20.9


Source: OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on March 2, 2015).

30-day mortality for heart attacks and ischemic stroke are lower in the U.S. than in comparable countriesAdmission-based age standardized 30 day in-hospital mortality rate per 100 hospital discharges for acute myocardial infarction, ischemic stroke, and hemorrhagic stroke, ages 45 and older, in years, 2010


Note: Experienced medical mistake, given wrong medication or dose, lab test error, or delay receiving abnormal test results. Source: 2011 Commonwealth Fund International Health Policy Survey in Eleven Countries, available here: http://www.commonwealthfund.org/interactives-and-data/international-survey-data

The U.S. has higher rates of medical, medication, and lab errors than comparable countriesMedical, medication, or lab errors or delays in past two years, 2011

United Kingdom

Switzerland

France

Germany

Comparable Country Average

Australia

Sweden

Netherlands

Canada

United States

0% 5% 10% 15% 20% 25%

8%

9%

13%

16%

16%

19%

20%

20%

21%

22%

http://www.commonwealthfund.org/interactives-and-data/international-survey-data

http://www.commonwealthfund.org/interactives-and-data/international-survey-data


Post-Op Pulmonary Embolism or DVT Post-Op Sepsis Post-Op Wound Dehiscence0

200

400

600

800

1000

1200

1013945

147

746

940

134


Source: OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on March 2, 2015). Notes: Data for Comparable Country Average for Post-Op Pulmonary Embolism or Deep Vein Thrombosis (DVT) as well as Post-Op Sepsis are from 2011.

Post-op clots are worse in the U.S. than in comparable countries, but sepsis and suture ruptures are similarCrude rate per 100,000 hospital discharges for post-operative pulmonary embolism or deep vein thrombosis, sepsis, and wound dehiscence, ages 15 and older, in years, 2010


Source OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on March 2, 2015). Notes: Data for 2006, 2008, and 2010 Comparable Country Average are from 2007, 2009, and 2011 respectively

There are more retained surgical items in the U.S. than across comparable countries

Retained surgical item or un-retrieved device fragment crude rate per 100,000 hospital discharges, ages 15 and older, in years 2006, 2008, and 2010

2006 2008 20100

1

2

3

4

5

6

7

8

9

8.1 8.1

7.0

5.85.3

6.3



2008 20100

2

4

6

8

10

12

14

12.5

11.1

6.7 6.8


Source: OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on March 2, 2015). Notes: Data for 2008 and 2010 Comparable Country Average are from 2007 and 2009 respectively.

Obstetric trauma during vaginal delivery is more common in the U.S. than across comparable countriesObstetric trauma during vaginal delivery with an instrument crude rate per 100 vaginal deliveries, ages 15 and older, in years 2008 and 2010


Breast Cancer Colorectal Cancer Cervical Cancer0

10

20

30

40

50

60

70

80

90

100

88.7

64.7 62.2

84.2

61.664.8


Source: OECD (2013), "OECD Health Data: Health status: Health quality indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on March 2, 2015). Notes: Data for breast and cervical cancers are for females.

Five-year survival rates for certain cancers are higher in the U.S. than in comparable countriesPercentage of age-adjusted five-year relative survival for breast, colorectal, and cervical cancer, ages 15-99, in years 2004-2009


Breast Cancer Colorectal Cancer Cervical Cancer0

5

10

15

20

25

30

24.5

17.6

2.4

26.1

22.7

2.4


Source : OECD (2013), "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on May 5, 2015). Notes: Data for breast and cervical cancers are for females.

Mortality rates for breast and colorectal cancer in the U.S. are lower than in comparable countriesAge-standardized mortality rate per 100,000 population for breast, colorectal, and cervical cancer, in years, (2010)



The mortality rate for cancers has been falling in the U.S. and across comparable countries

Age-adjusted neoplasms mortality rate per 100,000 population

0

50

100

150

200

250

300

242

199

262

212Comparable country average

United States


Source: OECD (2013), "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on November 6, 2014). Notes: Break in series in 1987 and 1997 for Switzerland; in 1995 for Switzerland; in 1996 for Netherlands; in 1998 for Australia, Belgium, and Germany; in 1999 for United States; in 2000 for Canada and France; and in 2001 in the United Kingdom. All breaks in series coincide with changes in ICD coding. Switzerland does not provide data for acute myocardial infarction.

Mortality rates for diseases of the circulatory system have fallen dramatically over the last 30 yearsAge-adjusted diseases of the circulatory system mortality rate per 100,000 population

19801981

19821983

19841985

19861987

19881989

19901991

19921993

19941995

19961997

19981999

20002001

20022003

20042005

20062007

20082009

20100

100

200

300

400

500

600

700

629

261

607

243

United States




The mortality rate for respiratory diseases is higher in the U.S. than in comparably wealthy countriesAge-adjusted respiratory diseases mortality rate per 100,000 population

19801981

19821983

19841985

19861987

19881989

19901991

19921993

19941995

19961997

19981999

20002001

20022003

20042005

20062007

20082009

20100

20

40

60

80

100

120

80 80

93

63Comparable country average

United States



Mortality rates for endocrine, nutritional and metabolic diseases have fallen over the last 15 yearsAge-adjusted endocrine, nutritional and metabolic diseases mortality rate per 100,000 population

19801981

19821983

19841985

19861987

19881989

19901991

19921993

19941995

19961997

19981999

20002001

20022003

20042005

20062007

20082009

20100

10

20

30

40

50

60

2833

2323

United States


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