Multinational Comparisons of Health Systems Data, 2013
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1 Multinational Comparisons of Health Systems Data, 213 David Squires The Commonwealth Fund November 213
2 2 Health Care Spending and Coverage
3 Average Health Care Spending per Capita, Adjusted for Differences in Cost of Living 3 Dollars ($US) * 21 Source: OECD Health Data 213. US ($8,58) NOR ($5,669) SWIZ ($5,643) NETH ($5,99) CAN ($4,522) DEN ($4,495)* GER ($4,495) FR ($4,118) SWE ($3,925) AUS ($3,8)* UK ($3,45) JPN ($3,213)* NZ ($3,182)
4 Health Care Spending as a Percentage of GDP, Percent * 21 GDP refers to gross domestic product. Source: OECD Health Data 213. US (17.7%) NETH (11.9%) FR (11.6%) GER (11.3%) CAN (11.2%) DEN (11.1%)* SWIZ (11.%) NZ (1.3%) JPN (9.6%)* SWE (9.5%) UK (9.4%) NOR (9.3%) AUS (8.9%)*
5 Health Care Spending per Capita by Source of Funding, 211 Adjusted for Differences in Cost of Living 5 Dollars ($US) 9, 8,58 8, 987 Out-of-pocket spending 7, Private spending Public spending 6, 3,454 5,643 5, 1,455 4, 3, 527 4,522 4,495 4,495 4,118 3,925 3, , ,213 3, , 1, 4,66 3,661 3,183 3,827 3,436 3,161 3,24 2,578 2,821 2,638 2,631 US SWIZ CAN DEN* GER FR SWE AUS* UK JPN* NZ * 21. Source: OECD Health Data 213.
6 Pharmaceutical Spending per Capita, 211 Adjusted for Differences in Cost of Living 6 Dollars ($US) 1, US CAN JPN* FR GER AUS* SWIZ OECD Median NETH SWE NOR DEN NZ * 21. Source: OECD Health Data 213.
7 7 Health Care Supply and Utilization
8 Hospital Discharges per 1, Population, GER NOR* DEN* SWIZ FR SWE* AUS* OECD Median NZ UK US* NETH JPN CAN* * 21. Source: OECD Health Data 213.
9 Average Length of Hospital Stay for Acute Care, Days GER CAN* SWIZ UK OECD Median NETH NZ US FR SWE AUS* NOR* * 21. Source: OECD Health Data 213.
10 Average Annual Number of Physician Visits per Capita, JPN* GER CAN* FR AUS NETH OECD Median NOR** UK** DEN* US** SWE * 21. ** 29. Source: OECD Health Data 213.
11 Number of Practicing Physicians per 1, Population, SWE* GER SWIZ NOR DEN** AUS OECD Median FR UK NZ US JPN* * 21. ** 29. Source: OECD Health Data 213.
12 Number of Acute Care Hospital Beds per 1, Population, JPN GER FR AUS* NETH SWIZ OECD Median DEN* NZ US* UK NOR SWE CAN* * 21. Source: OECD Health Data 213.
13 Inpatient Coronary Bypass Grafts per 1, Population, US** DEN* GER NOR** CAN* NETH* SWIZ OECD Median NZ SWE UK FR * 21. ** 29. Source: OECD Health Data 213.
14 14 Magnetic Resonance Imaging (MRI) Exams per Million Population, US GER** FR DEN NETH CAN AUS * 21. ** 29. Source: OECD Health Data 213.
15 15 Health Promotion and Disease Prevention
16 Cervical Cancer Screening Rates, Percent of women screened US* GER** NOR NZ FR* UK DEN** NETH AUS JPN* Note: NOR, NZ, UK, DEN, and AUS based on program data; all other countries based on survey data. * 21. ** 29. Source: OECD Health Data 213.
17 Percent 1 Flu Immunization Among Adults Age 65 or Older, AUS** NETH** UK US NZ CAN GER** OECD Median FR JPN* SWIZ* DEN* NOR * 21. ** 29. Source: OECD Health Data 213.
18 Adults Who Report Being Daily Smokers, Percent FR* GER** NETH JPN OECD Median DEN* UK* NOR CAN AUS* US SWE * 21. ** 29. Source: OECD Health Data 213.
19 Obesity (BMI>3) Prevalence Among Adult Population, Percent Measured Self-reported US* AUS NZ** CAN* UK GER** DEN* FR* NETH SWE JPN 4.1 Note: Body-mass index (BMI) estimates based on national health interview surveys (self-reported data) are usually significantly lower than estimates based on actual measurements. * 21. ** 29. Source: OECD Health Data 213.
20 2 Quality and Patient Safety
21 Mortality Amenable to Health Care 21 Deaths per 1, population* FR AUS ITA JPN SWE NOR NETH AUT FIN GER GRE IRL NZ DEN UK US * Countries age-standardized death rates before age 75; including ischemic heart disease, diabetes, stroke, and bacterial infections. Analysis of World Health Organization mortality files and CDC mortality data for U.S. Source: Adapted from E. Nolte and M. McKee, Variations in Amenable Mortality Trends in 16 High-Income Nations, Health Policy, published online Sept. 12, 211.
22 Percent Breast Cancer Five-Year Relative Survival Rate, (or nearest period) US JPN CAN NOR SWE NZ NETH GER DEN UK Source: OECD Health Data 213.
23 Diabetes Lower Extremity Amputation Rates per 1, Population, UK SWE NZ SWIZ* CAN NOR OECD Median AUS NETH** FR** DEN US* GER * 28. ** 27. Source: OECD Health Data 213.
24 In-Hospital Mortality After Admission for Acute Myocardial Infarction per 1 Patients, DEN NOR SWE** AUS NZ CAN US* SWIZ* OECD Median UK NETH** GER JPN* In-hospital case-fatality rates within 3 days of admission. Age-sex standardized rates. * 28. ** 27. Source: OECD Health Data 213.
25 Foreign Object Left in Body During Procedure per 1, Hospital Discharges, DEN** SWE GER US* FR UK NZ CAN AUS SWIZ* Note: Age-sex-SDX standardized rates. * 28. ** 21. Source: OECD Health Data 213.
26 26 Prices
27 Retail Price Indexes for Basket of In-Patent Pharmaceuticals, 21 Price level US is set at US GER SWIZ FR CAN AUS UK Note: Calculations weighted relative to U.S. consumption patterns. U.S. retail prices were discounted from manufacturer prices according to the rebates obtained by the Medicaid program. Source: P. Kanavos, A. Ferrario, S. Vandoros et al., "Higher U.S. Branded Drug Prices and Spending Compared to Other Countries May Stem Partly from Quick Uptake of New Drugs," Health Affairs, April (4):
28 Diagnostic Imaging Prices, MRI scanning and imaging fees CT scanning and imaging fees (head) $1,2 $1,121 $6 $566 $1, $928 $5 $8 $4 $6 $554 $3 $252 $31 $328 $4 $319 $335 $363 $2 $124 $175 $183 $2 $1 $ NETH UK FR NZ SWIZ US $ CAN UK FR NETH NZ SWIZ US Notes: US refers to the commercial average. MRI refers to magnetic resonance imaging; CT refers to computed tomography. Source: International Federation of Health Plans, 212 Comparative Price Report.
29 Dollars ($US) 24, 21,18 2, Hospital Spending per Discharge, 211 Adjusted for Differences in Cost of Living 29 16, 15,433 13,25 12, 8, 11,968 11,374 11,36 9,894 9,611 8,478 8,363 7,842 5,339 4, US* CAN* NETH SWIZ DEN* NOR* SWE* AUS* NZ FR OECD Median GER * 21. Source: OECD Health Data 213.
30 Dollars ($US) $1,8 $1,634 $1,6 $1,4 Physician Fee for Hip Replacement, 28 Adjusted for Differences in Cost of Living Public payers Dollars ($US) $4,2 $3,6 $3,996 Private payers 3 $1,2 $1, $8 $6 $1,251 $1,181 $1,46 $674 $652 $3, $2,4 $1,8 $1,2 $2,16 $1,943 $1,34 $4 $2 $6 $ US GER UK AUS FR CAN $ US UK AUS FR Source: M. J. Laugesen and S. A. Glied, Higher Fees Paid to U.S. Physicians Drive Higher Spending for Physician Services Compared to Other Countries, Health Affairs, Sept (9):
31 Physician Incomes, 28 Adjusted for Differences in Cost of Living 31 Dollars ($US) 5, 442,45 45, Orthopedic surgeons Primary care doctors 4, 35, 3, 324,138 25, 2, 15, 1, 28,634 22, ,69 154,38 186, , ,89 125,14 95,585 92,844 5, US UK CAN GER AUS FR US UK GER CAN FR AUS Source: M. J. Laugesen and S. A. Glied, Higher Fees Paid to U.S. Physicians Drive Higher Spending for Physician Services Compared to Other Countries, Health Affairs, Sept (9):
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