Multinational Comparisons of Health Systems Data, 2014
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1 Multinational Comparisons of Health Systems Data, 214 Chloe Anderson The Commonwealth Fund November 214
2 Health Care Spending 2
3 Dollars ($US) Average Health Care Spending per Capita, Adjusted for Differences in Cost of Living US ($8,745) NOR ($6,14) SWIZ ($6,8) NETH ($5,219)* GER ($4,811) DEN ($4,698) CAN ($4,62) FR ($4,288) SWE ($4,16) AUS ($3,997)* JPN ($3,649) UK ($3,289) NZ ($3,172)* * 211. Source: OECD Health Data 214.
4 Health Care Spending as a Percentage of GDP, Percent US (16.9%) NETH (12.1%)* FR (11.6%) SWIZ (11.4%) GER (11.3%) DEN (11.%) CAN (1.9%) JPN (1.3%) NZ (1.%)* SWE (9.6%) NOR (9.3%) UK (9.3%) AUS (9.1%)* * 211. GDP refers to gross domestic product. Source: OECD Health Data 214.
5 Health Care Spending per Capita by Source of Funding, 212 Adjusted for Differences in Cost of Living 5 Dollars ($US) 9, 8,745 8, 1,45 Out-of-pocket spending 7, 6, 3,54 6,8 Private spending Public spending 5, 4, 3, 1, ,811 4,698 4, , ,16 3, ,289 3, , 1, 4,16 4,1 3,691 4,29 3,224 3,317 3,336 2,733 2,762 2,623 US SWIZ GER DEN CAN FR SWE AUS* UK NZ* * 211. Source: OECD Health Data 214.
6 Dollars ($US) 24, Spending per Hospital Discharge, 212 Adjusted for Differences in Cost of Living 6 2,932 2, 16, 13,54 14,832 15,754 12, 8, 5,586 7,147 8,434 8,785 9,346 9,975 11,363 11,472 4, GER OECD Median NZ* FR AUS* SWE** NOR** DEN** SWIZ NETH CAN* US** * 211. ** 21. Source: OECD Health Data 214.
7 Pharmaceutical Spending per Capita, 212 Adjusted for Differences in Cost of Living 7 Dollars ($US) 1,1 1, 1, DEN NZ* NOR NETH SWE OECD Median SWIZ AUS* FR GER JPN* CAN* US * 211. Source: OECD Health Data 214.
8 Spending on Health Insurance Administration per Capita, 212 Adjusted for Differences in Cost of Living 8 Dollars ($US) NOR JPN* SWE AUS* DEN NZ* CAN* NETH GER FR SWIZ US * 211. Source: OECD Health Data 214.
9 Health Care Supply and Utilization 9
10 Number of Practicing Physicians per 1, Population, NOR GER SWE* SWIZ AUS OECD Median FR UK NZ CAN US* JPN * 211. Source: OECD Health Data 214.
11 Magnetic Resonance Imaging (MRI) Machines per Million Population, JPN* US AUS NETH NZ CAN FR UK * 211. Source: OECD Health Data 214.
12 Hospital Discharges per 1, Population, CAN* JPN* NETH US** UK* NZ SWE** OECD Median SWIZ FR DEN** AUS* NOR** GER * 211. ** 21. Source: OECD Health Data 214.
13 Average Annual Number of Physician Visits per Capita, JPN* GER CAN* AUS FR OECD Median NETH DEN NOR US** NZ * 211. ** 21. Source: OECD Health Data 214.
14 Hip Replacement Inpatient Cases per 1, Population, CAN* NZ*** OECD Median UK*** US** NETH** DEN FR SWE NOR GER SWIZ * 211. ** 21. *** Data from publicly-funded hospitals only. Source: OECD Health Data 214.
15 Health Promotion and Disease Prevention 15
16 Cervical Cancer Screening Rates, Percent of women screened US* UK NZ NOR CAN FR* NETH DEN AUS JPN* Note: UK, NZ, NOR, DEN, and AUS based on program data; all other countries based on survey data. * 21. Source: OECD Health Data 214.
17 Percent 1 Flu Immunization Among Adults Age 65 or Older, UK US* NZ CAN FR OECD Median JPN SWIZ** DEN NOR * 211. ** 21. Source: OECD Health Data 214.
18 Adults Who Report Being Daily Smokers, Percent SWE US AUS** NOR CAN NZ NETH UK* OECD Median SWIZ JPN DEN** FR * 211. ** 21. Source: OECD Health Data 214.
19 Quality and Patient Safety 19
20 Mortality Amenable to Health Care 2 Deaths per 1, population* * 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.
21 Breast Cancer Five-Year Relative Survival Rate, (or nearest period) 21 Percent US AUS CAN SWE JPN NZ NOR NETH GER DEN UK Note: UK and SWE data are from ; NZ, NOR, NET, and DEN data are from ; AUS data are from 25 21; US and GER data are from 24 29; CAN data are from 23 28; JPN data are from Source: OECD Health Data 214.
22 Diabetes Lower Extremity Amputation Rates per 1, Population, SWE AUS* UK NZ FR SWIZ** NOR OECD Median CAN NETH** US** GER DEN*** * 212. ** 21. *** 29. Source: OECD Health Data 214.
23 Prices 23
24 Total Hospital and Physician Costs, Dollars ($US) Appendectomy Dollars ($US) Bypass Surgery 16, 8, 75,345 14, 13,91 7, 12, 6, 1, 9,845 5, 8, 6,645 4, 36,59 4,368 42,13 6, 4,995 5,177 3, 4, 2, 15,742 2, 1, NETH AUS NZ SWIZ US NETH SWIZ NZ AUS US Notes: US refers to the commercial average. Appendectomy prices reflect a blend of inpatient and outpatient prices based on relative utilization in each setting. Source: International Federation of Health Plans, 213 Comparative Price Report.
25 Diagnostic Imaging Prices, Dollars ($US) MRI Dollars ($US) CT Scan (abdomen) 1,4 1,2 1,145 1, 896 1, 1, SWIZ AUS NETH NZ US CAN NETH SWIZ AUS NZ 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, 213 Comparative Price Report.
26 Long-Term Care and Social Supports 26
27 Percent of Population Age 65 or Older, Percent US NZ AUS CAN NOR NETH OECD Median UK SWIZ DEN FR SWE GER JPN Source: OECD Health Data 214.
28 Beds in Residential Long-Term Care Facilities per 1, Population Age 65 or Older, SWE SWIZ NETH NZ FR NOR GER* OECD Median Note: Long-term care facilities include nursing and residential care facilities that provide accommodation and long-term care services. The data used in this measure vary across countries such as the inclusion of private institutions (in addition to public institutions), psychiatric hospital units, substance abuse treatment centers, and rehabilitation centers and different countries may have different types or a different mix of facilities. Thus, caution is in order in interpreting cross-national differences. * 211. Source: OECD Health Data 214. UK DEN* US* JPN
29 Health and Social Care Spending Percent of GDP 29 Percent 4 Health care Social care FR SWE SWIZ GER NETH US NOR UK NZ CAN AUS Source: E. H. Bradley, L. A. Taylor, and H. V. Fineberg, The American Health Care Paradox: Why Spending More is Getting Us Less, Public Affairs, 213.
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