Multinational Comparisons of Health Systems Data, 2011

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Presentation transcript:

Multinational Comparisons of Health Systems Data, 2011 David Squires The Commonwealth Fund November 2011

Health Care Spending and Coverage THE COMMONWEALTH FUND

Average Health Care Spending per Capita, 1980–2009 Adjusted for differences in cost of living Dollars THE COMMONWEALTH FUND Source: OECD Health Data 2011 (June 2011).

Health Care Spending as a Percentage of GDP, 1980–2009 THE COMMONWEALTH FUND GDP refers to gross domestic product. Source: OECD Health Data 2011 (June 2011).

Health Care Spending per Capita by Source of Funding, 2009 Adjusted for Differences in Cost of Living Dollars 7,960 5,352 5,144 4,363 4,218 3,978 3,722 3,487 3,445 2,983 2,878 THE COMMONWEALTH FUND * 2008. Source: OECD Health Data 2011 (June 2011).

Pharmaceutical Spending per Capita, 2009 Adjusted for Differences in Cost of Living Dollars THE COMMONWEALTH FUND * 2008. ** 2007. Source: OECD Health Data 2011 (June 2011).

Health Care Supply and Utilization THE COMMONWEALTH FUND

Hospital Discharges per 1,000 Population, 2009 THE COMMONWEALTH FUND * 2008. Source: OECD Health Data 2011 (June 2011).

Average Length of Hospital Stay for Acute Myocardial Infarction, 2009 Days THE COMMONWEALTH FUND * 2008. Source: OECD Health Data 2011 (June 2011).

Inpatient Coronary Bypass Procedures per 100,000 Population, 2009 THE COMMONWEALTH FUND * 2008. Source: OECD Health Data 2011 (June 2011).

Average Annual Number of Physician Visits per Capita, 2009 THE COMMONWEALTH FUND * 2008. ** 2007. Source: OECD Health Data 2011 (June 2011).

Number of Practicing Physicians per 1,000 Population, 2009 THE COMMONWEALTH FUND * 2008. Source: OECD Health Data 2011 (June 2011).

Magnetic Resonance Imaging (MRI) Units per Million Population, 2009 THE COMMONWEALTH FUND * 2008. ** 2007. Source: OECD Health Data 2011 (June 2011).

Health Promotion and Disease Prevention THE COMMONWEALTH FUND

Cervical Cancer Screening Rates, 2006 Women Ages 20–69 Percent THE COMMONWEALTH FUND * Based on survey data; all other countries based on program data. Source: Health Care Quality Indicators Project, OECD 2009.

Adults Who Report Being Daily Smokers, 2009 Percent THE COMMONWEALTH FUND * 2008. ** 2007. Source: OECD Health Data 2011 (June 2011).

Obesity (BMI>30) Prevalence Among Adult Population, 2009 Percent Measured Self-reported 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. THE COMMONWEALTH FUND * 2008. ** 2007. Source: OECD Health Data 2011 (June 2011).

Quality Outcomes THE COMMONWEALTH FUND

Mortality Amenable to Health Care Deaths per 100,000 population* THE COMMONWEALTH FUND * 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, 2011.

Breast Cancer Five-Year Relative Survival Rate, 2002–2007 (or nearest period) Percent THE COMMONWEALTH FUND Source: OECD Health Care Quality Indicators Data 2009.

Diabetes Lower Extremity Amputation Rates per 100,000 Population Age 15 and Older, 2007 THE COMMONWEALTH FUND * 2006. ** 2005. *** Among countries shown. Source: OECD Health Care Quality Indicators Data 2009.

Mortality After Admission for Acute Myocardial Infarction Mortality After Admission for Acute Myocardial Infarction* per 100 Patients, 2007 THE COMMONWEALTH FUND * In-hospital case-fatality rates within 30 days of admission. ** 2006. *** 2005. Source: OECD Health Care Quality Indicators Data 2009.

Prices THE COMMONWEALTH FUND

Drug Prices for 30 Most Commonly Prescribed Brand-Name and Generic Drugs, 2006–07 US is set at 1.00 AUS CAN FR GER NETH NZ SWITZ UK US Brand-name drugs 0.40 0.64 0.32 0.43 0.39 0.33 0.51 0.46 1.00 Generic drugs 2.57 1.78 2.85 3.99 1.96 0.90 3.11 1.75 THE COMMONWEALTH FUND Source: IMS Health; analysis by Gerard Anderson, Johns Hopkins University.

MRI Scan and Imaging Fees, 2009 Dollars US high-end: 1,500 US average: THE COMMONWEALTH FUND Source: International Federation of Health Plans, 2009 Comparative Price Report.

Hospital Spending per Discharge, 2009 Adjusted for Differences in Cost of Living Dollars THE COMMONWEALTH FUND * 2008. ** 2007. Source: OECD Health Data 2011 (June 2011).

Physician Fee for Hip Replacement, 2008 Adjusted for Differences in Cost of Living Dollars Public payers Private payers THE COMMONWEALTH FUND 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. 2011 30(9):1647–56.

Physician Incomes, 2008 Adjusted for Differences in Cost of Living Dollars Orthopedic surgeons Primary care doctors THE COMMONWEALTH FUND 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. 2011 30(9):1647–56.