Transcript THE COMMONWEALTH FUND Multinational Comparisons of Health Systems Data, 2008 Gerard F. Anderson, Ph.D., and Patricia Markovich Johns Hopkins University November 2008 Support for this research was provided.

THE
COMMONWEALTH
FUND
Multinational Comparisons
of Health Systems Data, 2008
Gerard F. Anderson, Ph.D., and Patricia Markovich
Johns Hopkins University
November 2008
Support for this research was provided by The Commonwealth Fund. The views presented here are those of the authors
and not necessarily those of The Commonwealth Fund or its directors, officers, or staff.
2
International Comparison of Spending on Health,
1980–2006
Total expenditures on health
as percent of GDP
Average spending on health
per capita ($US PPP)
16
7000
14
Australia
Canada
Denmark
France
Germany
Netherlands
New Zealand
Sweden
Switzerland
United Kingdom
United States
6000
12
5000
10
4000
8
3000
Australia
Canada
Denmark
France
Germany
Netherlands
New Zealand
Sweden
Switzerland
United Kingdom
United States
6
4
2
0
2000
1000
0
1980
1984
1988
1992
1996
2000
2004
1980
1984
1988
1992
1996
2000
2004
THE
COMMONWEALTH
FUND
Data: OECD Health Data 2008 (June 2008).
3
Out-of-Pocket Health Care Spending
per Capita, 2006
Adjusted for Differences in the Cost of Living
$1,400
$1,305
$1,200
$1,000
$857
$800
$546
$600
$532
$484
$483
$445
$405
$400
$232
$203
$200
$0
SWITZ
US
AUS*
CAN
DEN
OECD
GER
NZ
FRA
NETH
Median
*2005
Data: OECD Health Data 2008 (June 2008).
THE
COMMONWEALTH
FUND
4
Total Health Care Spending on Health Insurance
and Administration per Capita, 2006
$500
Adjusted for Differences in the Cost of Living
$486
$400
$300
$243
$195
$200
$190
$184
$139
$96
$100
$93
$74
$67
$32
$0
US
(7.2%)
FRA
(7.0%)
SWITZ*
(4.8%)
NETH
(5.6%)
GER
(5.4%)
CAN
(3.8%)
NZ
AUS*
(3.9%)
(3.1%)
OECD
Median
SWED
(2.1%)
DEN
(0.9%)
(3.4%)
(Percent of total health expenditure)
*2005
Note: Total health care spending on health insurance administration includes insurer costs only.
Data: OECD Health Data 2008 (June 2008).
THE
COMMONWEALTH
FUND
5
Percentage of Total Health Care Spending
on Pharmaceuticals, 1996 and 2006
18%
17.4%
16.4%
16.0%
1996
16.4%
16%
14.8%
14.0%
14.0%
14%
13.0%
14.2% 13.6%
13.3%
12.4%
14.5%
12.6%
12.4%
12%
10.5%
10.0%
9.3%
10%
2006
8.9%
8.5%
8%
6%
4%
2%
0%
CAN
FRA
OECD
GER
AUS*
SWED
US
NZ
SWITZ*
DEN
Median
*1996–2005
Data: OECD Health Data 2008 (June 2008).
THE
COMMONWEALTH
FUND
6
Hospital Discharges per 1,000 Population, 2006
300
284
250
202
200
171
162
162
162
161
138
150
125
119
104
100
87
50
0
FRA
GER
DEN
AUS*
SWED
OECD
SWITZ
NZ**
UK
US*
NETH*
CAN*
Median
*2005
**2004
Data: OECD Health Data 2008 (June 2008).
THE
COMMONWEALTH
FUND
7
Average Length of Stay for Acute Care, 2006
Days
10
8.5
8.2
7.5
8
7.2
6.6
6.6
6.0
6
5.6
5.4
4.6
3.5
4
2
0
GER
SWITZ
UK
CAN*
OECD
NETH
AUS*
US
FRA
SWED
DEN*
Median
*2005
Data: OECD Health Data 2008 (June 2008).
THE
COMMONWEALTH
FUND
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Average Annual Number of Physician Visits
per Capita, 2006
8
7.5
7.0
7
6.4
6.4
6.1
6
5.9
5.6
5.1
5
4.0
4
2.8
3
2
1
0
DEN**
GER**
FRA
OECD
AUS
CAN*
NETH
UK
US*
SWED
Median
*2005
**2004
Data: OECD Health Data 2008 (June 2008).
THE
COMMONWEALTH
FUND
9
Coronary Bypass Procedures
per 100,000 Population, 2006
150
145
125
100
87
82
78
75
75
70
61
57
54
43
50
34
25
0
US**
CAN*
DEN*
GER
NZ
AUS*
OECD
NETH*
SWED
UK
SWITZ
Median
*2005
**2004
Data: OECD Health Data 2008 (June 2008).
THE
COMMONWEALTH
FUND
10
Magnetic Resonance Imaging (MRI) Units
per Million Population, 2006
30
26.5
20
14.0
10.2
10
7.7
7.7
6.6
6.2
5.6
5.3
4.9
UK
FRA
AUS
0
US
SWITZ
DEN**
GER
OECD
NETH*
CAN
Median
*2005
**2004
Data: OECD Health Data 2008 (June 2008).
THE
COMMONWEALTH
FUND
11
Percentage of Population over Age 65
with Influenza Immunization, 2006
80%
79.1%
75.1%
75.0%
68.0%
70%
66.5%
64.3%
63.6%
63.0%
63.0%
61.0%
60%
53.7%
50%
40%
30%
20%
10%
0%
AUS**
UK
NETH
FRA*
CAN*
US
NZ
GER*
OECD
SWITZ
DEN
Median
*2005
**2004
Data: OECD Health Data 2008 (June 2008).
THE
COMMONWEALTH
FUND
12
Percentage of Adults Who Report Being
Daily Smokers, 2006
35%
31.0%
30%
26.0%
25%
25.0%
23.2%
23.2%
22.0%
20.7%
20%
17.7%
17.3%
16.7%
CAN*
US
15.9%
15%
10%
5%
0%
NETH
DEN**
FRA
GER*
OECD
UK
NZ
AUS**
SWED*
Median
*2005
**2004
Data: OECD Health Data 2008 (June 2008).
THE
COMMONWEALTH
FUND
13
Potential Years of Life Lost Due to Diabetes
per 100,000 Population, 2006
100
99
80
65
56
60
39
40
37
36
35
29
25
24
UK*
SWITZ*
20
0
US*
NZ**
CAN**
NETH
OECD
SWED**
GER
FRA*
Median
*2005
**2004
Data: OECD Health Data 2008 (June 2008).
THE
COMMONWEALTH
FUND
14
Life Expectancy at Birth, 2006
Years
90
Female
84.4
80
77.3
84.2
79.2
83.5
82.9
82.7
78.7
78.7
78
82.4
82.3
77.2
77.1
81.9
Male
81.9
81.1
80.7
80.4
77.9
77.6
77.1
76.1
75.2
70
60
50
40
30
20
10
0
FRA
SWITZ
AUS
SWED
CAN*
GER
OECD
NETH
NZ
UK*
DEN
US*
Median
*2005
Data: OECD Health Data 2008 (June 2008).
THE
COMMONWEALTH
FUND