Transcript THE COMMONWEALTH FUND Multinational Comparisons of Health Systems Data, 2007 Bianca K. Frogner, Meghan Bishop, and Gerard F.

THE
COMMONWEALTH
FUND
Multinational Comparisons
of Health Systems Data, 2007
Bianca K. Frogner, Meghan Bishop, and Gerard F. Anderson, Ph.D.
Johns Hopkins University
November 2007
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.
Percentage of Gross Domestic Product Spent
on Health Care in 1995 and 2005
2
18%
16%
14%
1995
15.3%
2005
13.3%
12%
10.7%
10.1%
10%
9.8%
9.0%
9.5%
9.1%
8.3%
8.0%
8%
9.2%
7.5%
9.0%
7.2%
8.3%
7.0%
6%
4%
2%
0%
United
Germany
Canada
States
a2004
Source: OECD Health Data 2007 (October 2007)
Australia
a
Netherlands
a
OECD
New
United
Median
Zealand
Kingdom
THE
COMMONWEALTH
FUND
Health Care Spending per Capita in 2005
Adjusted for Differences in Cost of Living
$7,000
3
$6,401
$6,000
$5,000
$4,000
$3,326
$3,287
$3,128
$3,094
$2,922
$3,000
$2,724
$2,343
$2,000
$1,000
$0
United
Canada
Germany
States
a2004
Source: OECD Health Data 2007 (October 2007)
Australia
a
Netherlands
a
OECD
United
New
Median
Kingdom
Zealand
THE
COMMONWEALTH
FUND
Health Care Expenditure per Capita
by Source of Funding in 2005
4
Adjusted for Differences in Cost of Living
$7,000
$6,000
Out-of-Pocket Spending
$842
Private Spending
Public Spending
$5,000
$4,000
$2,676
$431
$328
$3,000
$482
$250
$507
$832
$390
$2,000
$2,884
$1,000
$2,527
$2,337
United
Germany
Canada
States
a2004
bCurrent
expenditure
Source: OECD Health Data 2007 (July 2007)
Netherlands
$2,371
$2,110
$2,064
$0
$0
$352
$627
b
Australia
a
$431
$122
$2,087
United
OECD
Kingdom
Median
$392
$121
$1,829
New Zealand
THE
COMMONWEALTH
FUND
Hospital Spending per Inpatient Acute Care Day
5
Adjusted for Differences in Cost of Living
$2,500
$2,421
$2,000
$1,500
$1,304
$1,201
$1,004
$1,000
$860
$636
$500
$0
United
Netherlands
b
Australia
a
Canada
a
OECD Median
Germany
$520
c
New Zealand
States
a2004
b2002
cSource:
NZ Ministry of Health, 2004
Source: OECD Health Data 2007 (October 2007)
THE
COMMONWEALTH
FUND
Spending on Physician Services per Capita in 2005
6
Adjusted for Differences in Cost of Living
$1,600
$1,421
$1,200
$800
$512
$448
$397
$386
New Zealand
Germany
$400
$336
$0
United
Australia
States
a
OECD
Canada
Median
a2004
THE
COMMONWEALTH
FUND
Source: OECD Health Data 2007 (October 2007)
Pharmaceutical Spending per Capita in 2005
7
Adjusted for Differences in Cost of Living
$900
$800
$792
$700
$589
$600
$498
$500
$415
$409
$400
$318
$300
$290
$200
$100
$0
United
Canada
Germany
States
a2004
b2002
Source: OECD Health Data 2007 (October 2007)
Australia
a
OECD
Median
Netherlands
b
New
Zealand
THE
COMMONWEALTH
FUND
Average Annual Growth Rate of Real Spending
per Capita on Pharmaceuticals, 1995–2005
8%
8
7.1%
6.4%
5.8%
6%
4.0%
3.8%
4%
3.5%
2.5%
2%
0%
United
a
Australia
Canada
States
a1995-2004
b1995-2002
Source: OECD Health Data 2007 (October 2007)
Netherlands
b
OECD
Median
Germany
New
Zealand
THE
COMMONWEALTH
FUND
Prevention and Public Health Spending
per Capita in 2005
$250
$225
9
Adjusted for Differences in Cost of Living
$203
$200
$148
$150
$141
$107
$100
$61
$46
$50
$0
United States
Canada
Netherlands
New Zealand
Germany
OECD Median
a
Australia
a2004
THE
COMMONWEALTH
FUND
Source: OECD Health Data 2007 (October 2007)
Percentage of Total Health Care Spending on Health
Insurance Administration in 2005
10
8%
7.5%
7%
6%
5.6%
5%
4.3%
4.2%
4%
3.7%
3.5%
3%
2.8%
2%
1%
0%
United States
Germany
Netherlands
a
Canada
New Zealand
OECD Median
Australia
a
a2004
Note: Total health care spending on health insurance administration includes insurer costs only.
Source: OECD Health Data 2007 (October 2007)
THE
COMMONWEALTH
FUND
Total Health Care Spending on Health Insurance
Administration per Capita in 2005
11
Adjusted for Differences in Cost of Living
$500
$482
$400
$300
$184
$200
$148
$138
$87
$100
$0
United
States
Germany
Netherlands
Canada
New
Zealand
$86
$66
a
Australia
OECD
Median
a2004
Note: Total health care spending on health insurance administration includes insurer costs only.
Source: OECD Health Data 2007 (October 2007)
THE
COMMONWEALTH
FUND
Average Length of Stay for Acute Care in 2005
12
10
8.6
8
7.3
6.8
6.6
6.1
6.1
6
5.6
5.6
United
New
United
Kingdom
Zealand
4
2
0
Germany
a
Canada Netherlands
OECD
Median
a2004
bSource:
NZ Ministry of Health, 2004
Source: OECD Health Data 2007 (October 2007)
Australia
a
b
States
THE
COMMONWEALTH
FUND
Number of Practicing Physicians
per 1,000 Population in 2005
4
13
3.7
3.4
3.3
3.0
3
2.7
2.4
2.2
2.2
Canada
New Zealand
2
1
0
Netherlands
a2004
bSource:
Germany
OECD
United
Median
States
b
Australia
a
United
a
Kingdom
American Medical Association
THE
COMMONWEALTH
FUND
Source: OECD Health Data 2007 (October 2007)
Average Annual Number of Physician Visits
per Capita in 2005
14
8
7
7.0
6.4
6
6.1
6.0
5.4
5
5.1
3.8
4
3.2
3
2
1
0
Germany
a2004
a
OECD
Australia
Median
a
Canada
Netherlands
United
United
Kingdom
States
a
New Zealand
b
b2003
THE
COMMONWEALTH
FUND
Source: OECD Health Data 2007 (October 2007)
Potential Years of Life Lost Due to Diabetes
per 100,000 Population
15
Note: Years vary from 2002-2004
120
98
100
80
59
60
42
39
40
38
34
26
20
0
United
States
a
Canada
c
a
Netherlands
Germany
a
b
Australia
OECD Median
United
a
Kingdom
a2004
b2003
c2002
Source: OECD Health Data 2007 (October 2007)
THE
COMMONWEALTH
FUND
Breast Cancer Five-Year Relative Survival Rate
16
100%
88.9%
86.6%
86.0%
83.5%
83.3%
80.0%
75%
50%
25%
0%
United States
a1998-2003
b
Australia
b
a
Canada
New Zealand
a
Netherlands
d
England
c
b1998-2002
c1998-2001
d1996-2000
Note: Relative rates reported are crude rates.
Source: OECD Health Care Quality Indicators Project 2006 Update Report / 2007Working Paper
THE
COMMONWEALTH
FUND
Deaths Due to Surgical or Medical Mishaps per
100,000 Population
Note: Years vary from 2002-2004
0.8
0.7
0.7
0.7
0.6
0.6
0.5
0.5
0.5
0.5
0.4
0.3
0.2
0.2
0.1
0.0
Australia
b
United
States
a
a
Germany
a
United
c
a
Canada
a
OECD Median Netherlands
Kingdom
a2004
b2003
c2002
Source: OECD Health Data 2007 (October 2007)
THE
COMMONWEALTH
FUND
Percentage of Adults Who Reported Being
Daily Smokers in 2005
18
35%
31.0%
30%
24.3%
25%
24.0%
24.0%
22.5%
20%
17.4%
17.3%
16.9%
Canada
United
15%
10%
5%
0%
Netherlands Germany
aAustralian
b2003
b
United
OECD
New
Kingdom
Median
Zealand
Department of Health and Ageing, 2004
Source: OECD Health Data 2007 (October 2007)
Australia
a
States
THE
COMMONWEALTH
FUND