Multinational Comparisons of Health Systems Data, 2010 Johns Hopkins University

advertisement

Multinational Comparisons of Health Systems Data, 2010

Gerard F. Anderson and Patricia Markovich

Johns Hopkins University

November 2010

Support for this research was provided by The Commonwealth Fund.

THE

COMMONWEALTH

FUND

1

Total Health Care Spending

THE

COMMONWEALTH

FUND

2

Health Care Spending per Capita, 2008

Adjusted for Differences in Cost of Living

Dollars

8,000

7,538

7,000

6,000

5,000

4,000

3,000

2,000

5,003

4,627

4,079 4,063

3,737 3,696

3,540 3,470

3,353

3,129

2,995

2,683

3

1,000

0

US NOR SWIZ CAN NETH GER FR DEN* SWE AUS* UK OECD

Median

NZ

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

THE

COMMONWEALTH

FUND

5000

4000

3000

2000

1000

0

8000

7000

6000

International Comparison of Spending on Health, 1980 –2008

Average spending on health per capita ($US PPP)

Total expenditures on health as percent of GDP

16

US

NOR

SWIZ

CAN

NETH

GER

FR

DEN

SWE

AUS

UK

NZ

14

12

10

8

6

4

2

0

US

FR

SWIZ

GER

CAN

NETH

NZ

DEN

SWE

UK

NOR

AUS

THE

COMMONWEALTH

FUND

Source: OECD Health Data 2010 (Oct. 2010).

Average Annual Growth Rate of

Real Health Care Spending per Capita, 1998 –2008

Percent

4.9

5

4

4.4

4.1

3.9

3.9

3.6

3.5

3.4

3.4

3

2.3

2

1.9

1.8

1 0.8

0

UK NZ NETH OECD

Median

SWE AUS* DEN* US CAN FR SWIZ GER NOR

* 1997 –2007.

Source: OECD Health Data 2010 (Oct. 2010).

THE

COMMONWEALTH

FUND

5

Percent

Percentage of Gross Domestic Product Spent on Health Care,

1998 and 2008

16.0

16

1998 2008

13.4

12

8

11.2

10.7

10.1

10.1

10.5

10.2

9.0

10.4

8.1

9.9

7.8

9.9

8.3

9.7

8.2

9.4

7.8

8.7

6.7

8.7

7.6

8.5

9.3

8.5

6

4

0

US FR SWIZ GER CAN NETH NZ DEN* SWE OECD

Median

UK AUS* NOR

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

THE

COMMONWEALTH

FUND

Percent

Percentage of Population with Health Insurance Coverage

Through Public Programs, 2008

100

100.0

100.0

100.0

100.0

100.0

100.0

100.0

100.0

99.9

98.8

89.4

80

60

40

27.4

20

0

AUS* DEN NZ NOR SWE SWIZ UK OECD

Median

FR NETH GER

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

US

THE

COMMONWEALTH

FUND

7

Public Spending on Health Care per Capita, 2008

Adjusted for Differences in Cost of Living

Dollars

4,500

4,213

4,000

3,507

3,500

3,000

3,059

2,991

2,875 2,869 2,863 2,841

2,736

2,585

2,500

2,000

2,263 2,234

2,158

8

1,500

1,000

500

0

NOR US NETH DEN* FR GER CAN SWE SWIZ UK AUS* OECD

Median

NZ

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

THE

COMMONWEALTH

FUND

Private Spending on Health Care per Capita, 2008

Excluding Out-of-Pocket Spending, Adjusted for Differences in the Cost of Living

Dollars

3,500

3,119

3,000

2,500

2,000

1,500

1,000

500

616

548

484 467

436

382

197 165 154

86 60

35

0

US CAN FR AUS* SWIZ NETH GER UK OECD

Median

NZ SWE DEN* NOR

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

THE

COMMONWEALTH

FUND

9

10

Dollars

1,500

1,424

Out-of-Pocket Health Care Spending per Capita, 2008

Adjusted for Differences in Cost of Living

1,200

912

900

600

300

756

605 600

543

504

489

487

372

347

273

233

0

SWIZ US NOR AUS* CAN SWE OECD

Median

DEN* GER NZ

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

UK FR NETH

THE

COMMONWEALTH

FUND

Dollars

Health Care Expenditure per Capita by Source of Funding, 2008

Adjusted for Differences in Cost of Living

8,000

7,538

912

7,000

6,000

Out-of-pocket spending

Private spending

Public spending

5,000

4,000

3,000

5,003

3,119

35

756

4,627

1,424

467

4,079

600

616

3,737 3,696

487

382

273

548

60

3,540 3,470

489

86

543

3,353

605

484

3,129

347

197

2,683

154

372

2,000

3,507

1,000

4,213

2,736

2,863 2,869 2,875

2,991

2,841

2,263

2,585

2,158

11

0

US NOR SWIZ

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

CAN GER FR DEN* SWE AUS* UK NZ

THE

COMMONWEALTH

FUND

12

Hospitals

THE

COMMONWEALTH

FUND

Percent

50

47

49

46

Percentage of Total Health Care Spending on Hospital Services, 1998 and 2008

1998 2008

40

42

40 40

38

38 37 37 37

35

35

37

35

34

33

32

29

32

29

30

13

20

10

0

SWE DEN* AUS* NOR** OECD

Median

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

NZ NETH SWIZ* FR US GER CAN

THE

COMMONWEALTH

FUND

Dollars

2,500

2,359

Spending on Hospital Services per Capita, 2008

Adjusted for Differences in Cost of Living

2,000

1,500

1,613

1,567 1,567 1,545

1,378

1,263 1,259

1,116 1,116

1,061

1,004

1,000

14

500

0

US NOR** SWIZ* DEN* SWE NETH AUS* FR OECD

Median

CAN GER

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

NZ

THE

COMMONWEALTH

FUND

Hospital Spending per Discharge, 2008

Adjusted for Differences in Cost of Living

Dollars

18,000

16,708

16,000

14,000

12,669

12,200

12,000

10,000 9,422

9,230 9,118 9,064

7,729

7,174

8,000

6,000

5,949

4,762

4,566

15

4,000

2,000

0

US** CAN* NETH SWIZ* DEN* NOR** SWE* AUS*

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

NZ OECD

Median

FR GER

THE

COMMONWEALTH

FUND

300

264

250

232

Hospital Discharges per 1,000 Population, 2008

200

150

172

169

165

163 161

159

140

136

130

113

100

84

16

50

0

FR GER NOR SWIZ SWE* AUS* OECD

Median

DEN

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

NZ UK US** NETH CAN*

THE

COMMONWEALTH

FUND

Average Length of Stay for Acute Care, 2008

Days

8 7.7

7.6

7.5

7.1

6.0

5.9

5.9

6

5.5

5.2

4.8

4

4.5

17

2

0

SWIZ GER CAN* UK

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

OECD

Median

AUS** NETH US FR NOR SWE*

THE

COMMONWEALTH

FUND

Average Length of Hospital Stay for Acute Myocardial Infarction, 2008

18

Days

12

10.9

10

8.8

8.1

8

7.0

6.7

6.4

6.2

6.1

6

5.4

4.8

4.7

4.3

4

2

0

GER UK SWIZ OECD

Median

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

NETH CAN* FR AUS* US** SWE* DEN NOR

THE

COMMONWEALTH

FUND

Average Length of Stay for Normal Birth Delivery, 2008

Days

6

5.2

5

4.4

4

3

3.3

3.2

3.0

2.8

2

2.4

2.3

2.1

1.9

1.8

1.8

19

1

0

SWIZ FR GER NOR OECD

Median

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

DEN AUS* SWE* NETH US** CAN* UK

THE

COMMONWEALTH

FUND

Average Annual Hospital Inpatient

Acute Care Days per Capita, 2008

0.8

0.4

2.0

1.6

1.6

1.2

1.1

1.0

1.0

0.9

0.9

0.8

0.8

0.7

0.7

0.6

20

0.0

GER SWIZ AUS** FR

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

CAN* OECD

Median

NOR UK NETH NZ US

THE

COMMONWEALTH

FUND

Number of Acute Care Hospital Beds per 1,000 Population, 2008

2

1

4

3

6

5.7

5

3.5

3.5

3.3

3.3

3.0

2.9

2.7

2.7

2.7

2.5

2.2

21

0

GER AUS** FR SWIZ OECD

Median

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

DEN NETH CAN* UK US* NOR NZ

THE

COMMONWEALTH

FUND

22

Home Health and Long-Term Care

THE

COMMONWEALTH

FUND

23

Percentage of Total Health Care Spending on Long-Term Nursing Care, 1998 and 2008

Percent

30

27

25

23

20

1998 2008

21

18

19

15

10

5

14

14

15

11

14

12

12

0

NOR DEN* SWIZ

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

NZ CAN NETH GER

9

11

FR

8 8

8

6

SWE US

THE

COMMONWEALTH

FUND

24

Dollars

1,400

1,276

Long-Term Nursing Care Spending per Capita, 2008

Adjusted for Differences in Cost of Living

Public Private

1,200

133

1,000

868

800

724

75

600

1,143

400

531

649

200

337

0

NOR SWIZ* DEN*

574

108

466

506

506

CAN NETH

455

172

283

US

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

GER

445

131

315

4

407

28

382

11

261

402

354

249

FR NZ SWE

THE

COMMONWEALTH

FUND

25

Dollars

500

477

Home Health Care Spending per Capita, 2008

Adjusted for Differences in Cost of Living

451

400

300

278

226

212

200

139

104

98

89

100

0

NOR DEN* NZ

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

GER US SWE FR SWIZ* CAN

THE

COMMONWEALTH

FUND

100

92

84

80

Long-Term Care Beds in Nursing Homes per 1,000 Population Age 65 and Older, 1998 and 2008

81 81

1998 2008

72

70

65

60

60 56

52

49

44

43

40

35

50

26

19

20

15

0

SWE* SWIZ NETH NOR AUS

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

UK FR GER* US DEN

THE

COMMONWEALTH

FUND

27

Health Care Professionals

THE

COMMONWEALTH

FUND

1

2

3

Number of Practicing Physicians per 1,000 Population, 2008

4

4.0

3.8

3.6

3.6

3.4

3.0

2.6

2.5

2.4

28

0

NOR SWIZ SWE**

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

GER DEN* AUS* UK NZ US

THE

COMMONWEALTH

FUND

Percent

4

3.9

Average Annual Growth Rate of Practicing Physicians per 1,000 Population, 1998 –2008

3.2

3

2.2

2.2

2.0

2

1.2

1

0.8

29

0

NOR UK

* 1997 –2007.

** 1996 –2006.

Source: OECD Health Data 2010 (Oct. 2010).

SWE** AUS* DEN* GER US

THE

COMMONWEALTH

FUND

Average Annual Number of Physician Visits per Capita, 2008

10

8.9

8

7.8

6.9

6.4

6.4

5.9

5.9

5.7

6

4.3

4.0

4.0

4

2.9

30

2

0

DEN GER FR AUS OECD

Median

NETH

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

UK CAN* NZ* SWIZ* US* SWE**

THE

COMMONWEALTH

FUND

31

Number of Professionally Active Nurses per 1,000 Population, 2008

20

16

16.1

12

12.5

11.6

8

4

0

DEN* AUS*

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

GER

10.8

US

10.5

NZ

10.3

CAN

7.9

FR

THE

COMMONWEALTH

FUND

32

Pharmaceuticals

THE

COMMONWEALTH

FUND

Percentage of Total Health Care Spending on Pharmaceuticals, 1998 and 2008

Percent

20

16

15

17

14

17

16

16

14

15

13

14

14

13

16

1998

14

2008

12

12

12 11

10

10 10

10

9

9

8

9

8

33

4

0

CAN OECD

Median

FR GER AUS* SWE US

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

UK SWIZ* NZ NETH DEN* NOR

THE

COMMONWEALTH

FUND

Dollars

1,000

897

800

701

Pharmaceutical Spending per Capita, 2008

Adjusted for Differences in Cost of Living

600

607

563

480

465 461 457

400

381

368

303

257

34

200

0

US CAN FR GER AUS* OECD

Median

SWIZ* SWE NOR

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

UK DEN* NZ

THE

COMMONWEALTH

FUND

Drug Prices for 30 Most Commonly Prescribed Drugs, 2006 –07

US is set at 1.0

35

1.0

1.00

0.8

0.77

0.76

0.63

0.6

0.51

0.49

0.45

0.44

0.4

0.34

0.2

0.0

US CAN GER SWIZ UK AUS NETH FR NZ

THE

COMMONWEALTH

FUND

Source: IMS Health.

36

Medical Procedures Involving

Sophisticated Technology

THE

COMMONWEALTH

FUND

30

25.9

Magnetic Resonance Imaging (MRI) Machines per Million Population, 2008

20

10.4

9.6

10

6.9

6.7

5.6

37

0

US* NETH

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

NZ UK CAN* AUS

THE

COMMONWEALTH

FUND

21

38

Magnetic Resonance Imaging (MRI) Exams per 1,000 Population, 2008

100

80

91

60

40

20

49

42

0

US* FR

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

CAN

39

NETH

38

DEN AUS

THE

COMMONWEALTH

FUND

39

MRI Scan and Imaging Fees, 2009

Dollars

1,600

US high-end 1,500

1,400

1,200

1,000 US average 1,200

839

824

800

600

500

567

400

200

436

0

US Medicare US GER CAN NETH FR

Source: International Federation of Health Plans, 2009 Comparative Price Report.

179

UK

THE

COMMONWEALTH

FUND

40

Computer Tomography (CT) Scanners per Million Population, 2008

40

30

60

56.0

50

34.3

32.0

21.5

20

10

0

AUS** US*

19.0

12.7

SWIZ DEN OECD

Median

CAN*

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

12.4

NZ

10.3

NETH

10.2

UK

THE

COMMONWEALTH

FUND

60

41

Computer Tomography (CT) Exams per 1,000 Population, 2008

250

228

200

150

100

50

130

122

0

US* FR

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

CAN

94

AUS

84

DEN NETH

THE

COMMONWEALTH

FUND

200

150

164

Volume of Knee and Hip Implants, 2004

Implants per 100,000

Knee Replacements Hip Replacements

300

258

250

208

137

197

200

121

95 141

100 150 139

42

65

100

50

50

0

US UK GER FR ITA

0

GER FR

Source: McKinsey & Company, Accounting for the Cost of Health Care in the United States, 2007.

UK ITA US

THE

COMMONWEALTH

FUND

43

Dollars

6,000

5,000

4,866

Cost of Knee and Hip Prostheses to Providers, 2004

GDP Adjusted, US $

Knee Replacements Hip Replacements

$4,821

4,000

3,035

3,000

2,000

2,561

2,390

2,239

$1,537

$1,380

$1,168 $1,165

1,000

0

US ITA FR UK GER US ITA

Source: McKinsey & Company, Accounting for the Cost of Health Care in the United States, 2007.

UK GER FR

THE

COMMONWEALTH

FUND

Percutaneous Transluminal Coronary Angioplasty (PTCA) Interventions

44 per 100,000 Population, 2008

600

568

500

437

400

287

300

200

100

189

174

166

160

141 140

118 117

93

0

GER US** NOR* FR OECD

Median

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

DEN AUS* SWIZ NETH* CAN* NZ UK

THE

COMMONWEALTH

FUND

45

Coronary Bypass Procedures per 100,000 Population, 2008

160

140

124

120

100

85

81

80

60

76

72

69

67

59

58

56

45

40

20

35

31

0

GER US** NOR** NZ AUS* CAN* DEN OECD

Median

NETH* SWE* UK SWIZ FR

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

THE

COMMONWEALTH

FUND

Number of Knee Replacements per 100,000 Population, 2008

240

200

206

183

179

158

160

146

142

119

120

114

110

96

80

46

40

0

GER US** SWIZ

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

AUS* UK CAN* NETH* FR SWE* NZ

THE

COMMONWEALTH

FUND

47

150

120

122

Number of Patients Undergoing Dialysis Treatment per 100,000 Population, 2008

90

60

30

81

66

55

49 49 48

47

42

36

0

US* GER** CAN

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

OECD

Median

NZ FR DEN AUS UK NETH

THE

COMMONWEALTH

FUND

48

Public Health and Prevention

THE

COMMONWEALTH

FUND

Percent

100

89

80

60

Breast Cancer Screening, 2008

Percentage of Women Ages 50 –69 Receiving a Mammogram

Organized Program Survey

88

77

83

75

74

63

61

57

55

54

49

40

20

0

FR** NETH* NZ*

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

US NETH* NOR UK* NZ AUS** FR GER*

THE

COMMONWEALTH

FUND

Percent

Cervical Cancer Screening, 2000 to 2006 (or closest year)

Percentage of Women Ages 20 –69

Survey

100

Organized Program

84

79

79

80 76

72 73

71

70 69

60

61

50

40

20

0

NOR FR US UK

* 2007.

** 2006.

Source: OECD Health Care Quality Indicators Data 2009.

SWE CAN NZ NETH DEN AUS

THE

COMMONWEALTH

FUND

40

20

Percentage of Population over Age 65 with Influenza Immunization, 2008

Percent

100

80

78 77

75

70

67 67

64 64 64

63

60 56 56

51

0

AUS** NETH* UK FR

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

US CAN SWE NZ OECD

Median

DEN GER* SWIZ*

THE

COMMONWEALTH

FUND

40

20

Percent

100

98

Diphtheria, Tetanus, and Pertussis Vaccination Rates

Among Children Age 2, 2007 (or latest year available)

98

97

96 96

95 95

94

92

89

85

80

80 75

52

60

0

SWE FR GER* SWIZ OECD

Median

NETH UK NOR AUS NZ US CAN DEN*

THE

COMMONWEALTH

FUND

Source: OECD Health Data 2010 (Oct. 2010).

40

20

Percent

100 96

Measles Vaccination Rates Among Children Age 2, 2007

(or latest year available)

96

95 95

94

93 93 92

90

89

87

86

80

86

53

60

0

SWE NETH GER* OECD

Median

AUS NOR CAN US SWIZ DEN FR

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

UK NZ

THE

COMMONWEALTH

FUND

Percentage of Adults Who Report Being

Daily Smokers, 2008

Percent

30

28

25

26

23

22 22

21

20

20

18

18

17 17

15

14

54

10

5

0

NETH FR DEN OECD

Median

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

UK NOR SWIZ* NZ* CAN AUS* US SWE

THE

COMMONWEALTH

FUND

Percent

DEN

0

Twenty-Year Change in Smoking Rates,

1988 –2008

NOR AUS** CAN SWE NZ* US UK NETH FR

-1

55

-5

-5

-10

-10

-12

-12

-13

-15 -14

-17

-20

-22

-25

* 1987 –2007.

** 1986 –2007.

Source: OECD Health Data 2010 (Oct. 2010).

-13

THE

COMMONWEALTH

FUND

Annual Alcohol Consumption in Liters per Capita

Among People Age 15 and Older, 2008

14

12.6

12

10.9

10.8

10.2

10.0

10.0

9.9

10

9.6

9.5

8.7

8.2

8

6.9

6

6.8

56

4

2

0

FR* DEN UK SWIZ AUS* OECD

Median

GER NETH* NZ

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

US* CAN SWE* NOR

THE

COMMONWEALTH

FUND

57

Percent

35 34

Obesity (BMI>30) Prevalence Among Adult Population, 2008

Measured Self-Reported

30

25

27

25

25

24

28

21

20

15

16

11 11

10 10

10

8

5

0

US NZ* AUS* UK CAN US AUS* CAN FR NETH SWE* NOR SWIZ*

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

THE

COMMONWEALTH

FUND

58

Mortality

THE

COMMONWEALTH

FUND

Life Expectancy at Birth, 2008

Years

Female Male

90

80

84.6

79.8

84.3

77.6

83.7

79.2

83.2

79.1

83.0

78.3

83.0

78.3

82.7

77.6

82.6

77.6

82.4

78.4

82.3

78.0

81.8

77.6

81.0

76.5

80.4

75.3

70

59

60

50

40

30

20

10

0

SWIZ FR AUS SWE CAN* NOR GER OECD

Median

NZ NETH UK* DEN US*

* 2007.

Source: OECD Health Data 2010 (Oct. 2010).

THE

COMMONWEALTH

FUND

Life Expectancy at Age 65, 2008

Years Female Male

25

20

22.3

18.0

22.3

18.9

21.6

18.6

21.3

18.1

20.8

18.3

20.8

17.5

20.8

17.9

20.7

17.5

20.7

17.6

20.5

17.0

20.2

17.6

19.8

19.5

17.1

16.6

60

15

10

5

0

FR** SWIZ AUS CAN* NZ

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

NOR SWE OECD

Median

GER NETH UK* US* DEN

THE

COMMONWEALTH

FUND

61

Increase in Life Expectancy at Birth, 1988 –2008

Years

8

Female Male

7

6

5

4.7

6.6

4.2

6.1

4

4.3

5.7

4.0

5.6

3.8

5.3

3.8

5.3

3.4

5.6

3.4

5.2

3.3

5.0

3

3.2

4.4

2.7

4.7

2.1

4.3

2

2.1

3.9

1

0

NZ AUS GER OECD

Median

FR

* 1987

–2007.

Source: OECD Health Data 2010 (Oct. 2010).

UK* SWIZ NOR SWE DEN CAN* NETH US*

THE

COMMONWEALTH

FUND

Increase in Life Expectancy at Age 65, 1988 –2008

Years

5

Female

4

3

3.0

4.2

3.1

3.7

2.9

3.8

3.3

3.3

2.6

3.9

2.9

3.3

2.4

3.4

2.2

2.9

2.1

3.0

2 1.8

2.9

1.5

2.7

Male

1.5

2.5

1.1

2.4

1

62

0

NZ GER AUS FR** UK* OECD

Median

* 1987

–2007.

** 1996 –2006.

Source: OECD Health Data 2010 (Oct. 2010).

SWIZ NOR SWE CAN* NETH DEN US*

THE

COMMONWEALTH

FUND

30

20

60

50

52.5

48.0

Acute Myocardial Infarction Deaths per 100,000 Population, 2008

44.9

44.2

40 37.6

36.7

33.9

33.2

18.4

63

10

0

NZ** SWE* NOR*

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

GER** UK* AUS** DEN** NETH* FR*

THE

COMMONWEALTH

FUND

2

3

4

3.9

Bronchitis, Asthma, and Emphysema Deaths per 100,000 Population, 2008

3.5

3.2

3.0

2.8

2.7

2.6

2.5

2.1

64

1

0

AUS** NETH* NOR*

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

NZ** GER** UK* DEN** SWE* FR*

THE

COMMONWEALTH

FUND

Years

1,000

Potential Years of Life Lost Due to Malignant Neoplasms per 100,000 Population, 2008

942

935

882

843

833 828

800

712 707

689

652

600

65

400

200

0

FR* DEN** NETH*

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

NZ** GER** UK* NOR* SWIZ* AUS** SWE*

THE

COMMONWEALTH

FUND

Potential Years of Life Lost Due to Diseases of the Circulatory System

66 per 100,000 Population, 2008

600

519

515

500

470

419

403

400

365

345

335 334

301

300

200

100

0

GER** UK* NZ**

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

DEN** NETH* SWE* AUS** FR* NOR* SWIZ*

THE

COMMONWEALTH

FUND

67

Potential Years of Life Lost Due to Diabetes per 100,000 Population, 2008

80

70

73

63

60

50

40

30

35 35

33

31

20

10

0

NZ** DEN** NOR*

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

GER** NETH* AUS**

28

FR*

28

SWE*

25

UK*

23

SWIZ*

THE

COMMONWEALTH

FUND

Potential Years of Life Lost Due to Diseases of the Respiratory System

68 per 100,000 Population, 2008

175

164

150

127

125

103

100 94

88

86

83

71

75

57

49

50

25

0

UK* NZ** DEN**

* 2007.

** 2006.

Source: OECD Health Data 2010 (Oct. 2010).

NETH* AUS** GER** NOR* FR* SWE* SWIZ*

THE

COMMONWEALTH

FUND

69

2009 OECD Quality Indicators

THE

COMMONWEALTH

FUND

70

150

120

120

Asthma Admission Rates per 100,000 Population

Age 15 and Older, 2007

90

75

73

60

43 43

42 42

30

32

26 25

21

18

0

US* UK NZ DEN FR Median*** NOR SWIZ* NETH** SWE

* 2006.

** 2005.

*** Among countries shown.

Source: OECD Health Care Quality Indicators Data 2009.

GER CAN

THE

COMMONWEALTH

FUND

350

320

Chronic Obstructive Pulmonary Disease Admission Rates per 100,000 Population Age 15 and Older, 2007

308

300

250

243

236

203

192 192

200

190

184

154

150

100

100

79

71

50

0

DEN NZ NOR UK US* Median*** SWE

* 2006.

** 2005.

*** Among countries shown.

Source: OECD Health Care Quality Indicators Data 2009.

CAN GER NETH** SWIZ* FR

THE

COMMONWEALTH

FUND

Diabetes Acute Complications Admission Rates per 100,000 Population

72

Age 15 and Older, 2007

60

57

50

40

32

30

23

20 20 20

19

20

10

0

US* UK CAN DEN NOR Median*** SWE

* 2006.

** 2005.

*** Among countries shown.

Source: OECD Health Care Quality Indicators Data 2009.

14

FR

12

8

SWIZ* NETH**

1

NZ

THE

COMMONWEALTH

FUND

500

Congestive Heart Failure Admission Rates per 100,000 Population

Age 15 and Older, 2007

441

73

400

352

300

289

276

200

206

188 188

171

165

155

146

117

100

0

US* GER SWE FR NZ Median*** NOR NETH** DEN SWIZ* CAN

* 2006.

** 2005.

*** Among countries shown.

Source: OECD Health Care Quality Indicators Data 2009.

UK

THE

COMMONWEALTH

FUND

74

250

213

Hypertension Admission Rates per 100,000 Population

Age 15 and Older, 2007

200

150

100

85

70

61

55

52

49

50

19

16

0

GER DEN NOR SWE SWIZ* Median*** US*

* 2006.

** 2005.

*** Among countries shown.

Source: OECD Health Care Quality Indicators Data 2009.

NETH** NZ

15

11

CAN UK

THE

COMMONWEALTH

FUND

40

36

Diabetes Lower Extremity Amputation Rates per 100,000 Population Age 15 and Older, 2007*

30

21

20

16

13

12 12 12

11 11 11

9

10

75

0

US* DEN

* 2006.

** 2005.

*** Among countries shown.

SWIZ* FR NZ Median*** SWE

Source: OECD Health Care Quality Indicators Data 2009.

CAN NETH** NOR UK

THE

COMMONWEALTH

FUND

2

4

6

8

6.6

Mortality After Admission for Acute Myocardial Infarction* per 100 Patients, 2007

6.3

5.1

4.2

3.8

3.3

3.2

2.9

2.9

76

0

NETH** UK US* CAN

* In-hospital case-fatality rates within 30 days of admission.

** 2006.

*** 2005.

**** Among countries shown.

Source: OECD Health Care Quality Indicators Data 2009.

Median**** NZ NOR DEN SWE

THE

COMMONWEALTH

FUND

10

Mortality After Admission for Ischemic Stroke* per 100 Patients, 2007

77

9.0

8 7.6

6.3

5.9

6

4.9

4.2

3.9

3.8

4

3.3

3.1

2

0

UK CAN NZ NETH** Median*** US

* In-hospital case-fatality rates within 30 days of admission.

** 2006.

*** Among countries shown.

Source: OECD Health Care Quality Indicators Data 2009.

SWE GER NOR DEN

THE

COMMONWEALTH

FUND

78

Mortality After Admission for Hemorrhagic Stroke* per 100 Patients, 2007

30

26.3

25.5

25.2

25 23.8

23.5

23.2

20

16.7

15

14.5

13.7

12.8

10

5

0

UK US* NETH** NZ Median**** CAN

* In-hospital case-fatality rates within 30 days of admission.

** 2006.

*** 2005.

**** Among countries shown.

Source: OECD Health Care Quality Indicators Data 2009.

DEN GER NOR SWE

THE

COMMONWEALTH

FUND

Breast Cancer Five-Year Relative Survival Rate,

1997 –2002 and 2002–2007 (or nearest period)

1997–2002 2002–2007

100

89

91

80

86

87

84

86

83

80

85

76

82

77

82

81

82

75

79

79

60

40

20

0

US CAN SWE FR NETH DEN NZ NOR UK

THE

COMMONWEALTH

FUND

Source: OECD Health Care Quality Indicators Data 2009.

Cervical Cancer Five-Year Relative Survival Rate,

1997 –2002 and 2002–2007 (or nearest period)

1997–2002 2002–2007

100

80

62

72

60

63

69

63

68

66

67

68

66 67

63

66

66

61

58 59

40

80

20

0

CAN NETH NZ US NOR FR SWE DEN UK

THE

COMMONWEALTH

FUND

Source: OECD Health Care Quality Indicators Data 2009.

81

Colorectal Cancer Five-Year Survival Rate,

Latest Available Period

100

80

60

40

66

61 61 60

58 58

57

54

52

20

0

US

2000–05

NZ

2002–07

CAN

2000–05

SWE

2003–08

NETH

2001–06

NOR

2001–06

FR

1997–02

DEN

2002–07

UK

2002–07

THE

COMMONWEALTH

FUND

Source: OECD Health Care Quality Indicators Data 2009.

Download