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Comparing US Health Care to OECD Countries: Costs and Access

Comparing US Health Care to OECD Countries: Costs and Access. HCA 701 U.S. Health Care System. Factors contributing to Disproportionate Spending. Rising expectations about the value of health care services Rapid development of technology expanding treatment of disease

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Comparing US Health Care to OECD Countries: Costs and Access

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  1. Comparing US Health Care to OECD Countries: Costs and Access HCA 701 U.S. Health Care System

  2. Factors contributing to Disproportionate Spending • Rising expectations about the value of health care services • Rapid development of technology expanding treatment of disease • Government financing of health care services • The nature of third-party reimbursement • Growth in the proportion of the elderly • Lack of competitive forces in the health care system to increase efficiency & productivity in delivery of services • The maldistribution of physicians and other health care providers.

  3. Per-capita Spending on Health Care in OECD Countries

  4. Health Care Spending as GDP

  5. Physicians per 1,000 Population

  6. Nurses per 1,000 Population

  7. Acute Care Beds/1,000 Population

  8. MRI Units/1,000,000 Population

  9. Life Expectancy

  10. Queuing for Health Care • More likely to have care on demand (queues a major concern in many OECD countries) • Australia, Canada and UK spending more to increase access to care • Health care spending in countries with waits averaged $2,366 per capita compared to $2,000 in countries with no waits, and $5,267 in U.S.

  11. Malpractice Issues • U.S. had 50% more malpractice claims filed per 1,000 pop than UK and Australia; 350% more than Australia • 2/3 of U.S. claims were dropped, dismissed or found in favor of defendant (same in Canada). UK has fewer cases dropped, dismissed or settled. • Judgments in U.S. were lower on average than those of Canada (14% ↓) or UK (36% ↓), but higher than Australia. • Spending per capita on malpractice • U.S. = $16 • UK = $12 • Australia = $10 • Canada = $4 • U.S. spent significantly more on defending malpractice claims than other countries • Hard to estimate amount spent on “defensive medicine”

  12. Other Fun Facts • U.S. per capita spending 53% higher than nearest comparison (Switzerland) • Americans have less access to physicians, nurses and acute care hospital beds • Access to care may be more efficient (Americans spend less time in hospitals) • Emergency room services for non-emergent health care significantly more in U.S. than other health care

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