Multinational Comparisons of Health Systems Data, 2010
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1 1 Multinational Comparisons of Health Systems Data, 21 Gerard F. Anderson and Patricia Markovich Johns Hopkins University November 21 Support for this research was provided by The Commonwealth Fund.
2 2 Total Health Care Spending
3 Health Care Spending per Capita, 28 Adjusted for Differences in Cost of Living 3 Dollars 8, 7,538 7, 6, 5, 4, 3, 5,3 4,627 4,79 4,63 3,737 3,696 3,54 3,47 3,353 3,129 2,995 2,683 2, 1, US NOR SWIZ CAN NETH GER FR DEN* SWE AUS* UK OECD Median NZ * 27. Source: OECD Health Data 21 (Oct. 21).
4 International Comparison of Spending on Health, Average spending on health per capita ($US PPP) 16 Total expenditures on health as percent of GDP US NOR SWIZ CAN NETH GER FR DEN SWE AUS UK NZ US FR SWIZ GER CAN NETH NZ DEN SWE UK NOR AUS Source: OECD Health Data 21 (Oct. 21).
5 Percent Average Annual Growth Rate of Real Health Care Spending per Capita, UK NZ NETH OECD Median SWE AUS* DEN* US CAN FR SWIZ GER NOR * Source: OECD Health Data 21 (Oct. 21).
6 Percent Percentage of Gross Domestic Product Spent on Health Care, 1998 and US FR SWIZ GER CAN NETH NZ DEN* SWE OECD Median UK AUS* NOR * 27. Source: OECD Health Data 21 (Oct. 21).
7 Percent Percentage of Population with Health Insurance Coverage Through Public Programs, AUS* DEN NZ NOR SWE SWIZ UK OECD Median FR NETH GER US * 27. Source: OECD Health Data 21 (Oct. 21).
8 Public Spending on Health Care per Capita, 28 Adjusted for Differences in Cost of Living 8 Dollars 4,5 4,213 4, 3,5 3, 2,5 3,57 3,59 2,991 2,875 2,869 2,863 2,841 2,736 2,585 2,263 2,234 2,158 2, 1,5 1, 5 NOR US NETH DEN* FR GER CAN SWE SWIZ UK AUS* OECD Median NZ * 27. Source: OECD Health Data 21 (Oct. 21).
9 Private Spending on Health Care per Capita, 28 Excluding Out-of-Pocket Spending, Adjusted for Differences in the Cost of Living 9 Dollars 3,5 3,119 3, 2,5 2, 1,5 1, US CAN FR AUS* SWIZ NETH GER UK OECD Median NZ SWE DEN* NOR * 27. Source: OECD Health Data 21 (Oct. 21).
10 Out-of-Pocket Health Care Spending per Capita, 28 Adjusted for Differences in Cost of Living 1 Dollars 1,5 1,424 1, SWIZ US NOR AUS* CAN SWE OECD Median DEN* GER NZ UK FR NETH * 27. Source: OECD Health Data 21 (Oct. 21).
11 Dollars Health Care Expenditure per Capita by Source of Funding, 28 Adjusted for Differences in Cost of Living 11 8, 7,538 7, 6, 5, 4, 3, 2, 1, 912 3,119 3,57 5, ,213 4,627 4,79 1,424 3,737 3, Out-of-pocket spending Private spending Public spending 3,54 3,47 3, ,736 2,863 2,869 2,875 2,991 2,841 2,263 3, , ,585 2,158 US NOR SWIZ CAN GER FR DEN* SWE AUS* UK NZ * 27. Source: OECD Health Data 21 (Oct. 21).
12 12 Hospitals
13 Percent Percentage of Total Health Care Spending on Hospital Services, 1998 and * 27. ** 26. SWE DEN* AUS* NOR** OECD Median Source: OECD Health Data 21 (Oct. 21). NZ NETH SWIZ* FR US GER CAN
14 Dollars Spending on Hospital Services per Capita, 28 Adjusted for Differences in Cost of Living 14 2,5 2,359 2, 1,613 1,567 1,567 1,545 1,5 1,378 1,263 1,259 1, 1,116 1,116 1,61 1,4 5 US NOR** SWIZ* DEN* SWE NETH AUS* FR OECD Median CAN GER NZ * 27. Source: OECD Health Data 21 (Oct. 21).
15 Dollars Hospital Spending per Discharge, 28 Adjusted for Differences in Cost of Living 15 18, 16,78 16, 14, 12, 12,669 12,2 1, 9,422 9,23 9,118 9,64 8, 7,729 7,174 6, 5,949 4,762 4,566 4, 2, US** CAN* NETH SWIZ* DEN* NOR** SWE* AUS* NZ OECD Median FR GER * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
16 Hospital Discharges per 1, Population, FR GER NOR SWIZ SWE* AUS* OECD Median DEN NZ UK US** NETH CAN* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
17 Average Length of Stay for Acute Care, Days * 27. ** 26. SWIZ GER CAN* UK OECD Median Source: OECD Health Data 21 (Oct. 21). AUS** NETH US FR NOR SWE*
18 Average Length of Hospital Stay for Acute Myocardial Infarction, Days * 27. ** 26. GER UK SWIZ OECD Median Source: OECD Health Data 21 (Oct. 21). NETH CAN* FR AUS* US** SWE* DEN NOR
19 Average Length of Stay for Normal Birth Delivery, Days * 27. ** 26. SWIZ FR GER NOR OECD Median Source: OECD Health Data 21 (Oct. 21). DEN AUS* SWE* NETH US** CAN* UK
20 Average Annual Hospital Inpatient Acute Care Days per Capita, * 27. ** 26. GER SWIZ AUS** FR CAN* OECD Median Source: OECD Health Data 21 (Oct. 21). NOR UK NETH NZ US
21 Number of Acute Care Hospital Beds per 1, Population, * 27. ** 26. GER AUS** FR SWIZ OECD Median Source: OECD Health Data 21 (Oct. 21). DEN NETH CAN* UK US* NOR NZ
22 22 Home Health and Long-Term Care
23 Percentage of Total Health Care Spending on Long-Term Nursing Care, 1998 and Percent NOR DEN* SWIZ NZ CAN NETH GER FR SWE US * 27. Source: OECD Health Data 21 (Oct. 21).
24 Dollars Long-Term Nursing Care Spending per Capita, 28 Adjusted for Differences in Cost of Living 24 1,4 1,276 1,2 133 Public Private 1, , NOR SWIZ* DEN* CAN NETH US GER FR NZ SWE * 27. Source: OECD Health Data 21 (Oct. 21).
25 Dollars Home Health Care Spending per Capita, 28 Adjusted for Differences in Cost of Living NOR DEN* NZ GER US SWE FR SWIZ* CAN * 27. Source: OECD Health Data 21 (Oct. 21).
26 Long-Term Care Beds in Nursing Homes per 1, Population Age 65 and Older, 1998 and SWE* SWIZ NETH NOR AUS UK FR GER* US DEN * 27. Source: OECD Health Data 21 (Oct. 21).
27 27 Health Care Professionals
28 Number of Practicing Physicians per 1, Population, NOR SWIZ SWE** GER DEN* AUS* UK NZ US * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
29 Percent Average Annual Growth Rate of Practicing Physicians per 1, Population, NOR UK SWE** AUS* DEN* GER US * ** Source: OECD Health Data 21 (Oct. 21).
30 Average Annual Number of Physician Visits per Capita, DEN GER FR AUS OECD Median NETH UK CAN* NZ* SWIZ* US* SWE** * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
31 Number of Professionally Active Nurses per 1, Population, DEN* AUS* GER US NZ CAN FR * 27. Source: OECD Health Data 21 (Oct. 21).
32 32 Pharmaceuticals
33 Percent Percentage of Total Health Care Spending on Pharmaceuticals, 1998 and CAN OECD Median FR GER AUS* SWE US UK SWIZ* NZ NETH DEN* NOR * 27. Source: OECD Health Data 21 (Oct. 21).
34 Dollars Pharmaceutical Spending per Capita, 28 Adjusted for Differences in Cost of Living 34 1, US CAN FR GER AUS* OECD Median SWIZ* SWE NOR UK DEN* NZ * 27. Source: OECD Health Data 21 (Oct. 21).
35 Drug Prices for 3 Most Commonly Prescribed Drugs, 26 7 US is set at US CAN GER SWIZ UK AUS NETH FR NZ Source: IMS Health.
36 36 Medical Procedures Involving Sophisticated Technology
37 Magnetic Resonance Imaging (MRI) Machines per Million Population, US* NETH NZ UK CAN* AUS * 27. Source: OECD Health Data 21 (Oct. 21).
38 Magnetic Resonance Imaging (MRI) Exams per 1, Population, US* FR CAN NETH DEN AUS * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
39 MRI Scan and Imaging Fees, Dollars 1,6 US high-end 1,5 1,4 1,2 1, US average 1, US Medicare US GER CAN NETH FR UK Source: International Federation of Health Plans, 29 Comparative Price Report.
40 Computer Tomography (CT) Scanners per Million Population, AUS** US* SWIZ DEN OECD Median CAN* NZ NETH UK * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
41 Computer Tomography (CT) Exams per 1, Population, US* FR CAN AUS DEN NETH * 27. Source: OECD Health Data 21 (Oct. 21).
42 Volume of Knee and Hip Implants, 24 Implants per 1, 42 2 Knee Replacements 3 Hip Replacements US UK GER FR ITA GER FR UK ITA US Source: McKinsey & Company, Accounting for the Cost of Health Care in the United States, 27.
43 Dollars 6, Cost of Knee and Hip Prostheses to Providers, 24 GDP Adjusted, US $ Knee Replacements Hip Replacements 43 5, 4,866 $4,821 4, 3, 3,35 2,561 2,39 2,239 2, $1,537 $1,38 $1,168 $1,165 1, US ITA FR UK GER US ITA UK GER FR Source: McKinsey & Company, Accounting for the Cost of Health Care in the United States, 27.
44 Percutaneous Transluminal Coronary Angioplasty (PTCA) Interventions per 1, Population, GER US** NOR* FR OECD Median DEN AUS* SWIZ NETH* CAN* NZ UK * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
45 Coronary Bypass Procedures per 1, Population, GER US** NOR** NZ AUS* CAN* DEN OECD Median NETH* SWE* UK SWIZ FR * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
46 Number of Knee Replacements per 1, Population, GER US** SWIZ AUS* UK CAN* NETH* FR SWE* NZ * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
47 15 Number of Patients Undergoing Dialysis Treatment per 1, Population, US* GER** CAN OECD Median NZ FR DEN AUS UK NETH * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
48 48 Public Health and Prevention
49 Percent Breast Cancer Screening, 28 Percentage of Women Ages 5 69 Receiving a Mammogram Survey Organized Program FR** NETH* NZ* US NETH* NOR UK* NZ AUS** FR GER* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
50 Percent 1 Cervical Cancer Screening, 2 to 26 (or closest year) Percentage of Women Ages 2 69 Survey Organized Program NOR FR US UK SWE CAN NZ NETH DEN AUS * 27. ** 26. Source: OECD Health Care Quality Indicators Data 29.
51 Percent Percentage of Population over Age 65 with Influenza Immunization, * 27. ** 26. AUS** NETH* UK FR US CAN SWE NZ OECD Median Source: OECD Health Data 21 (Oct. 21). DEN GER* SWIZ*
52 Percent Diphtheria, Tetanus, and Pertussis Vaccination Rates Among Children Age 2, 27 (or latest year available) SWE FR GER* SWIZ OECD Median NETH UK NOR AUS NZ US CAN DEN* Source: OECD Health Data 21 (Oct. 21).
53 Percent Measles Vaccination Rates Among Children Age 2, 27 (or latest year available) SWE NETH GER* OECD Median AUS NOR CAN US SWIZ DEN FR UK NZ * 27. Source: OECD Health Data 21 (Oct. 21).
54 Percent Percentage of Adults Who Report Being Daily Smokers, NETH FR DEN OECD Median UK NOR SWIZ* NZ* CAN AUS* US SWE * 27. Source: OECD Health Data 21 (Oct. 21).
55 Percent Twenty-Year Change in Smoking Rates, DEN NOR AUS** CAN SWE NZ* US UK NETH FR * ** Source: OECD Health Data 21 (Oct. 21).
56 Annual Alcohol Consumption in Liters per Capita Among People Age 15 and Older, FR* DEN UK SWIZ AUS* OECD Median GER NETH* NZ US* CAN SWE* NOR * 27. Source: OECD Health Data 21 (Oct. 21).
57 Obesity (BMI>3) Prevalence Among Adult Population, Percent Measured Self-Reported US NZ* AUS* UK CAN US AUS* CAN FR NETH SWE* NOR SWIZ* * 27. Source: OECD Health Data 21 (Oct. 21).
58 58 Mortality
59 Life Expectancy at Birth, Years Female Male SWIZ FR AUS SWE CAN* NOR GER OECD Median NZ NETH UK* DEN US* * 27. Source: OECD Health Data 21 (Oct. 21).
60 Life Expectancy at Age 65, 28 6 Years Female Male FR** SWIZ AUS CAN* NZ NOR SWE OECD Median GER NETH UK* US* DEN * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
61 Increase in Life Expectancy at Birth, Years 8 Female Male NZ AUS GER OECD Median FR UK* SWIZ NOR SWE DEN CAN* NETH US* * Source: OECD Health Data 21 (Oct. 21).
62 Increase in Life Expectancy at Age 65, Years 5 Female Male NZ GER AUS FR** UK* OECD Median SWIZ NOR SWE CAN* NETH DEN US* * ** Source: OECD Health Data 21 (Oct. 21).
63 6 Acute Myocardial Infarction Deaths per 1, Population, NZ** SWE* NOR* GER** UK* AUS** DEN** NETH* FR* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
64 4 3.9 Bronchitis, Asthma, and Emphysema Deaths per 1, Population, AUS** NETH* NOR* NZ** GER** UK* DEN** SWE* FR* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
65 Years Potential Years of Life Lost Due to Malignant Neoplasms per 1, Population, , FR* DEN** NETH* NZ** GER** UK* NOR* SWIZ* AUS** SWE* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
66 Potential Years of Life Lost Due to Diseases of the Circulatory System per 1, Population, GER** UK* NZ** DEN** NETH* SWE* AUS** FR* NOR* SWIZ* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
67 Potential Years of Life Lost Due to Diabetes per 1, Population, NZ** DEN** NOR* GER** NETH* AUS** FR* SWE* UK* SWIZ* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
68 Potential Years of Life Lost Due to Diseases of the Respiratory System per 1, Population, UK* NZ** DEN** NETH* AUS** GER** NOR* FR* SWE* SWIZ* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).
69 69 29 OECD Quality Indicators
70 15 Asthma Admission Rates per 1, Population Age 15 and Older, US* UK NZ DEN FR Median*** NOR SWIZ* NETH** SWE GER CAN * 26. ** 25. *** Among countries shown. Source: OECD Health Care Quality Indicators Data 29.
71 Chronic Obstructive Pulmonary Disease Admission Rates per 1, Population Age 15 and Older, DEN NZ NOR UK US* Median*** SWE CAN GER NETH** SWIZ* FR * 26. ** 25. *** Among countries shown. Source: OECD Health Care Quality Indicators Data 29.
72 Diabetes Acute Complications Admission Rates per 1, Population Age 15 and Older, US* UK CAN DEN NOR Median*** SWE FR SWIZ* NETH** NZ 1 * 26. ** 25. *** Among countries shown. Source: OECD Health Care Quality Indicators Data 29.
73 5 Congestive Heart Failure Admission Rates per 1, Population Age 15 and Older, US* GER SWE FR NZ Median*** NOR NETH** DEN SWIZ* CAN UK * 26. ** 25. *** Among countries shown. Source: OECD Health Care Quality Indicators Data 29.
74 25 Hypertension Admission Rates per 1, Population Age 15 and Older, GER DEN NOR SWE SWIZ* Median*** US* NETH** NZ CAN UK * 26. ** 25. *** Among countries shown. Source: OECD Health Care Quality Indicators Data 29.
75 4 Diabetes Lower Extremity Amputation Rates per 1, Population Age 15 and Older, 27* US* DEN SWIZ* FR NZ Median*** SWE CAN NETH** NOR UK * 26. ** 25. *** Among countries shown. Source: OECD Health Care Quality Indicators Data 29.
76 8 Mortality After Admission for Acute Myocardial Infarction* per 1 Patients, NETH** UK US* CAN Median**** NZ NOR DEN SWE * In-hospital case-fatality rates within 3 days of admission. ** 26. *** 25. **** Among countries shown. Source: OECD Health Care Quality Indicators Data 29.
77 Mortality After Admission for Ischemic Stroke* per 1 Patients, UK CAN NZ NETH** Median*** US SWE GER NOR DEN * In-hospital case-fatality rates within 3 days of admission. ** 26. *** Among countries shown. Source: OECD Health Care Quality Indicators Data 29.
78 78 Mortality After Admission for Hemorrhagic Stroke* per 1 Patients, UK US* NETH** NZ Median**** CAN DEN GER NOR SWE * In-hospital case-fatality rates within 3 days of admission. ** 26. *** 25. **** Among countries shown. Source: OECD Health Care Quality Indicators Data 29.
79 Breast Cancer Five-Year Relative Survival Rate, and (or nearest period) US CAN SWE FR NETH DEN NZ NOR UK Source: OECD Health Care Quality Indicators Data 29.
80 Cervical Cancer Five-Year Relative Survival Rate, and (or nearest period) CAN NETH NZ US NOR FR SWE DEN UK Source: OECD Health Care Quality Indicators Data 29.
81 Colorectal Cancer Five-Year Survival Rate, Latest Available Period US 2 5 NZ 22 7 CAN 2 5 SWE 23 8 NETH 21 6 NOR 21 6 FR DEN 22 7 UK 22 7 Source: OECD Health Care Quality Indicators Data 29.
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