Multinational Comparisons of Health Systems Data, 2016

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1 Attachment F Multinational Comparisons of Health Systems Data, 216 Dana Sarnak The Commonwealth Fund

2 Health Care Spending per Capita, Adjusted for Differences in Cost of Living Dollars ($US) 9, 8, 7, 6, 5, 4, 3, 2, 1, * 213, ** 212 Source: OECD Health Data 216. Note: Dutch and Swiss data is for current spending only, and excludes spending on capital formation of health care providers. United States ($9,364) Switzerland ($6,787) Norway ($6,432) Sweden ($,536) Netherlands ($5,277) Germany ($5,119) Denmark* ($5,12) Canada ($4,728) France ($4,62) Australia ($4,27) Japan ($4,152) United Kingdom ($4,94) New Zealand* ($4,38) Israel** ($2,353)

3 Health Care Spending per Capita by Source of Funding, 214 Adjusted for Differences in Cost of Living 1, 9, 8, Dollars ($US) Out-of-pocket spending Private spending Public spending 134 7, 6, 5, 4, 3, , 1, Data from 213 in Australia, Japan, and NZ. Numbers may not sum to total health care spending per capita due to excluding capital formation of health care providers, and some uncategorized health care spending Source: OECD Health Data 216.

4 Hospital Spending per Discharge, 214 Adjusted for Differences in Cost of Living Dollars ($US) 24, 21,63 2, 16, 13,923 14,15 14,181 14,388 14,624 16,451 12, OECD 1,53 1,591 11,663 12,393 MEDIAN 8, 4, 5,69 5,9 ISR** GER AUS* FRA UK SWE NOR* DEN NETH** JPN*** SWIZ CAN US**** Data from 213 in Australia, Norway; Data from 212 in Israel, Netherlands. Data from 211 in Japan. Data from 21 in US. Source: OECD Health Data 216.

5 Pharmaceutical Spending per Capita, 214 Adjusted for Differences in Cost of Living Dollars ($US) 1,2 1,1 1,112 1, OECD MEDIAN ISR** DEN NETH NOR UK SWE AUS* FRA SWIZ GER CAN JPN* US * 213, ** 212. Source: OECD Health Data 216.

6 Spending on Health Insurance Administration per Capita, 214 Adjusted for Differences in Cost of Living Dollars ($US) OECD MEDIAN NOR JPN* SWE UK DEN ISR** AUS* CAN NETH GER FRA SWIZ US Data from 213 in Australia, Japan. Data from 212 in Israel Source: OECD Health Data 216.

7 Practicing Physicians per 1, population, 214 Density per 1, population (head counts) OECD MEDIAN 2 JPN CAN US* UK NZ FRA AUS ISR DEN* GER SWE* SWIZ NOR * 213 ** 212. Source: OECD Health Data 216.

8 Total Curative (Acute) Care Beds, per 1, Population, 214 Number of beds OECD MEDIAN CAN* UK ISR SWE US* DEN NZ NETH** NOR SWIZ FRA GER JPN * 213, ** 212. Source: OECD Health Data 216.

9 Doctor Consultations per Capita, 214 Number per capita OECD MEDIAN SWE NZ** SWIZ** US**** NOR DEN FRA AUS CAN* NETH GER JPN* * 213, ** 212, ****21 Source: OECD Health Data 216.

10 Hip Replacements per 1, Population, OECD MEDIAN Data from 212 in Canada. Data from 21 in US and Netherlands. Data from NZ from publicly-funded hospitals only. Source: OECD Health Data 215.

11 Magnetic Resonance Imaging (MRI) Exams per 1, Population and MRI Supply, MRI Machines per Million population MRI Exams per 1, population ISR UK CAN FR NETH AUS GER US JPN Canada MRI machine data from 213, Germany MRI exam data from 212, Japan and Netherlands exam data from unpublished Commonwealth Fund grant. Source: OECD Health Data 216

12 Percent of women 5-69 screened 1 Breast Cancer Screening Rates, * 213, **212 Note: DEN, UK, NOR, NZ, ISR and AUS based on program data; all other countries based on survey data. Source: OECD Health Data 215.

13 Flu Immunization Among Adults Age 65 or Older, 214 Percent OECD MEDIAN Data from 213 in US. Data from 212 in Germany. Source: OECD Health Data 216

14 Diabetes Hospital Admissions in Adults, 213 Age-sex standardised rates per 1 population OECD MEDIAN Data from 212 in Switzerland, US and NZ. Data from 211 in Netherlands, Japan. Source: OECD Health Data 215.

15 Thirty-day Mortality after Admission to Hospital for Acute Myocardial Infarction (AMI), 213 Age-sex standardised rate per 1 admissions of adults aged 45 years and over OECD MEDIAN Data from 212 in Switzerland and US. Data from 211 in Netherlands and Japan. ¹ Admissions resulting in a transfer are included. Source: OECD Health Data 215.

16 Total Hospital and Physician Costs, 215 Dollars ($US) Bypass Surgery Appendectomy $9, $18, $8, $78,318 $16, $15,93 $7, $14, $6, $12, $5, $1, $4, $3, $2, $32,48 $34,224 $28,888 $24,59 $8, $6, $4, $3,814 $6,4 $6,199 $8,9 $1, $2, $ UK AUS NZ SWIZ US $ AUS SWIZ NZ UK US Notes: US refers to the commercial average. Source: International Federation of Health Plans, 215 Comparative Price Report.

17 Mortality Amenable to Health Care, 2 and 213* Deaths per 1, population* * FR AUS NOR NETH SWE JPN CAN DEN ISR UK GER NZ US * Or latest year: Latest data from Denmark and Israel is from 212; latest data from France, Australia, Canada, and NZ from 211; latest data from US is from 21. * * Countries age-standardized death rates before age 75; List of amenable causes: Nolte & McKee 24 Source: WHO Mortality Files (number of deaths by age group) and populations (except Human Mortality Database for Canada, UK and the USA). European Standard Population 213.

Multinational Comparisons of Health Systems Data, Roosa Tikkanen The Commonwealth Fund

Multinational Comparisons of Health Systems Data, 217 Roosa Tikkanen The Commonwealth Fund Health Care Spending HEALTH CARE SPENDING Health Care Spending per Capita, 2 216 Adjusted for Differences in Cost