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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 Total Health Care Spending

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).

International Comparison of Spending on Health, 198 28 8 Average spending on health per capita ($US PPP) 16 Total expenditures on health as percent of GDP 7 6 5 4 3 2 1 US NOR SWIZ CAN NETH GER FR DEN SWE AUS UK NZ 14 12 1 8 6 4 2 US FR SWIZ GER CAN NETH NZ DEN SWE UK NOR AUS 198 1981 1982 1983 1984 1985 1986 1987 1988 1989 199 1991 1992 1993 1994 1995 1996 1997 1998 1999 2 21 22 23 24 25 26 27 28 198 1981 1982 1983 1984 1985 1986 1987 1988 1989 199 1991 1992 1993 1994 1995 1996 1997 1998 1999 2 21 22 23 24 25 26 27 28 Source: OECD Health Data 21 (Oct. 21).

Percent Average Annual Growth Rate of Real Health Care Spending per Capita, 1998 28 5 5 4.9 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 1.8 UK NZ NETH OECD Median SWE AUS* DEN* US CAN FR SWIZ GER NOR * 1997 27. Source: OECD Health Data 21 (Oct. 21).

Percent Percentage of Gross Domestic Product Spent on Health Care, 1998 and 28 6 16 13.4 16. 1998 28 12 8 11.2 1.7 1.5 1.1 1.1 1.2 1.4 9.9 9.9 9.7 9. 8.1 8.3 7.8 8.2 9.4 8.7 8.7 8.5 7.8 7.6 6.7 9.3 8.5 4 US FR SWIZ GER CAN NETH NZ DEN* SWE OECD Median UK AUS* NOR * 27. Source: OECD Health Data 21 (Oct. 21).

Percent Percentage of Population with Health Insurance Coverage Through Public Programs, 28 7 1 1. 1. 1. 1. 1. 1. 1. 1. 99.9 98.8 89.4 8 6 4 27.4 2 AUS* DEN NZ NOR SWE SWIZ UK OECD Median FR NETH GER US * 27. Source: OECD Health Data 21 (Oct. 21).

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).

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, 5 616 548 484 467 436 382 197 165 154 US CAN FR AUS* SWIZ NETH GER UK OECD Median 86 6 35 NZ SWE DEN* NOR * 27. Source: OECD Health Data 21 (Oct. 21).

Out-of-Pocket Health Care Spending per Capita, 28 Adjusted for Differences in Cost of Living 1 Dollars 1,5 1,424 1,2 9 912 756 6 65 6 543 54 489 487 372 347 3 273 233 SWIZ US NOR AUS* CAN SWE OECD Median DEN* GER NZ UK FR NETH * 27. Source: OECD Health Data 21 (Oct. 21).

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 5,3 756 35 4,213 4,627 4,79 1,424 3,737 3,696 6 487 273 616 548 467 382 Out-of-pocket spending Private spending Public spending 3,54 3,47 3,353 489 543 6 86 65 484 2,736 2,863 2,869 2,875 2,991 2,841 2,263 3,129 347 2,683 197 372 154 2,585 2,158 US NOR SWIZ CAN GER FR DEN* SWE AUS* UK NZ * 27. Source: OECD Health Data 21 (Oct. 21).

12 Hospitals

Percent Percentage of Total Health Care Spending on Hospital Services, 1998 and 28 13 5 47 49 46 1998 28 4 3 42 4 4 38 38 37 37 37 35 35 37 35 34 33 32 29 32 29 2 1 * 27. ** 26. SWE DEN* AUS* NOR** OECD Median Source: OECD Health Data 21 (Oct. 21). NZ NETH SWIZ* FR US GER CAN

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).

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).

Hospital Discharges per 1, Population, 28 16 3 264 25 232 2 172 169 165 163 161 159 15 14 136 13 113 1 84 5 FR GER NOR SWIZ SWE* AUS* OECD Median DEN NZ UK US** NETH CAN* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

Average Length of Stay for Acute Care, 28 17 Days 8 7.7 7.6 7.5 7.1 6 6. 5.9 5.9 5.5 5.2 4.8 4.5 4 2 * 27. ** 26. SWIZ GER CAN* UK OECD Median Source: OECD Health Data 21 (Oct. 21). AUS** NETH US FR NOR SWE*

Average Length of Hospital Stay for Acute Myocardial Infarction, 28 18 Days 12 1.9 1 8.8 8 8.1 7. 6.7 6.4 6.2 6.1 6 5.4 4.8 4.7 4.3 4 2 * 27. ** 26. GER UK SWIZ OECD Median Source: OECD Health Data 21 (Oct. 21). NETH CAN* FR AUS* US** SWE* DEN NOR

Average Length of Stay for Normal Birth Delivery, 28 19 Days 6 5.2 5 4.4 4 3 3.3 3.2 3. 2.8 2 2.4 2.3 2.1 1.9 1.8 1.8 1 * 27. ** 26. SWIZ FR GER NOR OECD Median Source: OECD Health Data 21 (Oct. 21). DEN AUS* SWE* NETH US** CAN* UK

Average Annual Hospital Inpatient Acute Care Days per Capita, 28 2 2. 1.6 1.6 1.2.8 1.1 1. 1..9.9.8.8.7.7.6.4. * 27. ** 26. GER SWIZ AUS** FR CAN* OECD Median Source: OECD Health Data 21 (Oct. 21). NOR UK NETH NZ US

Number of Acute Care Hospital Beds per 1, Population, 28 21 6 5.7 5 4 3 3.5 3.5 3.3 3.3 3. 2.9 2.7 2.7 2.7 2.5 2.2 2 1 * 27. ** 26. GER AUS** FR SWIZ OECD Median Source: OECD Health Data 21 (Oct. 21). DEN NETH CAN* UK US* NOR NZ

22 Home Health and Long-Term Care

Percentage of Total Health Care Spending on Long-Term Nursing Care, 1998 and 28 23 Percent 3 27 1998 28 25 23 21 2 18 19 15 14 14 15 11 14 12 12 11 1 9 8 8 8 6 5 NOR DEN* SWIZ NZ CAN NETH GER FR SWE US * 27. Source: OECD Health Data 21 (Oct. 21).

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, 868 8 724 6 4 2 1,143 531 337 75 649 574 18 466 56 56 455 172 283 445 131 315 4 47 42 28 382 354 11 261 249 NOR SWIZ* DEN* CAN NETH US GER FR NZ SWE * 27. Source: OECD Health Data 21 (Oct. 21).

Dollars Home Health Care Spending per Capita, 28 Adjusted for Differences in Cost of Living 25 5 477 451 4 3 278 226 212 2 139 1 14 98 89 NOR DEN* NZ GER US SWE FR SWIZ* CAN * 27. Source: OECD Health Data 21 (Oct. 21).

Long-Term Care Beds in Nursing Homes per 1, Population Age 65 and Older, 1998 and 28 26 1 92 1998 28 8 84 81 72 81 7 65 6 6 56 52 49 44 43 5 4 35 2 19 15 SWE* SWIZ NETH NOR AUS UK FR GER* US DEN * 27. Source: OECD Health Data 21 (Oct. 21).

27 Health Care Professionals

Number of Practicing Physicians per 1, Population, 28 28 4 4. 3.8 3.6 3.6 3.4 3 3. 2.6 2.5 2.4 2 1 NOR SWIZ SWE** GER DEN* AUS* UK NZ US * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

Percent Average Annual Growth Rate of Practicing Physicians per 1, Population, 1998 28 29 4 3.9 3.2 3 2 2.2 2.2 2. 1.2 1.8 NOR UK SWE** AUS* DEN* GER US * 1997 27. ** 1996 26. Source: OECD Health Data 21 (Oct. 21).

Average Annual Number of Physician Visits per Capita, 28 3 1 8.9 8 7.8 6 6.9 6.4 6.4 5.9 5.9 5.7 4 4.3 4. 4. 2.9 2 DEN GER FR AUS OECD Median NETH UK CAN* NZ* SWIZ* US* SWE** * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

Number of Professionally Active Nurses per 1, Population, 28 31 2 16 16.1 12 12.5 11.6 1.8 1.5 1.3 8 7.9 4 DEN* AUS* GER US NZ CAN FR * 27. Source: OECD Health Data 21 (Oct. 21).

32 Pharmaceuticals

Percent Percentage of Total Health Care Spending on Pharmaceuticals, 1998 and 28 33 2 1998 28 16 15 17 14 17 16 16 14 15 13 14 14 13 16 14 12 8 1 12 12 1 1 1 11 9 9 9 8 4 CAN OECD Median FR GER AUS* SWE US UK SWIZ* NZ NETH DEN* NOR * 27. Source: OECD Health Data 21 (Oct. 21).

Dollars Pharmaceutical Spending per Capita, 28 Adjusted for Differences in Cost of Living 34 1, 897 8 71 6 67 563 48 465 461 457 4 381 368 33 257 2 US CAN FR GER AUS* OECD Median SWIZ* SWE NOR UK DEN* NZ * 27. Source: OECD Health Data 21 (Oct. 21).

Drug Prices for 3 Most Commonly Prescribed Drugs, 26 7 US is set at 1. 35 1. 1..8.77.76.63.6.51.49.45.44.4.34.2. US CAN GER SWIZ UK AUS NETH FR NZ Source: IMS Health.

36 Medical Procedures Involving Sophisticated Technology

Magnetic Resonance Imaging (MRI) Machines per Million Population, 28 37 3 25.9 2 1 1.4 9.6 6.9 6.7 5.6 US* NETH NZ UK CAN* AUS * 27. Source: OECD Health Data 21 (Oct. 21).

Magnetic Resonance Imaging (MRI) Exams per 1, Population, 28 38 1 91 8 6 4 49 42 39 38 2 21 US* FR CAN NETH DEN AUS * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

MRI Scan and Imaging Fees, 29 39 Dollars 1,6 US high-end 1,5 1,4 1,2 1, US average 1,2 8 839 824 6 5 567 436 4 2 179 US Medicare US GER CAN NETH FR UK Source: International Federation of Health Plans, 29 Comparative Price Report.

Computer Tomography (CT) Scanners per Million Population, 28 4 6 56. 5 4 3 34.3 32. 2 1 21.5 19. 12.7 12.4 1.3 1.2 AUS** US* SWIZ DEN OECD Median CAN* NZ NETH UK * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

Computer Tomography (CT) Exams per 1, Population, 28 41 25 228 2 15 13 122 1 94 84 6 5 US* FR CAN AUS DEN NETH * 27. Source: OECD Health Data 21 (Oct. 21).

Volume of Knee and Hip Implants, 24 Implants per 1, 42 2 Knee Replacements 3 Hip Replacements 164 25 258 15 137 121 2 28 197 1 95 15 141 139 65 1 5 5 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.

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.

Percutaneous Transluminal Coronary Angioplasty (PTCA) Interventions per 1, Population, 28 6 568 44 5 437 4 3 287 2 1 189 174 166 16 141 14 118 117 93 GER US** NOR* FR OECD Median DEN AUS* SWIZ NETH* CAN* NZ UK * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

Coronary Bypass Procedures per 1, Population, 28 45 16 14 12 124 1 8 6 85 81 76 72 69 67 59 58 56 45 4 35 31 2 GER US** NOR** NZ AUS* CAN* DEN OECD Median NETH* SWE* UK SWIZ FR * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

Number of Knee Replacements per 1, Population, 28 46 24 26 2 183 179 16 158 146 142 12 119 114 11 96 8 4 GER US** SWIZ AUS* UK CAN* NETH* FR SWE* NZ * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

15 Number of Patients Undergoing Dialysis Treatment per 1, Population, 28 47 12 122 9 81 66 6 55 49 49 48 47 42 36 3 US* GER** CAN OECD Median NZ FR DEN AUS UK NETH * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

48 Public Health and Prevention

Percent 1 89 8 Breast Cancer Screening, 28 Percentage of Women Ages 5 69 Receiving a Mammogram Survey 88 77 83 75 Organized Program 74 49 6 61 63 57 55 54 4 2 FR** NETH* NZ* US NETH* NOR UK* NZ AUS** FR GER* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

Percent 1 Cervical Cancer Screening, 2 to 26 (or closest year) Percentage of Women Ages 2 69 Survey Organized Program 5 8 76 72 84 79 79 73 71 7 69 6 61 4 2 NOR FR US UK SWE CAN NZ NETH DEN AUS * 27. ** 26. Source: OECD Health Care Quality Indicators Data 29.

Percent Percentage of Population over Age 65 with Influenza Immunization, 28 51 1 8 78 77 75 7 67 67 64 64 64 63 6 56 56 4 2 * 27. ** 26. AUS** NETH* UK FR US CAN SWE NZ OECD Median Source: OECD Health Data 21 (Oct. 21). DEN GER* SWIZ*

Percent Diphtheria, Tetanus, and Pertussis Vaccination Rates Among Children Age 2, 27 (or latest year available) 52 1 8 98 98 97 96 96 95 95 94 92 89 85 8 75 6 4 2 SWE FR GER* SWIZ OECD Median NETH UK NOR AUS NZ US CAN DEN* Source: OECD Health Data 21 (Oct. 21).

Percent Measles Vaccination Rates Among Children Age 2, 27 (or latest year available) 53 1 96 96 95 95 94 93 93 92 9 89 87 86 86 8 6 4 2 SWE NETH GER* OECD Median AUS NOR CAN US SWIZ DEN FR UK NZ * 27. Source: OECD Health Data 21 (Oct. 21).

Percent Percentage of Adults Who Report Being Daily Smokers, 28 54 3 28 26 25 2 23 22 22 21 2 18 18 17 17 15 14 1 5 NETH FR DEN OECD Median UK NOR SWIZ* NZ* CAN AUS* US SWE * 27. Source: OECD Health Data 21 (Oct. 21).

Percent Twenty-Year Change in Smoking Rates, 1988 28 55 DEN NOR AUS** CAN SWE NZ* US UK NETH FR -1-5 -5-1 -1-15 -14-13 -13-12 -12-17 -2-22 -25 * 1987 27. ** 1986 27. Source: OECD Health Data 21 (Oct. 21).

14 12.6 Annual Alcohol Consumption in Liters per Capita Among People Age 15 and Older, 28 56 12 1 8 1.9 1.8 1.2 1. 1. 9.9 9.6 9.5 8.7 8.2 6.9 6.8 6 4 2 FR* DEN UK SWIZ AUS* OECD Median GER NETH* NZ US* CAN SWE* NOR * 27. Source: OECD Health Data 21 (Oct. 21).

Obesity (BMI>3) Prevalence Among Adult Population, 28 57 Percent 35 34 Measured Self-Reported 3 27 28 25 25 25 24 21 2 15 16 1 11 11 1 1 8 5 US NZ* AUS* UK CAN US AUS* CAN FR NETH SWE* NOR SWIZ* * 27. Source: OECD Health Data 21 (Oct. 21).

58 Mortality

Life Expectancy at Birth, 28 59 Years Female Male 9 8 84.6 84.3 83.7 83.2 83. 83. 82.7 82.6 82.4 82.3 81.8 81. 79.8 8.4 77.6 79.2 79.1 78.3 78.3 77.6 77.6 78.4 78. 77.6 76.5 75.3 7 6 5 4 3 2 1 SWIZ FR AUS SWE CAN* NOR GER OECD Median NZ NETH UK* DEN US* * 27. Source: OECD Health Data 21 (Oct. 21).

Life Expectancy at Age 65, 28 6 Years Female Male 25 2 22.3 22.3 21.6 21.3 2.8 2.8 18.9 18.6 18.1 18.3 18. 2.8 2.7 2.7 2.5 2.2 19.8 19.5 17.5 17.9 17.5 17.6 17.6 17. 17.1 16.6 15 1 5 FR** SWIZ AUS CAN* NZ NOR SWE OECD Median GER NETH UK* US* DEN * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

Increase in Life Expectancy at Birth, 1988 28 61 Years 8 Female Male 7 6.6 6 5 4 3 4.7 4.2 6.1 4.3 5.7 4. 5.6 3.8 5.3 3.8 5.3 3.4 5.6 3.4 5.2 3.3 5. 3.2 4.4 2.7 4.7 4.3 3.9 2 2.1 2.1 1 NZ AUS GER OECD Median FR UK* SWIZ NOR SWE DEN CAN* NETH US* * 1987 27. Source: OECD Health Data 21 (Oct. 21).

Increase in Life Expectancy at Age 65, 1988 28 62 Years 5 Female Male 4.2 4 3 2 3. 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. 1.8 2.9 1.5 2.7 1.5 2.5 2.4 1.1 1 NZ GER AUS FR** UK* OECD Median SWIZ NOR SWE CAN* NETH DEN US* * 1987 27. ** 1996 26. Source: OECD Health Data 21 (Oct. 21).

6 Acute Myocardial Infarction Deaths per 1, Population, 28 63 52.5 5 48. 44.9 44.2 4 37.6 36.7 33.9 33.2 3 2 18.4 1 NZ** SWE* NOR* GER** UK* AUS** DEN** NETH* FR* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

4 3.9 Bronchitis, Asthma, and Emphysema Deaths per 1, Population, 28 64 3.5 3.2 3 3. 2.8 2.7 2.6 2.5 2.1 2 1 AUS** NETH* NOR* NZ** GER** UK* DEN** SWE* FR* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

Years Potential Years of Life Lost Due to Malignant Neoplasms per 1, Population, 28 65 1, 942 935 882 843 833 828 8 712 77 689 652 6 4 2 FR* DEN** NETH* NZ** GER** UK* NOR* SWIZ* AUS** SWE* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

Potential Years of Life Lost Due to Diseases of the Circulatory System per 1, Population, 28 6 66 519 515 5 47 4 3 419 43 365 345 335 334 31 2 1 GER** UK* NZ** DEN** NETH* SWE* AUS** FR* NOR* SWIZ* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

Potential Years of Life Lost Due to Diabetes per 1, Population, 28 67 8 73 7 63 6 5 4 3 35 35 33 31 28 28 25 23 2 1 NZ** DEN** NOR* GER** NETH* AUS** FR* SWE* UK* SWIZ* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

Potential Years of Life Lost Due to Diseases of the Respiratory System per 1, Population, 28 175 164 68 15 125 127 1 13 94 88 86 83 75 71 5 57 49 25 UK* NZ** DEN** NETH* AUS** GER** NOR* FR* SWE* SWIZ* * 27. ** 26. Source: OECD Health Data 21 (Oct. 21).

69 29 OECD Quality Indicators

15 Asthma Admission Rates per 1, Population Age 15 and Older, 27 7 12 12 9 75 73 6 43 43 42 42 3 32 26 25 21 18 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.

35 3 32 Chronic Obstructive Pulmonary Disease Admission Rates per 1, Population Age 15 and Older, 27 38 71 25 243 236 2 23 192 192 19 184 15 154 1 1 79 5 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.

Diabetes Acute Complications Admission Rates per 1, Population Age 15 and Older, 27 6 57 72 5 4 3 32 2 23 2 2 2 19 14 12 1 8 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.

5 Congestive Heart Failure Admission Rates per 1, Population Age 15 and Older, 27 73 441 4 352 3 289 276 2 26 188 188 171 165 155 146 117 1 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.

25 Hypertension Admission Rates per 1, Population Age 15 and Older, 27 74 213 2 15 1 5 85 7 61 55 52 49 19 16 15 11 GER DEN NOR SWE SWIZ* Median*** US* NETH** NZ CAN UK * 26. ** 25. *** Among countries shown. Source: OECD Health Care Quality Indicators Data 29.

4 Diabetes Lower Extremity Amputation Rates per 1, Population Age 15 and Older, 27* 75 36 3 21 2 16 1 13 12 12 12 11 11 11 9 US* DEN SWIZ* FR NZ Median*** SWE CAN NETH** NOR UK * 26. ** 25. *** Among countries shown. Source: OECD Health Care Quality Indicators Data 29.

8 Mortality After Admission for Acute Myocardial Infarction* per 1 Patients, 27 76 6.6 6.3 6 5.1 4 4.2 3.8 3.3 3.2 2.9 2.9 2 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.

Mortality After Admission for Ischemic Stroke* per 1 Patients, 27 77 1 9. 8 7.6 6 6.3 5.9 4.9 4 4.2 3.9 3.8 3.3 3.1 2 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 Mortality After Admission for Hemorrhagic Stroke* per 1 Patients, 27 3 26.3 25.5 25.2 25 23.8 23.5 23.2 2 16.7 15 14.5 13.7 12.8 1 5 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.

Breast Cancer Five-Year Relative Survival Rate, 1997 22 and 22 27 (or nearest period) 79 1997 22 22 27 1 8 89 91 86 87 86 84 85 83 8 76 82 82 81 82 77 75 79 6 4 2 US CAN SWE FR NETH DEN NZ NOR UK Source: OECD Health Care Quality Indicators Data 29.

Cervical Cancer Five-Year Relative Survival Rate, 1997 22 and 22 27 (or nearest period) 8 1 1997 22 22 27 8 6 62 72 63 69 68 63 66 67 68 66 67 63 66 66 61 58 59 4 2 CAN NETH NZ US NOR FR SWE DEN UK Source: OECD Health Care Quality Indicators Data 29.

Colorectal Cancer Five-Year Survival Rate, Latest Available Period 81 1 8 6 66 61 61 6 58 58 57 54 52 4 2 US 2 5 NZ 22 7 CAN 2 5 SWE 23 8 NETH 21 6 NOR 21 6 FR 1997 2 DEN 22 7 UK 22 7 Source: OECD Health Care Quality Indicators Data 29.