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Multinational Comparisonsof Health Systems Data, 2007
Bianca K. Frogner, Meghan Bishop, and Gerard F. Anderson, Ph.D.Johns Hopkins University
November 2007
Support for this research was provided by The Commonwealth Fund. The views presented here are those of the authors and not necessarily those of The Commonwealth Fund or its directors, officers, or staff.
THE COMMONWEALTH
FUND
THECOMMONWEALTH
FUND
Percentage of Gross Domestic Product Spent on Health Care in 1995 and 2005
7.0%
15.3%
10.7%9.8% 9.5% 9.2% 9.1% 9.0%
8.3%
7.2%7.5%8.3%
8.0%
9.0%
10.1%
13.3%
0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
United
States
Germany Canada Australia Netherlands OECD
Median
New
Zealand
United
K ingdom
1995 2005
a a
a2004
Source: OECD Health Data 2007 (October 2007)
2
THECOMMONWEALTH
FUND
Health Care Spending per Capita in 2005Adjusted for Differences in Cost of Living
$6,401
$3,326 $3,287$3,128 $3,094
$2,922$2,724
$2,343
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
United
States
Canada Germany Australia Netherlands OECD
Median
United
K ingdom
New
Zealand
a2004
a a
Source: OECD Health Data 2007 (October 2007)
3
THECOMMONWEALTH
FUND
Health Care Expenditure per Capitaby Source of Funding in 2005
Adjusted for Differences in Cost of Living
$2,884$2,527 $2,337 $2,064 $2,110 $2,371
$1,829
$2,676
$328 $507 $832$390
$352
$121
$842
$431 $482 $250
$392
$2,087
$122
$0$627
$431
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
United
States
Germany Canada Netherlands Australia United
K ingdom
OECD
Median
New Zealand
Out-of-Pocket Spending
Private Spending
Public Spending
ab
a2004bCurrent expenditure
Source: OECD Health Data 2007 (July 2007)
4
THECOMMONWEALTH
FUND
$520$636
$860$1,004
$1,201$1,304
$2,421
$0
$500
$1,000
$1,500
$2,000
$2,500
United
States
Netherlands Australia Canada OECD Median Germany New Zealand
a2004b2002cSource: NZ Ministry of Health, 2004
Hospital Spending per Inpatient Acute Care Day Adjusted for Differences in Cost of Living
cab a
Source: OECD Health Data 2007 (October 2007)
5
THECOMMONWEALTH
FUND
$1,421
$512$448
$397 $386$336
$0
$400
$800
$1,200
$1,600
United
States
Australia OECD
Median
New Zealand Germany Canada
Spending on Physician Services per Capita in 2005 Adjusted for Differences in Cost of Living
a2004
a
Source: OECD Health Data 2007 (October 2007)
6
THECOMMONWEALTH
FUND
Pharmaceutical Spending per Capita in 2005Adjusted for Differences in Cost of Living
$290$318
$409$415
$498
$589
$792
$0
$100
$200
$300
$400
$500
$600
$700
$800
$900
United
States
Canada Germany Australia OECD
Median
Netherlands New
Zealand
a2004b2002
a b
Source: OECD Health Data 2007 (October 2007)
7
THECOMMONWEALTH
FUND
Average Annual Growth Rate of Real Spendingper Capita on Pharmaceuticals, 1995–2005
2.5%
3.5%3.8%
4.0%
5.8%
6.4%
7.1%
0%
2%
4%
6%
8%
United
States
Australia Canada Netherlands OECD
Median
Germany New
Zealand
a1995-2004b1995-2002
a b
Source: OECD Health Data 2007 (October 2007)
8
THECOMMONWEALTH
FUND
Prevention and Public Health Spending per Capita in 2005
Adjusted for Differences in Cost of Living
$46
$61
$107
$141$148
$203
$225
$0
$50
$100
$150
$200
$250
United States Canada Netherlands New Zealand Germany OECD Median Australia
a2004
a
Source: OECD Health Data 2007 (October 2007)
9
THECOMMONWEALTH
FUND
Percentage of Total Health Care Spending on Health Insurance Administration in 2005
7.5%
5.6%
4.3%4.2%
3.7% 3.5%
2.8%
0%
1%
2%
3%
4%
5%
6%
7%
8%
United States Germany Netherlands Canada New Zealand OECD Median Australia
a2004
aa
Note: Total health care spending on health insurance administration includes insurer costs only.Source: OECD Health Data 2007 (October 2007)
10
THECOMMONWEALTH
FUND
Total Health Care Spending on Health Insurance Administration per Capita in 2005
Adjusted for Differences in Cost of Living
$66$86$87
$138$148
$184
$482
$0
$100
$200
$300
$400
$500
United
States
Germany Netherlands Canada New
Zealand
Australia OECD
Median
a2004
a
Source: OECD Health Data 2007 (October 2007)
Note: Total health care spending on health insurance administration includes insurer costs only.
11
THECOMMONWEALTH
FUND
Average Length of Stay for Acute Care in 2005
5.65.66.1
6.16.66.8
7.3
8.6
0
2
4
6
8
10
Germany Canada Netherlands OECD
Median
Australia United
K ingdom
New
Zealand
United
Statesa2004bSource: NZ Ministry of Health, 2004
aa
b
Source: OECD Health Data 2007 (October 2007)
12
THECOMMONWEALTH
FUND
Number of Practicing Physiciansper 1,000 Population in 2005
3.7
3.43.3
3.0
2.7
2.42.2 2.2
0
1
2
3
4
Netherlands Germany OECD
Median
United
States
Australia United
K ingdom
Canada New Zealand
a2004bSource: American Medical Association
a a
b
Source: OECD Health Data 2007 (October 2007)
13
THECOMMONWEALTH
FUND
Average Annual Number of Physician Visitsper Capita in 2005
7.0
6.46.1 6.0
5.45.1
3.8
3.2
0
1
2
3
4
5
6
7
8
Germany OECD
Median
Australia Canada Netherlands United
K ingdom
United
States
New Zealand
a2004b2003
a a
a
b
Source: OECD Health Data 2007 (October 2007)
14
THECOMMONWEALTH
FUND
Potential Years of Life Lost Due to Diabetes per 100,000 PopulationNote: Years vary from 2002-2004
2634
383942
59
98
0
20
40
60
80
100
120
United
States
Canada Netherlands Germany Australia OECD Median United
K ingdom
a2004b2003c2002
a
c a a b
a
Source: OECD Health Data 2007 (October 2007)
15
THECOMMONWEALTH
FUND
Breast Cancer Five-Year Relative Survival Rate
80.0%83.3%83.5%86.0%86.6%88.9%
0%
25%
50%
75%
100%
United States Australia Canada New Zealand Netherlands England
Source: OECD Health Care Quality Indicators Project 2006 Update Report / 2007Working Paper
a1998-2003b1998-2002c1998-2001d1996-2000
ab db a c
Note: Relative rates reported are crude rates.
16
THECOMMONWEALTH
FUND
0.7 0.7
0.6
0.5 0.5
0.5
0.2
0.0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
Australia United
States
Germany United
K ingdom
Canada OECD Median Netherlands
Deaths Due to Surgical or Medical Mishaps per 100,000 Population
Note: Years vary from 2002-2004
a2004b2003c2002
b aa c
a a
Source: OECD Health Data 2007 (October 2007)
a
THECOMMONWEALTH
FUND
Percentage of Adults Who Reported BeingDaily Smokers in 2005
31.0%
24.3% 24.0% 24.0%22.5%
17.4% 17.3% 16.9%
0%
5%
10%
15%
20%
25%
30%
35%
Netherlands Germany United
K ingdom
OECD
Median
New
Zealand
Australia Canada United
States
aAustralian Department of Health and Ageing, 2004b2003
b a
Source: OECD Health Data 2007 (October 2007)
18