Peterson-Kaiser Health System Tracker How do mortality rates in the U.S. compare to other countries?

Peterson-Kaiser Health System Tracker

How do mortality rates in the U.S. compare to other countries?


Source: Kaiser Family Foundation analysis of 2013 OECD data: "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on November 6, 2014). Notes: Break in series in 1987 and 1997 for Switzerland; in 1995 for Switzerland; in 1996 for Netherlands; in 1998 for Australia, Belgium, and Germany; in 1999 for United States; in 2000 for Canada and France; and in 2001 in the United Kingdom. All breaks in series coincide with changes in ICD coding.

Mortality rates have fallen steadily in the U.S. and in comparable OECD countries

Overall age-adjusted mortality rate per 100,000 population

0

200

400

600

800

1000

1200

1400

1184

823

1223

740 Comparable country average

United States


Diseas

es of t

he circ

ulatory

syste

m

Cance

rs (N

eoplas

ms)

Diseas

es of t

he res

piratory

syste

m

Exter

nal cau

ses o

f morta

lity

Diseas

es of t

he nerv

ous sys

tem

Men

tal an

d behav

ioral diso

rders

Endocri

ne, nutri

tional an

d meta

bolic dise

ases

0

50

100

150

200

250

300243

212

6343 29 29 23

261

199

8060 47 40 33

Comparable Country Average United States

Source: Kaiser Family Foundation analysis of 2013 OECD data: "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on November 6, 2014).

For most of the leading causes of death, mortality rates are higher in the U.S. than in comparable countries Age-adjusted major causes of mortality per 100,000 population, in years, 2010


Japan

France

Canada

Australia

Netherlands

Switzerland

Comparable Country Average

Belgium

United Kingdom

United States

Sweden

Germany

Austria

0 50 100 150 200 250 300 350

173

177

197

215

228

232

243

247

249

261

291

329

331


The U.S. has a relatively high mortality rate for diseases of the circulatory system

Age-adjusted diseases of the circulatory system mortality rate per 100,000 population, in years, 2010



Mortality rates for diseases of the circulatory system have fallen dramatically over the last 30 yearsAge-adjusted diseases of the circulatory system mortality rate per 100,000 population

19801981

19821983

19841985

19861987

19881989

19901991

19921993

19941995

19961997

19981999

20002001

20022003

20042005

20062007

20082009

20100

100

200

300

400

500

600

700

629

261

607

243

United States

Comparable country average


Switzerland

Japan

Sweden

United States

Australia

Austria

Germany


Canada

France

Belgium

United Kingdom

Netherlands

0 50 100 150 200 250 300

188

191

196

199

206

210

212

212

215

216

224

231

247


Compared to similar countries, the U.S. has a relatively low mortality rate for cancers

Age-adjusted neoplasm mortality rate per 100,000 population, in years, 2010



The mortality rate for cancers has been falling in the U.S. and across comparable countries

Age-adjusted neoplasms mortality rate per 100,000 population

0

50

100

150

200

250

300

242

199

262

212Comparable country average

United States


France

Switzerland

Sweden

Austria

Germany

Australia

Canada


Netherlands

United States

Belgium

Japan

United Kingdom

0 20 40 60 80 100 120

40

40

42

42

56

57

61

63

76

80

83

92

105


The U.S. has a relatively high mortality rate for respiratory diseases

Age-adjusted respiratory diseases mortality rate per 100,000 population, in years, 2010



The mortality rate for respiratory diseases is higher in the U.S. than in comparably wealthy countriesAge-adjusted respiratory diseases mortality rate per 100,000 population

19801981

19821983

19841985

19861987

19881989

19901991

19921993

19941995

19961997

19981999

20002001

20022003

20042005

20062007

20082009

20100

20

40

60

80

100

120

80 80

93


United States


Japan

Germany

Austria

Netherlands


Australia

Sweden

United Kingdom

Canada

Switzerland

Belgium

France

United States

0 5 10 15 20 25 30 35 40 45 50

10

21

25

28

29

30

30

30

35

35

36

40

47


The mortality rate for diseases of the nervous system is higher in the U.S. than in comparably wealthy countriesAge-adjusted nervous system mortality rate per 100,000 population, in years, 2010


Source: Kaiser Family Foundation analysis of 2013 OECD data: "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on November 6, 2014). Notes: Break in series in 2001 in the United Kingdom. Break in series coincides with changes in ICD coding.

The mortality rate for diseases of the nervous system is higher in the U.S. than in comparably wealthy countriesAge-adjusted nervous system mortality rate per 100,000 population

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 20100

5

10

15

20

25

30

35

40

45

50

38

47

23

29

United States



Japan

United Kingdom

Switzerland

Sweden

Belgium

Netherlands


France

Australia

Germany

Canada

United States

Austria

0 5 10 15 20 25 30 35 40 45

11

12

17

20

21

22

23

24

27

27

28

33

41


The U.S. has a relatively high mortality rate for endocrine, nutritional, and metabolic diseases

Age-adjusted endocrine, nutritional and metabolic diseases mortality rate per 100,000 population, in years, 2010



Mortality rates for endocrine, nutritional and metabolic diseases have fallen over the last 15 yearsAge-adjusted endocrine, nutritional and metabolic diseases mortality rate per 100,000 population

19801981

19821983

19841985

19861987

19881989

19901991

19921993

19941995

19961997

19981999

20002001

20022003

20042005

20062007

20082009

20100

10

20

30

40

50

60

2833

2323

United States



Japan

Austria

France

Germany

Belgium


United Kingdom

Australia

Canada

Sweden

United States

Netherlands

Switzerland

0 5 10 15 20 25 30 35 40 45 50

4

9

23

24

29

29

32

33

37

40

40

45

45


The U.S. has a relatively high mortality rate for mental and behavioral disorders

Age-adjusted mental and behavioral disorders mortality rate per 100,000 population, in years, 2010


Source: Kaiser Family Foundation analysis of 2013 OECD data: "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on November 6, 2014). Notes: Break in series in 2001 in the United Kingdom. Break in series coincides with changes in ICD coding.

The mortality rate for mental and behavioral disorders has been increasing in the U.S.

Age-adjusted mental and behavioral disorders mortality rate per 100,000 population

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 20100

5

10

15

20

25

30

35

40

45

19

40

22


United States


United Kingdom

Netherlands

Germany

Australia

Switzerland


Sweden

Austria

Canada

Japan

France

Belgium

United States

0 10 20 30 40 50 60 70

31

34

35

41

41

43

43

45

47

48

53

56

60


The U.S. has a relatively high mortality rate for accidents, suicides and other external causes

Age-adjusted external causes mortality rate per 100,000 population, in years, 2010



The mortality rate for external causes is higher in the U.S. than in comparably wealthy countriesAge-adjusted external causes mortality rate per 100,000 population

19801981

19821983

19841985

19861987

19881989

19901991

19921993

19941995

19961997

19981999

20002001

20022003

20042005

20062007

20082009

20100

10

20

30

40

50

60

70

80

75

60

75

43 Comparable country average

United States


Cancer Heart Disease Accidents Chronic Respiratory Disease

Stroke0

100

200

300

400

500

600

700

800

900

1000

883

425

318

95 79

923

807 787

197

108

Comparable Country Average United States


Potential Years of Life Lost for major causes of mortality in the U.S. relative to comparable countriesAge-specific potential years of life lost per 100,000 population, in years, 2010



Potential Years of Life Lost have fallen steadily in the U.S. and in comparable OECD countries

Overall age-specific potential years of life lost per 100,000 population

0

1000

2000

3000

4000

5000

6000

7000

80007345

4629

5953

2982

United States



Source: Kaiser Family Foundation analysis of 2014 WHO data: “WHO Mortality Database: Age-standardized death rate data”, WHO Mortality Database. (Accessed on July 14, 2014). Notes: Causes of death amenable to health care are based on data available on the WHO website for the list of indicators used in the article by Ellen Nolte and C. Martin McKee, “Measuring the health of Nations: Updating an Earlier Analysis,” Health Affairs 27, no. 1 (2008): 58-71. Age-standardization is based on the WHO methodology and not the same method used by Nolte and McKee.

Mortality rates for deaths amenable to health care have fallen in the U.S. and in comparable OECD countries

19811982

19831984

19851986

19871988

19891990

19911992

19931994

19951996

19971998

19992000

20012002

20032004

20052006

20070

50

100

150

200

250

300

350

400362

219

324

176

Amenable mortality per 100,000 population

United States



France Australia Japan Sweden Netherlands Austria Germany United Kingdom

0

20

40

60

80

100

120

6571 71

82 82 8490

103

56 5761 61

66 67

7683

2002-2003 2006-2007

Source: Kaiser Family Foundation analysis of data from: Nolte E, McKee C. Martin. Health Affairs “Measuring the Health of Nations: Updating an Earlier Analysis” Available at: http://content.healthaffairs.org/content/27/1/58.long

The U.S. has the highest rate of deaths amenable to health care among comparable OECD countriesAmenable mortality per 100,000 population, in years, 2002 - 2003 and 2006 - 2007

Comparable Country Av-

erage

United States

81

110

70

96

http://content.healthaffairs.org/content/27/1/58.long

http://content.healthaffairs.org/content/27/1/58.long


Source: Kaiser Family Foundation analysis of 2013 OECD data: "OECD Health Data: Health status: Health status indicators", OECD Health Statistics (database). doi: 10.1787/data-00349-en (Accessed on November 6, 2014). Notes: Break in series in 1999 for United States. Break in series coincides with changes in ICD coding.

The decline in U.S. mortality rates largely reflects improvement for circulatory diseases

Overall age-adjusted mortality rate per 100,000 population

19801982

19841986

19881990

19921994

19961998

20002002

20042006

20082010

0

200

400

600

800

1000

1200

1400

Other Causes

Endocrine, Nutritional and Metabolic

Mental and Behavioral Disorders

Accidents, Suicides and External Causes

Respiratory Diseases

Cancers

Circulatory Diseases

Documents

Peterson-Kaiser Health System Tracker How do mortality rates in the U.S. compare to other countries?