comparing healthcare in the us, uk and germany

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INTERNATIONAL RESEARCH & OPINION Regulatory and Healthcare News Comparing healthcare in the US, UK and Germany There is still room for improvement in the healthcare systems of the US, Britain and Germany, according to a new study conducted by the consulting firm McKinsey. The study showed that, in 1990, per capita healthcare spending in the US was 120% more than that in Britain and 65% higher than that in Germany. Interestingly, in terms of the quality-adjusted life-years gained per unit of medical input, US hospitals do better than German hospitals for patients with breast and lung cancers. In these terms, US hospitals are also superior to British hospitals for the treatment of lung cancer and gallstones, but the British system provides more effective care for patients with diabetes mellitus. Weaknesses for each of the healthcare systems were highlighted by the study. These include: the incentives for prolonged hospital stay in Germany the slow introduction of new technology in Britain the lack of incentives to provide long-term, low- technology care in the US the high cost of doctors' time and health administration in the US. It was concluded that health maintenance organi- sations are helping to address the weaknesses in the US system, while reforms to the British National Health System are encouraging positive changes. However, Germany is making little progress towards improving its healthcare system, according to the report. The economics of health care: heal yourselves. Economist 342: 127-128,9 Nov 1996 ...... 172 JJ 1173-5503I96I0091-QOO111$01.00 C Adlalntllmatlol1lll Limited 11K16. All rlgh1a reaerved PhannacoEconomics & Outcomes News 7 Dec 11K16 No. 91

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Page 1: Comparing healthcare in the US, UK and Germany

INTERNATIONAL RESEARCH & OPINION

Regulatory and Healthcare News

Comparing healthcare in the US,UK and Germany

There is still room for improvement in the healthcaresystems of the US, Britain and Germany, accordingto a new study conducted by the consulting firmMcKinsey.

The study showed that, in 1990, per capitahealthcare spending in the US was 120% more thanthat in Britain and 65% higher than that in Germany.Interestingly, in terms of the quality-adjusted life-yearsgained per unit of medical input, US hospitals dobetter than German hospitals for patients with breastand lung cancers.

In these terms, US hospitals are also superior toBritish hospitals for the treatment of lung cancer andgallstones, but the British system provides moreeffective care for patients with diabetes mellitus.

Weaknesses for each of the healthcare systemswere highlighted by the study. These include:• the incentives for prolonged hospital stay in Germany

• the slow introduction of new technology in Britain• the lack of incentives to provide long-term, low­

technology care in the US

• the high cost of doctors' time and healthadministration in the US.

It was concluded that health maintenance organi­sations are helping to address the weaknesses in the US

system, while reforms to the British National HealthSystem are encouraging positive changes. However,Germany is making little progress towards improvingits healthcare system, according to the report.The economics of health care: heal yourselves. Economist 342: 127-128,9Nov 1996 ......172

J J

1173-5503I96I0091-QOO111$01.00CAdlalntllmatlol1lll Limited 11K16. All rlgh1a reaerved PhannacoEconomics & Outcomes News 7 Dec 11K16 No. 91