healthcare spending in usa
TRANSCRIPT
-
8/22/2019 Healthcare Spending in USA
1/19
OECD Health Data 2012
U.S. health care
system froman international
perspective
Released on June 28, 2012
http://www.oecd.org/health/healthdata
http://www.oecd.org/health/healthataglancehttp://www.oecd.org/health/healthataglance -
8/22/2019 Healthcare Spending in USA
2/19
Why is the US healthspending so high?
-
8/22/2019 Healthcare Spending in USA
3/19
US spends two-and-a-half times the OECD average
Total health expenditure per capita, public and private, 2010 (or nearest year)
1. In the Netherlands, it is not possible to clearly distinguish the public and private share related to investments.2. Total expenditure excluding investments.Information on data for Israel: http://dx.doi.org/10.1787/888932315602.
Source: OECD Health Data 2012.
82
3
3
53
88
5
270
50
56
4
786
44
64
4
445
4
395
4
338
3
974
3
969
37
58
37
18
36
70
3
433
3
309
3
268
3
251
30
76
30
35
30
22
2
96
4
29
1
4
27
28
2
428
2
165
20
95
20
35
18
84
16
01
1
389
12
94
1
202
916
913
0
2 000
4 000
6 000
8 000
USD PPP
Public expenditure on health Private expenditure on health
http://dx.doi.org/10.1787/888932315602http://dx.doi.org/10.1787/888932315602 -
8/22/2019 Healthcare Spending in USA
4/19
4
At 17.6% of GDP in 2010, US health spending is one and ahalf as much as any other country, and nearly twice the OECD
average
Source: OECD Health Data 2012.
1. In the Netherlands, it is not possible to clearly distinguish the public and private share related to investments.2. Total expenditure excluding investments.
Information on data for Israel: http://dx.doi.org/10.1787/888932315602.
Total health expenditure as a share of GDP, 2010 (or nearest year)
17.
6
12.
0
11.
6
11.
6
11.
4
11.
4
11.
1
11.
0
1
0.
7
1
0.
5
10
.2
10
.1
9.
6
9.
6
9.
6
9.
5
9.
5
9.
4
9.
3
9.
3
9.
2
9.
1
9.
0
9.
0
8.
9
8.
0
7.
9
7.
9
7.
8
7.
5
7.
1
7.
0
6.
3
6.
2
6.
1
0
2
4
6
8
1012
14
16
18
20% of GDP
Public Private
http://dx.doi.org/10.1787/888932315602http://dx.doi.org/10.1787/888932315602 -
8/22/2019 Healthcare Spending in USA
5/19
5
US spends much more on health than what mightbe expected by its GDP per capita
Source: OECD Health Data 2012.
2010 (or latest year available)
AUS
AUTBEL
CAN
CHL
CZE
DNK
EST
FIN
FRA
DEU
GRC
HUN
ISL
IRE
ISR
ITAJPN
KOR
LUX
MEX
NLD
NZL
NOR
POL
PRT
SVK
SVN
ESP
SWE
CHE
TUR
GBR
USA
R = 0.6065
0
1 000
2 000
3 000
4 000
5 000
6 000
7 000
8 000
0 10 000 20 000 30 000 40 000 50 000 60 000 70 000 80 000 90 000
Health spending percapita (USD PPP)
GDP per capita (USD PPP)
-
8/22/2019 Healthcare Spending in USA
6/19
6
US health spending is much greater for all categories of care,particularly for ambulatory care and administration cost
Note: Health spending excludes investments. The percentages in the US bar indicate how muchmore the US spends per category compared with the average of the five other OECD countries.
Source: OECD Health Data 2012.
2010 (or latest year available)
$3,097(168%) $2,802
$1,716 $1,574 $1,582 $1,543
$2,852
(236%)
$1,677
$1,188 $1,278 $1,082$810
$1,105
(155%)
$460
$853 $904$836
$507
$856
(296%)
$331
$416 $281$300
$120
$7,910
(193%)
$5,270
$4,205 $4,187$3,835
$2,979
0
1 000
2 000
3 000
4 000
5 000
6 000
7 000
8 000
9 000
United States Switzerland Canada Germany France Japan (2009)
Current health spending
per capita (USD PPP) Other
Public health and administration
Pharmaceuticals and medical goods
Ambulatory health care
Hospitals/Nursing homes
-
8/22/2019 Healthcare Spending in USA
7/19
Is US health spending higherdue to higher prices or higherservice provision? (or both?)
-
8/22/2019 Healthcare Spending in USA
8/19
Comparative price levels for total inpatient hospital services, 2007
Source: Koechlin et al. (2010).
US prices for a set of hospital services are over 60%higher than the average of 12 OECD countries
-
8/22/2019 Healthcare Spending in USA
9/19
US prices for certain procedures are muchhigher than in other OECD countries
(US dollars, 2007)
Procedures AUS CAN DEU FIN FRA SWE USA
Appendectomy 5 044 5 004 2 943 3 739 4 558 4 961 7 962
Normal delivery 2 984 2 800 1 789 1 521 2 894 2 591 4 451
Caesarean section 7 092 4 820 3 732 4 808 5 820 6 375 7 449
Coronary angioplasty 7 131 9 277 3 347 5 574 7 027 9 296 14 378
Coronary artery bypass graft 21 698 22 694 14 067 23 468 23 126 21 218 34 358
Hip replacement 15 918 11 983 8 899 10 834 11 162 11 568 17 406
Knee replacement 14 608 9 910 10 011 9 931 12 424 10 348 14 946
Source: Koechlin et al. (2010).
-
8/22/2019 Healthcare Spending in USA
10/19
Where the United States health system doesLESS than other countries
United States Rank comparedwith OECDcountries
OECD average
Practising physicians2.4
per 1000 population26th
3.1per 1000 population
Doctor consultations 3.9per capita 29th 6.4per capita
Hospital beds3.1
per 1000 population28th
4.9per 1000 population
Hospital discharges131.0
per 1000 population26th
155.1per 1000 population
Average length ofstay in hospitals
4.9days
29th 7.1days
Source: OECD Health Data 2012.
-
8/22/2019 Healthcare Spending in USA
11/19
Where the United States health system doesMORE than other countries
Source: OECD Health Data 2012.
United States Rank comparedwith OECDcountries
OECD average
MRI units31.6
per million population2nd
12.5per million population
MRI exams97.7
per 1 000 population2nd
46.3per 1 000 population
CT scanners 40.7per million population 3rd 22.6per million population
CT exams265.0
per 1 000 population3rd
123.8per 1 000 population
Tonsillectomy254.4
per 100 000 population1st
130.1per 100 000 population
Coronary bypass79.0
per 100 000 population3rd
47.3per 100 000 population
Knee replacements226.0
per 100 000 population 1st121.6
per 100 000 population
Caesarean sections32.9
per 100 live births6th
26.1per 100 live births
-
8/22/2019 Healthcare Spending in USA
12/19
Is the quality of care
better in the US?
-
8/22/2019 Healthcare Spending in USA
13/19
Cancer system is generally performing well
81.3
82.8
83.3
83.5
86.6
87.3
89.3
60 70 80 90 100
United Kingdom (2004-09)
France (1997-2002)
Germany (2003-08)
OECD (16 countries)
Canada (2002-07)
Japan (2000-05)
United States (2003-08)
Age-standardised rates (%)
53.3
57.0
59.9
60.4
63.4
64.5
68.0
40 50 60 70 80
United Kingdom (2004-09)
France (1997-2002)
OECD (16 countries)
Germany (2003-08)
Canada (2002-07)
United States (2003-08)
Japan (2000-05)
Age-standardised rates (%)
Breast cancer, 5-year survival rate Colorectal cancer, 5-year survival rate
Note: 95% confidence intervals are represented by H.Source: OECD Health Data 2012.
-
8/22/2019 Healthcare Spending in USA
14/19
Primary care sector is not performing so well
Asthma hospital admission COPD hospital admission
Note: 95% confidence intervals are represented by H.Source: OECD Health Data 2012.
15.7
19.2
20.8
43.4
51.8
73.7
120.6
0 50 100 150
Canada (2009)
Italy (2009)
Germany (2009)
France (2007)
OECD (28 countries)
United Kingdom (2009)
United States (2008)
Age-sex standardised rates per 100 000 population
79
126
183
198
201
213
230
0 100 200 300
France (2007)
Italy (2009)
Canada (2009)
OECD (28 countries)
Germany (2009)
United Kingdom (2009)
United States (2008)
Age-sex standardised rates per 100 000 population
-
8/22/2019 Healthcare Spending in USA
15/19
What are the trends inkey risk factors to health
in the US?
-
8/22/2019 Healthcare Spending in USA
16/19
Smoking rates have decreased in the US andin most other OECD countries
Adult population smoking daily
Source: OECD Health Data 2012.
2010 Change 2000-10
Germany
Italy
France
Mexico
United states
Australia
Canada
Japan
OECD
United Kingdom
13.3
15.1
15.1
16.3
19.5
20.9
21.5
21.9
23.1
23.3
0510152025
% of population aged 15 years and over
n.a.
-20.9
-23.7
-27.2
-27.8
-19.9
-20.4
-11.3
-5.3
-13.7
-50 -25 0 25
% change over period
-
8/22/2019 Healthcare Spending in USA
17/19
Obesity rates have increased substantially overthe past 20 years and are highest in the US
1. Data are based on measurements rather than self-reported height and weight.Source: OECD Health Data 2012.
2
6
10
11
14
23
3
9
9
12
13
22
21
24
31
4
10 1
3 1
5 1
7
24
25
26
30
36
0
10
20
30
40
1990 2000 2010
%
-
8/22/2019 Healthcare Spending in USA
18/19
Over one-third of children in the US areoverweight or obese
Canada
Australia
OECD
Germany
France
Japan
Italy
Mexico
United Kingdom
Greece
United States
37.0
35.9
30.9
29.0
26.6
26.1
24.0
21.4
17.6
14.9
14.4
01020304050
% of children aged 5-17 years
45.0
35.0
32.4
28.1
22.7
28.9
22.0
22.9
22.6
13.1
16.2
0 10 20 30 40 50
% of children aged 5-17 years
Source: International Association for the Study of Obesity (2011).
Girls Boys
Children aged 5-17 years who are overweight (including obese)
-
8/22/2019 Healthcare Spending in USA
19/19
More information
http://www.oecd.org/health/healthdata
http://www.oecd.org/health/healthataglancehttp://www.oecd.org/health/healthataglance