u.s. health care system from an international perspective...usa r² = 0.6065 0 1 000 2 000 3 000 4...
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OECD Health Data 2012
U.S. health care system from
an international perspective
Released on June 28, 2012 http://www.oecd.org/health/healthdata
Why is the US health spending so high?
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.
8 2
33
5 3
88
5 2
70
5 0
56
4 7
86
4 4
64
4 4
45
4 3
95
4 3
38
3 9
74
3 9
69
3 7
58
3 7
18
3 6
70
3 4
33
3 3
09
3 2
68
3 2
51
3 0
76
3 0
35
3 0
22
2 9
64
2 9
14
2 7
28
2 4
28
2 1
65
2 0
95
2 0
35
1 8
84
1 6
01
1 3
89
1 2
94
1 2
02
91
6
91
3
0
2 000
4 000
6 000
8 000
USD PPP
Public expenditure on health Private expenditure on health
4
At 17.6% of GDP in 2010, US health spending is one and a half 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
10
.7
10
.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
10
12
14
16
18
20
% of GDP
Public Private
5
US spends much more on health than what might be expected by its GDP per capita
Source: OECD Health Data 2012.
2010 (or latest year available)
AUS
AUT BEL
CAN
CHL
CZE
DNK
EST
FIN
FRA
DEU
GRC
HUN
ISL
IRE
ISR
ITA JPN
KOR
LUX
MEX
NLD
NZL
NOR
POL
PRT
SVK SVN
ESP
SWE
CHE
TUR
GBR
USA
R² = 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 per capita (USD PPP)
GDP per capita (USD PPP)
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 much more 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
Is US health spending higher due to higher prices or higher service provision? (or both?)
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
US prices for certain procedures are much higher 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).
Where the United States health system does LESS than other countries
United States Rank compared with OECD countries
OECD average
Practising physicians 2.4
per 1000 population 26th
3.1 per 1000 population
Doctor consultations 3.9
per capita 29th
6.4 per capita
Hospital beds 3.1
per 1000 population 28th
4.9 per 1000 population
Hospital discharges 131.0
per 1000 population 26th
155.1 per 1000 population
Average length of stay in hospitals
4.9 days
29th 7.1 days
Source: OECD Health Data 2012.
Where the United States health system does MORE than other countries
Source: OECD Health Data 2012.
United States Rank compared with OECD countries
OECD average
MRI units 31.6
per million population 2nd
12.5 per million population
MRI exams 97.7
per 1 000 population 2nd
46.3 per 1 000 population
CT scanners 40.7
per million population 3rd
22.6 per million population
CT exams 265.0
per 1 000 population 3rd
123.8 per 1 000 population
Tonsillectomy 254.4
per 100 000 population 1st
130.1 per 100 000 population
Coronary bypass 79.0
per 100 000 population 3rd
47.3 per 100 000 population
Knee replacements 226.0
per 100 000 population 1st
121.6 per 100 000 population
Caesarean sections 32.9
per 100 live births 6th
26.1 per 100 live births
Is the quality of care better in the US?
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.
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
What are the trends in key risk factors to health
in the US?
Smoking rates have decreased in the US and in 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
Obesity rates have increased substantially over the 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
13
15
17
24
25
26
30
36
0
10
20
30
40
1990 2000 2010
%
Over one-third of children in the US are overweight 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)
More information
http://www.oecd.org/health/healthdata