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