Journal ArticleDOI
Health Spending, Access, And Outcomes: Trends In Industrialized Countries
TLDR
The United States has the lowest percentage of the population with government-assured health insurance, and it also has the fewest hospital days per capita, the highest hospital expenditures per day, and substantially higher physician incomes than the other OECD countries.Abstract:
In 1997 the United States spent $3,925 per capita on health or 13.5 percent of gross domestic product (GDP), while the median Organization for Economic Cooperation and Development (OECD) country spent $1,728 or 7.5 percent. From 1990 to 1997 U.S. health spending per capita increased 4.3 percent per year, compared with the OECD median of 3.8 percent. The United States has the lowest percentage of the population with government-assured health insurance. It also has the fewest hospital days per capita, the highest hospital expenditures per day, and substantially higher physician incomes than the other OECD countries. On the available outcome measures, the United States is generally in the bottom half, and its relative ranking has been declining since 1960.read more
Citations
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A decade of growth in public and private pharmaceutical expenditures: the case of Belgium 1990-1999.
TL;DR: Co-operation between several data gathering constituencies within one country was necessary to achieve completeness and detail in data collection on out-of-pocket payments for non-reimbursed medicines, and hence in total drug expenditures.
Journal ArticleDOI
Why dedicate yourself to bioethics? Seven reasons to get you started
TL;DR: The arguments set forth include the need to adapt to changes in the clinical relationship in recent decades, the importance of an ethical approach both for the physician and the patient, the role of bioethics in preventing professional burnout, and the ability of ethics to promote a more equitable distribution of resources.
Journal ArticleDOI
High US Health-Care Spending and the Importance of Provider Payment Rates.
TL;DR: If the USA is going to reduce health care spending, it may be necessary to begin by reducing payment rates in the private sector, and options to achieve this goal are presented.
Journal ArticleDOI
Funding of South Australian public hospitals.
TL;DR: The current funding system for inpatient episodes of care in South Australian public hospitals is described, it is set in some context and what can be established about hospital performance is examined.
Journal ArticleDOI
Financing care for aging women in the U.S.: International perspectives
TL;DR: It is found that women across the 12 industrialized countries have a longer life expectancy than men at ages 65 and 80, underscoring the universality of aging as a women’s issue and suggesting useful models for the U.S to consider as it struggles to meet the demands of its aging population.
References
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Journal ArticleDOI
Foundations of cost-effectiveness analysis for health and medical practices.
Abstract: Limits on health-care resources mandate that resource-allocation decisions be guided by considerations of cost in relation to expected benefits. In cost-effectiveness analysis, the ratio of net health-care costs to net health benefits provides an index by which priorities may be set. Quality-of-life concerns, including both adverse and beneficial effects of therapy, may be incorporated in the calculation of health benefits as adjustments to life expectancy. The timing of future benefits and costs may be accounted for by the appropriate use of discounting. Current decisions must inevitably be based on imperfect information, but sensitivity analysis can increase the level of confidence in some decisions while suggesting areas where further research may be valuable in guiding others. Analyses should be adaptable to the needs of various health-care decision makers, including planners, administrators and providers.
Journal ArticleDOI
An Iconoclastic View Of Health Cost Containment
TL;DR: Effective global budgets would address the rising opportunity costs of health care, however, they would threaten ongoing innovation and probably would increase distortions from pricing errors.
Journal ArticleDOI
A comparison of the educational costs and incomes of physicians and other professionals.
TL;DR: The difference in the average future hourly income between a given professional and a high-school graduate of the same age, after educational expenses are subtracted, was greatest for specialist physicians and attorneys; dentists and businesspeople had intermediate values; and primary care physicians had the lowest value.
Book
Purchasing Population Health: Paying for Results
TL;DR: This proposal for a new health outcome purchasing standard is derived from Dr. Kindig's training as a physician and his experience in public and private health care management and envisions using health outcomes as a public- and private-sector purchasing standard for medical care as well as other health-promoting sectors such as education and the environment.
Journal ArticleDOI
Population health and health care use: an information system for policy makers.
Noralou P. Roos,Charlyn Black,Norman Frohlich,Carolyn DeCoster,Marsha M. Cohen,Douglas J. Tataryn,Cameron A. Mustard,Leslie L. Roos,Fred Toll,Keumhee C. Carriere,Charles Burchill,Leonard MacWilliam,Bogdan Bogdanovic +12 more
TL;DR: Policy makers have found this information system useful in providing answers to questions they are often asked: Which populations need more physician services?