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
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Journal Article
Health expenditure trends in OECD countries, 1970-1997.
TL;DR: An overview of current trends in health expenditures in 29 OECD countries and recent revisions of OECD health accounts is provided and U.S. health expenditures are compared with those of other OECD countries.
Journal ArticleDOI
Health Care Spending Growth: How Different Is The United States From The Rest Of The OECD?
TL;DR: Although rates of aging and overall economic growth were similar, annual excess growth was much higher in the United States than in the other high-income countries studied, suggesting that country-specific institutional factors might contribute to long-term health spending trends.
Journal ArticleDOI
The Swiss Health System: Regulated Competition Without Managed Care
Journal ArticleDOI
International comparison of health care systems using resource profiles
Anders Anell,Michael Willis +1 more
TL;DR: A simple framework for comparing data underlying health care systems is presented, which distinguishes measures of real resources, for example human resources, medicines and medical equipment, from measures of financial resources such as expenditures.
Journal ArticleDOI
Dietary glycemic index, glycemic load, and intake of carbohydrate and rice in relation to risk of mortality from stroke and its subtypes in Japanese men and women.
Shino Oba,Chisato Nagata,Kozue Nakamura,Kaori Fujii,Toshiaki Kawachi,Naoyoshi Takatsuka,Hiroyuki Shimizu +6 more
TL;DR: D diets with a high dietary GI increase the risk of mortality from stroke among Japanese women, and a significant positive trend was observed between dietary GL and mortality from hemorrhagic stroke.
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?