Multinational Comparisons of Health Systems Data, …

[Pages:15]Multinational Comparisons of Health Systems Data, 2019

Roosa Tikkanen The Commonwealth Fund

SPENDING

Health Care Spending as a Percent of

GDP, 1980?2018

Adjusted for Differences in Cost of Living

Percent (%) of GDP

18

2018* data: US (16.9%)

16

SWIZ (12.2%)

14

GER (11.2%)

FRA (11.2%)

12

SWE (11.0%)

10

CAN (10.7%)

8

NOR (10.2%)

6

NETH (9.9%)

4

UK (9.8%)

2

AUS (9.3%)

0

1980

1985

1990

1995

2000

2005

2010

NZ (9.3%) 2015 2018*

OECD avg: 8.8%

Notes: Current expenditures on health. Based on System of Health Accounts methodology, with some differences

between country methodologies. OECD average reflects the average of 36 OECD member countries, including ones

not shown here.

2

*2018 data are provisional or estimated.

Source: OECD Health Data 2019.

SPENDING

Health Care Spending per Capita by Source

of Funding, 2018

Adjusted for Differences in Cost of Living

Dollars ($US) 10,000

9,000

8,000

7,000

6,000

5,000 4,000 3,000

$3,923 $3,943 $3,992 506 629 716 309 207 226

2,000 1,000

3108

3107

3038

$4,566 837 597

3132

Total per-capita spending

Out-of-pocket spending Private spending Public spending

$4,931 $4,974

463 357

749

759

$5,288

570 376

$5,447

807 71

4111

4343 4569

3466

$5,986 738 192

5056

$6,187 877 21

5289

$ 10,207 1,122

$7,147 4,092

2069 533

4545 4,993

0

NZ

UK OECD AUS FRA CAN NETH SWE GER NOR SWITZ US* avg

Data reflect current expenditures on health per capita, adjusted using US$ purchasing power parities (PPPs), for 2018 or the most

recent year: 2017 for FRA, SWIZ, UK, US; 2016 for AUS. Data for 2018 reflect estimated/provisional values. Numbers may not sum to

total due to excluding capital formation of health care providers, and some uncategorized health care spending. Public spending

reflects government and compulsory spending (HF1); private reflects voluntary schemes (HF2); out-of-pocket (HF3).* For the US, `Compulsory private insurance schemes' (HF122) spending was reclassified into the `Voluntary health insurance schemes' (HF21)

3

category, given that the individual mandate to have health insurance ended in Jan 2019. OECD average reflects the average of 36

OECD member countries, including ones not shown here. Source: OECD Health Data 2019.

HEALTH OUTCOMES

Life Expectancy at Birth, 1980-2017

Years

84 82 80 78 76 74 72 70

1980

1985

1990

1995

2000

2005

2010

2015 2017

2017 data: SWIZ (83.6) NOR (82.7) FRA (82.6) AUS (82.6) SWE (82.5) CAN (82.0) NZ (81.9) NETH (81.8) UK (81.3) GER (81.1) US (78.6)

OECD avg: 80.7

OECD average reflects the average of 36 OECD member countries, including ones not shown here.

4

Source: OECD Health Data 2019.

HEALTH OUTCOMES

Suicides, 2016

Deaths per 100,000 (standardized rates)

16

14

12

OECD avg (11.5)

10.2 10.5

11.1

10

11.2

11.5

11.6

11.8

11.9

13.1

13.9

8 7.3

6

4

2

0 UK GER NETH SWE SWITZ NZ NOR CAN AUS FRA US

Rates reflect age- and sex-standardized rates for 2016 or latest available year (2015 for CAN, FRA; 2014 for NZ).

OECD average reflects the average of 36 OECD member countries, including ones not shown here.

5

Source: OECD Health Data 2019.

POPULATION HEALTH

Adults with Multiple Chronic Conditions, 2016

Percent (%)

30

28

25

22

20 11-country average (17.5%)

15 14

14

15

15

16

16

17

18

18

10

5

0 NETH UK AUS SWITZ NOR NZ GER FRA SWE CAN US

Definition: Adults aged 18 years or older who have ever been told by a doctor that they have two or more of the

following chronic conditions: Joint pain or arthritis; asthma or chronic lung disease; diabetes; heart disease,

including heart attack; or hypertension/high blood pressure. Average reflects that of the 11 countries shown on the

6

slide, that take part in the Commonwealth Fund's International Health Policy Survey.

Source: 2016 Commonwealth Fund International Health Policy Survey.

POPULATION HEALTH

Obesity Rate, 2017

Percent (%)

50

40

40

30

OECD avg (21%) 20

29

30

32

26

24

17

11 12 13 13

10

0 SWITZ NOR SWE NETH FRA GER CAN UK AUS NZ US

Data reflect rates based on measurements of height and weight, except NETH, NOR, SWE, SWITZ, for which data

reflect self-reported data (self-reported rates tend to be lower than measured rates). 2017 data for all countries

except 2016 for US; 2015 for FRA, NOR; 2012 for GER. OECD average reflects the average of 36 OECD member

7

countries, including ones not shown here.

Source: OECD Health Data 2019.

U T I L I Z AT I O N

Physician Visits, 2017 and Physician Supply, 2018

Average physician visits per capita, 2017 Practicing physicians per 1,000 population, 2018

15

8

6

9.9

10

4.8

8.3 7.7

4.3 4.3 4.1

OECD avg (6.8)

6.8

4

6.1

5

3.8 4.0 4.3 4.5

3.7

3.6

3.3

OECD avg (3.5) 3.2

2.9 2.7 2.6

2.8

2

0

0

SWE NZ US SWIZ NOR FRA CAN AUS NETH GER

NOR SWIZ GER SWE AUS NETH NZ FRA UK CAN US

Physician visit data reflect 2017 or nearest year; 2016 for FRA, 2011 for US; No recent data for the UK (since 2009).

Physician supply data for 2018 or nearest year; 2017 for AUS, GER, NETH, SWIZ, US; 2016 for SWE. OECD average reflects the average of 36 OECD member countries, including ones not shown here.

8

Source: OECD Health Data 2019.

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