Healthcare Spending in USA

8/22/2019 Healthcare Spending in USA

1/19

OECD Health Data 2012

U.S. health care

system froman international

perspective

Released on June 28, 2012

http://www.oecd.org/health/healthdata
http://www.oecd.org/health/healthataglancehttp://www.oecd.org/health/healthataglance


2/19

Why is the US healthspending so high?


3/19

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.

82

3

3

53

88

5

270

50

56

4

786

44

64

4

445

4

395

4

338

3

974

3

969

37

58

37

18

36

70

3

433

3

309

3

268

3

251

30

76

30

35

30

22

2

96

4

29

1

4

27

28

2

428

2

165

20

95

20

35

18

84

16

01

1

389

12

94

1

202

916

913

0

2 000

4 000

6 000

8 000

USD PPP

Public expenditure on health Private expenditure on health
http://dx.doi.org/10.1787/888932315602http://dx.doi.org/10.1787/888932315602


4/19

4

At 17.6% of GDP in 2010, US health spending is one and ahalf as much as any other country, and nearly twice the OECD

average


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

1

0.

7

1

0.

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

1012

14

16

18

20% of GDP

Public Private
http://dx.doi.org/10.1787/888932315602http://dx.doi.org/10.1787/888932315602


5/19

5

US spends much more on health than what mightbe expected by its GDP per capita


2010 (or latest year available)

AUS

AUTBEL

CAN

CHL

CZE

DNK

EST

FIN

FRA

DEU

GRC

HUN

ISL

IRE

ISR

ITAJPN

KOR

LUX

MEX

NLD

NZL

NOR

POL

PRT

SVK

SVN

ESP

SWE

CHE

TUR

GBR

USA

R = 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 percapita (USD PPP)

GDP per capita (USD PPP)


6/19

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 muchmore the US spends per category compared with the average of the five other OECD countries.


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


7/19

Is US health spending higherdue to higher prices or higherservice provision? (or both?)


8/19

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


9/19

US prices for certain procedures are muchhigher 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).


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Where the United States health system doesLESS than other countries

United States Rank comparedwith OECDcountries

OECD average

Practising physicians2.4

per 1000 population26th

3.1per 1000 population

Doctor consultations 3.9per capita 29th 6.4per capita

Hospital beds3.1



Hospital discharges131.0



Average length ofstay in hospitals

4.9days

29th 7.1days



11/19

Where the United States health system doesMORE than other countries


United States Rank comparedwith OECDcountries

OECD average

MRI units31.6

per million population2nd

12.5per million population

MRI exams97.7

per 1 000 population2nd

46.3per 1 000 population

CT scanners 40.7per million population 3rd 22.6per million population

CT exams265.0

per 1 000 population3rd


Tonsillectomy254.4

per 100 000 population1st


Coronary bypass79.0

per 100 000 population3rd


Knee replacements226.0

per 100 000 population 1st121.6

per 100 000 population

Caesarean sections32.9

per 100 live births6th

26.1per 100 live births


12/19

Is the quality of care

better in the US?


13/19

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.


14/19

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


15/19

What are the trends inkey risk factors to health

in the US?


16/19

Smoking rates have decreased in the US andin most other OECD countries

Adult population smoking daily


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


17/19

Obesity rates have increased substantially overthe 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 1

3 1

5 1

7

24

25

26

30

36

0

10

20

30

40

1990 2000 2010

%


18/19

Over one-third of children in the US areoverweight 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)


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More information

http://www.oecd.org/health/healthdata
http://www.oecd.org/health/healthataglancehttp://www.oecd.org/health/healthataglance

Healthcare Spending in USA

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